Self-efficacy Clinical Trial
Official title:
Wheelchair Self-efficacy Enhanced Training Program to Improve Wheelchair Use in Older Adults
Verified date | May 2018 |
Source | University of British Columbia |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Self-efficacy predicts behavioural and rehabilitation outcomes and may be an important psychological factor for wheelchair mobility. A feasibility study will evaluate a novel self-efficacy enhanced wheelchair training intervention for older adults (WheelSeeU) to determine if: 1.WheelSeeU is feasible to administer; 2. WheelSeeU improves wheelchair use, confidence for wheelchair use, wheelchair mobility, and satisfaction with participation in older adults compared to group-based information sessions; and 3. the study design is appropriate. This feasibility study will allow for study design and protocol refinement and will provide pilot data for an experimental trial.
Status | Completed |
Enrollment | 40 |
Est. completion date | October 2016 |
Est. primary completion date | March 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 55 Years and older |
Eligibility |
Inclusion Criteria: - 55 years of age or older - live in the community - self-propel a manual wheelchair at least 1 hour/day - have wheelchair mobility goals - are cognitively able to engage in the program (Modified Mini-mental Status Exam score of = 24). Exclusion Criteria: - cannot communicate and complete study questionnaires in English - anticipate a health condition or procedure that contraindicates training (e.g., surgery scheduled which would impair physical activity) - have a degenerative condition that is expected to progress quickly (e.g., Amyotrophic lateral sclerosis (ALS)) - are concurrently or are planning to receive wheelchair mobility training during the period of the study. |
Country | Name | City | State |
---|---|---|---|
Canada | GF Strong Rehabilitation Centre | Vancouver | British Columbia |
Lead Sponsor | Collaborator |
---|---|
University of British Columbia |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Wheelchair Skills Test Version 4.1 (WST) Change | Wheelchair Skills Test Version 4.1 (WST) for manual wheelchair users is a standardized objective evaluation of the execution of 32 manual wheelchair skills (pass/fail) and the safety of skill execution (safe/unsafe). Total percent scores (0-100%) are calculated for both skill execution and safety. The WST was selected as the primary measure because it is a standardized tool for evaluating wheelchair capacity, the primary construct of interest. | Baseline, 6 weeks, 6 month follow-up | |
Secondary | Wheelchair-use Confidence Scale (WheelCon) Version 3.0 | Wheelchair-use Confidence Scale (WheelCon) Version 3.0 for manual wheelchair users is a 65-item self-report scale (0-100) with documented reliability and validity. Responses indicate current level of perceived confidence (%) to navigate the physical environment in a wheelchair, perform activities in a wheelchair, problem solve, advocate for specific needs, and manage social situations and emotions. The WheelCon was selected as a secondary outcome measure because confidence for using a wheelchair has been shown to influence wheelchair skills capacity. | Baseline, 6 weeks, 6 month follow-up | |
Secondary | Wheelchair Skills Test Version 4.1 Questionnaire (WST-Q) | Wheelchair Skills Test Version 4.1 Questionnaire (WST-Q) for manual wheelchair users is a standardized subjective evaluation of perceived ability to execute 32 manual wheelchair skills (pass/fail). Total percent scores (0-100%) are calculated for wheelchair performance, based on whether or not the individual has successfully accomplished the skill in the past month. The WST-Q was selected as a secondary measure because it measures wheelchair skills performance, which may influence or be influenced by confidence using a wheelchair. | Baseline, 6 weeks, 6 month follow-up | |
Secondary | Life-Space Assessment (LSA) | Life-Space Assessment (LSA) is a 20-item questionnaire that tracks the mobility habits of wheelchair users in a continuum of environmental contexts (home; around the home; in the neighbourhood; in town; and outside of town). Participants report on their attainment of each life-space during the past 4 weeks, the frequency of attainment, and whether assistance was required. The LSA was selected as an outcome measure because it provides information about an individual's mobility habits. | Baseline, 6 weeks, 6 month follow-up | |
Secondary | Wheelchair Outcome Measure (WhOM) | The Wheelchair Outcome Measure (WhOM) is a client-specific measurement tool that identifies satisfaction with participation in desired activities for wheelchair users. Rates of perceived 'importance' of the goal (0-10) and 'satisfaction' with current performance of this activity (0-10) will be obtained. Scoring is calculated by multiplying 'importance' by 'satisfaction'. The WhOM was selected to obtain some information about participation goals of manual wheelchair users and to explore whether a wheelchair training intervention could influence perceived satisfaction with participation. | Baseline, 6 weeks, 6 month follow-up | |
Secondary | Late Life Function and Disability Instrument (LLFDI) | Late Life Function and Disability Instrument (LLFDI) is comprised of a 16-item disability component and a 40-item function component, which includes 8 items specific for individuals who use assistive devices for mobility. Participants are first asked to identify the frequency of performing life tasks using a scale ranging from 1 (never) to 5 (very often) and then asked to identify the extent that they feel limited in performing specified tasks using a scale ranging from 1 (completely) to 5 (not at all). Item responses are summed to obtain two dimension scores and four domain scores in the disability component, and one overall function score and three domain scores in the function component. The scores are then converted into interval level scores ranging from 0 to 100. | Baseline, 6 weeks, 6 month follow-up | |
Secondary | Health Utility Index Mark 3 (HUI3) | Health utility measurement is useful in performing cost-utility and cost-effectiveness analyses of new rehabilitation interventions. The HUI3 is a brief questionnaire that asks subjects about their health status, reflected in a single-score measure of health-related quality of life (HRQOL) | Baseline, 6 weeks, 6 month follow-up |
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