Grant: Project Grant

Mobility impairment is the third most common disability; nearly 300,000 Canadians use a wheelchair or scooter because their disability makes walking difficult. Many Canadians receive their wheelchair while in hospital and must learn to contend with the social and environmental challenges of use when they return home. Because of shorter hospital stays and reduced access to outpatient rehabilitation services, wheelchair users often receive little training in how to operate and manage their mobility device. Without the appropriate skills, wheelchair users can experience health declines, diminished physical activity, and restricted participation in activities of life. The impact of reduced independence can have social and financial costs for the individual, their caregivers, and the health care system. Training to Enhance Adaptation and Management for Wheelchair users (TEAM Wheel) is a novel intervention designed to address this important transition to wheelchair use. The program features two innovative elements. First, it is delivered by a peer trainer (an experienced wheelchair user) who can relate to wheelchair mobility issues and offer insight into wheelchair management. Second, a computer tablet is provided to participants with a custom wheelchair skills training program to learn and practice at home. With over 150 video demonstrations and training activities, participants can practice at their own convenience in any location they choose. The peer trainer monitors the home training program and provides input when required. The aim of this project is to translate the TEAM Wheel program from English into French and then evaluate the benefits of the program with individuals in three provinces transitioning to wheelchair use. We will compare the TEAM Wheel program to services currently provided and evaluate its impact on participation in activities of life; confidence and skill with wheelchair use; mobility in the community; and quality of life.