Let us tell you how to train us! experiences of children and youth with the Wheelchair Skills Training Program and their preferences for training delivery: a descriptive qualitative study.
Béatrice Ouellet, Sofia So, Tatiana Dib and 7 others
PMID 42756123WHAT IT FOUND
Children and youth using manual wheelchairs liked the Wheelchair Skills Training Program when it matched their goals, used playful practice, and built a supportive trainer relationship.
They wanted flexible settings, timing, and dosage. These are experiences and preferences, not evidence that the program works.
Key findings
01Participants described gaining confidence and safer wheelchair skills, but most still needed supervision or help for energy, weather, crowds, and difficult obstacles.
02They valued training that began with their own mobility goals, used playful just-right challenges, and was delivered by a supportive trainer who could demonstrate skills and provide safety spotting.
03They did not want one fixed delivery model; they wanted choices in individual or group format, setting, timing, session number and length, and whether caregivers attended.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
This is a qualitative experience and preference study, so it cannot show whether the training works or how much it improves mobility. Participants were recruited from a trial of the same program, and some had prior relationships with trainers or researchers. Some participants at one site were interviewed by their own trainer, so reports may have been influenced by a wish to please them. Trainers helped select participants, which may have excluded children or youth for whom training was difficult. The interview methods did not fully support participants with limited speech or who used augmentative and alternative communication, and some caregivers may have shaped responses. Two participants' responses raised credibility concerns, so 30 interviews were fully analysed and one was partially analysed. Findings come from three sites in two Canadian provinces, so they may not transfer to other services or cultures.
Declared interests
The authors declared financial support was received for the work and publication. The Canadian Institutes of Health Research funded the study. Quebec Health Research Funds provided salary support to Rushton, Routhier, and Best, and Ouellet received a Vanier Canada Graduate Scholarship. Additional scholarship support was listed from Quebec Health Research Funds and other named sources. Several authors have direct ties to the WSTP, including development, editorial board, and pediatric subcommittee roles.
The easy way to misread this
Do not read this as evidence that the Wheelchair Skills Training Program improves mobility or participation. It is a qualitative interview study of participants' experiences and preferences. Some participants had prior relationships with trainers or researchers, and some were interviewed by their own trainer, so their reports may have been influenced by a wish to please them.