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Increasing the Winter Community Participation of Older Adult Wheelchair Users

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ClinicalTrials.gov Identifier: NCT02622828
Recruitment Status : Unknown
Verified August 2016 by University of Manitoba.
Recruitment status was:  Recruiting
First Posted : December 7, 2015
Last Update Posted : May 8, 2017
Sponsor:
Information provided by (Responsible Party):
University of Manitoba

Brief Summary:
The purpose of this study is to examine whether intervention strategies targeted at the level of the environment (e.g. improving access to community based leisure groups, transportation) can successfully promote the community participation experiences of community-dwelling older adult Manitobans who use wheelchairs in the winter.

Condition or disease Intervention/treatment Phase
Frail Elderly Behavioral: Participant-identified community based activity Not Applicable

Detailed Description:
There is strong evidence to support that community-dwelling older adults who are able to maintain their involvement in social, recreational, spiritual and physical activities experience positive effects on their health and quality of life. While winter creates challenges to community participation for many Manitobans, these difficulties are magnified for older adults and particularly for older adults who use wheelchairs. The aim of this study is to explore ways to improve or maintain community participation of community-dwelling older adults who use wheelchairs in the winter. Using a single-subject design, five older adult Manitobans who are wheelchair users will each select three community-based participation goals to work on throughout the winter months. Each older adult participant will work with an occupational therapist to receive individually-focused interventions aimed at increasing his or her community participation. The investigators will use a client-centered outcome measure designed to detect changes in performance and satisfaction in the goals that the individual has self-identified as being important to him or her, yet difficult to perform. The findings of this study will help determine the feasibility of conducting a larger scale study that would include a greater number of older adult Manitobans. Older adult wheelchair users in Manitoba bear a disproportionate burden in the winter when aging, mobility limitations, and weather coincide to create conditions that make community participation exceedingly difficult. It is important to the health and well-being of older adult Manitobans to find effective ways to promote community engagement throughout the winter months.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 5 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Other
Official Title: Increasing the Winter Community Participation of Older Adult Wheelchair Users
Study Start Date : December 2015
Estimated Primary Completion Date : October 2017
Estimated Study Completion Date : December 2017

Arm Intervention/treatment
Behavioural
Participant-identified community based activity
Behavioral: Participant-identified community based activity
The Canadian Occupational Performance Measure (COPM) is a client-centered outcome measure designed to detect changes in performance and satisfaction in occupations that the individual has self-identified as being important and difficult to perform. The COPM will be used to set self-identified, community-based activities as treatment goals.




Primary Outcome Measures :
  1. Change in occupational performance using the The Canadian Occupational Performance Measure (COPM) at 5 months [ Time Frame: Initial and 5 month follow up ]
    The Canadian Occupational Performance Measure (COPM) is a client-centered outcome measure designed to detect changes in performance and satisfaction in occupations that the individual has self-identified as being important and difficult to perform. The COPM has well-established psychometric properties and will be used as the primary outcome measure and will be used to set treatment goals, determine baseline stability, and detect change in performance of, and satisfaction with, the goals.


Secondary Outcome Measures :
  1. Change in self-report health status using the WHO-DAS2 at 5 months [ Time Frame: Initial and 5 month follow-up ]
    The WHO-DAS 2.0 25 is a generic self-report health status measure, linked to the concepts of health and disability outlined in the International Classification of Functioning, Disability and Health and is intended to identify limitations in six domains, including self-care, and community and social functioning experienced over the past 30 days. The WHO-DAS 2.0 is responsive to change, has excellent internal consistency, established content validity, and high convergent validity. The WHO-DAS 2.0 will be used to identify changes in overall health status that occur through the study.



Information from the National Library of Medicine

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Ages Eligible for Study:   70 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Age 70 or older, user of a manual or power wheelchair or scooter for outdoor mobility
  • Self-identifies a reduction in community participation throughout the winter months
  • Community-dwelling
  • Lives within the perimeter of Winnipeg.

Exclusion Criteria:

  • Geriatric Depression Scale-SF score of 6 or more
  • Montreal Cognitive Assessment score of 25 or less

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 ClinicalTrials.gov identifier (NCT number): NCT02622828


Contacts
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Contact: Jacquie Ripat, PhD 204-789-3303 jacquie.ripat@umanitoba.ca
Contact: Donna Collins, MSc 204-789-3422 donna.collins@umanitoba.ca

Locations
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Canada, Manitoba
University of Manitoba Recruiting
Winnipeg, Manitoba, Canada, R3E0T6
Contact: Jacquie Ripat, PhD    204-789-3303    jacquie.ripat@umanitoba.ca   
Contact: Donna Collins, MSc    204-789-3422    donna.collins@umanitoba.ca   
Sponsors and Collaborators
University of Manitoba
Investigators
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Principal Investigator: Jacquie Ripat, PhD University of Manitoba

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Responsible Party: University of Manitoba
ClinicalTrials.gov Identifier: NCT02622828     History of Changes
Other Study ID Numbers: H2015:132
First Posted: December 7, 2015    Key Record Dates
Last Update Posted: May 8, 2017
Last Verified: August 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by University of Manitoba:
wheelchairs
social participation