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dc.creatorHiremath, SV
dc.creatorAmiri, AM
dc.creatorThapa-Chhetry, B
dc.creatorSnethen, G
dc.creatorSchmidt-Read, M
dc.creatorRamos-Lamboy, M
dc.creatorCoffman, DL
dc.creatorIntille, SS
dc.date.accessioned2021-01-28T21:20:10Z
dc.date.available2021-01-28T21:20:10Z
dc.date.issued2019-10-01
dc.identifier.issn1932-6203
dc.identifier.issn1932-6203
dc.identifier.doihttp://dx.doi.org/10.34944/dspace/5086
dc.identifier.other31613909 (pubmed)
dc.identifier.urihttp://hdl.handle.net/20.500.12613/5104
dc.description.abstract© 2019 Hiremath et al. Low levels of physical activity (PA) and high levels of sedentary behavior in individuals with spinal cord injury (SCI) have been associated with secondary conditions such as pain, fatigue, weight gain, and deconditioning. One strategy for promoting regular PA is to provide people with an accurate estimate of everyday PA level. The objective of this research was to use a mobile health-based PA measurement system to track PA levels of individuals with SCI in the community and provide them with a behavior-sensitive, just-in-time-adaptive intervention (JITAI) to improve their PA levels. The first, second, and third phases of the study, each with a duration of one month, involved collecting baseline PA levels, providing near-real-time feedback on PA level (PA Feedback), and providing PA Feedback with JITAI, respectively. PA levels in terms of energy expenditure in kilocalories, and minutes of lightand moderate- or vigorous-intensity PA were assessed by an activity monitor during the study. Twenty participants with SCI took part in this research study with a mean (SD) age of 39.4 (12.8) years and 12.4 (12.5) years since injury. Sixteen participants completed the study. Sixteen were male, 16 had paraplegia, and 12 had complete injury. Within-participant comparisons indicated that only two participants had higher energy expenditure (>10%) or lower energy expenditure (<-10%) during PA Feedback with JITAI compared to the baseline. However, eleven participants (69.0%) had higher light- and/or moderate-intensity PA during PA Feedback with JITAI compared to the baseline. To our knowledge, this is the first study to test a PA JITAI for individuals with SCI that responds automatically to monitored PA levels. The results of this pilot study suggest that a sensor-enabled mobile JITAI has potential to improve PA levels of individuals with SCI. Future research should investigate the efficacy of JITAI through a clinical trial.
dc.format.extente0223762-e0223762
dc.language.isoen
dc.relation.haspartPLoS ONE
dc.relation.isreferencedbyPublic Library of Science (PLoS)
dc.rightsCC BY
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAdult
dc.subjectEnergy Metabolism
dc.subjectExercise
dc.subjectFemale
dc.subjectFitness Trackers
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectParaplegia
dc.subjectPilot Projects
dc.subjectSpinal Cord Injuries
dc.subjectTelemedicine
dc.subjectTreatment Outcome
dc.subjectYoung Adult
dc.titleMobile health-based physical activity intervention for individuals with spinal cord injury in the community: A pilot study
dc.typeArticle
dc.type.genreJournal Article
dc.relation.doi10.1371/journal.pone.0223762
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.creator.orcidCoffman, Donna L|0000-0001-6305-6579
dc.date.updated2021-01-28T21:20:06Z
refterms.dateFOA2021-01-28T21:20:11Z


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