Evaluation of a Smartphone-delivered Peer-led Physical Activity Counselling Program for Manual Wheelchair Users

NCT02826707 | Completed

• 1 other identifier: SPPAC2016
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Despite physical activity (PA) being a valuable modality for promoting health, the evidence for effective PA intervention strategies for manual wheelchair (MWC) users is underdeveloped. Community-based programs and telephone-counselling interventions to increase PA among MWC users have had some success, but the uptake and adherence to these interventions remains low within this population. Community-based programs may not reach MWC users who live in rural areas and have issues with transportation, while health professionals may not optimally relate with MWC when providing telephone counselling. Although the PA needs of MWCs are not fully understood, there is reason to believe that including peers into intervention delivery may have benefits. A feasibility trial is critical and prudent prior to moving forwards with a large and expensive multi-site randomized controlled trial (RCT) to ensure that: the intervention meets the needs of the target population; the right outcomes are measured; and that the intervention is feasible to administer. The objective of this study is to evaluate the feasibility of a Smartphone-delivered Peer-led Physical Activity Counselling (SPPAC) program for MWC users.

Conditions

Physical Activity

Outcome Measures

Primary Outcomes (1)

• Objective physical activity

  Physical activity will be measured objectively using Actigraphy, a small, lightweight accelerometry-based tri-axial activity monitor (Actigraph 3GTX) that is worn on the wrist and MWC without impeding bodily movements or PA. Information about motion direction and speed are integrated to produce an electrical current with variable magnitude and duration. The electrical current data are stored in the monitor as 'activity counts.'

  Change in physical activity from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention

Secondary Outcomes (10)

• Subjective physical activity (Leisure-Time Physical Activity Questionnaire (LTPA))

  Change in LTPA from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention

• Wheelchair skills capacity and performance (Wheelchair Skills Test- Questionnaire (WST-Q))

  Change in WST from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention

• Physical activity motivation (Behavioural Regulation in Exercise Questionnaire (BREQ-2))

  Change in BREQ-2 from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention

• Perceived autonomy support (Health Care Climate Questionnaire (HCCQ))

  Change in HCCQ from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention

• Satisfaction of psychological needs (Psychological Need Satisfaction in Exercise Scale (PNSES))

  Change in PNSES from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention

Study Arms (2)

SPPAC intervention

EXPERIMENTAL

Smartphone-delivered peer-led physical activity counselling

Behavioral: SPPAC intervention

Control group

NO INTERVENTION

Pragmatic no-contact control group

Interventions

SPPAC intervention BEHAVIORAL

A peer coach will deliver a physical activity counselling intervention using a Smartphone. Individualized programs will be based on participants physical activity/wheelchair mobility goals.

SPPAC intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• live in the community
• have used a manual wheelchair for ≥ 1 year
• able to self-propel a manual wheelchair for at least 10m
• able to communicate in English or French
• have physical activity or mobility goals
• cognitively able to set goals (Mini-mental State Exam Score ≥ 25)

You may not qualify if:

• anticipate a health condition or procedure that contraindicates training (e.g., surgery scheduled which would impair physical activity)
• have a degenerative condition that is expected to progress quickly (e.g., Amyotrophic Lateral Sclerosis
• are concurrently or planning to receive manual wheelchair mobility training over the period of the study

Sponsors & Collaborators

• Laval University: lead
• McGill University: collaborator

Study Sites (1)

Centre for Interdisciplinary Research in Rehabilitation and Social Integration

Québec, G1M 2S8, Canada

Location

Related Publications (1)

• Best KL, Routhier F, Sweet SN, Arbour-Nicitopoulos KP, Borisoff JF, Noreau L, Martin Ginis KA. The Smartphone Peer Physical Activity Counseling (SPPAC) Program for Manual Wheelchair Users: Protocol of a Pilot Randomized Controlled Trial. JMIR Res Protoc. 2017 Apr 26;6(4):e69. doi: 10.2196/resprot.7280.

  PMID: 28446419 DERIVED

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• François Routhier, PhD

  Laval University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor/ Researcher

Study Record Dates

• First Submitted: May 31, 2016
• First Posted: July 11, 2016
• Study Start: February 7, 2019
• Primary Completion: March 31, 2023
• Study Completion: March 31, 2023
• Last Updated: July 19, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)