Effectiveness of Web-Based Training (SERT)

Up to 200 individuals will be recruited for this research study. Investigators will recruit
individuals who use a wheelchair for the majority of their mobility (over 40 hours per week),
have the ability to transfer independently (may use equipment like sliding boards), use a
seated pivot to transfer, and speak English as a primary a language. This study will be
accessed entirely online and participation is expected to last approximately one year.
Subjects will be randomized into three groups; one group that will receive transfer training
immediately with no follow up, one group that will receive the transfer training immediately
with 1 month and 6 month follow up, and one group that will receive the transfer training
after 6 months. The transfer training program itself will take approximately 1 hour to
complete.

After obtaining informed consent, participants in the first two groups will complete baseline
questionnaires. They will then receive the transfer training program.

Participants in the third group (a wait-list control group) will complete the baseline
questionnaires and be contacted one month later to complete a transfer assessment instrument
questionnaire. They will then wait 5 months. After this period, participants will complete
the baseline questionnaires a second time, and then receive the transfer training.

After completing the transfer training, all groups will be contacted immediately post
training to complete additional questionnaires to assess the effectiveness of the remote
transfer training program. Participants in the 2nd and 3rd group will be contacted 1 month
and 6 months post-training to complete additional questionnaires.

Inclusion Criteria:

1. Utilize a wheelchair for the majority of mobility (over 40 hours per week).

2. Ability to transfer independently (may use equipment like sliding boards).

3. Use of seated pivot transfer

4. Speak English as a primary a language

Exclusion Criteria:

1. Pain prohibiting transfers

2. Active use of the lower limb muscles during transfers

3. Current or recent history (last 3 months) of pressure sores