Journal article
Effect of Tele-exercise to Promote Empowered Movement for Individuals With Spinal Cord Injury (TEEMS) Program on Physical Activity Determinants and Behavior: A Mixed Methods Assessment
Archives of physical medicine and rehabilitation, v 105(1), pp 101-111
05 Sep 2023
PMID: 37678447
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To assess the effects of group tele-exercise participation on physical activity (PA) determinants and behavior as identified by social cognitive theory (SCT) in individuals with spinal cord injury (SCI).
This clinically registered non-randomized trial [NCT05360719] used a single group parallel mixed methods design. Quantitative and qualitative primary measures were assessed at pre-program and following 8-week intervention completion (post-program), with an additional 8-week period retention to capture quantitative assessments only.
Community.
Individuals with chronic SCI (n=22, injury duration 2-50 years) aged 26-68 years (10 male/12 female).
An 8-week group tele-exercise program for individuals with SCI consisting of biweekly 60-minute classes delivered via live web-conferencing software.
Exercise self-efficacy (Exercise Self-efficacy Scale for SCI: ESES), outcome expectations for exercise (Multidimensional Outcome Expectations for Exercise: MOEES), weekly PA minutes measured through quantitative assessments (Leisure Time PA Questionnaire for SCI: LTPAQ), and parallel qualitative thematic analysis of focus group interview transcripts.
Congruence between numeric and thematic findings was present for exercise self-efficacy and self-evaluative exercise outcome expectations. Improved exercise self-efficacy was influenced by exercise knowledge gained during program participation. Increased expectations of internal exercise outcomes, such as influence on psychological state and overall mood, occurred following program participation. Participant descriptions of the portability and sustainability of the program leading to added movement in everyday life were not reflected in the numeric scores of LTPAQ assessment.
Participation in an 8-week group tele-exercise program positively impacted personal determinants of PA behavior immediately following participation. Future investigations should include a control group and biophysical PA measures such as wearable digital health devices.
Metrics
Details
- Title
- Effect of Tele-exercise to Promote Empowered Movement for Individuals With Spinal Cord Injury (TEEMS) Program on Physical Activity Determinants and Behavior: A Mixed Methods Assessment
- Creators
- Laura A. Baehr - Temple UniversityShivayogi V. Hiremath - Temple UniversityMichael Bruneau Jr - Drexel University, College of Nursing and Health Professions, Department of Health SciencesLisa A. Chiarello - Drexel UniversityGirija Kaimal - Drexel UniversityRoss Newton - Boston UniversityMargaret Finley - Drexel University
- Publication Details
- Archives of physical medicine and rehabilitation, v 105(1), pp 101-111
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Creative Arts Therapies; Health Sciences; Physical Therapy (and Rehabilitation Sciences)
- Web of Science ID
- WOS:001164911700001
- Scopus ID
- 2-s2.0-85178578929
- Other Identifier
- 991021207758404721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Rehabilitation
- Sport Sciences
Related media
Expert Quote
Spinal Cord Injury SIG: DiSCIS Interview with Dr. Laura Baehr Episode 19
Academy of Neurologic Physical Therapy’s “Discussions in Spinal Cord Injury Science” (Kristen Cezat)