title: An exercise trial for wheelchair users: project workout on wheels.
abstract: There is growing interest in promoting health for people with disabilities, yet evidence regarding community-based interventions is sparse. This paper describes the design details of a randomized controlled trial (RCT) that will test the effectiveness of a multi-component behaviorally based, intervention to promote exercise adoption (over 6 months) and maintenance (up to one year) among wheelchair users and includes descriptive data on participant characteristics at baseline. Participants were randomly assigned to either a staff-supported intervention group or a self-guided comparison group. The primary study aim is to assess the effectiveness of the multi-component behaviorally based intervention for promoting physical activity adoption and maintenance. The RCT will also assess the physical and psychosocial effects of the intervention and the complex interplay of factors that influence the effectiveness of the intervention. Therefore, the primary outcome derives from participant reports of weekly exercise (type, frequency, duration) over 52 weeks. Secondary outcomes collected on four occasions (baseline, 3 months, 6 months, 12 months) included physiological outcomes (VO(2) peak, strength), disability-related outcomes (pain, fatigue, participation), and psychosocial outcomes (exercise self-efficacy, exercise barriers, quality of life, depression, mood). This study will provide evidence regarding the effectiveness of a multi-component behaviorally based intervention for promoting exercise adoption among people with mobility impairments that necessitate wheelchair use.
authors.affiliation: The University of Texas School of Public Health, Dallas Regional Campus, Dallas, TX 78390, United States. Katherine.Froehlich-Grobe@utsouthwestern.edu
authors.forename: Katherine
authors.initials: K
authors.lastname: Froehlich-Grobe
authors.forename: Lauren S
authors.initials: LS
authors.lastname: Aaronson
authors.forename: Richard A
authors.initials: RA
authors.lastname: Washburn
authors.forename: Todd D
authors.initials: TD
authors.lastname: Little
authors.forename: Jaehoon
authors.initials: J
authors.lastname: Lee
authors.forename: Dorothy E
authors.initials: DE
authors.lastname: Nary
authors.forename: Angela
authors.initials: A
authors.lastname: Vansciver
authors.forename: Jill
authors.initials: J
authors.lastname: Nesbitt
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Norman
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001521:Behavior Therapy / Q000379:methods*; D006233:Persons with Disabilities / Q000534:rehabilitation*; D015444:Exercise / Q000502:physiology* / Q000523:psychology; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D011788:Quality of Life; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult
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