Des approches communautaires comme solution permettant de favoriser l'adoption de technologies d'assistance et leur utilisation à long terme

 

Krista Best

CIUSSS de la Capitale-Nationale

 

Domaine : appareil locomoteur et arthrite

Programme Chercheurs-boursiers - Junior 1

Concours 2019-2020

Previous research has identified needs and significant gaps to community-based mobility training and physical activity programs for individuals with disabilities. The proposed program of research endeavours to improve mobility for individual with physical disabilities through improved assistive technology uptake (i.e., training to use assistive technology devices adequately and safely) and sustained long-term use of assistive technology (i.e., facilitate healthy behaviour change) through development, evaluation and implementation of evidence-informed community-based programs. The two overarching themes of this research program include: 1) Community-based adapted physical activity – Initiatives for Spinal Cord Injury; and 2) Community-based mobility enhancement – Considerations for power mobility.

Theme 1 will evaluate a peer-led physical activity program that is grounded in behavioural theories and that is delivered using a smartphone. The Active Living Lifestyles for Wheelchair users (ALLWheel) program, created through a participatory action approach, will be evaluated in a randomized controlled trial. After establishing effectiveness of this program, clinical and community partners will help to implement and evaluate its sustainability.

Theme 2 will address the needs of individuals with mild to moderate cognitive impairments who may benefit from power wheelchair mobility, but are potentially precluded from such solutions due to lack of existing evidence. Given that cognition is modifiable, and that existing wheelchair skills training programs may overlook cognition enhancing factors, a sequential mixed methods design (focus groups, Delphi surveys, and a pilot feasibility pre-post evaluation) will be followed to develop and evaluate a cognition-enhanced power wheelchair driving program. A participatory action research approach that involves important stakeholders will be used to strengthen the quality of the research and knowledge translation.