Scale up evaluation of a physical activity program for adults with physical disability

扩大对身体残疾成人的身体活动计划的评估

• 批准号: 9633925
• 负责人: JAMES Howard RIMMER
• 金额: $ 48.2万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-03-14 至 2021-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9633925
• 关键词: Adherence; Adoption; Adult; Age; American; Behavior; Behavioral Model; Centers for Disease Control and Prevention (U.S.); Chronic; Clinic; Communities; Control Groups; Custom; Data Set; Disabled Persons; Effectiveness; Evaluation; Exercise; Expectancy; Fatigue; General Population; Guidelines; Health; Health Expenditures; Health Personnel; Health Promotion; Health Technology; Health behavior; Home environment; Incidence; Individual; Informal Social Control; Internet; Intervention; Lead; Maintenance; Measures; Mediator of activation protein; Mental Health; Modeling; Monitor; Movement; Musculoskeletal; Music; Outcome; Pain; Paper; Participant; Patient Self-Report; Patients; Pattern; Persons; Phase; Physical Medicine; Physical Rehabilitation; Physical activity; Physicians; Population; Positioning Attribute; Prevalence; Publishing; Quality of life; Race; Randomized; Reporting; Research; Self Efficacy; Severities; Social Network; Social support; Structure; Subgroup; System; Testing; Time; Underemployment; Underserved Population; Unemployment; Update; adherence rate; arm; attentional control; base; cohort; compare effectiveness; design; disability; eHealth; evidence base; exercise intervention; exercise program; exercise training; fitness; improved; innovation; multilevel analysis; patient engagement; physical inactivity; physically handicapped; pragmatic trial; programs; psychologic; public health relevance; recruit; scale up; sedentary lifestyle; sex; sleep quality; social; telehealth; theories; treatment effect

 DESCRIPTION (provided by applicant): Rates of physical inactivity among people with physical disability (PWD) are significantly higher than in the general population. PWD have less access to indoor and outdoor physical activity (PA); get less unstructured PA across the day due to high rates of unemployment or underemployment; and their incidence of chronic health conditions are substantially higher than in the general population. As disability-associated health care expenditures continue to rise, there is a strong and growing need to provide opportunities for PWD to achieve higher levels of regular physical activity. The growing availability of internet access among PWD today compared to 5 years ago provides a unique and unprecedented opportunity to use telehealth as a mechanism for reaching this underserved population. The study uses a theory-driven eHealth platform and innovative PA program referred to as movement-to-music (M2M) to deliver a customized, home-based PA intervention for adults with physical disability. Participants will be recruited through a large physical medicine and rehabilitation network of clinics specializing in treating patients with physical disability. Cliniians and their patients will be cluster randomized to one of three groups: a) M2M; b) M2M plus social networking (M2Mplus); and c) attention control (AC). Participants will be followed for 48 weeks to obtain objective measures on physical activity, fitness and self-reported measures on health at four time points. Participant physicians will receive information on their patients' progress (ie., adherence and outcomes) across the 48-week study period. The study will compare the effectiveness of M2M and M2Mplus in increasing physical activity and adherence compared to the AC group, estimate the improvements in health of M2M and M2Mplus compared to the AC group, and examine the mediators and moderators of the hypothesized treatment effect to understand for whom and how the intervention is effective. This multi-level, scalability study will strengthen our understanding of the potential benefits of eHealth to eliminate barriers to PA participation among PWD.

 描述（由申请人提供）：身体残疾（PWD）人群的身体活动率明显高于一般人群。残疾人很少参加室内和室外体育活动;由于失业率高或就业不足，他们一天中的非结构性体育活动较少;他们的慢性健康状况发生率大大高于一般人群。残疾相关健康 随着护理支出的持续增长，为残疾人提供机会以实现更高水平的定期身体活动的需求日益强烈。互联网的日益普及 与五年前相比，今天残疾人获得远程保健的机会提供了一个独特和前所未有的机会，可以利用远程保健作为一种机制，帮助这些得不到充分服务的人口。该研究使用了一个理论驱动的电子健康平台和创新的PA计划，称为运动到音乐（M2M），为身体残疾的成年人提供定制的家庭PA干预。参与者将通过专门治疗身体残疾患者的大型物理医学和康复诊所网络招募。临床医生和他们的患者将被随机分组到三个组中的一个：a）M2M; B）M2M加社交网络（M2Mplus）;和c）注意力控制（AC）。参与者将被跟踪48周，以获得关于身体活动，健身和自我报告的四个时间点的健康措施的客观措施。参与医生将收到有关其患者进展的信息（即，在48周的研究期间，依从性和结果）。该研究将比较M2M和M2Mplus在增加体力活动和依从性方面与AC组相比的有效性，估计M2M和M2Mplus与AC组相比的健康改善，并检查假设治疗效果的介导因素和调节因素，以了解干预对谁有效以及如何有效。这项多层次、可扩展性研究将 加强我们对电子健康潜在好处的理解，以消除残疾人参与公共卫生的障碍。