{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T17:15:33Z","timestamp":1788455733649,"version":"build-2803163510"},"reference-count":64,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2022,9,21]],"date-time":"2022-09-21T00:00:00Z","timestamp":1663718400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Vanier Canada Graduate Scholarship","award":["#313181"],"award-info":[{"award-number":["#313181"]}]},{"name":"Vanier Canada Graduate Scholarship","award":["#296495"],"award-info":[{"award-number":["#296495"]}]},{"name":"Vanier Canada Graduate Scholarship","award":["#266715"],"award-info":[{"award-number":["#266715"]}]},{"name":"Quebec Health Research Funds (FRQS) Doctoral Award","award":["#313181"],"award-info":[{"award-number":["#313181"]}]},{"name":"Quebec Health Research Funds (FRQS) Doctoral Award","award":["#296495"],"award-info":[{"award-number":["#296495"]}]},{"name":"Quebec Health Research Funds (FRQS) Doctoral Award","award":["#266715"],"award-info":[{"award-number":["#266715"]}]},{"name":"Quebec Health Research Funds (FRQS) Junior 1 scholar award","award":["#313181"],"award-info":[{"award-number":["#313181"]}]},{"name":"Quebec Health Research Funds (FRQS) Junior 1 scholar award","award":["#296495"],"award-info":[{"award-number":["#296495"]}]},{"name":"Quebec Health Research Funds (FRQS) Junior 1 scholar award","award":["#266715"],"award-info":[{"award-number":["#266715"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Peer-led approaches improve satisfaction with participation, wheelchair skills and wheelchair use self-efficacy in adults, but the evidence is limited in children. This pilot study aimed to explore the influence of community-based, peer-led, group wheelchair training program (i.e., Seating To Go) on satisfaction with participation (primary outcome), wheelchair skills, and wheelchair use self-efficacy in children and adolescents with cerebral palsy and spina bifida. Methods: A single group pre-post design was used. Invitations were shared online and diffused by clinicians and advocacy and provider groups to recruit a convenience sample of eight pediatric wheelchair users. Participants completed the Seating To Go program in groups that were facilitated by adult wheelchair users. Satisfaction with participation (Wheelchair Outcome Measure-Young People), wheelchair skills (Wheelchair Skills Test), wheelchair use self-efficacy (Wheelchair Use Confidence Scale), and perceived wheelchair skills capacity (Wheelchair Skills Test Questionnaire; proxy rating: parents) were evaluated before and after the Seating To Go program. Descriptive statistics and nonparametric longitudinal data analysis were conducted to explore changes in all outcomes from baseline to post-intervention. Results: Pediatric wheelchair users (ranging in age from 5 to 15 years) and their parents reported statistically significant improvements in satisfaction with participation. The improvements in wheelchair skills and wheelchair confidence were also statistically significant, but not the parents\u2019 perception of their children\u2019s wheelchair skills. Conclusions: A community-based peer-led approach to wheelchair skills training seems promising for improving wheelchair outcomes in pediatric wheelchair users. Further controlled studies with larger samples are warranted.<\/jats:p>","DOI":"10.3390\/ijerph191911908","type":"journal-article","created":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T01:47:06Z","timestamp":1663811226000},"page":"11908","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Exploring the Influence of a Community-Based Peer-Led Wheelchair Skills Training on Satisfaction with Participation in Children and Adolescents with Cerebral Palsy and Spina Bifida: A Pilot Study"],"prefix":"10.3390","volume":"19","author":[{"given":"B\u00e9atrice","family":"Ouellet","sequence":"first","affiliation":[{"name":"Department of Rehabilitation, Faculty of Medicine, Universit\u00e9 Laval, Quebec City, QC G1V 0A6, Canada"},{"name":"Center for Interdisciplinary Research in Rehabilitation and Social Integration, Centre Int\u00e9gr\u00e9 Universitaire en Sant\u00e9 et en Services Sociaux de la Capitale-Nationale (CIUSSS-CN), Quebec City, QC G1M 2S8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7205-7725","authenticated-orcid":false,"given":"Krista L.","family":"Best","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Faculty of Medicine, Universit\u00e9 Laval, Quebec City, QC G1V 0A6, Canada"},{"name":"Center for Interdisciplinary Research in Rehabilitation and Social Integration, Centre Int\u00e9gr\u00e9 Universitaire en Sant\u00e9 et en Services Sociaux de la Capitale-Nationale (CIUSSS-CN), Quebec City, QC G1M 2S8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deb","family":"Wilson","sequence":"additional","affiliation":[{"name":"Seating To Go\u2014Geneva Healthcare, Hamilton 3204, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William C.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Occupational Science & Occupational Therapy, University of British Columbia, Vancouver, BC V6T 2B5, Canada"},{"name":"G.F. Strong Rehabilitation Centre\u2014Rehabilitation Research Lab, Vancouver, BC V5Z 2G9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1111\/dmcn.12080","article-title":"An Update on the Prevalence of Cerebral Palsy: A Systematic Review and Meta-Analysis","volume":"55","author":"Oskoui","year":"2013","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"21","DOI":"10.3389\/fped.2017.00021","article-title":"Cerebral Palsy\u2014Trends in Epidemiology and Recent Development in Prenatal Mechanisms of Disease, Treatment, and Prevention","volume":"5","author":"Stavsky","year":"2017","journal-title":"Front. 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