Efficacy of Wheelchair Skills Training on Confidence Using a Manual Wheelchair

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
University of British Columbia
ClinicalTrials.gov Identifier:
NCT01243164
First received: November 16, 2010
Last updated: March 10, 2014
Last verified: March 2014
  Purpose

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. Evaluate the efficacy of the Wheelchair Skills Training Program on improving confidence with using a manual wheelchair.
  2. Evaluate the efficacy of the Wheelchair Skills Training Program on improving wheelchair performance.
  3. Explore the immediate effect of exposure to wheelchair skills (an outcome measure) on confidence using a manual wheelchair.

Hypotheses:

  1. 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)
  2. 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).
  3. All participants will have significant improvements in confidence using a manual wheelchair after exposure to wheelchair skills (during baseline assessment).

Research Method: This study will use 2 concurrent Randomized Controlled Trials to evaluate the efficacy of the Wheelchair Skills Training Program in younger and older adults. Trial 1 and Trial 2 will employ different recruitment approaches for targeting younger versus older adults and different inclusion criteria with regard to age of the participants. Otherwise the research design, protocol and procedures will be the same. Upon completion of data collection, the data will be pooled and stratified by age (younger adult, older adult) for analyses.


Condition Intervention
Confidence Using a Wheelchair
Other: Wheelchair Skills Training Program

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Basic Science
Official Title: Efficacy of the Wheelchair Skills Training Program for Improving Confidence With Using a Manual Wheelchair in Younger and Older Able-bodied Adults: A Pilot RCT

Further study details as provided by University of British Columbia:

Primary Outcome Measures:
  • Confidence Using a Wheelchair (WheelCon) [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]
    A 63-item questionnaire to assess confidence using a manual wheelchair


Secondary Outcome Measures:
  • Wheelchair Skills Test (WST) [ Time Frame: 2 weeks ] [ Designated as safety issue: Yes ]
    A 32-item performance-based wheelchair obstacle course. The WST assessed the ability to perform a standardized set of wheelchair skills and also assess whether the skills were performed safely

  • Hospital Anxiety and Depression Scale (HADS) [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]
    HADS is a 14 item questionnaire to asses anxiety and depression.

  • Evaluation of Risk scale (EVAR) [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]
    EVAR is a 24 item questionnaire that assesses propensity of risk taking behaviours.


Enrollment: 20
Study Start Date: November 2010
Study Completion Date: September 2011
Primary Completion Date: September 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Wheelchair Skills Training Program
A standardized wheelchair skills training program to teach 32 specific wheelchair skills.
Other: Wheelchair Skills Training Program
The Wheelchair Skills Training Program will be administered in 2, 1 hour sessions.
Other Name: WSTP

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   19 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

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

Exclusion Criteria:

  • 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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01243164

Locations
Canada, British Columbia
Blusson Spinal Cord Centre
Vancouver, British Columbia, Canada, V5Z 1M9
GF Strong
Vancouver, British Columbia, Canada, V5Z 2G9
Sponsors and Collaborators
University of British Columbia
Investigators
Principal Investigator: William C Miller, PhD University of British Columbia
  More Information

Additional Information:
No publications provided

Responsible Party: University of British Columbia
ClinicalTrials.gov Identifier: NCT01243164     History of Changes
Other Study ID Numbers: H10-02385
Study First Received: November 16, 2010
Last Updated: March 10, 2014
Health Authority: Canada: Health Canada

Keywords provided by University of British Columbia:
confidence
wheelchair performance

ClinicalTrials.gov processed this record on September 18, 2014