Clinical trial NCT02622828: Increasing the Winter Community Participation of Older Adult Wheelchair Users
Official title: Increasing the Winter Community Participation of Older Adult Wheelchair Users
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: Frail Elderly
Keywords: wheelchairs
social participation
Lead sponsor: University of Manitoba
Sponsor class: OTHER
First posted: 2015-12-07
Enrollment: 4
Sex: ALL
Minimum age (years): 70
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: The purpose of this study is to examine whether intervention strategies targeted at the level of the environment (e.g. improving access to community based leisure groups, transportation) can successfully promote the community participation experiences of community-dwelling older adult Manitobans who use wheelchairs in the winter.

Detailed description: There is strong evidence to support that community-dwelling older adults who are able to maintain their involvement in social, recreational, spiritual and physical activities experience positive effects on their health and quality of life. While winter creates challenges to community participation for many Manitobans, these difficulties are magnified for older adults and particularly for older adults who use wheelchairs. The aim of this study is to explore ways to improve or maintain community participation of community-dwelling older adults who use wheelchairs in the winter. Using a single-subject design, five older adult Manitobans who are wheelchair users will each select three community-based participation goals to work on throughout the winter months. Each older adult participant will work with an occupational therapist to receive individually-focused interventions aimed at increasing his or her community participation. The investigators will use a client-centered outcome measure designed to detect changes in performance and satisfaction in the goals that the individual has self-identified as being important to him or her, yet difficult to perform. The findings of this study will help determine the feasibility of conducting a larger scale study that would include a greater number of older adult Manitobans. Older adult wheelchair users in Manitoba bear a disproportionate burden in the winter when aging, mobility limitations, and weather coincide to create conditions that make community participation exceedingly difficult. It is important to the health and well-being of older adult Manitobans to find effective ways to promote community engagement throughout the winter months.

Eligibility criteria: Inclusion Criteria:

* Age 70 or older, user of a manual or power wheelchair or scooter for outdoor mobility
* Self-identifies a reduction in community participation throughout the winter months
* Community-dwelling
* Lives within the perimeter of Winnipeg.

Exclusion Criteria:

* Geriatric Depression Scale-SF score of 6 or more
* Montreal Cognitive Assessment score of 25 or less

Primary outcomes:
measure: Change in Occupational Performance Using the The Canadian Occupational Performance Measure (COPM) at 5 Months
timeFrame: Initial and 5 month follow up
Secondary outcomes:
measure: World Health Organization Disability Assessment Schedule 2.0 (WHO-DAS2)
timeFrame: Initial and 5 month follow-up
Other outcomes:
Locations:
city: Winnipeg
country: Canada
facility: University of Manitoba
state: Manitoba
Study officials:
affiliation: University of Manitoba
name: Jacquie Ripat, PhD
role: PRINCIPAL_INVESTIGATOR
References: