Behavioural Change Intervention, Neurological Disorder, Physical Activity
Conditions
Brief summary
There is a significant disparity in access to physical activity programs for people with mobility impairments, which greatly impacts mobility, function and long-term wellbeing. This study will test an online, group-based intervention consisting of exercise and behaviour activation strategies targeting these and other outcomes. Importantly, this programming will be applied to patient groups across several clinical programs at Parkwood Institute.
Interventions
BEHAVIORALIntegrated Physical Activity and Behavioural Change Intervention
Physical Activity (PA) Component: A group-based PA program geared to the level of injury and mobility delivered through web conferencing software. Participants select at three sessions weekly over 10 weeks. Sessions include 45 mins of exercise (i.e boxercise; aerobics; yoga) and 15 mins of social interaction with the group. Behavioural Change Component: Participants will also receive synchronous 1:1 sessions (approximately 20 mins/week) with a trained clinician on behavioural strategies to initiate and maintain engagement in PA over the 10-week period. Content of the sessions includes: providing information on PA and the self-management of impairments and related symptoms; evaluating barriers to engagement (e.g. fear of injury); and behavioural strategies.
Sponsors
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
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
* 18 years of age and over * Neurological condition (i.e., brain injury, stroke) * Completed rehabilitation and living in the community * Participants must have some upper limb function permitting arm movement against gravity * Physician clearance to participate in the study.
Exclusion criteria
* Not cleared by a physician. * Not able to move upper limbs against gravity. * No internet access.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Self Efficacy | baseline, 10 weeks, 3 months | Self-Efficacy for Managing Chronic Disease 6-item Scale; Scale for the assessement of phase-specific self-efficacy of physical activity |
| Change in Physical Activity | baseline, 10 weeks, 3 months | Physical Activity scale for individuals with physical disabilities (PASIPD) |
| Change in Life Participation | baseline, 10 weeks, 3 months | NeuroQoL ability to participate; NeuroQoL satisfaction with participation |
| Change in health behaviour | baseline, 10 weeks, 3 months | Scale for assessment of implementation planning and coping planning |
| Change in fear of falls | baseline, 10 weeks, 3 months | Falls Efficacy Scale - International |
| Change in exercise expectations | baseline, 10 weeks, 3 months | Outcome Expectations for Exercise scale |
| Change in Mood | baseline, 10 weeks, 3 months | PHQ9 |
| Change in Anxiety | baseline, 10 weeks, 3 months | GAD7 |
| Change in personality | baseline, 10 weeks, 3 months | BFI/AAQ |
Contacts
Primary ContactSwati Mehta, PhD
Outcome results
None listed