Feasibility of the trial procedures for a randomized controlled trial of a community-based peer-led wheelchair training program for older adults

Krista L Best, William C Miller, François Routhier, Janice J Eng, Krista L Best, William C Miller, François Routhier, Janice J Eng

Abstract

Background: A novel peer-led manual wheelchair (MWC) training program may support the training needs of older adults, but establishing program feasibility is a pragmatic first step. The purpose of this study was to evaluate the feasibility of a peer-led Wheelchair training Self-Efficacy Enhanced for Use (WheelSeeU) program.

Methods: Forty MWC users (mean age 65 years) were randomly assigned to the experimental (WheelSeeU) or control group. Feasibility indicators of process, resources, management, and safety were collected throughout the study.

Results: The consent rate was 49%. Participant retention rate was 90% post-intervention and 87.5% at follow-up (6 months). All participants reported perceived benefits from WheelSeeU. Participants and trainers adhered to the study protocol (>90%), and fidelity of the WheelSeeU intervention was attained (>90%). There were no adverse events.

Conclusions: WheelSeeU is an innovative and feasible approach for providing MWC training to older adults that is accessible beyond initial rehabilitation without increased clinician burden. With minor modifications, it is feasible that WheelSeeU can be administered to older adults living in the community.

Trial registration: NCT01838135.

Keywords: Manual wheelchair; Older adults; Peer training; Rehabilitation; Self-efficacy.

Figures

Fig. 1
Fig. 1
Flow of participants through the WheelSeeU study

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Source: PubMed

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