myMoves Program: Feasibility and Acceptability Study of a Remotely Delivered Self-Management Program for Increasing Physical Activity Among Adults With Acquired Brain Injury Living in the Community.

Background. People living with acquired brain injury (ABI) are more likely to be physically inactive and highly sedentary and, therefore, to have increased risks of morbidity and mortality. However, many adults with ABI experience barriers to participation in effective physical activity intervention...

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Publicado en:Physical Therapy Vol. 96; no. 12; pp. 1982 - 1994
Autores principales: Jones, Taryn M., Dear, Blake F., Hush, Julia M., Titov, Nickolai, Dean, Catherine M.
Formato: clinical trial research tables/charts Journal Article
Publicado: Oxford University Press / USA Dec2016
Acceso en línea:Ver este registro en EBSCOhost
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          Jones, Taryn M.
          Dear, Blake F.
          Hush, Julia M.
          Titov, Nickolai
          Dean, Catherine M.
        affil: Department of Health Professions, Faculty of Medicine and Health Sciences, Macquarie University, Ground Floor, 75 Talavera Rd, Sydney, New South Wales, 2109, Australia
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          Brain Injuries
          Physical Activity
          Health Promotion Methods
          Self Regulation
          Telehealth
          Human
          Intervention Trials
          Funding Source
          Community Living
          Pilot Studies
          Pretest-Posttest Design
          Prospective Studies
          Email
          Physical Therapy Methods
          Patient Satisfaction Evaluation
          Accelerometry
          Self-Efficacy Evaluation
          Stress, Psychological
          Physical Activity Evaluation
          Australia
          Psychological Tests
          Interviews
          Telephone
          Geographic Factors Evaluation
          Community Reintegration Evaluation
          Scales
          Construct Validity
          Internal Consistency
          Test-Retest Reliability
          Reliability and Validity
          Data Collection, Computer Assisted
          Coefficient alpha
          Analysis of Variance
          Repeated Measures
          Post Hoc Analysis
          McNemar's Test
          P-Value
          Data Analysis Software
          Middle Age
          Aged
          Adult
          Male
          Female
          Descriptive Statistics
          Middle Aged: 45-64 years
          Aged: 65+ years
          Adult: 19-44 years
          Male
          Female
      ab: Background. People living with acquired brain injury (ABI) are more likely to be physically inactive and highly sedentary and, therefore, to have increased risks of morbidity and mortality. However, many adults with ABI experience barriers to participation in effective physical activity interventions. Remotely delivered self-management programs focused on teaching patients how to improve and maintain their physical activity levels have the potential to improve the overall health of adults with ABI. Obj'ective. The study objective was to evaluate the acceptability and feasibility of a remotely delivered self-management program aimed at increasing physical activity among adults who dwell in the community and have ABI. Design. A single-group design involving comparison of baseline measures with those taken immediately after intervention and at a 3-month follow-up was used in this study. Methods. The myMoves Program comprises 6 modules delivered over 8 weeks via email. Participants were provided with regular weekly contact with an experienced physical therapist via email and telephone. The primary outcomes were the feasibility (participation, attrition, clinician time, accessibility, and adverse events) and acceptability (satisfaction, worthiness of time, and recommendation) of the myMoves Program. The secondary outcomes were objective physical activity data collected from accelerometers, physical activity self-efficacy, psychological distress, and participation. Results. Twenty-four participants commenced the program (20 with stroke, 4 with traumatic injury), and outcomes were collected for 23 and 22 participants immediately after the program and at a 3-month follow-up, respectively. The program required very little clinician contact time, with an average of 32.8 minutes (SD=22.8) per participant during the 8-week program. Acceptability was very high, with more than 95% of participants being either very satisfied or satisfied with the myMoves Program and stating that it was worth their time. All participants stated that they would recommend the program to others with ABI. Limitations. The results were obtained from a small sample; hence, the results may not be generalizable to a larger ABI population. Conclusions. A remotely delivered self-management program aimed at increasing physical activity is feasible and acceptable for adults with ABI. Further large-scale efficacy trials are warranted.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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