Impact of the TEAM Wheels eHealth manual wheelchair training program: Study protocol for a randomized controlled trial.
<h4>Background</h4>Variable, and typically inadequate, delivery of skills training following manual wheelchair (MWC) provision has a detrimental impact on user mobility and participation. Traditional in-person delivery of training by rehabilitation therapists has diminished due to cost,...
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| Autores principales: | , , , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Public Library of Science (PLoS)
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/e53d09b6896e4502bd725b8aeeeadab6 |
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| Sumario: | <h4>Background</h4>Variable, and typically inadequate, delivery of skills training following manual wheelchair (MWC) provision has a detrimental impact on user mobility and participation. Traditional in-person delivery of training by rehabilitation therapists has diminished due to cost, travel time, and most recently social distancing restrictions due to COVID-19. Effective alternative training approaches include eHealth home training applications and interactive peer-led training using experienced and proficient MWC users. An innovative TEAM Wheels program integrates app-based self-training and teleconference peer-led training using a computer tablet platform.<h4>Objective</h4>This protocol outlines implementation and evaluation of the TEAM Wheels training program in a randomized control trial using a wait-list control group.<h4>Setting</h4>The study will be implemented in a community setting in three Canadian cities.<h4>Participants</h4>Individuals ≥ 18 years of age within one year of transitioning to use of a MWC.<h4>Intervention</h4>Using a computer tablet, participants engage in three peer-led teleconference training sessions and 75-150 minutes of weekly practice using a video-based training application over 4 weeks. Peer trainers individualize the participants' training plans and monitor their tablet-based training activity online. Control group participants also receive the intervention following a 1-month wait-list period and data collection.<h4>Measurements</h4>Outcomes assessing participation; skill capacity and performance; self-efficacy; mobility; and quality of life will be measured at baseline and post-treatment, and at 6-month follow-up for the treatment group.<h4>Impact statement</h4>We anticipate that TEAM Wheels will be successfully carried out at all sites and participants will demonstrate statistically significant improvement in the outcome measures compared with the control group. |
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