Abstract
BackgroundLeisure-time physical activity (LTPA) is a critical component of a healthy lifestyle for individuals with spinal cord injury (SCI). However, most individuals are not sufficiently active to accrue health benefits. The Active Living Lifestyles program for individuals with SCI who use manual wheelchairs (ALLWheel) targets important psychological factors that are associated with LTPA uptake and adherence while overcoming some barriers associated with participation restrictions.ObjectiveThe goal of the paper is to describe the protocol for the development and evaluation of the ALLWheel program for individuals with SCI who use manual wheelchairs.MethodsThe first three stages of the Medical Research Council framework for developing and evaluating complex interventions (ie, preclinical, modeling, exploratory) are described. The preclinical phase will consist of scoping and systematic reviews and review of theory. The intervention will be modeled by expert opinions and consensus through focus groups and Delphi surveys with individuals with SCI, clinicians, and community partners. Finally, the feasibility and potential influence of the ALLWheel program on LTPA and psychological outcomes will be evaluated.ResultsThis project is funded by the Craig H Neilsen Foundation, the Fonds de Recherche du Québec–Santé, and the Canadian Disability Participation Project and is currently underway.ConclusionsUsing peer trainers and mobile phone technology may help to cultivate autonomy-supportive environments that also enhance self-efficacy. Following a framework for developing and evaluating a novel intervention that includes input from stakeholders at all stages will ensure the final product (ie, a replicable intervention) is desirable to knowledge users and ready for evaluation in a randomized controlled trial. If effective, the ALLWheel program has the potential to reach a large number of individuals with SCI to promote LTPA uptake and adherence.International Registered Report Identifier (IRRID)DERR1-10.2196/10798
Highlights
Leisure-Time Physical Activity Is Critical for Individuals With Spinal Cord InjurySpinal cord injury (SCI) is associated with various sequelae, including respiratory disease, heart disease, diabetes, osteoporosis, overuse injuries, sexual disorders, pressure ulcers, chronic pain, fatigue, and depression [1,2]
The ALLWheel program has the potential to reach a large number of individuals with spinal cord injury (SCI) to promote Leisure-time physical activity (LTPA) uptake and adherence
Findings from two systematic reviews confirm that participation in LTPA improves physical capacity, muscular strength, and respiratory function [4] and lowers risk factors associated with endocrine metabolic disease [5]
Summary
Leisure-Time Physical Activity Is Critical for Individuals With Spinal Cord InjurySpinal cord injury (SCI) is associated with various sequelae, including respiratory disease, heart disease, diabetes, osteoporosis, overuse injuries, sexual disorders, pressure ulcers, chronic pain, fatigue, and depression [1,2]. Leisure-Time Physical Activity Is Critical for Individuals With Spinal Cord Injury. Participation in leisure-time physical activity (LTPA) can have a profound impact on health and quality of life after SCI. Findings from two systematic reviews confirm that participation in LTPA improves physical capacity, muscular strength, and respiratory function [4] and lowers risk factors associated with endocrine metabolic disease (eg, heart disease, osteoporosis, diabetes) [5]. Leisure-time physical activity (LTPA) is a critical component of a healthy lifestyle for individuals with spinal cord injury (SCI). The Active Living Lifestyles program for individuals with SCI who use manual wheelchairs (ALLWheel) targets important psychological factors that are associated with LTPA uptake and adherence while overcoming some barriers associated with participation restrictions
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
