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Updated: Dec 22, 2025

A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
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Exploring Older Adults' Experiences and Perceptions with a Peer-Led Wheelchair Training Program.

Alice Pellichero, Krista L Best, François Routhier

    Canadian Journal of Occupational Therapy. Revue Canadienne D'Ergotherapie
    |May 6, 2020
    PubMed
    Summary

    Older adults reported high satisfaction with the Wheelchair training Self-efficacy Enhanced for Use (WheelSeeU) program. This peer-led training improved their autonomy, mobility, and social connections.

    Keywords:
    Fauteuil roulant manuelOlder adultsParticipationPeer-supportPersonnes âgéesSelf-efficacySentiment d’efficacité personnelleSoutien par les pairs

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    Area of Science:

    • Rehabilitation science
    • Gerontology
    • Community health

    Background:

    • Manual wheelchair (MWC) training is crucial for new users, yet less than 50% receive it.
    • The Wheelchair training Self-efficacy Enhanced for Use (WheelSeeU) program is a feasible, peer-led MWC training initiative.
    • Understanding stakeholder experiences is key to implementing effective MWC training programs.

    Purpose of the Study:

    • To explore older adults' perceptions of their participation in the WheelSeeU program.
    • To identify factors influencing older adults' engagement in community-based MWC training.

    Main Methods:

    • Qualitative interviews were conducted with participants who completed the WheelSeeU program.
    • Thematic analysis was employed to analyze interview data.

    Main Results:

    • Three themes emerged: perceived life impact, critical success facilitators, and enhanced social inclusion.
    • Participants reported increased autonomy and improved MWC mobility and self-efficacy.
    • The program fostered a sense of social connectedness among participants.

    Conclusions:

    • Older adults expressed satisfaction with the WheelSeeU program.
    • The program effectively enhanced MWC skills, self-efficacy, and social connectedness in older adults.
    • Peer-led community-based training is a valuable approach for improving MWC user outcomes.