Grant: CIHR Fellowship

Canada's population is aging rapidly and maintaining independence among older adults is a critical factor from a health, social and economic perspective. Mobility impairment is the most common issue for older adults in Canada, and threatens their independent participation in community-based activities such as shopping, social events and attending appointments. When the ability to safely and independently walk is compromised, a manual wheelchair is commonly prescribed. However, using a wheelchair is a highly skilled activity and older adults typically receive little, if any, training. Current research indicates those who use a wheelchair participate less in community activities; however, it is unclear how much the skill of operating a wheelchair contributes to this restriction. The purpose of this study is to evaluate whether providing comprehensive and standardized wheelchair skill training program will increase community participation among older adults and identify which skills are most critical. Participants receiving the training program will be compared to those who receive the typical prescription with limited training. In addition, a select group of participants will be interviewed to solicit their experience and identify which skills they found most important to their success. This information will provide valuable input for health care at many levels. Older adult consumers will learn about a service that can improve their ability to maintain a healthy and active lifestyle in their community. The research findings, including the unique experience of older adults and their priorities, will translate into concrete guidelines for rehabilitation professionals, and direct changes in healthcare policy and provision of rehabilitation care. Ultimately, this knowledge will educate wheelchair consumers, impact clinical practice among rehabilitation professionals, and inform government and stakeholders who fund and create policies for healthcare provision.