Development of a Wheelchair Skills Home Program for Older Adults Using a Participatory Action Design Approach

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Date
2014-9-4
Authors
Giesbrecht, Edward M.
Miller, William C.
Mitchell, Ian M.
Woodgate, Roberta L.
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Abstract
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.
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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