Virtual Peer Coaching in Manual Wheelchair Skills
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Intervention A: 1-on-1 wheelchair skills training by a peer coach, Intervention B: Training via educational videos.
- Who it may be relevant to
- Registry conditions: Wheelchair, Paraplegia, Spinal Cord Injury, Tetraplegia/Tetraparesis. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Improving Manual Wheelchair Skills Through Remote Training
Overview
The objective of this study is to determine the effectiveness of remote manual wheelchair skills training program. First, peer coaches will be enrolled and trained. Then, trainees will be enrolled into one of three interventions: intervention with remote feedback (Group 1), and a wait list control group (Group 2).
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.
Interventions
- Other Intervention A: 1-on-1 wheelchair skills training by a peer coach
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 will last approximately 30 minutes and 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. - Other Intervention B: Training via educational videos
Intervention B will be a series of educational videos that participants review and then are encouraged to the practice the skills. Participants will have access to the materials for 8 weeks. Group 3 will have access to approximately 3 hours of wheelchair skills video training content. Actual viewing time will depend upon the individual's training goal. While they will receive a weekly reminder about practicing, there is no prescribed frequency for how often they should be practicing the skills i
Primary outcome measures
- Capacity, confidence, and performance of wheelchair skills will improve following training [Time frame: 6 months]
Secondary outcome measures (10)
- Wheelchair Skills Test Questionnaire (WST-Q) improvement from baseline following training [Time frame: 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) [Time frame: 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) [Time frame: 1 year]
- Goal Attainment Scale (GAS) improvement from baseline (post training) [Time frame: Post-training (2 mo assessment for groups 1 and 3; 8 mo assessment for group 2)]
- Craig Handicap Assessment and Reporting Technique Short Form (CHART-SF) Mobility improvement (6 months) [Time frame: 6 months]
- Craig Handicap Assessment and Reporting Technique Short Form (CHART-SF) Mobility improvement (1 year) [Time frame: 1 year]
- Wheelchair Outcome Measure (WhOM) Satisfaction with Participation in Meaningful Activities after baseline (6 months) [Time frame: 6 months]
- Wheelchair Outcome Measure (WhOM) Satisfaction with Participation in Meaningful Activities after baseline (1 year) [Time frame: 1 year]
- Life Space Assessment (LSA) improvement from baseline (6 months) [Time frame: 6 months]
- Life Space Assessment (LSA) improvement from baseline (1 year) [Time frame: 1 year]
Eligibility criteria
Inclusion criteria
Coaches:
- At least 18 years old
- Non-progressive SCI
- Able to speak and read English
- Reside in the community
- Independently use a manual wheelchair for at least 50% of mobility
Coaches with paraplegia:
\- Able to complete all skills targeted by the intervention, except stair ascent, (WST-Q item scores 2) independently.
Coaches with tetraplegia:
\- Able to complete all skills targeted by the intervention with or without assistance
Trainees:
- At least 18 years old
- Non-progressive SCI
- Able to speak and read English
- Reside in the community
- Independently use a manual wheelchair for 50% of mobility
- Access to an Internet-ready device with video capabilities.
- Access to a spotter for practicing wheelchair skills
- Desire training for at least 5 of the 16 skills targeted by the training program
Exclusion criteria
- none
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Sequential
- Masking
- Single blind
- Primary purpose
- Basic science
Study locations
United States · 1 center
- University of Pittsburgh — Pittsburgh
Identifiers
NCT: NCT06295146 · STUDY23050075