Evaluating the Feasibility, Acceptability, and Engagement of an mHealth Physical Activity Intervention for Adults With Spinal Cord Injury Who Walk: A Randomized Controlled Trial

Author:

Lawrason Sarah V.C.12ORCID,Martin Ginis Kathleen A.1234ORCID

Affiliation:

1. School of Health and Exercise Sciences, University of British Columbia, Kelowna, BC, Canada

2. International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada

3. Division of Physical Medicine & Rehabilitation, Department of Medicine, University of British Columbia, Vancouver, BC, Canada

4. Centre for Chronic Disease Prevention and Management, University of British Columbia, Kelowna, BC, Canada

Abstract

The purpose of this study was to test a partnered, self-determination theory–informed mobile health intervention called SCI Step Together, using an 8-week randomized controlled trial design. The aim of SCI Step Together is to increase the quantity and quality of physical activity (PA) among adults with spinal cord injury (SCI) who walk. The SCI Step Together program provides PA modules and PA self-monitoring tools and facilitates peer and health coach support. Process, resource, management, and scientific feasibility were assessed, and participants completed questionnaires at baseline, mid-, and postintervention to assess determinants and outcomes of PA. Interviews were conducted to evaluate acceptability. Results suggest that the program demonstrated good feasibility, acceptability, and engagement. The intervention group (n = 11) had greater fulfillment of basic psychological needs and knowledge (p = .05) than the control group (n = 9). There were no significant interaction effects for other outcomes. The SCI Step Together program is feasible and acceptable and efficacious for improving some psychosocial variables. Results may inform SCI mobile health programs.

Publisher

Human Kinetics

Subject

Applied Psychology

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