AUTHOR=Ripat Jacquie , Giesbrecht Ed , Borisoff Jaimie , Morales Ernesto , Harrison Kara-Lyn TITLE=Development of the Standardized Navigation Of Winter Mobility & Accessibility Network (SNOWMAN) course JOURNAL=Frontiers in Rehabilitation Sciences VOLUME=Volume 5 - 2024 YEAR=2024 URL=https://www.frontiersin.org/journals/rehabilitation-sciences/articles/10.3389/fresc.2024.1330507 DOI=10.3389/fresc.2024.1330507 ISSN=2673-6861 ABSTRACT=Manual wheelchairs (MWC) users have limited mobility during winter months as they encounter many environmental barriers that restrict their community participation. This paper outlines the creation and standardization of an outdoor environment designed to simulate the real-life conditions and obstacles experienced by MWC users in winter. This study consisted of four phases. In Phase 1, researchers used a qualitative ethnographic approach to document the specific challenges and adaptive strategies used by MWC users in winter conditions. In Phase 2, key informants with expertise in MWC winter mobility were invited to co-design the Standardized Navigation Of Winter Mobility & Accessibility Network (SNOWMAN) course. Participants reviewed draft design solutions and offered their input and suggestions to expand upon the initial design. A second co-design workshop included additional key informants, including service providers, policymakers, and professionals with expertise in landscape architecture and engineering, to validate the design solution. The workshops resulted in a detailed illustration of the SNOWMAN course, including five sections: platforms with side slopes, a miniature ice rink, curbs and curb cuts, a path with uneven winter surfaces, and modular ramps at various slopes. The course aims to provide a safe and semi-protected, yet ecologically valid, environment for the development and evaluation of new devices, techniques, and clinical interventions related to winter mobility for MWC users. Phases 3 and 4 marked the conclusion of the study and involved fabrication of the SNOWMAN course and establishment of a standardized protocol for course setup and maintenance.