Trial Outcomes & Findings for ProACTIVE SCI Physical Activity Intervention (NCT NCT03111030)

NCT ID: NCT03111030

Last Updated: 2024-12-05

Results Overview

Participants will be asked to complete a questionnaire, guided by the co-investigator (Jasmin Ma), that asks the participant to recall in the last 7 days how many days and for how long leisure time physical activity was performed. The recall assessment will take approximately 5 minutes to complete.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

28 participants

Primary outcome timeframe

Baseline, week 4, week 7, week 10, 6 month follow up

Results posted on

2024-12-05

Participant Flow

Participant milestones

Participant milestones
Measure
ProacTive SCI
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
Standard care, receiving physical activity coaching sessions after completing post-testing
Overall Study
STARTED
14
14
Overall Study
COMPLETED
14
14
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

ProACTIVE SCI Physical Activity Intervention

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Total
n=28 Participants
Total of all reporting groups
Age, Continuous
45.79 years
STANDARD_DEVIATION 13.63 • n=5 Participants
45.57 years
STANDARD_DEVIATION 10.49 • n=7 Participants
45.68 years
STANDARD_DEVIATION 11.93 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
8 Participants
n=7 Participants
13 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
6 Participants
n=7 Participants
15 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
12 Participants
n=5 Participants
10 Participants
n=7 Participants
22 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Canada
14 participants
n=5 Participants
14 participants
n=7 Participants
28 participants
n=5 Participants
Leisure Time Physical Activity Questionnaire for People With SCI (LTPAQ)
212 Total LTPA min/week
STANDARD_DEVIATION 195 • n=5 Participants
274 Total LTPA min/week
STANDARD_DEVIATION 300 • n=7 Participants
243 Total LTPA min/week
STANDARD_DEVIATION 248 • n=5 Participants
Aerobic Fitness Evaluation: Peak Oxygen Uptake Test (VO2peak)
1.15 L/min
STANDARD_DEVIATION .36 • n=5 Participants
1.13 L/min
STANDARD_DEVIATION .43 • n=7 Participants
1.14 L/min
STANDARD_DEVIATION .41 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline, week 4, week 7, week 10, 6 month follow up

Participants will be asked to complete a questionnaire, guided by the co-investigator (Jasmin Ma), that asks the participant to recall in the last 7 days how many days and for how long leisure time physical activity was performed. The recall assessment will take approximately 5 minutes to complete.

Outcome measures

Outcome measures
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Change in Physical Activity: Leisure Time Physical Activity Questionnaire for People With SCI (LTPAQ)
Baseline
212 Total LTPA min/week
Standard Deviation 195
274 Total LTPA min/week
Standard Deviation 300
Change in Physical Activity: Leisure Time Physical Activity Questionnaire for People With SCI (LTPAQ)
Week 4
393 Total LTPA min/week
Standard Deviation 413
NA Total LTPA min/week
Standard Deviation NA
Data only collected in intervention group
Change in Physical Activity: Leisure Time Physical Activity Questionnaire for People With SCI (LTPAQ)
Week 7
370 Total LTPA min/week
Standard Deviation 258
NA Total LTPA min/week
Standard Deviation NA
Data only collected in intervention group
Change in Physical Activity: Leisure Time Physical Activity Questionnaire for People With SCI (LTPAQ)
Week 10
405 Total LTPA min/week
Standard Deviation 364
147 Total LTPA min/week
Standard Deviation 192
Change in Physical Activity: Leisure Time Physical Activity Questionnaire for People With SCI (LTPAQ)
6 months FU
348 Total LTPA min/week
Standard Deviation 269
NA Total LTPA min/week
Standard Deviation NA
Data only collected in intervention group

PRIMARY outcome

Timeframe: Baseline, week 4, week 7, week 10

Participants will be fitted with a wrist-based tri-axial accelerometer to be worn 24 hours a day for 6 days in order to determine intensity and amount of PA. They will keep a detailed PA diary recording all leisure time PA performed during the day. The primary outcome will be total vector magnitude (VM) accelerometer counts from a tri-axial wrist-worn accelerometer (GT9X, ActiGraph LLC, FL). During the intervention, the accelerometer will be picked up and dropped off to the participant's home to decrease burden. Text or email reminders (i.e. "Please don't forget to wear your accelerometer today") will be used to promote adherence to accelerometer wear.

