Évaluation pilote d'un programme de Consultation en Activité Physique par les Pairs via Téléphone intelligent pour les personnes ayant une lésion médullaire

 

François Routhier

Centre interdisciplinaire de recherche en réadaptation et intégration sociale [CIRRIS]

 

Domaine :  appareil locomoteur et arthrite

Programme consortium pour le développement de la recherche en traumatologie - Volet 2

Concours 2017-2018

Despite the health benefits, individuals with spinal cord injury (SCI) who use a manual wheelchair (MWC) do not attain adequate amounts of physical activity. Physical inactivity, a leading cause of sickness, has a profound economic impact on the Canadian health care system. Existing programs have addressed some determinants of physical activity participation for wheelchair users with SCI, but more research is needed to understand the complex factors that influence uptake and adherence. Using a peer-coach and Smartphone technology to deliver a physical activity intervention integrates important psychological constructs that are associated with behaviour change. The Smartphone-based Peer Physical Activity Counselling (SPPAC) program (14 x 30 minute sessions delivered over 10 weeks) presents a novel theory-based approach to a complicated health problem.

The aims of this project are to investigate the feasibility of a comprehensive intervention to increase physical activity in community-living individuals with SCI who use a MWC. Following a framework for designing complex clinical interventions, researchers, wheelchair users with SCI, and healthcare professionals developed the SPPAC program through: a summary of scientific evidence; expert opinions gathered during focus groups; and consensus from experts through Delphi surveys. A pilot pre-post feasibility investigation is a pragmatic next-step for understanding the influence of important theoretical variables (e.g., motivation, self-efficacy, autonomy) before conducting a larger and more expensive multi-site effectiveness trial to evaluate behaviour change.
 
The SPPAC program, available in English and French, is a novel approach to physical activity intervention for individuals with SCI who use MWCs that may provide sustainable health benefits to a large proportion of Canadians with little cost. An effective program may have sustainable health benefits for manual wheelchairs users, has potential for implementation across various age and diagnostic groups in remote geographic locations across Canada and worldwide, and could contribute to decreased health care costs.