Precision-based Teleexercise Trial to Increase Adherence in People With Disabilities
University of Alabama at Birmingham
Summary
The purpose of this 32-week study is to use an innovative experimental design known as SMART (Sequential Multiple Assignment Randomized Trial), which will allow us to determine the best way to sequence the delivery of teleexercise (referred to as an adaptive intervention), combined with predictive analytics on participant adherence in a stepped program of physical activity interventions. All 257 participants will have access to a library of recorded video exercise content, and a weekly wellness article. Some participants will receive health coaching calls (1st randomization). Analytic data will be used to determine which participants are responding or not responding to the intervention. Participants not responding after 4 weeks will receive either live one-on-one or group exercise training (2nd randomization). After 8 weeks, the participant will receive only pre-recorded exercise content and articles for a 24-week maintenance phase (weeks 9-32). The study outcomes are: The effectiveness of the adaptive interventions; Exploring mediating and moderating variables; Sensitivity analysis of the predictive analytics.
Description
The proposed Sequential Multiple Assignment Randomized Trial (SMART) study seeks to develop an effective 32-week, resource sensitive strategy to improve physical activity levels in people with mobility impairments. During the run-In period before the start of the intervention, interested individuals will consent to be part of the study. Once providing consent, Participants will respond to a baseline survey packet through REDCap. Participants must also complete a welcome call and set up an online account. Additionally, during the run-in period, the research team will ship an exercise tracker d…
Eligibility
- Age range
- 18–89 years
- Sex
- All
- Healthy volunteers
- No
Eligible participants must meet the following criteria to be included: (1) live with a permanent physical disability that limits their mobility; (2) be 18 to 89 years of age; (3) have broadband internet access; (4) be able to speak and read English; and (5) be able to attend coaching and training sessions during the weekdays. Participants are excluded from participation if they (1) possess significant visual acuity that prevents seeing a computer screen to follow a home exercise program; (2) have been regularly engaging in exercise for the previous 3 months; (3) are unable to use their arms a…
Interventions
- Behavioralasynchronous content only
Receives asynchronous exercise content and no live training
- BehavioralAsynchronous content and health coaching and no live training
Receives asynchronous content, health coaching and no live training.
- Behavioralasynchronous content only and 1 on 1 live training
receives asynchronous content and live 1 on 1 training
- Behavioralasynchronous content and health coaching and 1 on 1 training
receives asynchronous content, health coaching, and live training
- Behavioralasynchronous content and group training
receives asynchronous content and live group training
- BehavioralAsynchronous content and health coaching and group training
Location
- Wellness, Health and Research FacilityBirmingham, Alabama