An interventional study of SPPAC intervention in Physical Activity, sponsored by Laval University. Completed at 1 site in Canada. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-07-19.
Sponsored by Laval University · Not applicable, Interventional, and Treatment
Despite physical activity (PA) being a valuable modality for promoting health, the evidence for effective PA intervention strategies for manual wheelchair (MWC) users is underdeveloped. Community-based programs and telephone-counselling interventions to increase PA among MWC users have had some success, but the uptake and adherence to these interventions remains low within this population. Community-based programs may not reach MWC users who live in rural areas and have issues with transportation, while health professionals may not optimally relate with MWC when providing telephone counselling. Although the PA needs of MWCs are not fully understood, there is reason to believe that including peers into intervention delivery may have benefits.
A feasibility trial is critical and prudent prior to moving forwards with a large and expensive multi-site randomized controlled trial (RCT) to ensure that: the intervention meets the needs of the target population; the right outcomes are measured; and that the intervention is feasible to administer.
The objective of this study is to evaluate the feasibility of a Smartphone-delivered Peer-led Physical Activity Counselling (SPPAC) program for MWC users.
Laval University is the lead sponsor of 371 studies on the registry; 68 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Smartphone-delivered peer-led physical activity counselling
Behavioral: SPPAC intervention
Pragmatic no-contact control group
A peer coach will deliver a physical activity counselling intervention using a Smartphone. Individualized programs will be based on participants physical activity/wheelchair mobility goals.
Objective physical activity
Physical activity will be measured objectively using Actigraphy, a small, lightweight accelerometry-based tri-axial activity monitor (Actigraph 3GTX) that is worn on the wrist and MWC without impeding bodily movements or PA. Information about motion direction and speed are integrated to produce an electrical current with variable magnitude and duration. The electrical current data are stored in the monitor as 'activity counts.'
Time frame: Change in physical activity from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention
Subjective physical activity (Leisure-Time Physical Activity Questionnaire (LTPA))
Self-reported frequency (number of bouts) and duration (min per bout) of light, moderate and heavy intensity PA over the past 7 days.
Time frame: Change in LTPA from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention
Wheelchair skills capacity and performance (Wheelchair Skills Test- Questionnaire (WST-Q))
Subjective evaluation of the skills capacity and performance of 32 manual wheelchair skills.
Time frame: Change in WST from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention
Physical activity motivation (Behavioural Regulation in Exercise Questionnaire (BREQ-2))
Subjective evaluation of motivation for physical activity is measured using 5 subscales of regulation: external, introjected identified, intrinsic and amotivation.
Time frame: Change in BREQ-2 from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention
Perceived autonomy support (Health Care Climate Questionnaire (HCCQ))
Subjective evaluation of perceived autonomy support
Time frame: Change in HCCQ from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention
Satisfaction of psychological needs (Psychological Need Satisfaction in Exercise Scale (PNSES))
Subjective evaluation of satisfaction of psychological needs (i.e. autonomy, competence, relatedness) for physical activity will be measured only in the intervention group.
Time frame: Change in PNSES from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention
Self-efficacy to overcome barriers to leisure-time physical activity (Leisure-time Physical Activity Barrier Self-efficacy Scale)
Subjective evaluation of self-efficacy to overcome salient barriers to physical activity participation (e.g. when faced with transportation problems, bad weather, pain and fatigue).
Time frame: Change in Self-efficacy to overcome barriers to leisure-time physical activity from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention
Wheelchair use self-efficacy (Wheelchair Use Confidence Scale Short Form (WheelCon-SF))
Subjective evaluation of situations that challenge self-efficacy while using a manual wheelchair.
Time frame: Change in WheelCon-SF from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention
Satisfaction with participation in physical activity using a wheelchair (Wheelchair Outcome Measure (WhOM))
A semi-structured interview that allows participants to select important physical activity/wheelchair mobility participation goals. The importance and current level of satisfaction is evaluated.
Time frame: Change in WhOM from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention
Measure of self-efficacy in performing functional activities of daily living in individuals with Spinal Cord Injury (Moorong Self Efficacy Scale - MSES)
Subjective evaluation of self-efficacy in carrying out activities of daily living. Minimum value 1 and maximum value 7. A higher score indicates a higher perceived self efficacy.
Time frame: Change in MSES from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention
Measure the degree to which individuals who have experienced traumatic or incapacitating illness achieve reintegration into normal social activities (Reintegration to Normal Living Index - RNLI)
Subjective evaluation of the reintegration to normal living activities
Time frame: Change in RNLI from baseline to post-intervention (10 weeks post-baseline) and at follow-up (3 months post-intervention
Plan to share: No
This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.
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Laval University