Study participants were interviewed during the wheelchair assessment (about 2 months before wheelchair delivery), at the wheelchair delivery visit, and at 3- and 6-month follow-up visits after wheelchair delivery. However, whenever a risk of pressure injury was identified for a study participant, wheelchair providers fabricated a pressure-relief cushion based on the WHO basic wheelchair service guidelines.ĭata were collected between January and November 2019, by a group of eight data collectors from the University of El Salvador. In addition, all wheelchairs were provided with a basic contour cushion made of polyurethane foam. All study participants were provided with a new wheelchair (standard, active, or all-terrain model), a wheelchair cushion, and wheelchair services, delivered by trained wheelchair service providers, according to the WHO 8-step wheelchair service delivery process including assessment, fitting, and a 30-minute individual or group training on 7 wheelchair skills, device care, and pressure injury prevention techniques. The investigators recruited wheelchair users and their caregivers.įollowing the initial assessment, all participants were placed on a waiting list until wheelchairs and services were available.
Written informed consent was obtained from all participants before implementing study procedures.Īll procedures of the study were conducted at 11 different rehabilitation centers, that served as wheelchair service delivery centers, in El Salvador.Ī consecutive sampling method was used to select participants using the waitlists at the 11 rehabilitation centers. Wheelchair use was measured with dataloggers at assessment, delivery and 3-month follow-up.Įthics approval was granted from the National Committee on Research Ethics for Health in El Salvador (CNEIS/2018/043) and the Institutional Review Board at the University of Pittsburgh (number PRO18010578). Outcome assessments on wheelchair-related health, wheelchair skills, wheelchair repairs required, adverse events, caregiver burden and the level of assistance, poverty probability, and quality of life were performed via structured interviews at the initial assessment, at wheelchair delivery, and at 3- and 6-month follow-up. The intervention consisted of the WHO 8-step process as well as maintenance reminders.
#FUNTER MERLIOT MANUAL#
This was a longitudinal, within-subject study design including 247 manual wheelchair users in El Salvador. The objective of this study was to test the hypotheses that wheelchair-related health, wheelchair skills, wheelchair use, poverty probability, and quality of life would improve and that the number of wheelchair repairs required, adverse events, caregiver burden and the level of assistance provided would decrease after the delivery of manual wheelchairs following the World Health Organization (WHO) 8-step service-delivery process.
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