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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

基本信息

批准号：
9104909
负责人：
JAMES Howard RIMMER
金额：
$ 52.34万
依托单位：
UNIVERSITY OF ALABAMA AT BIRMINGHAM
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-03-14 至 2021-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9104909
关键词：
Adherence Adoption Adult Age American Attention Behavior Behavioral Model Centers for Disease Control and Prevention (U.S.)Chronic Clinic Communities Control Groups Data Set Disabled Persons Effectiveness Evaluation Exercise Expectancy Fatigue General Population Guidelines Health Health Expenditures Health Personnel Health Promotion 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 Physically Handicapped Physicians Population Positioning Attribute Prevalence Publishing Quality of life Race Randomized Recruitment Activity Reporting Research Self Efficacy Severities Sleep Social Network Social support Structure System Technology Testing Time Underemployment Underserved Population Unemployment Update arm base cohort compare effectiveness compliance behavior design disability eHealth evidence base exercise program exercise training fitness improved innovation meetings physical inactivity pragmatic trial programs psychologic public health relevance scale up sedentary lifestyle sex social telehealth theories treatment effect

项目摘要

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.