Abstract
BackgroundThe majority of people with spinal cord injury (SCI) in the United States are not meeting the recommended guidelines for regular physical activity. Behavior change techniques (eg, goal setting and action planning) that are framed within the principles of the social cognitive theory (self-efficacy and self-regulation) have the potential to enhance physical activity behavior.ObjectiveThe aim of the study was to develop and test the usability of an electronic learning (e-learning) program for improving social cognitive factors related to physical activity behavior among people with SCI.MethodsThe program was created through an iterative process of development and refinement, using a modification of a similar methodology used to develop evidence-informed guidelines in health promotion for people with disabilities (Guidelines, Recommendations, and Adaptations Including Disability; GRAIDs framework). The study included 4 phases: (1) initial product creation, (2) national survey, (3) expert review, and (4) usability testing. Usability testing included both quantitative and qualitative data collection and analyses.ResultsThe review of the program by an expert panel (n=5) and the results from a national survey (n=142) led to several refinements. Usability testing demonstrated that the program could be completed in a timely manner (<30 min). Participants reported 5 themes: (1) the program improves social cognitions related to physical activity participation; (2) reflection of physical activity behavior; (3) positive perceptions of the quality of the program; (4) positive perceptions of the program operation and effectiveness; and (5) recommendations for improvement. Each item was incorporated into a revised program version 1.0.ConclusionsThis study incorporated an evidence-based framework for developing a brief 30-min e-learning program for increasing the physical activity behavior among people with SCI. The Exercise Strategies Through Optimized Relevant Interactive E-learning Storytelling (e-STORIES) program could be completed in a timely manner and was reported by participants as valuable and useful for enhancing intent-to-perform physical activity in individuals with SCI. The program has the potential to be applied in a variety of settings, but feasibility testing is required before implementing in a larger trial.
Highlights
This FOCUS Technical Brief was developed to provide background information for a two-part webcast series: Documenting Disparities in Obesity and Disability
Obesity prevalence in people with disabilities is even higher than in the general population (Campbell, Crews, & Sinclair, 2002; Liou, Pi-Sunyer, & Laferrère, 2005; Weil et al, 2002). These population level data may underestimate the magnitude of the problem because people with intellectual/cognitive/psychiatric disabilities, people who are unable to stand to record height/weight, or people who live in group homes or supportive living facilities may have been excluded
The research presented in this issue of FOCUS was carried out through the National Institute on Disability and Rehabilitation Research (NIDRR)-funded Disability Rehabilitation Research Project (DRRP) titled “Reducing Obesity and Obesity-Related Secondary Conditions in Adolescents with Disabilities” at the Center on Health Promotion for Persons with Disabilities, University of Illinois at Chicago
Summary
PhD; Edward Wang, PhD; Kiyoshi Yamaki, PhD; and Brienne Davis, MS This FOCUS Technical Brief was developed to provide background information for a two-part webcast series: Documenting Disparities in Obesity and Disability. Obesity prevalence in people with disabilities is even higher than in the general population (Campbell, Crews, & Sinclair, 2002; Liou, Pi-Sunyer, & Laferrère, 2005; Weil et al, 2002). Higher BMI's present a greater risk of secondary This report reviews the available prevalence data conditions, defined as preventable medical, on obesity in adults and youth with disabilities, emotional, or social problems resulting directly or discusses issues associated with measurement error in indirectly from an initial disabling condition (Turk, examining body composition in people with paralysis, 2006). The cumulative health effects of being disabled and obese, one qualitative study from the United
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