Systematic, Comprehensive, One-to-One Training (SCOOT) for Scooter Skills: A Feasibility Study

Study Overview
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Brief Summary
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Systematic, Comprehensive, One-to-One Training (SCOOT) for Scooter Skills, is a novel, community-based, client-centred intervention where skills training is incorporated into social activities that users want to perform. The trainer also offers problem solving strategies to help manage environmental barriers and to promote social participation. This intervention is different from customary scooter training in that customary training is often very limited and focuses on learning discrete skills outside of the user's normal environment. The purpose of this study is to explore the feasibility of conducting a mixed-methods, rater-blinded, randomized controlled trial (RCT) for new scooter users, which will evaluate the efficacy of SCOOT. We anticipate that the feasibility outcomes will be strong enough to support the conduct of a subsequent multi-site trial with a sufficient sample size to enable us to quantify definitive outcomes such as adverse events (e.g., injuries and abandonment).

Conditions
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Mobility Scooter Skills Training

Intervention / Treatment
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* Other: Systematic, Comprehensive, One to One Training (SCOOT)
* Other: Six Week Delay


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: English Speaking Aged 60 or above Has acquired a scooter in the last month prior to enrollment in the study Exclusion Criteria: Has a cognitive impairment that will prevent the individual from providing consent and reliably completing the study questionnaires Reside in a nursing home Plan to move outside Vancouver within the next year

Ages Eligible for Study
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Minimum Age: 60 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: Other
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: SCOOT Immediate<br>This group will receive SCOOT immediately | Other: Systematic, Comprehensive, One to One Training (SCOOT)<br>* An occupational therapist trained by the principal investigator will perform 1.5 hour SCOOT sessions with participants one to two times a week over a period of 6 weeks. SCOOT will provide instruction and practice for performing scooter skills (i.e., instruction on driving, basic and advanced scooter skills) that are embedded in self-selected activities that participants want to perform using their scooters.<br>|
| Other: SCOOT Delayed<br>This group will receive SCOOT after 6 weeks | Other: Systematic, Comprehensive, One to One Training (SCOOT)<br>* An occupational therapist trained by the principal investigator will perform 1.5 hour SCOOT sessions with participants one to two times a week over a period of 6 weeks. SCOOT will provide instruction and practice for performing scooter skills (i.e., instruction on driving, basic and advanced scooter skills) that are embedded in self-selected activities that participants want to perform using their scooters.<br>Other: Six Week Delay<br>* Participants will begin the SCOOT intervention after a six week delay.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in scooter skills capacity | The WST-ScQ measures the participant's subjective scooter skills (capacity), and inquires on the frequency the skill is performed, and whether or not improvement of the skill is a personal goal. | Change from baseline skill level at 6 weeks, 12 weeks, 6 months, and 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Wheelchair Skills Test for Scooters (WST-Sc) | The WST-Sc consists of 29 skills that are scored by an examiner from 0 to 2, where 0 = unsafe or unable, 1 = safe with difficulty, and 2 = safe without difficulty | Baseline, at 6 weeks, 12 weeks, 6 months, and 1 year | 
| Wheelchair Skills Test for Scooters - Questionnaire (WST-ScQ) (performance and confidence) | The WST-ScQ measures the participant's subjective scooter skills, and inquires on the participant's scooter skill confidence, frequency the skill is performed (performance), and whether or not improvement of the skill is a personal goal. | Baseline, at 6 weeks, 12 weeks, 6 months, and 1 year | 
| Scooter Skills Confidence Questionnaire | This measure evaluates the participant's confidence in managing their social environment | Baseline, at 6 weeks, 12 weeks, 6 months, and 1 year | 
| Wheeled Mobility Outcome Questionnaire | This measure evaluates indoor and outdoor participation levels associated with wheeled mobility provision by using an 11 point scale (0 = completely unsatisfied to 10 = completely satisfied). | Baseline, at 6 weeks, 12 weeks, 6 months, and 1 year | 
| Life Space Assessment (LSA) Questionnaire | The LSA measures participants' frequency and independence of mobility in increasingly larger life spaces over the past month. | Baseline, at 6 weeks, 12 weeks, 6 months, and 1 year | 
| Scooter Use and Incidents | Participants will be asked to keep a diary of any scooter-related adverse events, including the following: tips or falls from the scooter, injuries to self, accidental contact with others, injuries to others, and damage to property. Participants will be asked to record the number of hours per day that they use their scooters. | Baseline, 6 weeks, 12 weeks, 6 months, and 1 Year |