Outcome measures

Outcome measures
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Change in Total Accelerometer Count as a Measure of Change in Physical Activity: 6-day Physical Activity Monitoring Period
Baseline
562000 Accelerometer total VM counts
Standard Deviation 188000
848000 Accelerometer total VM counts
Standard Deviation 759000
Change in Total Accelerometer Count as a Measure of Change in Physical Activity: 6-day Physical Activity Monitoring Period
Week 4
593000 Accelerometer total VM counts
Standard Deviation 307000
NA Accelerometer total VM counts
Standard Deviation NA
Data only collected in intervention group
Change in Total Accelerometer Count as a Measure of Change in Physical Activity: 6-day Physical Activity Monitoring Period
Week 7
659000 Accelerometer total VM counts
Standard Deviation 338000
NA Accelerometer total VM counts
Standard Deviation NA
Data only collected in intervention group
Change in Total Accelerometer Count as a Measure of Change in Physical Activity: 6-day Physical Activity Monitoring Period
Week 10
702000 Accelerometer total VM counts
Standard Deviation 267000
598000 Accelerometer total VM counts
Standard Deviation 390000

SECONDARY outcome

Timeframe: Baseline, 9 weeks from intervention start (week 10)

This survey will examine psychological factors that may affect PA participation. The survey will be recorded either electronically or with pen and paper depending on the respondent's preference. Survey will take approximately 25 minutes to complete, and will assess constructs related to exercise such as perceived risks, self- efficacy, planning, and social support. The demographics questionnaire will also be administered with this measure. All items will be assessed on a 7-point Likert scale ranging from 1 = "strongly disagree" to 7 = "strongly agree". Higher scores indicate a better outcome.

