ALLWheel: Evaluation of a Smartphone-delivered Peer-led Physical Activity Counselling Program for Manual Wheelchair Users
Study Details
Study Description
Brief Summary
Despite physical activity (PA) being a valuable modality for promoting health, the evidence for effective PA intervention strategies for manual wheelchair (MWC) users is underdeveloped. Community-based programs and telephone-counselling interventions to increase PA among MWC users have had some success, but the uptake and adherence to these interventions remains low within this population. Community-based programs may not reach MWC users who live in rural areas and have issues with transportation, while health professionals may not optimally relate with MWC when providing telephone counselling. Although the PA needs of MWCs are not fully understood, there is reason to believe that including peers into intervention delivery may have benefits.
A feasibility trial is critical and prudent prior to moving forwards with a large and expensive multi-site randomized controlled trial (RCT) to ensure that: the intervention meets the needs of the target population; the right outcomes are measured; and that the intervention is feasible to administer.
The objective of this study is to evaluate the feasibility of a Smartphone-delivered Peer-led Physical Activity Counselling (SPPAC) program for MWC users.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: SPPAC intervention Smartphone-delivered peer-led physical activity counselling |
Behavioral: SPPAC intervention
A peer coach will deliver a physical activity counselling intervention using a Smartphone. Individualized programs will be based on participants physical activity/wheelchair mobility goals.
|
| No Intervention: Control group Pragmatic no-contact control group |
Outcome Measures
Primary Outcome Measures
- Objective physical activity [Change in physical activity from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention]
Physical activity will be measured objectively using Actigraphy, a small, lightweight accelerometry-based tri-axial activity monitor (Actigraph 3GTX) that is worn on the wrist and MWC without impeding bodily movements or PA. Information about motion direction and speed are integrated to produce an electrical current with variable magnitude and duration. The electrical current data are stored in the monitor as 'activity counts.'
Secondary Outcome Measures
- Subjective physical activity (Leisure-Time Physical Activity Questionnaire (LTPA)) [Change in LTPA from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention]
Self-reported frequency (number of bouts) and duration (min per bout) of light, moderate and heavy intensity PA over the past 7 days.
- Wheelchair skills capacity and performance (Wheelchair Skills Test- Questionnaire (WST-Q)) [Change in WST from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention]
Subjective evaluation of the skills capacity and performance of 32 manual wheelchair skills.
- Physical activity motivation (Behavioural Regulation in Exercise Questionnaire (BREQ-2)) [Change in BREQ-2 from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention]
Subjective evaluation of motivation for physical activity is measured using 5 subscales of regulation: external, introjected identified, intrinsic and amotivation.
- Perceived autonomy support (Health Care Climate Questionnaire (HCCQ)) [Change in HCCQ from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention]
Subjective evaluation of perceived autonomy support
- Satisfaction of psychological needs (Psychological Need Satisfaction in Exercise Scale (PNSES)) [Change in PNSES from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention]
Subjective evaluation of satisfaction of psychological needs (i.e. autonomy, competence, relatedness) for physical activity will be measured only in the intervention group.
- Self-efficacy to overcome barriers to leisure-time physical activity (Leisure-time Physical Activity Barrier Self-efficacy Scale) [Change in Self-efficacy to overcome barriers to leisure-time physical activity from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention]
Subjective evaluation of self-efficacy to overcome salient barriers to physical activity participation (e.g. when faced with transportation problems, bad weather, pain and fatigue).
- Wheelchair use self-efficacy (Wheelchair Use Confidence Scale Short Form (WheelCon-SF)) [Change in WheelCon-SF from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention]
Subjective evaluation of situations that challenge self-efficacy while using a manual wheelchair.
- Satisfaction with participation in physical activity using a wheelchair (Wheelchair Outcome Measure (WhOM)) [Change in WhOM from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention]
A semi-structured interview that allows participants to select important physical activity/wheelchair mobility participation goals. The importance and current level of satisfaction is evaluated.
- Measure of self-efficacy in performing functional activities of daily living in individuals with Spinal Cord Injury (Moorong Self Efficacy Scale - MSES) [Change in MSES from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention]
Subjective evaluation of self-efficacy in carrying out activities of daily living. Minimum value 1 and maximum value 7. A higher score indicates a higher perceived self efficacy.
- Measure the degree to which individuals who have experienced traumatic or incapacitating illness achieve reintegration into normal social activities (Reintegration to Normal Living Index - RNLI) [Change in RNLI from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention]
Subjective evaluation of the reintegration to normal living activities
Eligibility Criteria
Criteria
Inclusion Criteria:
-
live in the community
-
have used a manual wheelchair for ≥ 1 year
-
able to self-propel a manual wheelchair for at least 10m
-
able to communicate in English or French
-
have physical activity or mobility goals
-
cognitively able to set goals (Mini-mental State Exam Score ≥ 25)
Exclusion Criteria:
-
anticipate a health condition or procedure that contraindicates training (e.g., surgery scheduled which would impair physical activity)
-
have a degenerative condition that is expected to progress quickly (e.g., Amyotrophic Lateral Sclerosis
-
are concurrently or planning to receive manual wheelchair mobility training over the period of the study
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Centre for Interdisciplinary Research in Rehabilitation and Social Integration | Quebec | Canada | G1M 2S8 |
Sponsors and Collaborators
- Laval University
- McGill University
Investigators
- Principal Investigator: François Routhier, PhD, Laval University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SPPAC2016