Remote Transfer Training Program
Conditions
Keywords
Wheelchair, Biomechanics, Transfer, Participation, Training
Brief summary
The objective of this research study is to assess the effectiveness of an independent transfer training program (ITTP), and to determine methods which may increase overall success of an online training program.
Detailed description
Up to 200 individuals will be recruited for this research study. Investigators will recruit individuals who use a wheelchair for the majority of their mobility (over 40 hours per week), have the ability to transfer independently (may use equipment like sliding boards), use a seated pivot to transfer, and speak English as a primary a language. This study will be accessed entirely online and participation is expected to last approximately one year. Subjects will be randomized into three groups; one group that will receive transfer training immediately with no follow up, one group that will receive the transfer training immediately with 1 month and 6 month follow up, and one group that will receive the transfer training after 6 months. The transfer training program itself will take approximately 1 hour to complete. After obtaining informed consent, participants in the first two groups will complete baseline questionnaires. They will then receive the transfer training program. Participants in the third group (a wait-list control group) will complete the baseline questionnaires and be contacted one month later to complete a transfer assessment instrument questionnaire. They will then wait 5 months. After this period, participants will complete the baseline questionnaires a second time, and then receive the transfer training. After completing the transfer training, all groups will be contacted immediately post training to complete additional questionnaires to assess the effectiveness of the remote transfer training program. Participants in the 2nd and 3rd group will be contacted 1 month and 6 months post-training to complete additional questionnaires.
Interventions
BEHAVIORALIndependent Transfer Training
Independent Transfer Training Program: ITTP training starts with an overview and self-evaluation using the transfer assessment instrument questionnaire (TAI-Q) followed by three core modules: wheelchair setup, body setup, and flight/landing. Wheelchair setup includes factors such as the angle and distance of the wheelchair to the transfer surface, removing barriers, applying the brakes, and height of the transfer. Body setup involves positioning one's body for an optimal transfer and covers foot, hip, arm and hand positions. Flight/landing discusses how to achieve a smooth and controlled transfer, the head-hips relationship, use of transfer device, and safe landing.
Sponsors
Department of Health and Human Services
University of Pittsburgh
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Masking description
Subjects will be choose to be in one of three groups: one group will receive transfer training immediately with no follow up, one group will receive the transfer training immediate with a 1 month & 6 month follow up, and one group that will be randomized to either receive the transfer training immediately or to receive the transfer training after a 6 month wait (with follow ups).
Intervention model description
This is a randomized single blind study.
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
1. Utilize a wheelchair for the majority of mobility (over 40 hours per week). 2. Ability to transfer independently (may use equipment like sliding boards). 3. Use of seated pivot transfer 4. Speak English as a primary a language
Exclusion criteria
1. Pain prohibiting transfers 2. Active use of the lower limb muscles during transfers 3. Current or recent history (last 3 months) of pressure sores
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Transfer Assessment Instrument Questionnaires (TAI-Q) | This measure is collected at baseline, pre- training, during the training, as well as at the 1 month and 6 month follow ups. | We will assess the mathematical difference in assessments from baseline to follow-up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Wheelchair Users Shoulder Pain Index (WUSPI) | This measure is collected pre- training, as well as at 6 month follow up. | We will assess the mathematical difference in assessments from baseline to follow-up. |
| Change in Patient Reported Outcomes Measurement Information System: Physical Function with Mobility Aid | This measure is collected pre-training and at the 6 month follow up. | We will assess the mathematical difference in assessments from baseline to follow-up. |
| Change in Patient Reported Outcomes Measurement Information System: Satisfaction with Social Roles & Activities | This measure is collected pre-training and at the 6 month follow up. | We will assess the mathematical difference in assessments from baseline to follow-up. |
| Change in Patient Reported Outcomes Measurement Information System: Ability to Participate in Social Roles and Activities | This measure is collected pre-training and at the 6 month follow up. | We will assess the mathematical difference in assessments from baseline to follow-up. |
Countries
United States
Outcome results
None listed