Scale Up of Project Workout on Wheels Internet Intervention (WOWii)

Study Overview
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Brief Summary
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This study is designed is to test the feasibility, fidelity, and effectiveness of scaling up an evidence- and theory-based virtually delivered physical activity intervention (WOWii) for individuals living with chronic SCI for delivery through other rehabilitation settings. The study outcomes address (1) feasibility based on participant enrollment, retention, and program engagement; (2) fidelity of intervention delivery; and (3) program effectiveness based on subjective and objective exercise data, and participant exercise perceptions regarding self-efficacy and barriers.

Official Title
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Scale Up Trial of Project WOWii to Increase Exercise Among People With Spinal Cord Injury (SCI)

Conditions
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Spinal Cord Injuries

Intervention / Treatment
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* Behavioral: WOWii Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: more than 12 months post SCI requires use of wheelchair due to SCI receive signed approval from medical provider to initiate moderate-intensity exercise program have internet access via computer, tablet, or smartphone provide informed consent Exclusion Criteria: already engaged in engaged in sufficient physical activity to meet CDCP guidelines cognitive of language impairments that would affect ability to participate presence of medical issue for which exercise is contraindicated pregnancy

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: WOWii Intervention<br>Workout on Wheels Internet Intervention (WOWii) program which includes: 1) WOWii website to guide participants in an exercise program, 2) home exercise starter program; 3) weekly support from a peer facilitator via online (video) meetings. | Behavioral: WOWii Program<br>* Workout on Wheels Internet Internvention (WOWii) which includes: 1) WOWii website to guide participants in an exercise program, 2) home exercise starter program; 3) weekly support from a peer facilitator via online (video) meetings.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Enrollment of Participants in WOWii Program (feasibility) | Total number of participants enrolled at each site | One time at end of study recruitment | 
| Retention of Participants Enrolled in WOWii Program (feasibility) | Total number of WOWii sessions attended | One time at end of 16 week intervention | 
| Engagement of Participants Enrolled in WOWii Program (feasibilty) | Total number of WOWii online activities completed | One time at end of 16 week intervention | 
| Percentage of behavior skills covered by peer facilitators during WOWii Program (fidelity) | Percentage of items on fidelity check list that are marked as completed | One time at end of 16 week intervention | 
| % of WOWii sessions in which peer facilitators generate group-based conversation (fidelity) | % of sessions on fidelity check list that are marked as having grop-based conversation | One time at end of 16 week intervention | 
| Change in number of minutes spent in aerobic exercise (effectiveness) | Objective measure of change in activity level | Baseline, end of intervention (Week 16), end of follow up (Week 24) | 
| Change in score on International Physical Activity Questionnaire Scores (effectiveness) | 8-item survey asking days/week and minutes/day spent in various physical activities. | Baseline, end of intervention (Week 16), end of follow up (Week 24) |