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Related Concept Videos

Spinal Cord Injury ll: Pathophysiology01:14

Spinal Cord Injury ll: Pathophysiology

Spinal cord injury progresses through two interconnected phases: primary injury and secondary injury.Primary InjuryPrimary injury happens at the moment of trauma and involves immediate mechanical damage to the spinal cord.Compression happens when broken vertebrae, herniated discs, or accumulating blood (such as a hematoma) press directly against the spinal cord, distorting its normal shape and function. In cases of contusion, the cord is bruised by a blunt force (like penetrating injuries or...

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mHealth Physical Activity Intervention for Individuals With Spinal Cord Injury: Planning and Development Processes.

Sarah Victoria Clewes Lawrason1,2,3, Lynda Brown-Ganzert4, Lysa Campeau4

  • 1School of Health and Exercise Sciences, Faculty of Health and Social Development, University of British Columbia, Kelowna, BC, Canada.

JMIR Formative Research
|August 19, 2022
PubMed
Summary

This study developed SCI Step Together, a mobile health app to boost physical activity for individuals with spinal cord injury (SCI). The app, co-designed with users, aims to improve activity quantity and quality.

Keywords:
exercisemobile appsmobile phonespinal cord injuriesstakeholder participationtelemedicine

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Area of Science:

  • Rehabilitation Technology
  • Digital Health Interventions
  • Spinal Cord Injury Research

Background:

  • Individuals with spinal cord injury (SCI) exhibit low physical activity levels.
  • Significant barriers hinder quality physical activity experiences for the SCI population.
  • There is a critical need for effective interventions to support physical activity in SCI.

Purpose of the Study:

  • To develop a mobile health (mHealth) intervention named SCI Step Together.
  • To enhance the quantity and quality of physical activity participation.
  • Targeted at individuals with SCI who can walk.

Main Methods:

  • Employed a Person-Based approach for intervention development.
  • Integrated primary/secondary research, behavioral analysis, and logic modeling.
  • Utilized an integrated knowledge translation (IKT) framework and partnership with end-users.

Main Results:

  • Identified key issues and mapped features using the Behavior Change Wheel.
  • Incorporated behavior change techniques like action planning.
  • End-user feedback informed recommendations for app technology, trial design, and content.

Conclusions:

  • Co-design and shared decision-making with SCI end-users ensured app meaningfulness.
  • The SCI IKT Guiding Principles were crucial for effective partner engagement.
  • Future research will focus on the program's acceptability, feasibility, and engagement.