title: Examining the effectiveness of a knowledge mobilization initiative for disseminating the physical activity guidelines for people with spinal cord injury.
abstract: BACKGROUND
  Ensuring the physical activity (PA) guidelines for people with spinal cord injury (SCI) are effectively disseminated is important for promoting PA. Few studies have investigated knowledge mobilization (KM) initiatives that aim to disseminate PA guidelines. Diffusion research suggests that using interpersonal communication channels may increase the adoption of guidelines.
  
  
  OBJECTIVE
  The aim of the present study was to examine the reach and effectiveness of an event-based KM initiative that used interpersonal communication to disseminate the guidelines to people with SCI. The KM initiative consisted of 12 separate events attended by a total of 104 people with SCI (age = 53 ± 18.9 years; 31% female).
  
  
  METHODS
  Questionnaires assessing attendees' adoption of the guidelines in accordance with Rogers' innovation-decision process were completed before (Time 1), directly after (Time 2) and 1 month following an event (Time 3).
  
  
  RESULTS
  Findings indicate that in total the events reached 5% of SCI Ontario clients. RM-ANOVAs and Related-Samples McNemar Tests indicated that initial adoption of the guidelines was high but in general was not maintained. Specifically, at Time 2, attendees' knowledge of the guidelines, attitudes toward the guidelines, self-efficacy and intentions to meet the guidelines increased from Time 1 (ps < 0.05). At Time 3, the majority of these initial increases were not maintained and change in PA behavior was not observed. However, 67% of attendees tried the recommended exercises.
  
  
  CONCLUSIONS
  An event-based KM initiative may be effective for initial dissemination of PA guidelines. Efforts are needed to foster long-term guideline adoption.
authors.affiliation: Queen's University, 28 Division St., Kingston, Ontario, Canada K7L 3N6.
authors.forename: Heather L
authors.initials: HL
authors.lastname: Gainforth
authors.forename: Amy E
authors.initials: AE
authors.lastname: Latimer-Cheung
authors.forename: Peter
authors.initials: P
authors.lastname: Athanasopoulos
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: Martin Ginis
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D004059:Diffusion of Innovation; D006233:Persons with Disabilities; D015444:Exercise; D005260:Female; D017408:Guidelines as Topic; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000592:standards*; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D009864:Ontario; D017063:Outcome Assessment, Health Care; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000592:standards*; D020377:Self Efficacy; D013119:Spinal Cord Injuries; D011795:Surveys and Questionnaires