Clinical trial NCT06294834: Improving Clinician Capacity to Provide Interventions for Manual Wheelchair Users
Official title: Improving Clinician Capacity to Provide Interventions for Manual Wheelchair Users
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Paraplegia
Paralysis, Legs
Lead sponsor: University of Pittsburgh
Sponsor class: OTHER
Collaborators: name: Dalhousie University
name: National Institute on Disability, Independent Living, and Rehabilitation Research
First posted: 2024-03-06
Enrollment: 240
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: Randomized, single-blinded, two-period cross-over study design for Groups 1 and 2. Participants will complete baseline assessments and then be randomized to either Group 1 or Group 2. After enrollment for Groups 1 and 2 is complete, participants will be enrolled into Group 3.
Primary purpose: OTHER

Brief summary: The objective of this study is to determine the effectiveness of remote manual wheelchair skills training program for clinicians. The study will use three-group approach: intervention with remote feedback (Group 1), control group (Group 2), and structured self-study (Group 3). This demonstrates how the intervention compares not only to a control, but also to the next "best alternative" - therapists sourcing web-based training materials and learning independently.

Detailed description: A randomized, single-blinded, two-period cross-over study design for Groups 1 and 2 will be used. Participants will complete baseline assessments and then be randomized to either Group 1 or Group 2. After enrollment for Groups 1 and 2 is completed, Group 3 participants will be enrolled.

Group 1 will receive the active intervention (intervention A) which will include a two-part training in wheelchair skills. For Part 1, they will review approximately 4 hours of educational videos on how to complete and teach wheelchair skills. For Part 2 they will complete a practice-feedback loop with a remote trainer providing asynchronous feedback. Group 3 will mirror Group 1 but complete only Part 1 of the training. Group 2 will receive the control intervention (intervention B) participants will review approximately 4 hours of educational videos. Participants will have 8 weeks to complete either training program. Both groups will then complete follow-up at 2 and 6 months. Following this, participants will cross over to receive the other intervention (Group 1 and 3 will receive intervention B, Group 2 will receive intervention A) and complete follow-up at 8 and 12 months.

Additionally, rehabilitation professionals who are not therapists will be able to access the training through a structured self-study (Group 4). This group will receive access to both trainings with follow-up at 2 and 6 months.

Eligibility criteria: Inclusion Criteria:

1. Practicing rehabilitation professional whose client population includes wheelchair users.
2. Willing and able to attempt practicing wheelchair skills
3. Access to a spotter(s)
4. Access to an Internet-ready device with video capabilities.
5. Speaks English

Exclusion Criteria:

1) Confident in teaching (Self-Efficacy on Assessing, Training, and Spotting \[SEATS\] item score = 5) and able to complete (WST-Q capacity item score = 2) \>50% of skills targeted by the training intervention.

Primary outcomes:
measure: Change in Wheelchair Skills Test Questionnaire (WST-Q) score
timeFrame: baseline vs. 2 months
measure: Change in Self-Efficacy on Assessing, Training, and Spotting (SEATS) score
timeFrame: baseline vs. 2 months
measure: Change in number of wheelchair users trained
timeFrame: baseline vs. 6 months
measure: Change in quality of wheelchair skills trained
timeFrame: baseline vs. 6 months
Secondary outcomes:
measure: Change in rehab professional Wheelchair Skills Test Questionnaire (WST-Q) score
timeFrame: baseline vs. 2 months, 6 months, and 1 year (Group 1,3 only) following training
measure: Change in rehab professional Self-Efficacy on Assessing, Training, and Spotting (SEATS) score
timeFrame: baseline vs. 2 months, 6 months, and 1 year (Group 1,3 only) following training
measure: Change in rehab professional quantity of wheelchair users trained
timeFrame: baseline vs. 6 months, and 1 year (Group 1,3 only) following training
measure: Change in rehab professional quality of wheelchair training
timeFrame: baseline vs. 6 months, and 1 year (Group 1,3 only) following training
Other outcomes:
Locations:
city: Pittsburgh
country: United States
facility: University of Pittsburgh / Rehab Neural Engineering Labs
state: Pennsylvania
Study officials:
affiliation: University of Pittsburgh
name: Lynn Worobey, PhD/DPT
role: PRINCIPAL_INVESTIGATOR
References: