Virtual Peer Coaching in Manual Wheelchair Skills
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Pittsburgh
About this trial
The objective of this study is to determine the effectiveness of remote manual wheelchair skills training program. First, peer coaches will be enrolled and trained. Then, trainees will be enrolled into one of three interventions: intervention with remote feedback (Group 1), and a wait list control group (Group 2).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
At least 18 years old
Non-progressive SCI
Able to speak and read English
Reside in the community
Disqualifiers
none
Trial design
Design model
Sequential
Treatments tested in this trial
Intervention A: 1-on-1 wheelchair skills training by a peer coach
Other interventionTrainees will engage in 1:1 virtual zoom meetings facilitated by the study team scheduled weekly for 6 sessions with the opportunity for 2 makeup sessions. Sessions will last approximately 30 minutes and may include goal setting, review of progress, instruction, and "homework" of prescribed content for trainees to review. Participants may upload videos of themselves completing skills through Qualtrics to get feedback.
Intervention B: Training via educational videos
Other interventionIntervention B will be a series of educational videos that participants review and then are encouraged to the practice the skills. Participants will have access to the materials for 8 weeks. Group 3 will have access to approximately 3 hours of wheelchair skills video training content. Actual viewing time will depend upon the individual's training goal. While they will receive a weekly reminder about practicing, there is no prescribed frequency for how often they should be practicing the skills in the videos.
Treatment groups
132 Participants
are divided into 3 treatment groupsGroup A: Active intervention (intervention A)Experimental treatment 1 intervention
Group B: Waitlist control groupActive comparator 1 intervention
Group C: Self-study interventionActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Capacity, confidence, and performance of wheelchair skills will improve following training
Compare the results of the Wheelchair Skills Test Questionnaire (WST-Q) between groups. The WST-Q is a self report measure of capacity (ability to complete), confidence, and performance (frequency of completing) wheelchair skills. The WST-Q will measured for each of 16 skills targeted in the training and a total score for each domain will be calculated.
Time frame
6 monthsSecondary outcomes
1
Wheelchair Skills Test Questionnaire (WST-Q) improvement from baseline following training
Compare the results of the WST-Q taken after training to the beginning of study.
Time frame
Post-training (2 mo assessment for groups 1 and 3; 8 mo assessment for group 2)2
Wheelchair Skills Test Questionnaire (WST-Q) improvement from baseline (6 months)
Compare the results of the WST-Q taken 6 months after training to the beginning of study.
Time frame
6 months post training (6 mo assessment for groups 1 and 3; 12 mo assessment for group 2)3
Wheelchair Skills Test Questionnaire (WST-Q) improvement from baseline (12 months)
Compare the results of the WST-Q taken 12 months after the beginning of study. Group 1 will have received peer coaching, group 2 is the control group, and group 3 will have completed self-study using videos.
Time frame
1 year4
Goal Attainment Scale (GAS) improvement from baseline (post training)
Compare the results of the GAS taken post training to results at beginning of study. For GAS, the wheelchair trainer and trainee will set specific, measurable, attainable, realistic, and time related individual goals. The goals are weighted for importance (0=not at all important, to 3=very important) and difficulty (0=not at all difficult, to 3=very difficult). The wheelchair skill is performed and rated. Possible performance level scores: +2 (much more than expected), +1 (more than expected), 0 expected level, -1 (less than expected), or -2 (much less than expected).
Time frame
Post-training (2 mo assessment for groups 1 and 3; 8 mo assessment for group 2)Sponsors and contacts
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Source ClinicalTrials.gov