Outcomes retention and impact of demographic characteristics and engagement for a community-based peer-led eHealth wheelchair skills training program.
Background: Manual wheelchairs (MWCs) are essential for individuals with mobility impairments, yet many users receive limited training, restricting mobility and participation. Innovative alternatives to therapist-led approaches, including eHealth and peer-led interventions, are emerging to address t...
| Publicado en: | Disability & Rehabilitation: Assistive Technology Vol. 21; no. 5; pp. 2022 - 2034 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195930998&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195930998 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17483107 1X04 jtl: Disability & Rehabilitation: Assistive Technology issn: 17483107 maglogo: Y pubinfo: dt: Jul2026 vid: 21 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 195930998 191373145 195930998 195930998 10.1080/17483107.2026.2623650 195930998 ppf: 2022 ppct: 12 formats: tig: atl: Outcomes retention and impact of demographic characteristics and engagement for a community-based peer-led eHealth wheelchair skills training program. aug: au: Giesbrecht, Ed Best, Krista L. Miller, William C. Routhier, François Harrison, Kara-Lyn Faieta, Julie Laberge, Maude affil: Department of Occupational Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada sug: subj: Community Health Services Peer Group Support Groups Wheelchairs Education Persons with Disabilities Education Skill Acquisition Telerehabilitation Methods Program Evaluation Assistive Technology Education Research Subject Retention Human Quebec Male Female Adult Middle Age Aged Prospective Studies Repeated Measures Multicenter Studies Hospitals, Urban Descriptive Statistics Data Analysis Software Pearson's Correlation Coefficient Confidence Intervals T-Tests Short Form-36 Health Survey (SF-36) Questionnaires Scales Funding Source Motor Skills Patient Compliance Self-Efficacy Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Manual wheelchairs (MWCs) are essential for individuals with mobility impairments, yet many users receive limited training, restricting mobility and participation. Innovative alternatives to therapist-led approaches, including eHealth and peer-led interventions, are emerging to address this gap. Purpose: This follow-up study examined long-term retention of participation and related outcomes 6 months after an eHealth wheelchair skills training program. Secondary aims explored associations between participant demographics, program engagement and post-intervention outcomes. Methods: A repeated-measures cohort design was used with intervention participants from a multi-site randomised trial conducted across three Canadian urban centres. Nineteen adults using MWCs completed the 4-week TEAM Wheels program, comprising a tablet-based app with 200+ instructional videos and three peer-led teleconferences. Outcomes included participation, wheelchair skills capacity and performance, self-efficacy and health-related quality of life (HRQoL). Findings: At 6 months, participants (n = 18) maintained or improved statistically significant gains in participation, skills and self-efficacy but not HRQoL. Improvements were comparable across demographic groups, whereas meeting recommended engagement guidelines was linked to larger gains in skills and confidence. Conclusion: TEAM Wheels benefits were largely retained at 6 months. eHealth and peer-led approaches offer promising, sustainable alternatives to traditional clinician-led MWC skills training. Clinical Trial Registration No. NCT04090177 IMPLICATIONS FOR REHABILITATION: Peer-led, eHealth-based wheelchair skills training is a promising alternative to traditional therapist-led training, supporting improved participation, skills and confidence among manual wheelchair users. Findings demonstrate sustained improvements in participation, wheelchair skills capacity and self-efficacy 6-months after intervention, highlighting the potential long-term benefits of integrating eHealth and peer-led approaches into rehabilitation. Greater engagement with eHealth program was associated with larger improvements, underscoring the importance of participant adherence to training guidelines. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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