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

July 13, 2012
July 19, 2012
August 12, 2013
March 6, 2014
March 2, 2015
August 2012
March 2013   (Final data collection date for primary outcome measure)
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.
Same as current
Complete list of historical versions of study NCT01644292 on Archive Site
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Enhancing Participation In the Community by Improving Wheelchair Skills: Phase 2
Enhancing Participation In the Community by Improving Wheelchair Skills (EPIC WheelS): Phase 2
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.
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.
Phase 1
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Older Adult Manual Wheelchair Users
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.
Experimental: EPIC Wheels Training Intervention
EPIC Wheels skills training program
Intervention: Other: EPIC WheelS
Giesbrecht EM, Miller WC, Jin BT, Mitchell IM, Eng JJ. Rehab on Wheels: A Pilot Study of Tablet-Based Wheelchair Training for Older Adults. JMIR Rehabil Assist Technol. 2015 Apr 30;2(1):e3. doi: 10.2196/rehab.4274.

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
March 2013
March 2013   (Final data collection date for primary outcome measure)

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
Sexes Eligible for Study: All
50 Years and older   (Adult, Senior)
Contact information is only displayed when the study is recruiting subjects
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University of Manitoba
University of Manitoba
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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
University of Manitoba
January 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP