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Effectiveness of a Wheelchair Skills Training Program for Power Mobility Users: A Randomized Controlled Trial

Primary Purpose

Movement Disorders

Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Wheelchair skills training program
Sponsored by
Nova Scotia Health Authority
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Movement Disorders focused on measuring rehabilitation, wheelchairs, safety, disability evaluation, motor skills

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • new or experienced powered wheelchair users
  • use or are expected to use powered wheelchairs for at least 4 hrs/week
  • have access to a powered wheelchair with a suitable range of controller settings (i.e. able to climb a 5cm level change) for testing and training
  • equal or greater than 18 years of age
  • able to follow directions in either French or English (whichever is in use at the participating site)
  • have the potential to operate their powered wheelchairs independently
  • have room for improvement (in the opinion of the potential participant's clinician)
  • requires no more than minimal assistance for communication and auditory comprehension (in the opinion of the potential participant's clinician)
  • able to follow 2-step commands
  • demonstrate the ability to attend training sessions during the intake session
  • competent to provide their own informed consent
  • able to be comfortably seated in the powered wheelchairs that will be used for the study (if not their own).

Exclusion Criteria:

  • use or are expected to use a scooter
  • have a rapidly progressive disorder (e.g. amyotrophic lateral sclerosis or terminal cancer)
  • have significant visual impairments (legally blind)
  • have unstable medical conditions (e.g. angina, seizures)
  • have emotional problems (e.g. severe anxiety, depression) that might make participation unsafe or unpleasant

Sites / Locations

  • GFS Rehabilitation Centre
  • Nova Scotia Rehabilitation Centre
  • University of Western Ontario
  • Toronto Rehab
  • Centre de Réadaptation Lucie-Bruneau
  • Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

wheelchair training

Control

Arm Description

Standard of care only

Outcomes

Primary Outcome Measures

Change from baseline in Wheelchair Skills, WST 4.1 questionnaire version
A measure of what the person 'can do' (capacity), 'does do' (performance), and the safety of various wheelchair skills. The Wheelchair Skills Test (WST) version 4.1 in questionnaire format will be used.

Secondary Outcome Measures

Full Information

First Posted
September 8, 2011
Last Updated
May 6, 2016
Sponsor
Nova Scotia Health Authority
Collaborators
Canadian Institutes of Health Research (CIHR)
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1. Study Identification

Unique Protocol Identification Number
NCT01432418
Brief Title
Effectiveness of a Wheelchair Skills Training Program for Power Mobility Users: A Randomized Controlled Trial
Official Title
Effectiveness of a Wheelchair Skills Training Program for Power Mobility Users: A Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
May 2016
Overall Recruitment Status
Completed
Study Start Date
June 2012 (undefined)
Primary Completion Date
September 2014 (Actual)
Study Completion Date
September 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Nova Scotia Health Authority
Collaborators
Canadian Institutes of Health Research (CIHR)

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a 3-year multi-centre, single-blinded, randomized controlled trial (RCT) to test the hypothesis that wheelchair skills training (using a systematic training program called the Wheelchair Skills Training Program) improves wheelchair skills and safety of 144 powered wheelchair users. A second objective is to assess the effects of age, sex, training centre, and participant experience on outcomes, assessing the retention of benefits and assessing the impact of training on other important outcomes.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Movement Disorders
Keywords
rehabilitation, wheelchairs, safety, disability evaluation, motor skills

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
116 (Actual)

8. Arms, Groups, and Interventions

Arm Title
wheelchair training
Arm Type
Experimental
Arm Title
Control
Arm Type
No Intervention
Arm Description
Standard of care only
Intervention Type
Other
Intervention Name(s)
Wheelchair skills training program
Intervention Description
A training program that uses methods based on the rehabilitation, wheelchair, and motor skills literature to teach wheelchair skills.
Primary Outcome Measure Information:
Title
Change from baseline in Wheelchair Skills, WST 4.1 questionnaire version
Description
A measure of what the person 'can do' (capacity), 'does do' (performance), and the safety of various wheelchair skills. The Wheelchair Skills Test (WST) version 4.1 in questionnaire format will be used.
Time Frame
baseline, 1 month , 3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: new or experienced powered wheelchair users use or are expected to use powered wheelchairs for at least 4 hrs/week have access to a powered wheelchair with a suitable range of controller settings (i.e. able to climb a 5cm level change) for testing and training equal or greater than 18 years of age able to follow directions in either French or English (whichever is in use at the participating site) have the potential to operate their powered wheelchairs independently have room for improvement (in the opinion of the potential participant's clinician) requires no more than minimal assistance for communication and auditory comprehension (in the opinion of the potential participant's clinician) able to follow 2-step commands demonstrate the ability to attend training sessions during the intake session competent to provide their own informed consent able to be comfortably seated in the powered wheelchairs that will be used for the study (if not their own). Exclusion Criteria: use or are expected to use a scooter have a rapidly progressive disorder (e.g. amyotrophic lateral sclerosis or terminal cancer) have significant visual impairments (legally blind) have unstable medical conditions (e.g. angina, seizures) have emotional problems (e.g. severe anxiety, depression) that might make participation unsafe or unpleasant
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lee Kirby, MD, FRCP
Organizational Affiliation
Nova Scotia Health Authority
Official's Role
Principal Investigator
Facility Information:
Facility Name
GFS Rehabilitation Centre
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 2G9
Country
Canada
Facility Name
Nova Scotia Rehabilitation Centre
City
Halifax
State/Province
Nova Scotia
ZIP/Postal Code
B3H 4K4
Country
Canada
Facility Name
University of Western Ontario
City
London
State/Province
Ontario
ZIP/Postal Code
N6G 1H1
Country
Canada
Facility Name
Toronto Rehab
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 1V7
Country
Canada
Facility Name
Centre de Réadaptation Lucie-Bruneau
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2H 2N8
Country
Canada
Facility Name
Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale
City
Quebec City
State/Province
Quebec
ZIP/Postal Code
G1M 2S8
Country
Canada

12. IPD Sharing Statement

Links:
URL
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4674291/?tool=nihms
Description
pubmed Canada study results

Learn more about this trial

Effectiveness of a Wheelchair Skills Training Program for Power Mobility Users: A Randomized Controlled Trial

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