Accepted for/Published in: JMIR Research Protocols
Date Submitted: Apr 17, 2018
Open Peer Review Period: Apr 19, 2018 - Jun 22, 2018
Date Accepted: Sep 14, 2018
(closed for review but you can still tweet)
Protocol for the development and pilot evaluation of a smartphone-delivered peer physical activity counselling program for individuals with spinal cord injury.
ABSTRACT
Background:
Leisure-time physical activity (LTPA) is a critical component of a healthy lifestyle for individuals with spinal cord injury (SCI). However, most individuals are not sufficiently active to accrue health benefits. The Active Living Lifestyles program for individuals with SCI who use manual wheelchairs (ALLWheel) targets important psychological factors that are associated with LTPA uptake and adherence, while overcoming some barriers associated with participation restrictions.
Objective:
To describe the protocol for the development and evaluation of the ALLWheel program for individuals with SCI who use manual wheelchairs.
Methods:
Complete the first three stages of the Medical Research Council Framework for developing and evaluating complex interventions (i.e., pre-clinical, modeling, exploratory). The pre-clinical phase will consist of scoping and systematic reviews and review of theory. The intervention will be modelled by expert opinions and consensus through focus groups and Delphi surveys with individuals with SCI, clinicians, and community partners. Finally, the feasibility and potential influence of the ALLWheel program on LTPA and psychological outcomes will be evaluated.
Results:
This project is funded by the Craig H Neilsen Foundation, the Fonds de Recherche du Québec – Santé, and the Canadian Disability Participation Project and is currently underway.
Conclusions:
Using peer trainers and smartphone technology may help to cultivate autonomy-supportive environments that also enhance self-efficacy. Following a framework for developing and evaluating a novel intervention, which includes input from stakeholder input at all stages, will ensure the final product (i.e., a replicable intervention) is desirable for knowledge users and ready for evaluation in a RCT. If effective, the ALLWheel program has the potential to reach a large number of individuals with SCI to promote LTPA uptake and adherence. Clinical Trial: N/A
Citation
Per the author's request the PDF is not available.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.