Wheelchair Self-efficacy Enhanced Training Program to Improve Wheelchair Use in Older Adults
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Wheelchair Skills Test Version 4.1 (WST) Change
研究概览
简要总结
Self-efficacy predicts behavioural and rehabilitation outcomes and may be an important psychological factor for wheelchair mobility. A feasibility study will evaluate a novel self-efficacy enhanced wheelchair training intervention for older adults (WheelSeeU) to determine if: 1.WheelSeeU is feasible to administer; 2. WheelSeeU improves wheelchair use, confidence for wheelchair use, wheelchair mobility, and satisfaction with participation in older adults compared to group-based information sessions; and 3. the study design is appropriate. This feasibility study will allow for study design and protocol refinement and will provide pilot data for an experimental trial.
详细描述
This study will use a two-site (Vancouver and Quebec City), single blinded (Tester) RCT to compare differences in older adults' wheelchair skill with WheelSeeU versus group-based information sessions. Subjects will be randomly assigned to the experimental group (WheelSeeU) or a control group (information sessions) using a 1:1 allocation ratio between groups. To support balance between groups and blinding of assignment, a central computerized randomization process will be designed by our team statistician, with an undisclosed block size and stratified by site (Vancouver n = 20 [+4 for 20% dropout]; Quebec City n = 20 +4 ). Once subjects are enrolled, the Tester will collect baseline data and enter them into a secure database. The Site Coordinator will contact Dr. Goldsmith via telephone or email and obtain group assignment within 48 hours. Subject contact information will be forwarded to the appropriate group Trainer to arrange for an initial training session or peer support session. To address bias, subjects will be instructed not to discuss their program and the Testers (1 per site) will be blinded to group allocation. Follow-up testing will occur at immediately and 6 months post-intervention.
To mask the participants from the study objectives, participants in both the intervention and control groups will be told that the intervention is designed to improve wheelchair use. The findings from the study will be summarized and mailed to each participant upon study completion.
WheelSeeU and the control group will be held at Blusson Spinal Cord Centre, GF Strong or in the community depending on participant preference.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 55 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •55 years of age or older
- •live in the community
- •self-propel a manual wheelchair at least 1 hour/day
- •have wheelchair mobility goals
- •are cognitively able to engage in the program (Modified Mini-mental Status Exam score of ≥ 24).
排除标准
- •cannot communicate and complete study questionnaires in English
- •anticipate a health condition or procedure that contraindicates training (e.g., surgery scheduled which would impair physical activity)
- •have a degenerative condition that is expected to progress quickly (e.g., Amyotrophic lateral sclerosis (ALS))
- •are concurrently or are planning to receive wheelchair mobility training during the period of the study.
研究组 & 干预措施
Group-based information sessions
Control group subjects will take part in 6 x 1.5 hour sessions of group-based information sessions facilitated by a trained instructor, consisting of topics on general wheelchair use, transportation, pain and fatigue management, nutrition, and internet resources. The instructor will be trained to not provide any training on wheelchair skills, and will be instructed to divert any wheelchair skills related questions.
WheelSeeU Training Program
Experimental group subjects will attend 6 x 1.5 hour training sessions (1-2 sessions/week) with a peer-Trainer. The peer-Trainer will facilitate WheelSeeU sessions and will lead participants through practice of wheelchair use goals.
干预措施: WheelSeeU Training Program (Device)
结局指标
主要结局
Wheelchair Skills Test Version 4.1 (WST) Change
时间窗: Baseline, 6 weeks, 6 month follow-up
Wheelchair Skills Test Version 4.1 (WST) for manual wheelchair users is a standardized objective evaluation of the execution of 32 manual wheelchair skills (pass/fail) and the safety of skill execution (safe/unsafe). Total percent scores (0-100%) are calculated for both skill execution and safety. The WST was selected as the primary measure because it is a standardized tool for evaluating wheelchair capacity, the primary construct of interest.
次要结局
- Health Utility Index Mark 3 (HUI3)(Baseline, 6 weeks, 6 month follow-up)
- Wheelchair-use Confidence Scale (WheelCon) Version 3.0(Baseline, 6 weeks, 6 month follow-up)
- Wheelchair Skills Test Version 4.1 Questionnaire (WST-Q)(Baseline, 6 weeks, 6 month follow-up)
- Life-Space Assessment (LSA)(Baseline, 6 weeks, 6 month follow-up)
- Late Life Function and Disability Instrument (LLFDI)(Baseline, 6 weeks, 6 month follow-up)
- Wheelchair Outcome Measure (WhOM)(Baseline, 6 weeks, 6 month follow-up)
研究者
William C. Miller
Principal Investigator
University of British Columbia