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Effectiveness of a Mobile Health Exercise Program for Adults With Mobility Disabilities: A Randomised Controlled

Jereme Wilroy1, Yumi Kim1, Tapan Mehta2

  • 1Department of Physical Therpay, University of Alabama at Birmingham, Birmingham, AL.

American Journal of Physical Medicine & Rehabilitation
|May 28, 2026
PubMed
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Mobile health (mHealth) exercise programs can boost physical activity in adults with mobility disabilities short-term. However, maintaining activity levels after the intervention concludes presents a significant challenge.

Area of Science:

  • Health Sciences
  • Rehabilitation Medicine
  • Digital Health

Background:

  • Mobility disabilities create barriers to physical activity, increasing chronic disease risk.
  • Mobile health (mHealth) offers accessible, home-based exercise solutions.
  • This study evaluated mHealth interventions for adults with mobility disabilities.

Purpose of the Study:

  • To compare a 24-week mHealth intervention with and without social networking to an attention control group.
  • To assess the impact of mHealth on physical activity levels in adults with mobility disabilities.
  • To determine the long-term effectiveness of mHealth interventions for sustained physical activity.

Main Methods:

  • A type 1 hybrid randomized controlled trial involving 459 adults with mobility disabilities.
Keywords:
DisabilityExerciseMhealth

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  • Participants were assigned to either an exercise video group (M2M), exercise videos with social networking (M2Mplus), or an attention control group.
  • The primary outcome was measured using the Godin Leisure-Time Exercise Questionnaire (GLTEQ) at baseline, 24 weeks, and 48 weeks.

    • Main Results:

    • The M2Mplus group demonstrated significantly greater increases in GLTEQ scores at 24 weeks compared to the attention control group (P=.002).
    • The observed difference in physical activity levels between groups was not statistically significant by the 48-week follow-up.
    • Scalable mHealth interventions show potential for short-term physical activity enhancement.

    Conclusions:

    • mHealth exercise programs can effectively increase short-term physical activity in adults with mobility disabilities.
    • Sustaining physical activity gains after the intervention period remains a challenge.
    • Further research is needed to develop strategies for long-term adherence to mHealth-based exercise programs.