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Increasing Physical Activity in Persons With Spinal Cord Injury With an eHealth-Based Adaptive Exercise Intervention:
Jereme Wilroy1, Yumi Kim1, Byron Lai2
1Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, AL, United States.
JMIR Research Protocols
|July 27, 2023
Summary
This study tested a tele-exercise program for adults with spinal cord injury (SCI), aiming to improve adherence and physical activity participation through adaptive interventions. Findings will inform future strategies for sustainable exercise in the SCI population.
Area of Science:
- Rehabilitation medicine
- Exercise science
- Digital health
Background:
- Physical activity is crucial for health but challenging for individuals with spinal cord injury (SCI) due to personal and environmental barriers.
- Traditional exercise programs for SCI have low adherence and long-term sustainability.
- Adaptive intervention designs are needed to address individual needs and improve outcomes in SCI populations.
Purpose of the Study:
- To test the feasibility of a 12-week tele-exercise program using an adaptive intervention design for 30 adults with SCI.
- To increase adherence to exercise programs and participation in physical activity among individuals with SCI.
- To evaluate the acceptability and effectiveness of a home-based, movement-to-music (M2M) tele-exercise intervention.
Main Methods:
- The Sequential Multiple Assignment Randomized Trial for Home-based Exercise and Lifestyle Tele-Health (SMART-HEALTH) study utilizes a home-based, movement-to-music (M2M) program.
- An adaptive intervention modifies support based on participant response, with options for asynchronous M2M, M2M Live, or individualized behavioral coaching.
- Feasibility will be assessed by recruitment, enrollment, adherence, retention rates, and qualitative interviews on acceptability.
Main Results:
- Recruitment began in June 2022, with data collection concluding in September 2023.
- Full trial results, including exercise adherence, physical activity levels, and secondary condition changes, are expected by March 2024.
- Qualitative analysis will provide insights into participant enjoyment and program acceptability.
Conclusions:
- This pilot trial will enhance understanding of tele-exercise benefits for individuals with SCI.
- The study will inform future adaptive intervention designs for increasing adoption and sustainability of exercise behavior in the SCI population.
- Innovative strategies for investigating intervention effects on physical activity in SCI will be provided.
