Efficacy of Wheelchair Skills Training on Confidence Using a Manual Wheelchair

NCT01243164 | Completed

• 1 other identifier: H10-02385
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 2

Brief Summary

Background and Rationale: Mobility impairment is one of the main correlates of decreased levels of participation in daily and social activities. Mobility disability is often remediable through the use of assistive technology, of which the wheelchair is arguably the most widely used and recognizable form. Statistics suggest over 250,000 Canadians use wheelchairs, the majority of whom are older adults. Mobility impairment often has psychological consequences that may independently restrict functioning and participation. Confidence is one such consequence, and according to Bandura's Social Cognitive Theory, is the belief individuals have in their ability to perform behaviours to achieve desired outcomes. Furthermore, previous findings have accounted for no more than 40% of the variance of factors influencing wheelchair mobility and participation. It is likely that confidence in wheelchair use may account for some of that variance. Recent findings show that approximately 40% of wheelchair users report having low confidence. Because confidence is client-specific and modifiable, treatment strategies to address low confidence in using a wheelchair may lead to greater participation among older adults. Purpose: The overall goal of this research project is to evaluate the efficacy of the Wheelchair Skills Training Program on confidence with using a manual wheelchair in a group of non-wheelchair users. Objectives:

1. 1.Evaluate the efficacy of the Wheelchair Skills Training Program on improving confidence with using a manual wheelchair.
2. 2.Evaluate the efficacy of the Wheelchair Skills Training Program on improving wheelchair performance.
3. 3.Explore the immediate effect of exposure to wheelchair skills (an outcome measure) on confidence using a manual wheelchair.
4. 4.Participants who take part in the Wheelchair Skills Training Program will have significant improvements in confidence with using a manual wheelchair compared with those in the control group, as measured by the Wheelchair Use Confidence Scale (WheelCon)
5. 5.Participants who receive the Wheelchair Skills Training Program will have significant improvements in wheelchair performance compared to the control group, as measured by the Wheelchair Skills Test (WST).
6. 6.All participants will have significant improvements in confidence using a manual wheelchair after exposure to wheelchair skills (during baseline assessment).

Conditions

Confidence Using a Wheelchair

Keywords

confidence; wheelchair performance

Outcome Measures

Primary Outcomes (1)

• Confidence Using a Wheelchair (WheelCon)

  A 63-item questionnaire to assess confidence using a manual wheelchair

  2 weeks

Secondary Outcomes (3)

• Wheelchair Skills Test (WST)

  2 weeks

• Hospital Anxiety and Depression Scale (HADS)

  2 weeks

• Evaluation of Risk scale (EVAR)

  2 weeks

Study Arms (1)

Wheelchair Skills Training Program

EXPERIMENTAL

A standardized wheelchair skills training program to teach 32 specific wheelchair skills.

Other: Wheelchair Skills Training Program

Interventions

Wheelchair Skills Training Program OTHER

The Wheelchair Skills Training Program will be administered in 2, 1 hour sessions.

Also known as: WSTP

Wheelchair Skills Training Program

Eligibility Criteria

• Age: 19 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• able-bodied
• years of age or older
• able to propel a manual wheelchair for at least 10 metres

You may not qualify if:

• are unable to speak and write in English
• have an upper extremity injury
• use a wheelchair for mobility
• have previously taken part in wheelchair skills training workshops
• have a heart condition that could be worsened by physical activity
• have a physician diagnosis of osteoporosis or osteopenia
• live in residential or long-term care

Sponsors & Collaborators

• University of British Columbia: lead

Study Sites (2)

Blusson Spinal Cord Centre

Vancouver, British Columbia, V5Z 1M9, Canada

Location

GF Strong

Vancouver, British Columbia, V5Z 2G9, Canada

Location

Related Links

• Related Info

Study Officials

• William C Miller, PhD

  University of British Columbia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: BASIC SCIENCE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: November 16, 2010
• First Posted: November 18, 2010
• Study Start: November 1, 2010
• Primary Completion: September 1, 2011
• Study Completion: September 1, 2011
• Last Updated: May 30, 2018

Record last verified: 2018-05

Locations

CA (2)