Systematic, Comprehensive, One-to-One Training (SCOOT) for Scooter Skills: A Feasibility Study

Systematic, Comprehensive, One-to-One Training (SCOOT) for Scooter Skills, is a novel, community-based, client-centred intervention where skills training is incorporated into social activities that users want to perform. The trainer also offers problem solving strategies to help manage environmental barriers and to promote social participation. This intervention is different from customary scooter training in that customary training is often very limited and focuses on learning discrete skills outside of the user's normal environment. The purpose of this study is to explore the feasibility of conducting a mixed-methods, rater-blinded, randomized controlled trial (RCT) for new scooter users, which will evaluate the efficacy of SCOOT. We anticipate that the feasibility outcomes will be strong enough to support the conduct of a subsequent multi-site trial with a sufficient sample size to enable us to quantify definitive outcomes such as adverse events (e.g., injuries and abandonment).

Study Overview

• Status: Completed
• Conditions: Mobility Scooter Skills Training
• Intervention / Treatment: Other: Systematic, Comprehensive, One to One Training (SCOOT); Other: Six Week Delay

• Study Type: Interventional
• Enrollment (Actual): 22
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Canada
  • British Columbia
    • Vancouver, British Columbia, Canada, V5Z 2G9
      • GF Strong Rehabilitation Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 60 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• English Speaking
• Aged 60 or above
• Has acquired a scooter in the last month prior to enrollment in the study

Exclusion Criteria:

• Has a cognitive impairment that will prevent the individual from providing consent and reliably completing the study questionnaires
• Reside in a nursing home
• Plan to move outside Vancouver within the next year

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: SCOOT Immediate; This group will receive SCOOT immediately	Other: Systematic, Comprehensive, One to One Training (SCOOT); An occupational therapist trained by the principal investigator will perform 1.5 hour SCOOT sessions with participants one to two times a week over a period of 6 weeks. SCOOT will provide instruction and practice for performing scooter skills (i.e., instruction on driving, basic and advanced scooter skills) that are embedded in self-selected activities that participants want to perform using their scooters.
Other: SCOOT Delayed; This group will receive SCOOT after 6 weeks	Other: Systematic, Comprehensive, One to One Training (SCOOT); An occupational therapist trained by the principal investigator will perform 1.5 hour SCOOT sessions with participants one to two times a week over a period of 6 weeks. SCOOT will provide instruction and practice for performing scooter skills (i.e., instruction on driving, basic and advanced scooter skills) that are embedded in self-selected activities that participants want to perform using their scooters.; Other: Six Week Delay; Participants will begin the SCOOT intervention after a six week delay.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in scooter skills capacity	The WST-ScQ measures the participant's subjective scooter skills (capacity), and inquires on the frequency the skill is performed, and whether or not improvement of the skill is a personal goal.	Change from baseline skill level at 6 weeks, 12 weeks, 6 months, and 1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Wheelchair Skills Test for Scooters (WST-Sc)	The WST-Sc consists of 29 skills that are scored by an examiner from 0 to 2, where 0 = unsafe or unable, 1 = safe with difficulty, and 2 = safe without difficulty	Baseline, at 6 weeks, 12 weeks, 6 months, and 1 year
Wheelchair Skills Test for Scooters - Questionnaire (WST-ScQ) (performance and confidence)	The WST-ScQ measures the participant's subjective scooter skills, and inquires on the participant's scooter skill confidence, frequency the skill is performed (performance), and whether or not improvement of the skill is a personal goal.	Baseline, at 6 weeks, 12 weeks, 6 months, and 1 year
Scooter Skills Confidence Questionnaire	This measure evaluates the participant's confidence in managing their social environment	Baseline, at 6 weeks, 12 weeks, 6 months, and 1 year
Wheeled Mobility Outcome Questionnaire	This measure evaluates indoor and outdoor participation levels associated with wheeled mobility provision by using an 11 point scale (0 = completely unsatisfied to 10 = completely satisfied).	Baseline, at 6 weeks, 12 weeks, 6 months, and 1 year
Life Space Assessment (LSA) Questionnaire	The LSA measures participants' frequency and independence of mobility in increasingly larger life spaces over the past month.	Baseline, at 6 weeks, 12 weeks, 6 months, and 1 year
Scooter Use and Incidents	Participants will be asked to keep a diary of any scooter-related adverse events, including the following: tips or falls from the scooter, injuries to self, accidental contact with others, injuries to others, and damage to property. Participants will be asked to record the number of hours per day that they use their scooters.	Baseline, 6 weeks, 12 weeks, 6 months, and 1 Year

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Montreal Cognitive Assessment Test	This assessment is used to detect any mild cognitive impairments	Baseline
Late Life Functioning and Disability measure - Computer Assisted Testing (LLFDI - CAT)	The LLFDI-CAT is a computerized program that measures the participant's physical function. Drawing from a bank of 141 items, CAT continues until a standard error of 3 is obtained for the domain score, or a maximum of ten items has been administered.	Baseline
Hearing Handicap Inventory for the Elderly (HHIE) Screening version	The HHIE will be used to evaluate the participants' hearing abilities.	Baseline
Scooter Physical Accessibility of Participant Home and Community	This measure involves 14 yes/no questions inquiring about the accessibility of the participants' physical environment in their home and community.	Baseline
Trail Making B Test	This task is used to measure the participants' visual attention and task switching abilities, which is related to on road driving	Baseline
Snellen Eye Test		Baseline

Collaborators and Investigators

• Sponsor: University of British Columbia
• Investigators: Principal Investigator: Ben Mortenson, University of British Columbia

Publications and helpful links

General Publications

• Mortenson WB, Jang S, Goldsmith CH, Hurd Clarke L, Hobson S, Emery R. Feasibility of a Systematic, Comprehensive, One-to-One Training (SCOOT) program for new scooter users: study protocol for a randomized control trial. Trials. 2017 May 25;18(1):235. doi: 10.1186/s13063-017-1963-y.

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2016
• Primary Completion (Actual): December 1, 2020
• Study Completion (Actual): October 1, 2021

Study Registration Dates

• First Submitted: February 23, 2016
• First Submitted That Met QC Criteria: February 25, 2016
• First Posted (Estimate): March 2, 2016

Study Record Updates

• Last Update Posted (Actual): October 11, 2021
• Last Update Submitted That Met QC Criteria: October 7, 2021
• Last Verified: October 1, 2021

More Information

Terms related to this study

• Other Study ID Numbers: H15-01921; F15-00959 (Other Grant/Funding Number: Canadian Institutes of Health Research)