WheelSee Feasibility Study

NCT01837888 | Completed

• 1 other identifier: H11-02687
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

Self-efficacy predicts behavioural and rehabilitation outcomes and may be an important psychological factor for wheelchair mobility. A feasibility study will evaluate a novel self-efficacy enhanced wheelchair training intervention (WheelSee) to determine if: 1.WheelSee improves self-efficacy compared to standard care; 2. study design is appropriate; and 3. The WheelSee intervention protocol is suitable. This feasibility study will allow for study design and protocol refinement and will provide pilot data for an experimental trial.

Conditions

Self-efficacy

Keywords

wheelchair; manual wheelchair; rehabilitation; self-efficacy; older adults; feasibility; intervention; training; Wheelchair mobility

Outcome Measures

Primary Outcomes (1)

• Wheelchair-use Confidence Scale (WheelCon) Version 3.0 Change

  Wheelchair-use Confidence Scale (WheelCon) Version 3.0 for manual wheelchair users is a 65-item self-report scale (0-100) with documented reliability and validity. Responses indicate current level of perceived confidence (%) to navigate the physical environment in a wheelchair, perform activities in a wheelchair, problem solve, advocate for specific needs, and manage social situations and emotions. The WheelCon was selected as the primary outcome measure because it is a standardized tool for evaluating confidence using a wheelchair, the primary construct of interest.

  Baseline; 5 weeks

Secondary Outcomes (3)

• Wheelchair Skills Test Version 4.1 Questionnaire (WST-Q)

  Baseline; 5 weeks

• Life-Space Assessment (LSA)

  Baseline; 5 weeks

• The Wheelchair Outcome Measure (WhOM)

  Baseline; 5 weeks

Study Arms (2)

Standard training provided by clinician

NO INTERVENTION

Participants in the control group will receive the current standard of care. (i.e., any training provided by the clinician or vendor who prescribes/provides the wheelchair). Participants will receive one follow up phone call to remind them of followup testing.

WheelSee Training Program

EXPERIMENTAL

Participants allocated to the intervention group will take part in WheelSee in groups of 2-4. The WheelSee intervention consists of 6 (twice weekly, minimum 3 days apart) x 1.5 hour sessions. Participants will be encouraged to bring a family member to each session, who may act as a spotter during the practice of wheelchair skills. If no family member is available, a student volunteer spotter will be available to ensure a 1:1 spotter: wheelchair user ratio. All spotters will be trained in appropriate spotting techniques.

Device: WheelSee Training Program

Interventions

WheelSee Training Program DEVICE

WheelSee sessions will be administered by a peer-trainer, who will be trained in a 2-day workshop to use social cognitive approaches (i.e. facilitating successful performance of wheelchair skills, learning through observation of peers, positive verbal reinforcement from peers and family members, and re-interpretation of physiological symptoms) to foster the improvement of self-efficacy for wheelchair use. Each WheelSee session will be tailored to the individual goals of participants, which will be identified during the start of each WheelSee session.

WheelSee Training Program

Eligibility Criteria

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

You may qualify if:

• years of age or older
• Reside in the community
• Daily use of a manual wheelchair (≥ 2 hours/day)
• Able to self-propel (using any combination of hands or feet) a distance of 10 m
• Would like to improve confidence using a manual wheelchair
• Have wheelchair mobility goals
• Able to read, write and speak at a Grade 8 English level
• Score 25 or higher on the Mini Mental State Examination (MMSE)

You may not qualify if:

• Have previously or are currently taking part in standardized wheelchair training
• Are acutely ill

Sponsors & Collaborators

• University of British Columbia: lead

Study Sites (1)

GF Strong Rehabilitation Centre

Vancouver, British Columbia, V5Z 2G9, Canada

Location

Related Publications (1)

• Best KL, Miller WC, Huston G, Routhier F, Eng JJ. Pilot Study of a Peer-Led Wheelchair Training Program to Improve Self-Efficacy Using a Manual Wheelchair: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2016 Jan;97(1):37-44. doi: 10.1016/j.apmr.2015.08.425. Epub 2015 Sep 4.

  PMID: 26343171 DERIVED

Study Officials

• William C Miller, PhD

  University of British Columbia

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: April 18, 2013
• First Posted: April 23, 2013
• Study Start: November 1, 2011
• Primary Completion: June 1, 2013
• Study Completion: August 1, 2014
• Last Updated: May 30, 2018

Record last verified: 2018-05

Locations

CA (1)