Enhance Wellness for Individuals With Long-Term Physical Disabilities

Study Overview
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Brief Summary
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This project is an adaptation trial, testing the efficacy of an evidence-based community wellness program, Enhance Wellness (http://www.projectenhance.org/enhancewellness.aspx), in a sample of middle and older-aged adults living with multiple sclerosis, spinal cord injury, post-polio syndrome and muscular dystrophy.

Detailed Description
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This is a quasi-experimental project, comparing the effects of Enhance Wellness in a sample of adults aged 45 years or older and living with long-term physical disability, to two quasi-control groups: a sample of adults without long-term disability participating in Enhance Wellness, and a sample of adults with long-term disability not participating in Enhance Wellness. Outcomes are collected pre-intervention and post-intervention, approximately 6-months apart.

Official Title
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Project Enhance for Adults Aging With Long-Term Physical Disability

Conditions
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Multiple Sclerosis, Muscular Dystrophy, Post-polio Syndrome, Spinal Cord Injury

Intervention / Treatment
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* Behavioral: Enhance Wellness


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Multiple Sclerosis, Muscular Dystrophy, Post-Polio Syndrome, or Spinal Cord Injury diagnosis (Group 1 and 3) Living in King County, Washington (Group 1 only) Ability to read and understand English Exclusion Criteria: Active suicidal ideation Requires the use of a mechanical ventilator to breathe or speak

Ages Eligible for Study
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Minimum Age: 45 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
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group 1: Intervention with Disability<br>Participants with a diagnosis of multiple sclerosis, spinal cord injury, muscular dystrophy, or post-polio syndrome aged 45 or older receive Enhance Wellness for 6 months and complete pre and post outcome assessments. | Behavioral: Enhance Wellness<br>* A 6-month health promotion intervention which pairs participants with a wellness coach to identify and pursue a health-related goal of their choosing.<br>|
| Active Comparator: Group 2: Intervention without Disability<br>Participants without a diagnosis of multiple sclerosis, spinal cord injury, muscular dystrophy, or post-polio syndrome aged 45 or older receive Enhance Wellness for 6 months and complete pre and post outcome assessments. | Behavioral: Enhance Wellness<br>* A 6-month health promotion intervention which pairs participants with a wellness coach to identify and pursue a health-related goal of their choosing.<br>|
| No Intervention: Group 3: No intervention<br>Participants with a diagnosis of multiple sclerosis, spinal cord injury, muscular dystrophy, or post-polio syndrome aged 45 or older complete pre and post outcome assessments. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Questionnaire: Level of reported self-efficacy as measured by the University of Washington Self-Efficacy Scale Questionnaire | This is a self-reported measure of perceived efficacy to manage conditions or symptoms related to a person's physical disability or condition. Greater scores represent greater self-efficacy. | 6-months | 
| Questionnaire: Patient Reported Outcome Measurement Information System (PROMIS) Pain Interference Short Form | Self-reported measure of pain interference. Greater score indicate greater pain interference. | 6-months | 
| Questionnaire: Patient Reported Outcome Measurement Information System (PROMIS) Depression Short Form | Self-reported measure of depression. Greater scores indicated greater depressive symptoms. | 6-months |