Outcome measures

Outcome measures
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Change in Health Action Process Approach Model Measure
Aerobic exercise task self-efficacy (Baseline)
3.4 score on a scale
Standard Deviation 1.9
4.1 score on a scale
Standard Deviation 1.7
Change in Health Action Process Approach Model Measure
Aerobic exercise task self-efficacy (Week 10)
4.7 score on a scale
Standard Deviation 1.2
3.6 score on a scale
Standard Deviation 1.6
Change in Health Action Process Approach Model Measure
Risk perceptions (Baseline)
2.5 score on a scale
Standard Deviation 1.6
2.5 score on a scale
Standard Deviation 1.3
Change in Health Action Process Approach Model Measure
Risk perceptions (Week 10)
2.8 score on a scale
Standard Deviation 1.6
2.5 score on a scale
Standard Deviation 1.1
Change in Health Action Process Approach Model Measure
Strength exercise task self-efficacy (Baseline)
3.9 score on a scale
Standard Deviation 1.6
3.7 score on a scale
Standard Deviation 1.6
Change in Health Action Process Approach Model Measure
Affective outcome expectancies (Baseline)
5.1 score on a scale
Standard Deviation 1.3
5.7 score on a scale
Standard Deviation 0.9
Change in Health Action Process Approach Model Measure
Affective outcome expectancies (Week 10)
5.6 score on a scale
Standard Deviation 1.0
5.4 score on a scale
Standard Deviation 1.0
Change in Health Action Process Approach Model Measure
Instrumental outcome expectancies (Baseline)
6.5 score on a scale
Standard Deviation 0.6
6.5 score on a scale
Standard Deviation 0.9
Change in Health Action Process Approach Model Measure
Instrumental outcome expectancies (Week 10)
6.8 score on a scale
Standard Deviation 0.3
6.3 score on a scale
Standard Deviation 0.8
Change in Health Action Process Approach Model Measure
Strength exercise task self-efficacy (Week 10)
5.6 score on a scale
Standard Deviation 1.2
3.2 score on a scale
Standard Deviation 1.8
Change in Health Action Process Approach Model Measure
Intentions (Baseline)
6.1 score on a scale
Standard Deviation 1.1
6.5 score on a scale
Standard Deviation 0.7
Change in Health Action Process Approach Model Measure
Intentions (Week 10)
6.8 score on a scale
Standard Deviation 0.4
6.3 score on a scale
Standard Deviation 1.2
Change in Health Action Process Approach Model Measure
Planning self-efficacy (Baseline)
5.9 score on a scale
Standard Deviation 0.8
6.2 score on a scale
Standard Deviation 1.1
Change in Health Action Process Approach Model Measure
Planning self-efficacy (Week 10)
6.0 score on a scale
Standard Deviation 0.5
6.8 score on a scale
Standard Deviation 0.4
Change in Health Action Process Approach Model Measure
Barrier self-efficacy (Baseline)
5.0 score on a scale
Standard Deviation 1.2
4.4 score on a scale
Standard Deviation 1.0
Change in Health Action Process Approach Model Measure
Barrier self-efficacy (Week 10)
5.7 score on a scale
Standard Deviation 0.8
4.7 score on a scale
Standard Deviation 1.1
Change in Health Action Process Approach Model Measure
Scheduling self-efficacy (Baseline)
4.9 score on a scale
Standard Deviation 1.5
5.3 score on a scale
Standard Deviation 1.2
Change in Health Action Process Approach Model Measure
Scheduling self-efficacy (Week 10)
5.7 score on a scale
Standard Deviation 1.3
5.5 score on a scale
Standard Deviation 1.1
Change in Health Action Process Approach Model Measure
Action planning (Baseline)
3.7 score on a scale
Standard Deviation 1.9
3.8 score on a scale
Standard Deviation 2.0
Change in Health Action Process Approach Model Measure
Action planning (Week 10)
6.8 score on a scale
Standard Deviation 0.4
3.6 score on a scale
Standard Deviation 2.3
Change in Health Action Process Approach Model Measure
Monitoring (Baseline)
4.5 score on a scale
Standard Deviation 1.6
4.4 score on a scale
Standard Deviation 1.4
Change in Health Action Process Approach Model Measure
Monitoring (Week 10)
6.3 score on a scale
Standard Deviation 0.8
4.4 score on a scale
Standard Deviation 1.3
Change in Health Action Process Approach Model Measure
Coping self-efficacy (Baseline)
6.0 score on a scale
Standard Deviation 0.8
5.8 score on a scale
Standard Deviation 1.2
Change in Health Action Process Approach Model Measure
Coping self-efficacy (Week 10)
6.3 score on a scale
Standard Deviation 0.7
6.3 score on a scale
Standard Deviation 0.7
Change in Health Action Process Approach Model Measure
Social support (Baseline)
2.2 score on a scale
Standard Deviation 1.0
2.0 score on a scale
Standard Deviation 0.8
Change in Health Action Process Approach Model Measure
Social support (Week 10)
2.8 score on a scale
Standard Deviation 0.9
1.7 score on a scale
Standard Deviation 0.5
Change in Health Action Process Approach Model Measure
Presence of barriers (Baseline)
5.7 score on a scale
Standard Deviation 1.5
5.5 score on a scale
Standard Deviation 1.3
Change in Health Action Process Approach Model Measure
Presence of barriers (Week 10)
6.1 score on a scale
Standard Deviation 1.1
5.0 score on a scale
Standard Deviation 1.8
Change in Health Action Process Approach Model Measure
Knowledge (Baseline)
5.9 score on a scale
Standard Deviation 1.1
5.2 score on a scale
Standard Deviation 1.9
Change in Health Action Process Approach Model Measure
Knowledge (Week 10)
6.7 score on a scale
Standard Deviation 0.4
4.4 score on a scale
Standard Deviation 2.0

SECONDARY outcome

Timeframe: 9 weeks from intervention start (week 10)

A semi-structured interview will be conducted at the end of the intervention to understand what components were and were not effective. Data will not be recorded. This feedback will be used to improve future iterations of the intervention. There is no associated scale with this measurement.

Outcome measures

Outcome measures
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Number of Participants Participating in Qualitative Interviews
14 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline, 9 weeks from intervention start (week 10)

aPWV (cm/s) is calculated by dividing the distance between measurement sites, by the pulse transit time. Distance between the carotid and femoral arteries will be measured using measuring tape along the surface of the body, held parallel to the testing table. The pulse transit is determined from the arterial blood pressure waves, which are collected at each arterial site. A pen-like device (model SPT-301; Millar Instruments Inc., Houston, TX) will be applied to the carotid and femoral arterial sites using a light pressure to obtain arterial pressure waves. Heart rate will be recorded using a single-lead (lead I) electrocardiogram (ECG) (model ML 123, ADInstruments Inc., Colorado Springs, CO).

