Grant: CIHR Fellowship

Age related changes to our physical and cognitive capacities can have a substantial impact on our ability to be independent. As a result, aging impacts both our mobility and our ability to learn and problem solve. In many cases a powered wheelchair (PWC) could be provided to compensate for the mobility changes. However, PWCs might be overlooked based on an assumption the necessary skills would be too difficult to learn. This assumption should be challenged, as there is evidence that learning is possible for those with cognitive impairment. We know it is important to provide the opportunity to learn using techniques which minimize the potential for error and provide opportunities for success. Unfortunately, error minimized training techniques have never been explored in the context of powered wheelchair skills. This is largely because clinicians who provide training to use powered wheelchairs have not had access to technology which could facilitated error-minimized learning. CoPILOT is an innovative approach to address the learning needs of individuals with cognitive impairment. CoPILOT is a shared control approach (similar to the use of a dual controlled car for driver training) which uses new remote control technology to control a PWC. Using this technology, the clinician can demonstrate skills, and provide the learner with low risk opportunities for practice and feedback. CoPILOT is designed to promote safe and independent driving skills, and may improve the quality of powered wheelchair training by offering a graded learning experience in real world environments. With this graded approach, clinicians can focus on progressive training which builds on success, while ensuring safety for the learner, trainer, and others around them. CoPILOT training may provide mobility independence to those who have previously been considered unable to learn, enhancing opportunities for social participation, and ultimately improving quality of life.