Effectiveness of Wheelchair Skills Training for Caregivers of Manual Wheelchair Users

Inclusion Criteria for caregiver and wheelchair user dyad * be ≥ 18 years of age * able to communicate in English * be willing to participate and be committed to setting regularly scheduled times for the study activities * will need to have the appropriate connectivity for the remote training and testing (i.e. telephone, limited-access e-mail and internet). Exclusion Criteria for caregiver and wheelchair user dyad : * fail to complete the baseline (T1) assessment * have unstable medical conditions (e.g. angina, seizures) that might make the use of a manual wheelchair dangerous * emotional problems (e.g. severe anxiety, depression) that might make participation unsafe or unpleasant * have a medical condition that is likely to deteriorate in the three months following enrollment. Inclusion Criteria for wheelchair user * a person who uses a manual wheelchair * be expected to continue to use a manual wheelchair at least part-time in the coming months * requires no more than minimal assistance for communication and auditory comprehension Inclusion Criteria for caregiver of wheelchair user -must be a caregiver (e.g. a family member, friend, volunteer or regular homecare worker) who spends an average total of at least 2 hours per week with the manual wheelchair user that includes manual wheelchair mobility.