Feasibility of a Systematic, Comprehensive, One-to-One Training (SCOOT) program for new scooter users: study protocol...

Area of Science:

• Rehabilitation research
• Assistive technology safety
• Occupational therapy interventions

Background:

• Mobility scooters enhance community participation but pose accident risks.
• Validated scooter training programs are scarce.
• The Systematic, Comprehensive, One-to-One Training (SCOOT) program was developed to address this gap.

Purpose of the Study:

• To evaluate the effectiveness of the SCOOT program for mobility scooter users.
• To assess the impact of structured training on scooter skills and user confidence.
• To gather qualitative insights into user experiences with the SCOOT program.

Main Methods:

• A mixed-methods, rater-blinded, randomized control trial with a two-step wedge design.
• Forty participants stratified by prior driving experience, assigned to immediate or delayed intervention groups.
• Six weeks of one-to-one scooter training by an occupational therapist, with subjective and objective skill assessments.

Main Results:

• Primary outcome: Subjective scooter skills assessed via the Wheelchair Skills Test for scooters.
• Secondary outcomes: Objective skills, confidence, mobility, and participation satisfaction.
• Exploratory outcomes: Cognitive, functional, sensory, environmental, and attentional measures; qualitative interviews.

Conclusions:

• Study findings will inform a larger randomized control trial.
• Effective SCOOT intervention could significantly impact policy and practice for mobility scooter users.
• The program aims to improve safety and community integration for individuals with mobility impairments.