GetUp&Go: A Randomized Controlled Trial of an Intervention to Enhance Physical Activity After TBI
- Conditions
- Traumatic Brain Injury
- Interventions
- Behavioral: GetUp&GoBehavioral: GetUp&Go with 10-Week Delay
- Registration Number
- NCT06028334
- Lead Sponsor
- Albert Einstein Healthcare Network
- Brief Summary
The goal of this clinical trial is to evaluate GetUp\&Go, a program for promoting increased physical activity in individuals at least 6 months post moderate-to-severe traumatic brain injury. GetUp\&Go is a remotely delivered 10-week program that includes one-on-one sessions with a therapist and a mobile health application (RehaBot).
The main question is whether participants in the 10-week GetUp\&Go program increase their physical activity, and exhibit associated benefits in mental and physical health, relative to those who are put on a waitlist.
* Question 1: Do participants who receive immediate treatment with GetUp\&Go show more increased physical activity, measured by accelerometer activity counts per day, and improve more on secondary outcomes, such as self-reported physical activity, emotional function, fatigue, sleep, pain, and health-related quality of life, compared to their baseline, relative to those who are put on a waitlist?
* Question 2: Do participants who have continued access to the mobile health component of the intervention, RehaBot, show better maintenance of physical activity gains compared to those who no longer have access to RehaBot?
* Question 3: Are individual participant characteristics associated with participants' response to the treatment program?
- Detailed Description
The investigators will conduct a Randomized Controlled Trial (RCT) of a novel, remotely delivered physical activity (PA) promotion program, called GetUp\&Go-a name selected by focus group participants with moderate-to-severe traumatic brain injury (msTBI). It will be theoretically based, use objective measurement of PA as a primary outcome, and incorporate varied types and amounts of home- and neighborhood-based PA and ways to reduce sedentary behavior, according to participant preferences. Moreover, using a 2-phase design as described below, the investigators will test a method for enhancing longer-term gains in PA using mobile technology, in addition to gains acquired during the first phase of intervention.
Trial design. Participants will undergo baseline testing (T1) and will then be randomized 1:1 to either immediate treatment in GetUp\&Go (IT) or waitlist (WL) for 10 weeks. After testing for the primary outcome (T2), the waitlist group will receive GetUp\&Go for 10 weeks followed by a T2b evaluation for that group. This phase is called the "A phase", for Acquisition.
Following completion of the GetUp\&Go intervention, all participants-regardless of initial group allocation-will be randomized 1:1 to one of two conditions for an additional 10 weeks, the "Follow-Through" (FT) phase. Half of participants will be randomized to the RehaBot condition (RB), which provides continued use of the chatbot to support individualized PA plans, but with no further therapist contact. Participants in the No RehaBot (No RB) condition will not have access to the chatbot. The final evaluation, T3, will occur after the 10-week Follow-Through phase.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 70
- Age ≥18
- TBI (open or closed), sustained at least 6 months prior to enrollment, of at least complicated-mild/moderate severity as evidenced by loss or alteration of consciousness ≥ 30 minutes; and/or post-traumatic amnesia (PTA) ≥ 24 hours, not due to intoxication/sedation and documented prospectively from the injury; and/or positive neuroimaging findings consistent with TBI
- Fully weight bearing on lower limbs and able to walk indoors and outdoors without the assistance of another person
- Cognitively able to participate in treatment as judged by ability to travel independently within the community
- Able to communicate adequately in English for participation in the treatment protocols
- Informed consent given by participant
- Contraindications to increasing PA as judged by study physician, using an exam based on published screening tools
- Medical or psychiatric instability, including current psychosis or severe uncontrolled substance misuse, as assessed using items from the SCID/MINI/ASSIST, or suicidal ideation with intent or plan, as assessed by the Columbia-Suicide Severity Rating Scale, screening version
- Significant physical or intellectual disability predating the TBI
- Neurodegenerative disorder, e.g., Parkinson's disease
- Insufficiently inactive, i.e., reporting > 23 weekly moderate/vigorous activity units on the Godin Leisure-Time Exercise Questionnaire
- Planned surgery or other hospitalization during the succeeding 9 months
- Physical or sensory disability (e.g., blindness; severe bimanual incoordination) that prevents use of a smartphone
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Immediate Treatment GetUp&Go The 10-week GetUp\&Go intervention will be delivered entirely remotely, with 2 weekly sessions with a therapist delivered over videoconference (Zoom for Healthcare) followed by 3 sessions in weeks 3, 5, and 8, over Zoom or phone according to participant preference. The overall goal of the intervention is to develop and support a personalized plan to increase physical activity and decrease sedentary behavior, in concert with the unique capabilities, opportunities, and motivational factors of each participant. In session 2 and thereafter, RehaBot will be supplied to participants to deliver therapeutic ingredients to supplement those provided by the therapist. Waitlist GetUp&Go with 10-Week Delay A 10-week waitlist with baseline and outcome assessment, followed by receipt of the full GetUp\&Go program.
- Primary Outcome Measures
Name Time Method Average activity counts/minute 10 weeks after completing GetUp&Go intervention Actigraphy derived average activity counts/minute from wrist-worn Actigraph GT3XP averaged over 4 consecutive-wear days over a 7-day period
- Secondary Outcome Measures
Name Time Method Emotional function 10 weeks after completing GetUp&Go intervention Brief Symptom Inventory-18 (Scale: 0-72, where higher scores indicate the presence of more psychiatric symptoms)
Subjective pain 10 weeks after completing GetUp&Go intervention Brief Pain Interference Scale (Scale: 6-30, where higher scores indicate greater pain interference)
Self-reported PA 10 weeks after completing GetUp&Go intervention Physical Activity Scale for Individuals with Physical Disabilities (Scale: 0-100, where higher scores indicate a greater level of activity)
Sleep Quality 10 weeks after completing GetUp&Go intervention Pittsburgh Sleep Quality Index (Scale: 0-21, where higher scores indicate poorer sleep quality)
Percent (%) time sedentary 10 weeks after completing GetUp&Go intervention Actigraphy derived percent time sedentary from wrist-worn Actigraph GT3XP averaged over 4 consecutive-wear days over a 7-day period
Average daily step count 10 weeks after completing GetUp&Go intervention Actigraphy derived average daily step count from wrist-worn Actigraph GT3XP averaged over 4 consecutive-wear days over a 7-day period
Health-related Quality of Life 10 weeks after completing GetUp&Go intervention Quality of Life after Brain Injury Scale (Scale: 0-100, where higher scores indicate better quality of life)
Percent (%) time engaged in moderate-vigorous physical activity (MVPA) 10 weeks after completing GetUp&Go intervention Actigraphy derived percent time engaged in MVPA from wrist-worn Actigraph GT3XP averaged over 4 consecutive-wear days over a 7-day period
Fatigue 10 weeks after completing GetUp&Go intervention Fatigue Severity Scale Short Form (Scale: 9-63, where higher scores indicate greater fatigue)
Trial Locations
- Locations (1)
Moss Rehabilitation Research Institute
🇺🇸Elkins Park, Pennsylvania, United States