Grant: Operating Grant

For Canadians over the age of 65, difficulty walking is the most common barrier to independent living. Restricted mobility can lead to loss of social connections, isolation, and reduced quality of life. For over 80,000 elderly Canadian, a wheelchair offers the potential for continued participation in important activities at home and in the community. Unfortunately, most older adults receive little, if any, training in how to use their wheelchair effectively. Many stop participating in activities because the demands of dealing with carpet, ramps, curbs, sidewalks and longer distances is too much for them or their caregiver. This is a costly problem, both socially and financially. Specific wheelchair training programs have proven to be effective but, until now, rely on numerous 1:1 appointments with a skilled clinician, which is expensive and inconvenient. Enhancing Participation In the Community by improving Wheelchair Skills (EPIC WheelS) is a training program specifically designed for older adults. An expert trainer conducts 2 training sessions and individualizes and monitors a home program. A portable computer tablet provides instruction, demonstrations, interactive training activities, and on-line communication with the trainer. Participants can learn and practice at their own pace at home or in community venues. This study investigates the potential for using EPIC WheelS with older adults in Vancouver and Winnipeg, shortly after they first obtain a wheelchair. Once we confirm EPIC WheelS can be delivered effectively and improves older adults' wheelchair mobility skills, broader studies can be conducted including a national clinical trial with older adults and distance-training programs for people living in rural and remote communities. EPIC WheelS offers promise for improving participation and quality of life for older adults, reducing caregiver burden, and providing much needed rehabilitation services without undue cost or burden on the health care system.