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Randomized controlled trial protocol feasibility: The Wheelchair Self-Efficacy Enhanced for Use (WheelSeeU)
Summary
Peer-led training for older manual wheelchair (MWC) users may improve skills and confidence. The Wheelchair Self-Efficacy Enhanced for Use (WheelSeeU) program shows promise for enhancing wheelchair use and reducing healthcare provider burden.
Area of Science:
- Rehabilitation science
- Gerontology
- Assistive technology
Background:
- Manual wheelchairs (MWCs) enhance mobility for individuals with walking difficulties.
- Older adults often lack adequate MWC training.
- Peer-led training programs like Wheelchair Self-Efficacy Enhanced for Use (WheelSeeU) aim to improve MWC use and lessen clinician workload.
Purpose of the Study:
- To assess the feasibility of the WheelSeeU program.
- To evaluate the clinical outcomes associated with WheelSeeU.
Main Methods:
- A randomized control trial (RCT) involving 40 older adult MWC users (55+ years).
- Measurement of feasibility indicators (process, resource, management, treatment).
- Collection of clinical outcomes including wheelchair skills, safety, confidence, mobility, social participation, quality of life, and health utility at three time points.
Main Results:
- The WheelSeeU program demonstrated feasibility in a pilot study.
- Preliminary data suggest positive impacts on wheelchair skills and user confidence.
Conclusions:
- WheelSeeU offers an innovative, peer-led approach to MWC skills training for older adults.
- This program has the potential to improve MWC use and reduce clinician burden.
- Establishing feasibility is a crucial first step before larger effectiveness trials in rehabilitation research.
