Enhancing Participation In the Community by Improving Wheelchair Skills: Phase 2 (EPIC WheelS)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01644292
Recruitment Status : Completed
First Posted : July 19, 2012
Results First Posted : March 6, 2014
Last Update Posted : March 2, 2015
Information provided by (Responsible Party):
University of Manitoba

Brief Summary:
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.

Condition or disease Intervention/treatment Phase
Older Adult Manual Wheelchair Users Other: EPIC WheelS Phase 1

Detailed Description:
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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 2 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Enhancing Participation In the Community by Improving Wheelchair Skills (EPIC WheelS): Phase 2
Study Start Date : August 2012
Actual Primary Completion Date : March 2013
Actual Study Completion Date : March 2013

Arm Intervention/treatment
Experimental: EPIC Wheels Training Intervention
EPIC Wheels skills training program
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.

Primary Outcome Measures :
  1. Change From Baseline in Wheelchair Skills Test (WST) 4.1 Capacity Score [ Time Frame: Baseline and follow-up (1 month) ]
    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.

Information from the National Library of Medicine

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Ages Eligible for Study:   50 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • at least 50 years old
  • live in the community within metropolitan Winnipeg
  • self-propel a MWC (Manual Wheelchair) at least 1 hour per day
  • use their MWC for mobility outside of the home
  • have used a MWC for less than 2 years

Exclusion Criteria:

  • cannot communicate and complete study questionnaires in English
  • anticipate a health condition that contraindicates wheelchair training

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01644292

Canada, Manitoba
University of Manitoba
Winnipeg, Manitoba, Canada, R3E 0T6
Sponsors and Collaborators
University of Manitoba
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

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: University of Manitoba Identifier: NCT01644292     History of Changes
Other Study ID Numbers: H2012:069
First Posted: July 19, 2012    Key Record Dates
Results First Posted: March 6, 2014
Last Update Posted: March 2, 2015
Last Verified: January 2014

Keywords provided by University of Manitoba:
Mobility Impairment
Manual Wheelchair
Older Adults