title: SCIPA Com: outcomes from the spinal cord injury and physical activity in the community intervention.
abstract: METHODS
  Quasi-experimental translational study with pre- and post-measures.
  
  
  OBJECTIVE
  To determine the effects of the Spinal Cord Injury and Physical Activity in the Community (SCIPA Com) intervention on leisure-time physical activity (LTPA) and associated outcomes among participants with spinal cord injury (SCI).
  
  
  METHODS
  Young Men's Christian Associations and community fitness centers, Australia and New Zealand.
  
  
  METHODS
  SCIPA Com consisted of three stages: (i) training exercise professionals via the Train the Trainers Spinal Cord Injury course; (ii) implementation of supervised physical activity programs twice a week for 30 to 60 min for 8 to 12 weeks; and (iii) follow-up assessments on health outcomes over 9 months. Participants with SCI were classified as active or inactive by baseline LTPA levels and linear mixed methods compared LTPA between groups over time.
  
  
  RESULTS
  Sixty-four community-dwelling participants with SCI completed customized physical activity programs. Compared with baseline, there were significant improvements in LTPA (26 min per day, 95% confidence interval (CI): 16.6-35.4; P<0.001), functional goals (2, 95% CI: 1.72-2.37; P<0.001), self-esteem (1.5, 95% CI: 0.72-2.27; P<0.001) and overall quality of life (P<0.05). Over time, LTPA participation was greater among the active compared with the inactive group, although LTPA levels among the inactive improved compared with baseline.
  
  
  CONCLUSIONS
  Significant improvements in LTPA participation and health outcomes were observed, especially among inactive individuals with SCI. SCIPA Com is an ecologically valid intervention based on training and support provided to community exercise professionals who, although new to adapted training, delivered effective physical activity programs for those at risk of inactivity.
  
  
  BACKGROUND
  Transport Accident Commission (Project Number DP172) and the International Postgraduate Research Scholarship (IPRS), Curtin University.
authors.affiliation: School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia.
authors.forename: B I R
authors.initials: BI
authors.lastname: de Oliveira
authors.affiliation: School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia.
authors.forename: E K
authors.initials: EK
authors.lastname: Howie
authors.affiliation: Department of Experimental and Regenerative Neurosciences, School of Animal Biology, University of Western Australia, Crawley, Western Australia, Australia.
authors.forename: S A
authors.initials: SA
authors.lastname: Dunlop
authors.affiliation: Department of Medicine (Royal Melbourne Hospital), The University of Melbourne, Parkville, Victoria, Australia.
authors.forename: M P
authors.initials: MP
authors.lastname: Galea
authors.affiliation: Centre of Excellence for Science, Seafood and Health, Curtin University, Bentley, Western Australia, Australia.
authors.forename: A
authors.initials: A
authors.lastname: McManus
authors.affiliation: School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia.
authors.forename: G T
authors.initials: GT
authors.lastname: Allison
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001315:Australia; D015444:Exercise / Q000502:physiology*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007899:Leisure Activities; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009520:New Zealand; D012111:Residence Characteristics; D013119:Spinal Cord Injuries / Q000503:physiopathology* / Q000534:rehabilitation*; D016896:Treatment Outcome; D055815:Young Adult