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. 2024 May 9;5:1330507. doi: 10.3389/fresc.2024.1330507

Table 3.

Topics that emerged during the second co-design session.

Topic Description
Exposure and education Clinicians endorsed the importance of introducing clients to winter conditions and challenges, for instance: exposing clients to cold weather to assess its impact on spasticity; navigating ramps that are manageable in summer but challenging in winter; encountering sand and salt used for preventing slips on roads and sidewalks and how it effects wheelchair components; and dealing with snow glare. The winter obstacle course would allow exposure to winter-related barriers encountered by wheelchair users, fostering educational opportunities and skill development in a semi-controlled setting.
Expanding beyond wheelchair use Participants saw additional benefits of the winter obstacle course in providing opportunities for clients with gait aids to practice mobilizing in the winter, providing caregivers with training/education, trialling new equipment, and training/educating city employees.
Feasibility Participants generated important questions to ensure that the winter obstacle course would be realistic, such as:
  • Who will maintain the course?

  • How will wheelchair users dry their equipment following trials?

  • What safety precautions will be in place when using the area?

  • What are the rules for using the area?

  • What types of equipment and training do clinicians require before taking clients into the area?