Promoting Physical Activity Following Dysvascular Amputation
A Behaviour Change Intervention Promoting Physical Activity Following Dysvascular Amputation: a Pilot Study
West Park Healthcare Centre
40 participants
Jan 23, 2025
INTERVENTIONAL
Conditions
Summary
Loss of a lower limb due to diabetes can have a devastating impact on physical and mental health and quality of life. Individuals are at risk of other diseases such as cardiovascular disease, loss of the other limb and death. Physical activity can reduce risk of chronic disease and improve health outcomes; however, physical activity levels in people with limb loss are low, often due to reduced balance and walking ability. Rehabilitation services are not readily available and the cost of delivering such programs remains high. Working with individuals with lower limb amputation, we created a virtual, peer-led physical activity behaviour change intervention called IMproving Physical Activity through Coaching and Technology following Lower Limb Loss (IMPACT-L3). We will conduct a pilot study to assess feasibility and optimize design of a future trial of effectiveness.
Eligibility
Inclusion Criteria6
- Dysvascular LLA (LLA due to diabetes or vascular disease)
- major LLA (at the ankle or above)
- living in the community
- adult at least 18 years of age
- comfortable communicating in English and able to understand basic English
- receptive to using a phone or tablet (e.g., to enable peer coaching, access to modules.
Exclusion Criteria3
- actively receiving rehabilitation services related to physical activity/mobility
- recommended medical supervision for physical activity by health care provider, or skin problems preventing usual activity
- not able to provide informed consent.
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Interventions
The intervention is a physical activity behaviour change intervention: IMproving Physical Activity through Coaching and Technology following Lower Limb Loss (IMPACT-L3). Two theories provide a framework for IMPACT-L3. One is social cognitive theory and the other is self-determination theory. As mHealth solutions have the potential to increase access and improve health outcomes, IMPACT-L3 will be delivered entirely virtually.
Locations(1)
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NCT06667739