Accessible Mobile Health and Wellness

Study Overview
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Brief Summary
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Can community outreach education help develop self-sustaining wellness and exercise programs, and will associated wellness clinics help persons with a neurological physical disability achieve better well-being?

Official Title
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Accessible Mobile Health and Wellness

Conditions
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Physical Disability, Neurologic Dysfunction

Intervention / Treatment
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* Other: Education
* Behavioral: Trial Exercise Modalities


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: [for community participants/caregivers/family members] Ability to demonstrate clear communication and understanding of English. [for participants with neurological physical conditions] Neurological physical conditions including cerebral palsy, spinal cord injury, stroke, multiple sclerosis, or similar diagnoses [for educational seminars] > 6 years of age. [for wellness/exercise clinic] 18 65 years of age [for wellness/exercise clinic; participants with neurological physical conditions] Clearance by primary care or treating physician Exclusion Criteria: [for participants with neurological physical conditions] Unstable fractures [for participants with neurological physical conditions] Uncontrolled hypertension (combined systolic/diastolic > 140/90 mmHg) [for participants with neurological physical conditions] Enrollment of individual deemed by study staff to be unsafe

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Educational Seminars and Wellness Clinics<br>I. Community outreach educational seminars about wellness and exercise while living with a neurological physical disability and measurement of the effects of these seminars for training individuals with neurological physical disabilities and their care givers (family, therapists, community personal trainers and community funders such as Lions or Rotary Clubs) about how to create a safe cost-effective exercise program . II. Creation and measurement of the effects of a wellness clinic for those with a neurological physical disability. | Other: Education<br>* Seminars about wellness and exercise, and resulting therapeutic programs, while living with a neurological physical disability.<br>Behavioral: Trial Exercise Modalities<br>* Wellness/exercise clinics located at Mayo Clinic, Rochester will be offered to persons with neurological physical disabilities on a regular basis, at least monthly, during the last half of the trial period.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence of new self-sustaining wellness and exercise programs | Incidence of new self-sustaining wellness and exercise programs, as determined by Follow-up Site Staff Survey | 3 months post end of wellness clinics | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Efficacy of seminars for individuals with a neurological physical disability | Efficacy of seminars, as determined by repeated t-tests based on the Exercise Self-Efficacy Survey (ESES), a 10-question survey with scores of 1 to 4 (with 4 being the best outcome), summed for a minimum score of 10, and a maximum score of 40. | 3 months post end of wellness clinics | 
| Efficacy of seminars for caregivers and clinic staff of patients with neurological physical disabilities | Efficacy of seminars, as determined by repeated t-tests based on the Exercise Efficacy for Caregivers and Staff, a 10-question survey with scores of 1 to 4 (with 4 being the best outcome), summed for a minimum score of 10, and a maximum score of 40. | 3 months post end of wellness clinics | 
| Efficacy of wellness clinics | Efficacy of wellness clinics, as determined by repeated t-tests | 3 months post end of wellness clinics |