Manual Wheelchair Skills Training for Long-term-care Residents

Inclusion Criteria (wheelchair user): * be seventeen (17) or older * be a manual wheelchair user, living in a long-term-care facility; * be expected to require the long-term use of a wheelchair (at least four \[4\] hours/week for at least eight \[8\] weeks), as reported by a clinical therapist; * be competent to give informed consent (as indicated by a Mini Mental State Examination score of 20 or higher) or have a proxy with power of attorney willing to provide consent, * have the verbal endorsement of the clinical therapist (if any) to participate; * have the written permission of the attending physician to participate; * be willing to take part in the study, including signing the consent after carefully reading it. Exclusion Criteria (wheelchair user): * have an unstable medical condition (e.g. angina, seizures), as determined by the attending physician, house staff or ERN; * have an emotional or psychiatric problem of a type or extent that might make participation unpleasant, as determined by the attending physician, house staff or ERN. Inclusion Criteria (caregiver): * be seventeen (17) or older; * provide at least part-time \[at least one (1) hour/week\] wheelchair-handling care for a wheelchair user in a long-term-care facility; * be willing to take part in the study, including signing the consent form after carefully reading it. Exclusion Criteria (caregiver): * have an unstable medical condition (e.g. angina, seizures), as indicated by self-report; * have an emotional or psychiatric problem of a type or extent that might make participation unpleasant, as indicated by self-report.