Crytzer, Theresa M
(2023)
Evaluation of WHEEL-LEARN: An Internet-Based Healthy Lifestyle Behavior Intervention for People with Spinal Cord Injuries.
Doctoral Dissertation, University of Pittsburgh.
(Unpublished)
Abstract
Background: People with spinal cord injury (SCI) have elevated risk of cardiometabolic syndrome (CMD), are inactive, and face barriers to physical activity (PA). Lifestyle behavior change, i.e., PA at recommended levels, can modify CMD. WHEEL-LEARN applied behavioral theory to reduce barriers. Aims evaluated usability, acceptability, and feasibility, and proof of concept on leisure time PA, quality of life, exercise self-efficacy, social support, and enjoyment. Methods. Single group mixed methods pre-post study was conducted. Each week for 4 weeks, one lesson was emailed, and a 1-hour group online session was held. Results: Participants with SCI (N=17) were age [53.63±10.01 years], majority female (10/16=62%) and white (15/16=94%)]. Pre-post System Usability Scale scores showed excellent perceived usability. Participant’s comments indicated acceptability. Feasibility was seen with attendance, not knowledge review completion. Participants significantly increased volume of moderate to heavy LTPA pre [median (interquartile range, IQR)] [60.00(20.00,165.00)] to post [114.50(114.50,196.50)], p=0.049]. Quality of life significantly increased pre [71.00(57.50,84.75)], to post [78.50(68.25,94.50), p=0.003]. Self-efficacy significantly increased pre [31.50(27.25,33.00] to post [33.00(31.00,38.00), p=0.038]. Social support did not change. Enjoyment was demonstrated [63.00(58.50,66.50)]. Conclusion. WHEEL-LEARN was usable, feasible for attendance, and enjoyable. Participants (96%) achieved 150 min/week of moderate intensity PA and increased self-efficacy and quality of life.
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Details
Item Type: |
University of Pittsburgh ETD
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Status: |
Unpublished |
Creators/Authors: |
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ETD Committee: |
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Date: |
30 January 2023 |
Date Type: |
Publication |
Defense Date: |
28 October 2022 |
Approval Date: |
30 January 2023 |
Submission Date: |
18 November 2022 |
Access Restriction: |
2 year -- Restrict access to University of Pittsburgh for a period of 2 years. |
Number of Pages: |
202 |
Institution: |
University of Pittsburgh |
Schools and Programs: |
School of Health and Rehabilitation Sciences > Sports Medicine and Nutrition |
Degree: |
PhD - Doctor of Philosophy |
Thesis Type: |
Doctoral Dissertation |
Refereed: |
Yes |
Uncontrolled Keywords: |
spinal cord injury, leisure time physical activity, healthy lifestyle, social cognitive theory, self-efficacy, quality of life, social support, usability, feasibility, proof of concept |
Additional Information: |
crytzert@duq.edu is an additional email address |
Date Deposited: |
30 Jan 2023 17:32 |
Last Modified: |
30 Jan 2023 17:42 |
URI: |
http://d-scholarship.pitt.edu/id/eprint/43873 |
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