Experiences from peer group training of wheelchair users

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disability: historical perspective

• in general disability is viewed as a tragic, life threatening/ending event

• in particular, disabled people are:

◦ Powerless

◦ Voiceless

◦ Denied access to basic services

◦ Denied societal participation

◦ Isolated

◦ Discriminated

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the challenge

factors affecting those with a SCI and mobility disabilities in low-income countries:

limited understanding of their disability

little or no understanding of potentially fatal health issues such as urinary tract infections and pressure sores

poor mobility skills

no role models

low confidence

discrimination within society

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Peer support

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Peer support

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peer group training

What is it?

Peer Group Training (PGT) is peer to peer training amongst wheelchair users in mobility, health and independent living skills

Who are the trainers?

It involves experienced, healthy and active wheelchair users passing on their skills and knowledge to others

Who is it for?

People with spinal cord injuries and other mobility disabilities

What is the impact of PGT?

PGT improves survival rates and quality of life

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Peer support

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Peer support

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Peer support

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topics covered in peer group training

Mobility wheelchair skills, transfers

Health skin care (pressure sore prevention and treatment), bladder and

bowel management

Disability Awareness information on disability, rights, working with assistants, family and community life, changing public perception of disability

Sexuality relationships, sexual health and

sexual function

Sport introduction to wheelchair sport

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PGT contexts

PGT can be delivered in the following contexts:

Hospital or spinal unit essential for early intervention providing a role model from the outset

and motivation to move forward

Home visit addresses lack of transport for those requiring PGT

Wheelchair services combining the provision of appropriate mobility equipment with essential skills

and knowledge

Residential camp bringing together 15 – 20 people for comprehensive PGT