Spinal Cord Injury Clinical Trial
Official title:
Enhancing Indoor, Community, and Advanced Wheelchair Skills in SCI
We propose to test an evidence-based wheelchair skills training program to optimize wheelchair safety and performance in veterans with SCI. The proposed training program incorporates emerging evidence on wheelchair biomechanics and motor-skills learning, and addresses recommendations in a new clinical practice guideline. Given the difficulty in translating wheelchair skills learned in a therapy clinic with "real world" problems in the home and community post-discharge, we are proposing to conduct the wheelchair skills training in and around the veteran's home. The immediate goal is to enhance ability, performance time, safety, community participation, and quality of life, while minimizing physical strain. The ultimate goal is to reduce morbidity/mortality associated with wheelchair use and promote successful aging with a disability.
The purpose of this 3-year randomized controlled clinical trial is to evaluate use of a
community-based wheelchair skills training program (WSTP). Objectives include:
1. Determine the immediate and sustained effects of a WSTP on ability, performance time,
and physical strain.
2. Examine the effects of mediating and moderating variables on ability, performance time,
and physical strain.
3. Examine the effects of a WSTP on safety, community participation, and quality of life.
4. Promote dissemination of WSTP in VA SCI Centers through two key activities: (a) Design
innovative marketing plans to increase participation and promote patient-centeredness
based on patient-perceived benefits. (b) Estimate health care resources needed to add
home-based
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label
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