N/A
Completed N=497
Understanding Quality and Equity in Wheelchairs for Veterans
Spinal Cord Injuries · Amputees
Source: ClinicalTrials.gov NCT01236170 ↗
Enrolled (actual)
497
Serious AEs
0.0%
Results posted
Dec 2014
Primary outcomePrimary: Quality of Life Assessed With the Veterans RAND 12 Item Health Survey (VR-12) — 44.7; 43.6 units on a scale
Summary
The Department of Veterans Affairs (VA) provides wheelchairs to about 42,000 Veterans with SCI and more than 40,000 Veterans with amputated limbs (AL). Despite VA's efforts to remove financial and other barriers to the provision of wheelchairs to all Veterans who need them, preliminary evidence suggests that disparities exist in the quality of wheelchairs prescribed to racial minorities and low income Veterans with SCI or AL. The proposed project will provide important information to the VA about the quality and equity of wheelchairs provided to Veterans with SCI or AL, and it will identify the patient and provider factors associated with wheelchair provision. Because Veterans with SCI and AL are considered special disability populations, identifying and understanding these factors is a critical first step to developing interventions to increase the quality and equity of wheelchairs provided to all disabled Veterans.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Quality of Life Assessed With the Veterans RAND 12 Item Health Survey (VR-12) |
44.7; 43.6 | — |
| SECONDARY Satisfaction With Wheelchair Service Delivery |
26.6 | — |
| SECONDARY Satisfaction With Prescribed Wheelchair |
4.1 | — |
| SECONDARY Participation in Society |
208; 244 | — |
| SECONDARY Wheelchair Activity |
— | — |
Eligibility Criteria
Inclusion Criteria
Veterans
- age >18 years
- must have SCI with discernible neurological impairments or an amputated lower limb which results in the use of a wheelchair
- must be in power or manual wheelchair >1 year and treated at the participating VAMC
- participants must use a manual or power wheelchair as their primary means of mobility (e.g., use wheelchair > 40 hours/week
- and be non-ambulatory except for exercise purposes
Exclusion Criteria
- In wheelchair less than 1 year
- Able to ambulate without the use of a wheelchair
- Other disorders requiring the use of a wheelchair (e.g., MS)
Data sourced from ClinicalTrials.gov (NCT01236170). 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. Informational only — not medical advice.