{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T17:54:06Z","timestamp":1784570046002,"version":"3.55.0"},"reference-count":43,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Global ageing and the rise of chronic and progressive health conditions that lead to mobility changes will see increased need for manual wheelchair (MWC) provision and training. Existing training guidelines and training programmes are frequently tailored towards younger users. There is a knowledge and practice gap regarding the needs of people with chronic or progressing conditions who require a wheelchair. To inform practice guidelines and training practices, this study sought the perspectives of both MWC users and trainers on their experience of MWC training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a qualitative descriptive approach, semi\u2010structured in\u2010depth interviews were conducted with 11 MWC trainers and 6 MWC users. Data from the two participant groups were inductively coded and thematically analysed using NVivo and concept mapping to synthesise the data into themes and sub\u2010themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three main themes were identified:\n                      <jats:italic>guided support in wheelchair training<\/jats:italic>\n                      reflected the need for basic support when commencing wheelchair use,\n                      <jats:italic>person\u2010centred training<\/jats:italic>\n                      recognised the importance of tailoring training to individuals, their goals and contexts, and\n                      <jats:italic>creating safe and supportive environments<\/jats:italic>\n                      addressed how to foster acceptance of training through building a supportive training environment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Access to skilled MWC trainers is essential for MWC users commencing MWC use due to a chronic or progressive condition; however, the Australian healthcare system does not currently meet this need. There is a need to explore alternate models of service delivery, such as peer\u2010led training or upskilling of other key stakeholders, such as assistive technology suppliers. The creation of supportive environments and tailored training aligned with the abilities and goals of individual users must take precedence over resource\u2010driven or one\u2010size\u2010fits\u2010all approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient Contribution<\/jats:title>\n                    <jats:p>During the development of semi\u2010structured interview guides, feedback was sought from an MWC user and MWC trainer to ensure the relevance and appropriateness of the questions and allow for the refinement of questions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70342","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T09:04:23Z","timestamp":1751274263000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Experience of Manual Wheelchair Training for People With Chronic and Progressive Conditions: Perspectives of Users and Trainers"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7154-0459","authenticated-orcid":false,"given":"Kimberly","family":"Charlton","sequence":"first","affiliation":[{"name":"School of Allied Health Science and Practice University of Adelaide Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4471-0509","authenticated-orcid":false,"given":"Carolyn","family":"Murray","sequence":"additional","affiliation":[{"name":"Allied Health and Human Performance Academic Unit University of South Australia Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3213-8069","authenticated-orcid":false,"given":"Natasha","family":"Layton","sequence":"additional","affiliation":[{"name":"Rehabilitation, Ageing and Independent Living Research Centre Monash University Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacie","family":"Attrill","sequence":"additional","affiliation":[{"name":"School of Allied Health Science and Practice University of Adelaide Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12992"},{"key":"e_1_2_11_3_1","unstructured":"WHO.Wheelchair Provision Guidelines. Geneva 2023. Report No: Licence: CC BY\u2010NC\u2010SA 3.0 IGO https:\/\/www.who.int\/publications\/i\/item\/9789240074521."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2005.11753844"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-015-0092-2"},{"issue":"29","key":"e_1_2_11_6_1","first-page":"512","article-title":"Sensory Dysfunction in Old Age","volume":"118","author":"V\u00f6lter C.","year":"2021","journal-title":"Deutsches \u00c4rzteblatt International"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12759"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2018.10.018"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/17483107.2021.1983655"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2024.12.011"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2019.06.010"},{"key":"e_1_2_11_12_1","unstructured":"Dalhousie University. 2023. 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