UBC Theses and Dissertations
A peer mentorship to enhance active lifestyle and community integration in people with spinal cord injury : I wheel Eshraghi, Mehdi
Wheelchair maintenance is an important factor in wheelchair mobility. Currently, there is no standardized training resource available to teach wheelchair users about the maintenance or set-up of their manual wheelchairs. Purpose: The purpose of this feasibility research was to assess the feasibility of conducting an experimental study to evaluate the wheelchair maintenance training program. Method: The research program had two main phases. Phase 1 included the development of learning materials, evaluation forms and tests. We performed reliability tests on the 3-cone test and wheelchair maintenance knowledge test and report them in chapter two and three. Phase 2 entailed a feasibility study. In this study, we conducted a wheelchair maintenance workshop to train the mentors (n=5) and then assigned each mentor three mentees (n =15). Each mentor conducted a one-on-one peer-session with each mentee and each mentee completed assigned tests and questionnaires during three assessment visits (baseline, and 2 and 4 weeks after their peer session). Feasibility outcomes were evaluated, and all mentees completed an exit survey at the end of the wheelchair maintenance training program. Results: The 3-cone test and the wheelchair maintenance knowledge test are reliable (ICC >0.9) to use in clinical research. In feasibility study for wheelchair maintenance training, the process outcome (recruitment rate: mentor 71%, mentee 25%), resource outcome (retention rate (>90%), adherence (>90%), fidelity (>80%), completion rate (>90%) and training satisfaction (>90%) and preliminary evaluation outcomes were achieved. Scheduling (management outcome) was challenging and we were not able to meet the goal projected for this outcome, however we were able to complete all the sessions. Conclusion: The 3-cone test and the wheelchair maintenance knowledge test appear to be useful and reliable to be used in the clinical setting. Summary and descriptive results from the feasibility study were sufficient to justify conducting a subsequent randomized controlled trial. We hope to replicate the findings of wheelchair maintenance training by demonstrating the change in mechanical efficacy of wheelchair and the increased knowledge about wheelchair maintenance in the future. This evidence could then be used to support changes in teaching and knowledge improvement in wheelchair maintenance.
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