Development of a Wheelchair Skills Home Program for Older Adults Using a Participatory Action Design Approach
Giesbrecht, Edward M.
Miller, William C.
Mitchell, Ian M.
Woodgate, Roberta L.
Restricted mobility is the most common impairment among older adults and a manual wheelchair is often prescribed to address these limitations. However, limited access to rehabilitation services results in older adults typically receiving little or no mobility training when they receive a wheelchair. As an alternative and novel approach, we developed a therapist-monitored wheelchair skills home training program delivered via a computer tablet. To optimize efficacy and adherence, principles of self-efficacy and adult learning theory were foundational in the program design. A participatory action design approach was used to engage older adult wheelchair users, care providers, and prescribing clinicians in an iterative design and development process. A series of prototypes were fabricated and revised, based on feedback from eight stakeholder focus groups, until a final version was ready for evaluation in a clinical trial. Stakeholder contributions affirmed and enhanced the foundational theoretical principles and provided validation of the final product for the target population.
Edward M. Giesbrecht, William C. Miller, Ian M. Mitchell, and Roberta L. Woodgate, “Development of a Wheelchair Skills Home Program for Older Adults Using a Participatory Action Design Approach,” BioMed Research International, vol. 2014, Article ID 172434, 13 pages, 2014. doi:10.1155/2014/172434