N/A
N=28
Powered Seating Function Usage Among Veterans - Compliance and Coaching
Use of Power Wheelchairs and Power Seat Functions
Bottom Line
View on ClinicalTrials.gov: NCT00839098 ↗Enrolled (actual)
28
Serious AEs
0.0%
Results posted
Feb 2016
Primary outcome: Primary: Compliance Rate — 8.9; 39.7 Percentage of participants' compliance — p=0.27
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Instruction Group: Power seat function usage instruction- verbal and written instruction (Other); Instruction and Virtual Coach Group: Power seat function usage instruction- verbal, written, and virtual coach (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Dec 2013
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Compliance Rate |
8.9; 39.7 | 0.27 |
| PRIMARY Frequency of Power Seat Function Usage |
.51; 0.03; -0.43; 0.09 | >0.05 |
| PRIMARY Power Wheelchair Usage |
0.17; -0.04 | >0.05 |
| PRIMARY Wheelchair Occupancy |
-.07; -0.4 | >0.05 |
| SECONDARY Questionnaire Responses: Tool for Assessing Wheelchair Discomfort (TAWC) |
4.6; -7.4; 1.8; -12.1 | >0.05 |
| SECONDARY Questionnaire Responses: Psychological Impacts of Assistive Devices Scale |
11.1; -8.4 | 0.04 sig |
| SECONDARY Questionnaire Responses: Independence in Community |
9.5; 8.6; 19.3; -11.7; 0; 0.5 | >0.05 |
Summary
The purpose of this randomized control study is to evaluate the use of electric powered wheelchairs and powered seating function patterns of Veterans to determine how usage patterns relate to activity, participation, and seating discomfort. In addition, it will be determined if a training program or a training program with a virtual coach will improve compliance of clinical practice guidelines for pressure relief, upper limb preservation, and discomfort management. The virtual coach is a portable, programmable intelligent reminder designed to enhance a person's use of their power wheelchair and power seat functions.
Eligibility Criteria
Inclusion Criteria
- Subjects must be 18 years of age or older.
- A power wheelchair with power seat functions must be recommended as medically necessary by a qualified clinician with ATP credential or board certified in physical medicine and rehabilitation from the VAPHS Wheelchair and Seating Clinic or the Center for Assistive Technology.
- Subjects must be able to be properly fitted with one of the study EPWs; 18" or 20" seat widths will be available. Cushions and backrests will be made available to meet subject's clinical needs.
- Subject's home must be accessible to accommodate use of a power w/c.
- Subject must be determined to be fully capable of examining his/her sitting surface daily for redness or pressure ulcers or if not that another individual can be designated as able and willing to-do this.
Exclusion Criteria
- Subjects who have active pelvic, gluteal or thigh wounds or who have had a pressure ulcer in these regions within the past 30 days. (They may be worsened by prolonged sitting).
- Subjects who report more than 5 days of hospitalization in the previous month. (They may not spend enough time using an EPW with powered seating functions).
Data sourced from ClinicalTrials.gov (NCT00839098). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.