Grant: Operating Grant

Mobility impairments are the most common barrier to independent living for aging Canadians, which can lead to loss of social connections, isolation, and reduced quality of life. The wheelchair is arguably the most important mobility device. However, more than half of Canadians over the age of 65 years who receive a wheelchair require assistance getting around. One of the reasons for the high prevalence of mobility dependence may be because older adults receive little to no training for wheelchair use. Therefore, many stop participating in activities because the physical and cognitive demands associated with wheelchair use are too much for them or their caregiver. This is a costly problem, both socially and financially. Although some training programs exist, clinicians do not have the time or resources to provide optimal training for older adults. The Wheelchair Self-Efficacy Enhanced Use (WheelSeeU) program is a peer-lead community-based training program specifically designed for older adults. A peer-trainer facilitates 6, 2-hour sessions in the community using self-efficacy enhancing strategies to improve wheelchair use through individualized goal setting and customized task-specific practice. WheelSeeU creates positive reinforcement through the inclusion of family, who are encouraged to take part in the training sessions. This study investigates the potential for using WheelSeeU with older adults in Vancouver and Quebec City, shortly after they obtain a wheelchair. Once we confirm that WheelSeeU is feasible and effectively improves older adults' wheelchair skill, broader studies can be conducted including a national randomized clinical trial with older adults. WheelSeeU offers promise for improving wheelchair use, self-efficacy, mobility and satisfaction with participation in important activities for older adults, while reducing caregiver burden and providing rehabilitation services without undue cost on the health care system.