Training to Enhance Adaptation and Management for Wheelchair Users (TEAMWheels) (TEAMWheels)
Mobility Limitation
About this trial
This is an interventional health services research trial for Mobility Limitation
Eligibility Criteria
Inclusion Criteria:
- 18 years of age and older
- use a MWC (even part time)
- living in the community
- have the ability to propel with both arms
- have sufficient language abilities to engage with the training material in English,
Exclusion Criteria:
- have a health condition that might interfere with training (e.g., cancer; surgery)
- concurrently receiving any MWC skills training beyond that of typical practice
Sites / Locations
- University of British ColumbiaRecruiting
- University of ManitobaRecruiting
- Universite LavalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Intervention-TEAM Wheels
Control-Wait List
The treatment group will receive the TEAM Wheels program over a 4-week period. Session 1 will be virtually delivered via MS Teams teleconference. The peer trainer is an experienced MWC user trained to deliver the TEAM Wheels program. At least 2 peers will be trained at each site to offer multiple trainer attributes; a male and female, one being at least 50 years old. Participants will pre-select a peer trainer from a biosketch to optimize training effect (e.g., preference for age, sex factors); comparability in age has been identified as preferential among older adults and influential to self-efficacy. After Session 1, participants engage in 4 weeks of eHealth home program training. They are instructed to practice for 75-150 minutes/week. Consistent with motor learning principles, we encourage training in 15-30 minute blocks 1-2 times/day, 3-5 days/week. The peer trainer arranges the remaining two virtual teleconference sessions with the participant, about 1 week apart.
The control group receives no specific intervention over the course of the 4-week period. This reflects "usual practice"/typical experience of a MWC user in their provincial context. Control group participants placed on the wait-list will receive the TEAM Wheels program following completion of the study (i.e. after post-treatment data collection). The site Research Coordinator/Assistant will make telephone or email contact with control group participants at the end of weeks 2 and 4 during the study period to deter attrition/drop-out. When contact is made at week 4, the Research Coordinator will schedule an appointment for post-treatment data collection (week 7). Any formal MWC training received during the wait-list period will be documented for potential post-hoc analysis as a confounding variable; research evidence and investigators' clinical experience confirm that in all 3 provinces formal training is not provided once MWC users are discharged from hospital.