Abstract
BackgroundThe population with a spinal cord injury (SCI) largely remains inactive following discharge from rehabilitation despite evidence on the benefits of physical activity. These individuals need to develop skills to self-manage their condition in order to prevent secondary comorbidities and rehospitalization. A Web-based physical activity portal can address this need. Few Web-based interventions incorporate theoretical frameworks, behavior change techniques, and modes of delivery into their design.ObjectiveThis study aimed to identify the preferred features of a Web-based self-management physical activity portal through stakeholder engagement with individuals with a spinal cord injury and health care professionals (HCPs).MethodsAn interpretative phenomenology methodology and participatory design, along with an integrated knowledge translation approach, were used to conduct this study. Convenience sampling was used to recruit individuals with an SCI living in the community, who were either interested or already engaging in physical activity, and HCPs working with individuals with an SCI, from three city-based rehabilitation sites. Individual 1-hour sessions involving navigation of an existing website and a semistructured interview were conducted with all participants. Individuals with an SCI completed a demographics questionnaire prior to the individual sessions, while demographic information of the HCPs was collected during their interviews. Additionally, all participants were asked a question on their intention to use or recommend a portal. An in-depth thematic analysis was used to derive themes from participants’ responses.ResultsThirteen individuals with an SCI and nine HCPs participated in the study. Five core themes emerged: (1) knowledge: guidance and barrier management; (2) possibility of achievement: the risks and benefits of physical activity and modelling; (3) self-regulation strategies: action planning, goal setting, tracking, rewards, and reminders; (4) interactivity: peers and professionals; and (5) format: appearance, language, and ease of use. The mean (median) ratings of the likelihood of promoting and using a Web-based portal tailored to individuals’ needs were 9.00 (8.78) and 7.75 (7.88) for HCPs and individuals with an SCI, respectively.ConclusionsThis study highlights features of an online self-management platform that can provide individuals with an SCI the motivation and volition to engage in physical activity. These findings will inform the design of a Web-based self-management physical activity portal to increase physical activity adherence and behavior change.
Highlights
Persons living with a chronic disability, especially those with limited mobility, are at an increased risk of developing secondary comorbidities, many of which are preventable [1]
Thirteen individuals with an spinal cord injury (SCI) and nine health care professional modes of delivery (MoDs) (HCP) participated in the study
This study highlights features of an online self-management platform that can provide individuals with an SCI the motivation and volition to engage in physical activity
Summary
Persons living with a chronic disability, especially those with limited mobility, are at an increased risk of developing secondary comorbidities, many of which are preventable [1]. Research has reported increased levels of condition-related information searching among chronic disease populations, including diabetes, depression, and chronic obstructive pulmonary disorder (COPD) [7,8] These technologies have been recognized as a vital component for adherence to chronic disease management and the prevention of secondary health concerns [1,3,5]. The population with a spinal cord injury (SCI) largely remains inactive following discharge from rehabilitation despite evidence on the benefits of physical activity These individuals need to develop skills to self-manage their condition in order to prevent secondary comorbidities and rehospitalization. Few Web-based interventions incorporate theoretical frameworks, behavior change techniques, and modes of delivery into their design
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