Using Smartphones to Improve Physical Activity Levels of Individuals With Spinal Cord Injury

Summary

The overarching goal of this research study is to evaluate a sensor-enabled, just-in-time adaptive intervention (JITAI) strategy to increase and sustain physical activity levels among individuals with spinal cord injury (SCI) in their communities. A primary objective of this study is to evaluate the integration of a JITAI with a web-based physical activity intervention program. We hypothesize that the integration of web-based physical activity intervention program with JITAI will result in significantly higher physical activity levels compared to the standard web-based physical activity intervention program alone. A secondary objective of this study is to extend existing algorithms that use commercial wearable technology to robustly detect physical activity behaviors to facilitate the delivery of tailored just-in-time actionable feedback and physical activity recommendations for individuals with SCI.

Conditions

• Spinal Cord Injuries

Interventions

BEHAVIORAL

WI program

This 14-week web-based physical activity intervention (WI) program was developed by the National Center on Health, Physical Activity and Disability. The WI program was developed with guidance from literature and practice in health behavior change and internet-based health promotion programming. The content and features of the WI program include motivational resource, updated weekly resources, and customizable features.

BEHAVIORAL

WI Program Reminder

Participants will be provided with reminders to use the WI program

BEHAVIORAL

JITAI Goal Setting

Participants will be provided with standard, tailored, or no goal for the day. The goal will focus on recommending minutes of moderate-intensity (or higher) physical activity and a reminder to perform strength exercises.

BEHAVIORAL

JITAI physical activity message

Participants will be provided with minutes of moderate-intensity (or higher) physical activity achieved, minutes of physical activity remaining, or no message.

OTHER

Notification EMA

Participants will be inquired through an ecological momentary assessment (EMA) if they received a JITAI physical activity message.

OTHER

End of day EMA

Participants will be inquired, through an ecological momentary assessment (EMA), if they performed aerobic and/or strength exercises for the day.

OTHER

Wake up time EMA

Participants will be inquired, through an ecological momentary assessment (EMA), about the time they plan to wake up next day. This information will be used to provide a goal setting message for next day.

OTHER

Weekly PA Information

Participants will have access to minutes of moderate-intensity (or higher) physical activity performed over the last 7 days.

OTHER

Daily PA Information

Participants will have access to minutes of moderate-intensity (or higher) physical activity performed over the day.

Sponsors & Collaborators

• Northeastern University

  collaborator OTHER

• Thomas Jefferson University

  collaborator OTHER

• Magee Rehabilitation Hospital, Jefferson Health

  collaborator UNKNOWN

• University of Alabama at Birmingham

  collaborator OTHER

• University of Michigan

  collaborator OTHER

• Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

  collaborator NIH

• Good Shepherd Rehabilitation Network

  collaborator OTHER

• Temple University

  lead OTHER

Principal Investigators

• Shivayogi V Hiremath, PhD · Temple University

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

75 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2023-05-25

Primary Completion

2026-06-30

Completion

2026-12-31

Countries

• United States

Study Locations