NCT03207737

Brief Summary

The purpose of this study is to examine the effects of onsite and telehealth programs for individuals with spinal cord injury. The primary aim of this study is to compare the effectiveness of a blended 5-day onsite health promotion program followed by a 12-month telehealth package composed of exercise, nutrition, and mindfulness, to a 12-month telehealth-only package in individuals with spinal cord injury. The investigators hypothesize that the blended onsite and telehealth program will achieve better gains in fitness, dietary control, body composition, and pain management scores across a one-year period in comparison to the telehealth-only group. The secondary objective of this study is to examine changes in psychosocial mediators between the two groups to determine if key social cognitive theory constructs were significantly different between the two groups. The investigators hypothesize that the blended onsite and telehealth program will achieve better improvements in these outcomes compared to the telehealth only group.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
23

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Sep 2017

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 28, 2017

Completed
7 days until next milestone

First Posted

Study publicly available on registry

July 5, 2017

Completed
2 months until next milestone

Study Start

First participant enrolled

September 1, 2017

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2020

Completed
Last Updated

June 30, 2020

Status Verified

June 1, 2020

Enrollment Period

2.7 years

First QC Date

June 28, 2017

Last Update Submit

June 28, 2020

Conditions

Keywords

Spinal Cord InjuriesSCITelehealthMindfulnessNutritionExercise

Outcome Measures

Primary Outcomes (1)

  • Change in Warwick-Edinburgh Mental Well-Being Scale Score reflecting resilience

    This scale measures resilience-A person's ability to understand, cope, adapt and strive for a positive balance between gains and losses in health and function across their lifespan.

    Change from baseline to 7 days post baseline to 1 year post baseline.

Study Arms (2)

MENTOR + Telehealth

EXPERIMENTAL

This group will complete baseline testing, the MENTOR (Mindfulness, Exercise, and Nutrition To Optimize Resilience) program, and 5-days post baseline testing before beginning a one-year telehealth program.

Behavioral: MENTOR + Telehealth

Telehealth Only

ACTIVE COMPARATOR

This group will complete baseline and 5-days post baseline testing before beginning a one-year telehealth program.

Behavioral: Telehealth Only

Interventions

Participants will live on campus for one week and complete the MENTOR program, which is a course about resilience and how nutrition, exercise and mindfulness help with resilience for individuals with a spinal cord injury. Different experts will cover the three main topics with lectures and application of knowledge through related activities. Participants will then begin a one-year telehealth program at home. The telehealth program will consist of readily available information focusing on nutrition, exercise and mindfulness for individuals with a spinal cord injury and a telehealth coach who will interact on the phone with the participants once every two weeks. This will continue for a total of 26 phone calls until the participant returns for 1-year follow-up testing.

MENTOR + Telehealth
Telehealth OnlyBEHAVIORAL

Participants will complete a one-year telehealth program at home. The telehealth program will consist of readily available information focusing on nutrition, exercise and mindfulness for individuals with a spinal cord injury and a telehealth coach who will interact on the phone with the participants once every two weeks. This will continue for a total of 26 phone calls until the participant returns for 1-year follow-up testing.

Telehealth Only

Eligibility Criteria

Age18 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • SCI ≥ 1 year post injury
  • Able to use arms for exercise
  • years old
  • Reliable access to the internet
  • Ability to prepare own food, or have input into person responsible for food preparation
  • Can provide own self-care.

You may not qualify if:

  • Cognitive impairment
  • Depression
  • Poorly controlled blood pressure (SBP ˃ 159 or DBP ˃ 95 mm HG)
  • Cardiovascular disease event within the past six months
  • Severe pulmonary disease
  • Renal failure
  • Current use of insulin or sulfonylurea agents
  • Current use of medications for psychosis or bipolar disorder
  • Active pressure ulcers

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Lakeshore Foundation

Birmingham, Alabama, 35209, United States

Location

MeSH Terms

Conditions

Spinal Cord InjuriesMotor Activity

Interventions

Telemedicine

Condition Hierarchy (Ancestors)

Spinal Cord DiseasesCentral Nervous System DiseasesNervous System DiseasesTrauma, Nervous SystemWounds and InjuriesBehavior

Intervention Hierarchy (Ancestors)

Delivery of Health CarePatient Care ManagementHealth Services Administration

Study Officials

  • James Rimmer, PhD

    University of Alabama at Birmingham

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

June 28, 2017

First Posted

July 5, 2017

Study Start

September 1, 2017

Primary Completion

April 30, 2020

Study Completion

April 30, 2020

Last Updated

June 30, 2020

Record last verified: 2020-06

Locations