Using Smartphones to Improve Physical Activity Levels of Individuals With Spinal Cord Injury
mHealth-based Just-In-Time Adaptive Intervention to Improve Physical Activity Levels of Individuals With Spinal Cord Injury
Temple University
196 participants
May 25, 2023
INTERVENTIONAL
Conditions
Summary
The overarching goal of this research study is to evaluate a sensor-enabled, just-in-time adaptive intervention (JITAI) strategy to increase and sustain physical activity levels among individuals with spinal cord injury (SCI) in their communities. A primary objective of this study is to evaluate the integration of a JITAI with a web-based physical activity intervention program. We hypothesize that the integration of web-based physical activity intervention program with JITAI will result in significantly higher physical activity levels compared to the standard web-based physical activity intervention program alone. A secondary objective of this study is to extend existing algorithms that use commercial wearable technology to robustly detect physical activity behaviors to facilitate the delivery of tailored just-in-time actionable feedback and physical activity recommendations for individuals with SCI.
Eligibility
Inclusion Criteria7
- -75 years of age
- have a traumatic or non-traumatic SCI (classification of neurological level of injury at cervical level 5 (C5) and below)
- are at least 6-months post-SCI
- use a manual or a power wheelchair as their primary means of mobility (>80% of time)
- can use their arms to exercise
- show readiness to physical activity as assessed by the Physical Activity Readiness Questionnaire
- have experience using a smartphone and smartwatch.
Exclusion Criteria2
- any secondary complications that medically restrict their activity in any way such as cardiovascular disease, pressure injuries, contractures, and infections
- are diagnosed with traumatic brain injury.
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Interventions
This 14-week web-based physical activity intervention (WI) program was developed by the National Center on Health, Physical Activity and Disability. The WI program was developed with guidance from literature and practice in health behavior change and internet-based health promotion programming. The content and features of the WI program include motivational resource, updated weekly resources, and customizable features.
Participants will be provided with reminders to use the WI program
Participants will be provided with standard, tailored, or no goal for the day. The goal will focus on recommending minutes of moderate-intensity (or higher) physical activity and a reminder to perform strength exercises.
Participants will be provided with minutes of moderate-intensity (or higher) physical activity achieved, minutes of physical activity remaining, or no message.
Participants will be inquired through an ecological momentary assessment (EMA) if they received a JITAI physical activity message.
Participants will be inquired, through an ecological momentary assessment (EMA), if they performed aerobic and/or strength exercises for the day.
Participants will be inquired, through an ecological momentary assessment (EMA), about the time they plan to wake up next day. This information will be used to provide a goal setting message for next day.
Participants will have access to minutes of moderate-intensity (or higher) physical activity performed over the last 7 days.
Participants will have access to minutes of moderate-intensity (or higher) physical activity performed over the day.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT05317832