Piloting an Online Integrated Behaviour Change and Physical Activity Program

Study Overview
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Brief Summary
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There is a significant disparity in access to physical activity programs for people with mobility impairments, which greatly impacts mobility, function and long-term wellbeing. This study will test an online, group-based intervention consisting of exercise and behaviour activation strategies targeting these and other outcomes. Importantly, this programming will be applied to patient groups across several clinical programs at Parkwood Institute.

Official Title
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Piloting an Online Integrated Behaviour Change and Physical Activity Program for Those With Neurological Conditions

Conditions
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Neurological Disorder, Behavioural Change Intervention, Physical Activity

Intervention / Treatment
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* Behavioral: Integrated Physical Activity and Behavioural Change Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years of age and over Neurological condition (i.e., brain injury, stroke) Completed rehabilitation and living in the community Participants must have some upper limb function permitting arm movement against gravity Physician clearance to participate in the study. Exclusion Criteria: Not cleared by a physician. Not able to move upper limbs against gravity. No internet access.

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: Persons with Neurological Conditions<br> | Behavioral: Integrated Physical Activity and Behavioural Change Intervention<br>* Physical Activity (PA) Component: A group-based PA program geared to the level of injury and mobility delivered through web conferencing software. Participants select at three sessions weekly over 10 weeks. Sessions include 45 mins of exercise (i.e boxercise; aerobics; yoga) and 15 mins of social interaction with the group. Behavioural Change Component: Participants will also receive synchronous 1:1 sessions (approximately 20 mins/week) with a trained clinician on behavioural strategies to initiate and maintain engagement in PA over the 10-week period. Content of the sessions includes: providing information on PA and the self-management of impairments and related symptoms; evaluating barriers to engagement (e.g. fear of injury); and behavioural strategies.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Self Efficacy | Self-Efficacy for Managing Chronic Disease 6-item Scale; Scale for the assessement of phase-specific self-efficacy of physical activity | baseline, 10 weeks, 3 months | 
| Change in Physical Activity | Physical Activity scale for individuals with physical disabilities (PASIPD) | baseline, 10 weeks, 3 months | 
| Change in Life Participation | NeuroQoL ability to participate; NeuroQoL satisfaction with participation | baseline, 10 weeks, 3 months | 
| Change in health behaviour | Scale for assessment of implementation planning and coping planning | baseline, 10 weeks, 3 months | 
| Change in fear of falls | Falls Efficacy Scale - International | baseline, 10 weeks, 3 months | 
| Change in exercise expectations | Outcome Expectations for Exercise scale | baseline, 10 weeks, 3 months | 
| Change in Mood | PHQ9 | baseline, 10 weeks, 3 months | 
| Change in Anxiety | GAD7 | baseline, 10 weeks, 3 months | 
| Change in personality | BFI/AAQ | baseline, 10 weeks, 3 months |