Improving Manual Wheelchair Skills Through Remote Training

Brief Summary

Detailed Description

For peer coaches: Coaches will complete the following measures: * Demographic questionnaire (pre-training) * Self-Efficacy on Assessing, Training, and Spotting (SEATS) (pre- and post-training) * Feedback survey (post peer coaching) Prior to coaching trainees, coaches will undergo three training programs as follows: * Virtual training through zoom on peer mentoring * Research ethics training * Wheelchair skills training It will be verified that peer coaches possess the needed skills by administering the SEATS following training. A score of 5 (completely confident) for each training item will be required to advance to the peer coaching sessions. For peer coaching, coaches will lead six 1:1 virtual zoom meetings with each trainee they are matched with. Sessions may include goal setting, review of progress, instruction, and "homework" of prescribed content for trainees to review. For each training session coaches will complete a session log. For trainees: Baseline questionnaires will include: * Demographic questionnaire * Wheelchair setup questionnaire * Wheelchair Skills Test Questionnaire (WST-Q) * Goal Attainment Scale (GAS) (Group 1,3 only) * Craig Handicap Assessment and Reporting Technique Short Form (CHART-SF) Mobility * Life Space Assessment (LSA) * Online Learning Readiness Scale (OLRS) * Moorong Self-Efficacy Scale (MSES) * Referral Source * Wheelchair Skills Training Questionnaire (WST-Q) * Wheelchair skills training outside of study Group Specific Activities Groups 1 and 2 will complete intervention A following baseline and 6-month assessments, respectively. They are not required to complete training in all skills, only to have at least 5 skills with relevant training goals. Intervention Trainees will engage in 1:1 virtual zoom meetings facilitated by the study team scheduled weekly for 6 sessions with the opportunity for 2 makeup sessions. Sessions may include goal setting, review of progress, instruction, and "homework" of prescribed content for trainees to review. Participants may upload videos of themselves completing skills through Qualtrics to get feedback. Skills targeted by the intervention - 1. opening/closing doors 2. picking up an object from the ground 3. getting over a gap 4. getting over a threshold 5. up a low curb 6. down a low curb 7. up a high curb 8. down a high curb 9. performing a stationary wheelie 10. up a steep incline 11. down a steep incline 12. getting up stairs 13. getting down stairs 14. uneven transfers 15. floor-to-chair transfer 16. folding and unfolding wheelchair All participants will complete 2-month follow-up. This will include the following questionnaires: Baseline questionnaires will include: * Wheelchair setup questionnaire * Wheelchair skills training outside of study survey * Wheelchair Skills Test Questionnaire (WST-Q) * Goal Attainment Scale (GAS) - group 1 * Feedback Survey - group 1 only All participants will complete 6-month follow-up. This will include the following questionnaires: * Wheelchair setup questionnaire * Wheelchair skills training outside of study survey * Wheelchair Skills Test Questionnaire (WST-Q) * Craig Handicap Assessment and Reporting Technique Short Form (CHART-SF) Mobility * Life Space Assessment (LSA) Groups 2 will then cross-over to complete the intervention. All participants will complete 8-month follow-up. This will include the following questionnaires: * Wheelchair setup questionnaire * Wheelchair skills training outside of study survey * Wheelchair Skills Test Questionnaire (WST-Q) * Goal Attainment Scale (GAS) - group 2 only * Feedback Survey - group 2 only All participants will complete 12-month follow-up. This will include the following questionnaires: * Wheelchair setup questionnaire * Wheelchair Skills Test Questionnaire (WST-Q) * Craig Handicap Assessment and Reporting Technique Short Form (CHART-SF) Mobility * Life Space Assessment (LSA) * Wheelchair skills training outside of study Follow-up windows will be within approximately 2 weeks before/after the follow-up date. Participants will be asked to select two preferred methods of contact for follow-up reminders that will be sent between timepoints. Spotters are required for trainee participation in the study. Prior to the start of the study, spotters will be required to watch a series of training videos about safe spotting.

Primary Outcomes

Secondary Outcomes

• Goal Attainment Scale (GAS) improvement from baseline (post training)(Post-training (2 mo assessment for groups 1 and 3; 8 mo assessment for group 2))
• Wheelchair Skills Test Questionnaire (WST-Q) improvement from baseline (6 months)(6 months post training (6 mo assessment for groups 1 and 3; 12 mo assessment for group 2))
• Wheelchair Skills Test Questionnaire (WST-Q) improvement from baseline (12 months)(1 year)
• Wheelchair Outcome Measure (WhOM) Satisfaction with Participation in Meaningful Activities after baseline (6 months)(6 months)
• Craig Handicap Assessment and Reporting Technique Short Form (CHART-SF) Mobility improvement (6 months)(6 months)
• Life Space Assessment (LSA) improvement from baseline (6 months)(6 months)
• Craig Handicap Assessment and Reporting Technique Short Form (CHART-SF) Mobility improvement (1 year)(1 year)
• Wheelchair Outcome Measure (WhOM) Satisfaction with Participation in Meaningful Activities after baseline (1 year)(1 year)
• Life Space Assessment (LSA) improvement from baseline (1 year)(1 year)
• Wheelchair Skills Test Questionnaire (WST-Q) improvement from baseline following training(Post-training (2 mo assessment for groups 1 and 3; 8 mo assessment for group 2))