Enhancing Participation In the Community by Improving Wheelchair Skills: Phase 2 (EPIC WheelS)
The purpose of this project is to conduct a pilot study of the EPIC WheelS wheelchair skills home training program for older adults in preparation for a third phase feasibility study.
|Study Design:||Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Enhancing Participation In the Community by Improving Wheelchair Skills (EPIC WheelS): Phase 2|
- Change from Baseline in Wheelchair Skills Test (WST) 4.1 Capacity Score [ Time Frame: Baseline and follow-up (1 month) ] [ Designated as safety issue: Yes ]The WST is a structured assessment with 32 discrete mobility skills required to perform social roles in the community, each scored dichotomously as pass/fail. The WST produces a total Skill Capacity score (0-100%) reflecting the number of skills safely passed.
|Study Start Date:||August 2012|
|Estimated Study Completion Date:||December 2012|
|Estimated Primary Completion Date:||October 2012 (Final data collection date for primary outcome measure)|
|Experimental: Training Intervention||
Other: EPIC WheelS
EPIC WheelS is a user-centred program for wheelchair skills training that combines two structured 1-hour sessions with an expert trainer and four weeks of self-directed practice and training in the natural (home) environment.
Many older adults rely on a manual wheelchair for community mobility but are not provided with skills for independent and effective use. Suboptimal or disuse of the wheelchair results in substantial social costs such as reduced engagement in meaningful activity, social isolation, and higher caregiver burden. This represents a poor use of financial resources, including the cost of wheelchair acquisition and demands for attendant care. Access to skills training is constrained by the cost and limited availability of skilled therapists, the demands of patient and clinician travel, and lack of programs designed specifically for the needs of older adults. Enhancing Participation In the Community by improving Wheelchair Skills (EPIC WheelS) is an individualized home-training program that optimizes learning for older adults while limiting the demands on expert clinician trainers. It is delivered using a portable computer tablet that allows interactive learning, customized updating, and communication with an expert trainer. A monitored, home program that is effective and efficient for older adults has potential application for other target groups as well, particularly those with limited access to rehabilitation services in rural and remote locations.
|University of Manitoba|
|Winnipeg, Manitoba, Canada, R3E 0T6|
|Principal Investigator:||Ed M Giesbrecht, PhD (Cand.)||University of Manitoba|
|Principal Investigator:||William C Miller, PhD||University of British Columbia|
|Principal Investigator:||Janice Eng, PhD||University of British Columbia|