RERC on Technologies to Promote Exercise and Health Among People With Disabilities (A Scale Up Study Evaluating a Movement-to-Music Teleexercise Platform for Reaching a National Cohort of People With Spinal Cord Injury)
Overview
- Phase
- Not Applicable
- Intervention
- Movement-to-Music
- Conditions
- Spinal Cord Injuries
- Sponsor
- University of Alabama at Birmingham
- Enrollment
- 96
- Locations
- 1
- Primary Endpoint
- Physical Activity Level at Week 8
- Status
- Completed
- Last Updated
- 2 months ago
Overview
Brief Summary
The purpose of this study is to examine two 8-week, remotely delivered exercise interventions: Movement-to-Music (M2M) and Standard Exercise Training (SET), with 327 adults with spinal cord injury. Enrolled participants will be randomized into one of three groups: a) M2M, b) SET, and c) attention control (AC).
Detailed Description
The purpose of the Spinal Cord Injury Program in Exercise (SCIPE) study is to examine two 8-week, remotely delivered exercise interventions: Movement-to-Music (M2M) and Standard Exercise Training (SET), with 327 adults with SCI. The primary aim is to examine change in physical activity level after the 8-week M2M and SET interventions. We hypothesize that participants in M2M and SET will have significant increase in physical activity compared to an Attention Control (AC) group after the 8-week intervention. The secondary aim is to examine effects of the M2M and SET interventions on health and quality of life outcomes. We hypothesize that participants in M2M and SET will have significant increases in sleep quality and quality of life and decreases in pain and fatigue compared to AC after the 8-week intervention. Exercise enjoyment in M2M and SET participants will also be explored. The tertiary aim is to evaluate the demographic (age, race, sex), clinical (level of injury, type of injury), and psychosocial (social support, outcome expectations, self-efficacy, self-regulation) variables of two participant groups: 1) compliant participants who completed ≥ 50% of the intervention, and 2) noncompliant participants who completed post-testing but \< 50% of the intervention or who did not complete post-testing.
Investigators
Hui-Ju Young, PhD
Scientist
University of Alabama at Birmingham
Eligibility Criteria
Inclusion Criteria
- •Diagnosed with a SCI resulting in incomplete or complete (C5 and below) paraplegia or tetraplegia;
- •Demonstrate readiness to physical activity by completing the Physical Activity Readiness Questionnaire for Everyone (PAR-Q+);
- •Obtain medical clearance if required by PAR-Q+;
- •Converse in and read English.
Exclusion Criteria
- •No broadband internet access;
- •Significant visual impairment that prevents seeing a computer screen to follow a home exercise program;
- •Currently pregnant.
Arms & Interventions
Phase 1: Movement-to-Music (M2M)
All M2M sessions are delivered using videos uploaded to a secure study website (the SCIPE website). Participants in M2M will have access to the website and attend three 60-minute M2M sessions per week for a total of 8 weeks. Each session provides rhythmic-based exercises that are choreographed to music to target range of motion, muscular strength, cardiorespiratory fitness, and balance. In addition, participants in M2M will receive and read weekly educational articles on health and fitness through the SCIPE website.
Intervention: Movement-to-Music
Phase 1: Standard Exercise Training (SET)
All SET sessions are delivered using videos uploaded to the SCIPE website. Participants in SET will have access to the website and attend three 60-minute SET sessions per week for a total of 8 weeks. Each session provides traditional exercises that target range of motion, muscular strength, cardiorespiratory fitness, and balance. In addition, participants in SET will receive and read weekly educational articles on health and fitness through the SCIPE website.
Intervention: Standard Exercise Training
Phase 1: Attention Control (AC)
Participants in AC will not have access to any exercise videos. They will have access to the weekly educational articles on health and fitness, same as the ones received by the M2M and SET groups, through the SCIPE website.
Phase 2: Standard Exercise Training (SET)
All SET sessions are delivered using videos uploaded to the SCIPE website. Participants in SET will have access to the website and attend three 60-minute SET sessions per week for a total of 8 weeks. Each session provides traditional exercises that target range of motion, muscular strength, cardiorespiratory fitness, and balance. In addition, participants in SET will receive and read weekly educational articles on health and fitness through the SCIPE website.
Intervention: Standard Exercise Training
Phase 2: Attention Control (AC)
Participants in AC will not have access to any exercise videos. They will have access to the weekly educational articles on health and fitness, same as the ones received by the M2M and SET groups, through the SCIPE website.
Outcomes
Primary Outcomes
Physical Activity Level at Week 8
Time Frame: Post 8-week intervention
Physical activity was assessed using the Leisure Time Physical Activity Questionnaire for People with Spinal Cord Injury (LTPAQ-SCI). The LTPAQ-SCI is a 3-item, self-report questionnaire that measures the minutes people with spinal cord injury spend in mild, moderate, and heavy intensity leisure time physical activity in the last 7 days.
Secondary Outcomes
- Pain Intensity Week 8(Post 8-week intervention)
- Fatigue Level at Week 8(Post 8-week intervention)
- Pain Interference at Week 8(Post 8-week intervention)
- Sleep Quality at Week 8(Post 8 week intervention)
- Health-related Physical Quality of Life at Week 8(Post 8-week intervention)
- Ability to Participate in Social Roles and Activities at Week 8(Post 8-week intervention)