Mobile health-based physical activity intervention for individuals with spinal cord injury in the community: A pilot study

Low levels of physical activity (PA) and high levels of sedentary behavior in individuals with spinal cord injury (SCI) have been associated with secondary conditions such as pain, fatigue, weight gain, and deconditioning. One strategy for promoting regular PA is to provide people with an accurate e...

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Bibliographic Details
Published in:PloS one 2019-10, Vol.14 (10), p.e0223762-e0223762
Main Authors: Hiremath, Shivayogi V, Amiri, Amir Mohammad, Thapa-Chhetry, Binod, Snethen, Gretchen, Schmidt-Read, Mary, Ramos-Lamboy, Marlyn, Coffman, Donna L, Intille, Stephen S
Format: Article
Language:English
Subjects:
Adult
Archives & records
Biology and Life Sciences
Body weight gain
Care and treatment
Clinical trials
Communities
Computer and Information Sciences
Deconditioning
E-health
Energy expenditure
Energy Metabolism
Engineering and Technology
Exercise
Feedback
Female
Fitness Trackers
Health aspects
Health sciences
Humans
Injuries
Intervention
Laboratories
Levels
Luminous intensity
Male
Medicine
Medicine and Health Sciences
Middle Aged
Pain
Paraplegia
Paraplegia - rehabilitation
Paraplegics
Physical activity
Physical fitness
Pilot Projects
Rehabilitation
Research and Analysis Methods
Sedentary behavior
Sensors
Shoulder
Smartphones
Social Sciences
Spinal cord injuries
Spinal Cord Injuries - rehabilitation
Telemedicine
Treatment Outcome
Wheelchairs
Young Adult
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Summary:Low levels of physical activity (PA) and high levels of sedentary behavior in individuals with spinal cord injury (SCI) have been associated with secondary conditions such as pain, fatigue, weight gain, and deconditioning. One strategy for promoting regular PA is to provide people with an accurate estimate of everyday PA level. The objective of this research was to use a mobile health-based PA measurement system to track PA levels of individuals with SCI in the community and provide them with a behavior-sensitive, just-in-time-adaptive intervention (JITAI) to improve their PA levels. The first, second, and third phases of the study, each with a duration of one month, involved collecting baseline PA levels, providing near-real-time feedback on PA level (PA Feedback), and providing PA Feedback with JITAI, respectively. PA levels in terms of energy expenditure in kilocalories, and minutes of light- and moderate- or vigorous-intensity PA were assessed by an activity monitor during the study. Twenty participants with SCI took part in this research study with a mean (SD) age of 39.4 (12.8) years and 12.4 (12.5) years since injury. Sixteen participants completed the study. Sixteen were male, 16 had paraplegia, and 12 had complete injury. Within-participant comparisons indicated that only two participants had higher energy expenditure (>10%) or lower energy expenditure (
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0223762