An E-Learning Program for Increasing Physical Activity Associated Behaviors Among People with Spinal Cord Injury:...

Area of Science:

• Rehabilitation Science
• Health Promotion
• Digital Health

Background:

• Many individuals with spinal cord injury (SCI) do not meet physical activity guidelines.
• Social Cognitive Theory principles, such as self-efficacy and self-regulation, can enhance physical activity.
• Behavior change techniques are crucial for improving health outcomes in SCI populations.

Purpose of the Study:

• To develop and test the usability of an electronic learning (e-learning) program.
• To improve social cognitive factors influencing physical activity behavior in people with SCI.
• To create a brief, accessible intervention for enhancing physical activity in SCI.

Main Methods:

• The e-learning program, e-STORIES, was developed using the GRAIDs framework through an iterative process.
• Development involved an initial product creation, national survey, expert review, and usability testing.
• Usability testing incorporated both quantitative and qualitative data collection and analysis.

Main Results:

• Expert review and a national survey (n=142) informed program refinements.
• Usability testing confirmed the program is brief (<30 min) and well-received.
• Participants reported themes of improved social cognitions, behavioral reflection, and positive program perceptions.

Conclusions:

• The evidence-based e-STORIES program is a brief (30-min) e-learning tool for increasing physical activity in individuals with SCI.
• Participants found the program valuable for enhancing their intent to be physically active.
• The program shows potential for broad application, pending further feasibility testing for larger trials.