Spinal Cord Injuries
Conditions
Brief summary
This study is designed is to test the feasibility, fidelity, and effectiveness of scaling up an evidence- and theory-based virtually delivered physical activity intervention (WOWii) for individuals living with chronic SCI for delivery through other rehabilitation settings. The study outcomes address (1) feasibility based on participant enrollment, retention, and program engagement; (2) fidelity of intervention delivery; and (3) program effectiveness based on subjective and objective exercise data, and participant exercise perceptions regarding self-efficacy and barriers.
Interventions
BEHAVIORALWOWii Program
Workout on Wheels Internet Internvention (WOWii) which includes: 1) WOWii website to guide participants in an exercise program, 2) home exercise starter program; 3) weekly support from a peer facilitator via online (video) meetings.
Sponsors
Kessler Institute for Rehabilitation
Shepherd Center, Atlanta GA
Craig Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* more than 12 months post SCI * requires use of wheelchair due to SCI * receive signed approval from medical provider to initiate moderate-intensity exercise program * have internet access via computer, tablet, or smartphone * provide informed consent
Exclusion criteria
* already engaged in engaged in sufficient physical activity to meet CDCP guidelines * cognitive of language impairments that would affect ability to participate * presence of medical issue for which exercise is contraindicated * pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Enrollment of Participants in WOWii Program (feasibility) | One time at end of study recruitment | Total number of participants enrolled at each site |
| Retention of Participants Enrolled in WOWii Program (feasibility) | One time at end of 16 week intervention | Total number of WOWii sessions attended |
| Engagement of Participants Enrolled in WOWii Program (feasibilty) | One time at end of 16 week intervention | Total number of WOWii online activities completed |
| Percentage of behavior skills covered by peer facilitators during WOWii Program (fidelity) | One time at end of 16 week intervention | Percentage of items on fidelity check list that are marked as completed |
| % of WOWii sessions in which peer facilitators generate group-based conversation (fidelity) | One time at end of 16 week intervention | % of sessions on fidelity check list that are marked as having grop-based conversation |
| Change in number of minutes spent in aerobic exercise (effectiveness) | Baseline, end of intervention (Week 16), end of follow up (Week 24) | Objective measure of change in activity level |
| Change in score on International Physical Activity Questionnaire Scores (effectiveness) | Baseline, end of intervention (Week 16), end of follow up (Week 24) | 8-item survey asking days/week and minutes/day spent in various physical activities. |
Countries
United States
Outcome results
None listed