Effectiveness of Web-Based Training (SERT)

Study Overview
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Brief Summary
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The objective of this research study is to assess the effectiveness of an independent transfer training program (ITTP), and to determine methods which may increase overall success of an online training program.

Detailed Description
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Up to 200 individuals will be recruited for this research study. Investigators will recruit individuals who use a wheelchair for the majority of their mobility (over 40 hours per week), have the ability to transfer independently (may use equipment like sliding boards), use a seated pivot to transfer, and speak English as a primary a language. This study will be accessed entirely online and participation is expected to last approximately one year. Subjects will be randomized into three groups; one group that will receive transfer training immediately with no follow up, one group that will receive the transfer training immediately with 1 month and 6 month follow up, and one group that will receive the transfer training after 6 months. The transfer training program itself will take approximately 1 hour to complete. After obtaining informed consent, participants in the first two groups will complete baseline questionnaires. They will then receive the transfer training program. Participants in the third group (a wait-list control group) will complete the baseline questionnaires and be contacted one month later to complete a transfer assessment instrument questionnaire. They will then wait 5 months. After this period, participants will complete the baseline questionnaires a second time, and then receive the transfer training. After completing the transfer training, all groups will be contacted immediately post training to complete additional questionnaires to assess the effectiveness of the remote transfer training program. Participants in the 2nd and 3rd group will be contacted 1 month and 6 months post-training to complete additional questionnaires.

Official Title
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Studying the Effectiveness of Remote Training

Conditions
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Remote Transfer Training Program

Intervention / Treatment
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* Behavioral: Independent Transfer Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Utilize a wheelchair for the majority of mobility (over 40 hours per week). Ability to transfer independently (may use equipment like sliding boards). Use of seated pivot transfer Speak English as a primary a language Exclusion Criteria: Pain prohibiting transfers Active use of the lower limb muscles during transfers Current or recent history (last 3 months) of pressure sores

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: This is a randomized single blind study.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Immediate Training (no follow up)<br>Individuals may decide to participate in the research study training program, but not in any follow up questionnaires. This group will have immediate access to the independent transfer training materials. They will complete data collection measures embedded in the transfer training program, including demographics, Online Learning Readiness Scale (OLRS), Moorong Self Efficacy Scale (MSES), Patient Reported Outcome Measurement Information System (PROMIS), Transfer Assessment Instrument Questionnaire (TAI-Q), and the Wheelchair User Shoulder Pain Index (WUSPI). | Behavioral: Independent Transfer Training<br>* Independent Transfer Training Program: ITTP training starts with an overview and self-evaluation using the transfer assessment instrument questionnaire (TAI-Q) followed by three core modules: wheelchair setup, body setup, and flight/landing. Wheelchair setup includes factors such as the angle and distance of the wheelchair to the transfer surface, removing barriers, applying the brakes, and height of the transfer. Body setup involves positioning one's body for an optimal transfer and covers foot, hip, arm and hand positions. Flight/landing discusses how to achieve a smooth and controlled transfer, the head-hips relationship, use of transfer device, and safe landing.<br>|
| Experimental: Immediate Training (with follow up)<br>Individuals may decide to participate in the research study, but do not want to be randomized. After consent is obtained, these individuals will be directed immediately to the baseline questionnaires (see above) before and after the independent transfer training. Participants may also be asked to complete a user satisfaction survey. | Behavioral: Independent Transfer Training<br>* Independent Transfer Training Program: ITTP training starts with an overview and self-evaluation using the transfer assessment instrument questionnaire (TAI-Q) followed by three core modules: wheelchair setup, body setup, and flight/landing. Wheelchair setup includes factors such as the angle and distance of the wheelchair to the transfer surface, removing barriers, applying the brakes, and height of the transfer. Body setup involves positioning one's body for an optimal transfer and covers foot, hip, arm and hand positions. Flight/landing discusses how to achieve a smooth and controlled transfer, the head-hips relationship, use of transfer device, and safe landing.<br>|
| Experimental: Randomized Training<br>Individuals may decide to participate in the research study and agree to be randomized. These individuals will be immediately randomized into an immediate or a wait list control group. The immediate will receive the independent transfer training program after completing the baseline questionnaires. The wait list control group will wait approximately 6 months before receiving the independent transfer training program. | Behavioral: Independent Transfer Training<br>* Independent Transfer Training Program: ITTP training starts with an overview and self-evaluation using the transfer assessment instrument questionnaire (TAI-Q) followed by three core modules: wheelchair setup, body setup, and flight/landing. Wheelchair setup includes factors such as the angle and distance of the wheelchair to the transfer surface, removing barriers, applying the brakes, and height of the transfer. Body setup involves positioning one's body for an optimal transfer and covers foot, hip, arm and hand positions. Flight/landing discusses how to achieve a smooth and controlled transfer, the head-hips relationship, use of transfer device, and safe landing.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Transfer Assessment Instrument Questionnaires (TAI-Q) | We will assess the mathematical difference in assessments from baseline to follow-up. | This measure is collected at baseline, pre- training, during the training, as well as at the 1 month and 6 month follow ups. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Wheelchair Users Shoulder Pain Index (WUSPI) | We will assess the mathematical difference in assessments from baseline to follow-up. | This measure is collected pre- training, as well as at 6 month follow up. | 
| Change in Patient Reported Outcomes Measurement Information System: Physical Function with Mobility Aid | We will assess the mathematical difference in assessments from baseline to follow-up. | This measure is collected pre-training and at the 6 month follow up. | 
| Change in Patient Reported Outcomes Measurement Information System: Satisfaction with Social Roles & Activities | We will assess the mathematical difference in assessments from baseline to follow-up. | This measure is collected pre-training and at the 6 month follow up. | 
| Change in Patient Reported Outcomes Measurement Information System: Ability to Participate in Social Roles and Activities | We will assess the mathematical difference in assessments from baseline to follow-up. | This measure is collected pre-training and at the 6 month follow up. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Wheelchair, Biomechanics, Transfer, Participation, Training