Paediatric Handbook: co-creation and user perceived satisfaction of a paediatric-specific knowledge translation resource for manual wheelchair skills training

PURPOSE: The evidence-based Wheelchair Skills Training Program (WSTP) positively influences paediatric manual wheelchair users' (PMWUs) mobility. Occupational therapists (OTs) raised a need for condensed knowledge translation resources supporting its uptake in paediatrics. This study aimed to: 1) co-create a condensed educational resource to support PMWU wheelchair skills training (Paediatric Handbook) with an international subcommittee of researchers and clinicians with expertise in paediatric mobility (WSP-Paediatric Subcommittee [WSP-PS]); and 2) explore WSP-PS's and OTs' overall satisfaction with the Paediatric Handbook, and perceptions regarding usability, content and relevance, and anticipated feasibility in paediatrics. METHODS: The Paediatric Handbook was co-created in two steps (1): paediatric-specific synthesis of the WSTP content and novel considerations for PMWUs (2); co-creation of the format and presentation. Online focus groups and interviews explored the WSP-PS's and OTs' overall satisfaction with, and perceptions of, the Paediatric Handbook (usability, content and relevance, and anticipated feasibility). The framework method guided deductive thematic analyses. RESULTS: Eleven WSP-PS members co-created the Paediatric Handbook, comprising five sections (Safety, Motor Learning Principles, Skills Educational Sheets, Games, and Toolbox) in a format intended to be appealing and easy to navigate. Seventeen participants (eight WSP-PS members and nine OTs) found the Paediatric Handbook user-friendly (overall satisfaction), highlighting its visuals, clarity, and structure (usability). Participants perceived that it could support clinicians' learning, particularly when integrated into hands-on training (content and relevance), and anticipated few barriers to its use in paediatric settings (anticipated feasibility). CONCLUSION: Overall satisfaction and perceptions suggest the Paediatric Handbook's potential to support WSTP uptake in paediatrics.