WheelSeeU Feasibility Study

NCT01838135 | Completed

• 1 other identifier: H13-00509
• Study Type: interventional
• Target: 40
• 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 for older adults (WheelSeeU) to determine if: 1.WheelSeeU is feasible to administer; 2. WheelSeeU improves wheelchair use, confidence for wheelchair use, wheelchair mobility, and satisfaction with participation in older adults compared to group-based information sessions; and 3. the study design is appropriate. This feasibility study will allow for study design and protocol refinement and will provide pilot data for an experimental trial.

Conditions

Self-efficacy; Wheelchair Mobility

Keywords

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

Outcome Measures

Primary Outcomes (1)

• Wheelchair Skills Test Version 4.1 (WST) Change

  Wheelchair Skills Test Version 4.1 (WST) for manual wheelchair users is a standardized objective evaluation of the execution of 32 manual wheelchair skills (pass/fail) and the safety of skill execution (safe/unsafe). Total percent scores (0-100%) are calculated for both skill execution and safety. The WST was selected as the primary measure because it is a standardized tool for evaluating wheelchair capacity, the primary construct of interest.

  Baseline, 6 weeks, 6 month follow-up

Secondary Outcomes (6)

• Wheelchair-use Confidence Scale (WheelCon) Version 3.0

  Baseline, 6 weeks, 6 month follow-up

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

  Baseline, 6 weeks, 6 month follow-up

• Life-Space Assessment (LSA)

  Baseline, 6 weeks, 6 month follow-up

• Wheelchair Outcome Measure (WhOM)

  Baseline, 6 weeks, 6 month follow-up

• Late Life Function and Disability Instrument (LLFDI)

  Baseline, 6 weeks, 6 month follow-up

Study Arms (2)

Group-based information sessions

NO INTERVENTION

Control group subjects will take part in 6 x 1.5 hour sessions of group-based information sessions facilitated by a trained instructor, consisting of topics on general wheelchair use, transportation, pain and fatigue management, nutrition, and internet resources. The instructor will be trained to not provide any training on wheelchair skills, and will be instructed to divert any wheelchair skills related questions.

WheelSeeU Training Program

EXPERIMENTAL

Experimental group subjects will attend 6 x 1.5 hour training sessions (1-2 sessions/week) with a peer-Trainer. The peer-Trainer will facilitate WheelSeeU sessions and will lead participants through practice of wheelchair use goals.

Device: WheelSeeU Training Program

Interventions

WheelSeeU Training Program DEVICE

WheelSeeU sessions will be administered by a peer-trainer (older adult wheelchair user), 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 WheelSeeU session will be tailored to the individual goals of participants, which will be identified during the start of each session.

WheelSeeU Training Program

Eligibility Criteria

• Age: 55 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years of age or older
• live in the community
• self-propel a manual wheelchair at least 1 hour/day
• have wheelchair mobility goals
• are cognitively able to engage in the program (Modified Mini-mental Status Exam score of ≥ 24).

You may not qualify if:

• cannot communicate and complete study questionnaires in English
• anticipate a health condition or procedure that contraindicates training (e.g., surgery scheduled which would impair physical activity)
• have a degenerative condition that is expected to progress quickly (e.g., Amyotrophic lateral sclerosis (ALS))
• are concurrently or are planning to receive wheelchair mobility training during the period of the study.

Sponsors & Collaborators

• University of British Columbia: lead

Study Sites (1)

GF Strong Rehabilitation Centre

Vancouver, British Columbia, V5Z 2G9, Canada

Location

Related Publications (3)

• Miller WC, Best KL, Eng JJ, Routhier F. Influence of Peer-led Wheelchair Training on Wheelchair Skills and Participation in Older Adults: Clinical Outcomes of a Randomized Controlled Feasibility Trial. Arch Phys Med Rehabil. 2019 Jun;100(6):1023-1031. doi: 10.1016/j.apmr.2018.10.018. Epub 2018 Nov 23.

  PMID: 30476489 DERIVED

• Best KL, Miller WC, Routhier F, Eng JJ. Feasibility of the trial procedures for a randomized controlled trial of a community-based peer-led wheelchair training program for older adults. Pilot Feasibility Stud. 2017 Jul 17;4:18. doi: 10.1186/s40814-017-0158-3. eCollection 2018.

  PMID: 28725451 DERIVED

• Best KL, Miller WC, Eng JJ, Routhier F, Goldsmith C. Randomized controlled trial protocol feasibility: The Wheelchair Self-Efficacy Enhanced for Use (WheelSeeU). Can J Occup Ther. 2014 Dec;81(5):308-19. doi: 10.1177/0008417414546743.

  PMID: 25702375 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: March 28, 2013
• First Posted: April 23, 2013
• Study Start: March 1, 2013
• Primary Completion: March 1, 2016
• Study Completion: October 1, 2016
• Last Updated: July 29, 2024

Record last verified: 2024-07

Locations

CA (1)