Mortenson W Ben, Jang Sharon, Goldsmith Charlie H, Hurd Clarke Laura, Hobson Sandra, Emery Richelle
The Department of Occupational Science and Occupational Therapy, University of British Columbia, T-325-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada.
GF Strong Rehabilitation Center, 4255 Laurel Street, Vancouver, BC, V5Z 2G9, Canada.
Trials. 2017 May 25;18(1):235. doi: 10.1186/s13063-017-1963-y.
Mobility scooters can facilitate community participation among individuals with mobility limitations. However, accidents are a serious concern with scooter use. Scooter training has been recommended to improve safety, but there are currently few validated programs available. Therefore, we developed a Systematic, Comprehensive, One-to-One Training (SCOOT) program for scooter users. We will conduct a study to evaluate the outcomes produced by the provision SCOOT.
This feasibility study will use a mixed-methods, rater-blinded, randomized control trial, with a two-step wedge design. The study has two arms: an immediate intervention group, which will receive the intervention directly after baseline assessments, and a delayed intervention group, which will receive the intervention after a 6-week period. Forty participants, who will be stratified based on whether or not participants have previously held a driver's license, will be randomly assigned to each arm. The intervention for this study consists of 6 weeks of one-to-one scooter training by an experienced occupational therapist, who will provide training once or twice per week over the 6 weeks. The primary outcome measure is subjective scooter skills, measured using the Wheelchair Skills Test for scooters. Secondary outcomes include objective scooter skills, confidence, mobility, and satisfaction with selected participation activities. Descriptive measures include cognitive status, functional status, hearing, vision, physical accessibility of the home and community, and visual attention and task switching. Qualitative interviews will be conducted with the first ten willing participants from each group to learn about their scooter use and experiences with SCOOT.
The results of this study will inform a larger randomized control trial. If the intervention is proven to be effective in this larger study, it may have important implications for policy and practice.
ClinicalTrials.gov identifier: NCT02696213 . Registered on 23 February 2016.
电动代步车有助于行动不便者参与社区活动。然而，使用电动代步车时事故是一个严重问题。建议进行电动代步车培训以提高安全性，但目前几乎没有经过验证的培训项目。因此，我们为电动代步车使用者开发了一个系统、全面、一对一的培训（SCOOT）项目。我们将开展一项研究来评估提供SCOOT培训所产生的效果。
这项可行性研究将采用混合方法、评估者盲法、随机对照试验，并采用两步楔形设计。该研究有两个组：即时干预组，在基线评估后直接接受干预；延迟干预组，在6周后接受干预。40名参与者将根据是否曾持有驾照进行分层，然后随机分配到每个组。本研究的干预措施包括由经验丰富的职业治疗师进行为期6周的一对一电动代步车培训，该治疗师将在6周内每周提供一次或两次培训。主要结局指标是主观电动代步车技能，使用电动代步车轮椅技能测试进行测量。次要结局指标包括客观电动代步车技能、信心、行动能力以及对选定参与活动的满意度。描述性指标包括认知状态、功能状态、听力、视力、家庭和社区的身体可达性以及视觉注意力和任务转换能力。将对每组中最初十名愿意参与的参与者进行定性访谈，以了解他们使用电动代步车的情况以及SCOOT培训的体验。
本研究结果将为一项更大规模的随机对照试验提供参考。如果在这项更大规模的研究中证明该干预措施有效，可能会对政策和实践产生重要影响。
ClinicalTrials.gov标识符：NCT02696213。于2016年2月23日注册。