Outcome measures

Outcome measures
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Change in Pulse Wave Velocity
Baseline
10.6 cm/s
Standard Deviation 2.9
8.0 cm/s
Standard Deviation 2.0
Change in Pulse Wave Velocity
Week 10
9.7 cm/s
Standard Deviation 2.5
8.2 cm/s
Standard Deviation 1.9

SECONDARY outcome

Timeframe: Baseline, 9 weeks from intervention start (week 10)

Common carotid arterial images will be collected using B-mode ultrasound (INFO) for 10 cardiac cycles. Images will be analyzed using internal ultrasound software to determine lumen diameter and intima-media thickness.

Outcome measures

Outcome measures
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Change in Arterial Structure: Wall Thickness
Baseline
0.62 mm
Standard Deviation 0.16
0.56 mm
Standard Deviation 0.07
Change in Arterial Structure: Wall Thickness
Week 10
0.61 mm
Standard Deviation 0.15
0.56 mm
Standard Deviation 0.07

SECONDARY outcome

Timeframe: Baseline, 9 weeks from intervention start (week 10)

Cardiac image will be collected non-invasively using Doppler ultrasound (Vivid q, GE Healthcare, Buckinghamshire, UK). Image will be collected and stored on the ultrasound for offline analysis.

Outcome measures

Outcome measures
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Change in End Systolic Volume
Baseline
38 ml
Standard Deviation 9
36 ml
Standard Deviation 9
Change in End Systolic Volume
Week 10
38 ml
Standard Deviation 9
35 ml
Standard Deviation 8

SECONDARY outcome

Timeframe: Baseline, 9 weeks from intervention start (week 10)

Cardiac image will be collected non-invasively using Doppler ultrasound (Vivid q, GE Healthcare, Buckinghamshire, UK). Image will be collected and stored on the ultrasound for offline analysis.

Outcome measures

Outcome measures
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Change in End Diastolic Volume
Baseline
87 ml
Standard Deviation 18
84 ml
Standard Deviation 20
Change in End Diastolic Volume
Week 10
86 ml
Standard Deviation 14
82 ml
Standard Deviation 18

SECONDARY outcome

Timeframe: Baseline, 9 weeks from intervention start (week 10)

Population: This was not measured or reported.

Cardiac image will be collected non-invasively using Doppler ultrasound (Vivid q, GE Healthcare, Buckinghamshire, UK). Image will be collected and stored on the ultrasound for offline analysis.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, 9 weeks from intervention start (week 10)

Cardiac image will be collected non-invasively using Doppler ultrasound (Vivid q, GE Healthcare, Buckinghamshire, UK). Image will be collected and stored on the ultrasound for offline analysis.

Outcome measures

Outcome measures
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Change in Ventricular Internal Diameter
Baseline
42 mm
Standard Deviation 5
43 mm
Standard Deviation 10
Change in Ventricular Internal Diameter
Week 10
43 mm
Standard Deviation 4
44 mm
Standard Deviation 4

SECONDARY outcome

Timeframe: Baseline, 9 weeks from intervention start (week 10)

Cardiac image will be collected non-invasively using Doppler ultrasound (Vivid q, GE Healthcare, Buckinghamshire, UK). Image will be collected and stored on the ultrasound for offline analysis. LV stroke volume will be used to measure change in systolic function.

Outcome measures

Outcome measures
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Change in Systolic Function
Baseline
49 ml
Standard Deviation 9
48 ml
Standard Deviation 11
Change in Systolic Function
Week 10
49 ml
Standard Deviation 6
47 ml
Standard Deviation 10

SECONDARY outcome

Timeframe: Baseline, 9 weeks from intervention start (week 10)

Cardiac image will be collected non-invasively using Doppler ultrasound (Vivid q, GE Healthcare, Buckinghamshire, UK). Image will be collected and stored on the ultrasound for offline analysis.

Outcome measures

Outcome measures
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Change in Ejection Fraction
Baseline
57 % of blood ejected per contraction
Standard Deviation 3
57 % of blood ejected per contraction
Standard Deviation 3
Change in Ejection Fraction
Week 10
56 % of blood ejected per contraction
Standard Deviation 3
58 % of blood ejected per contraction
Standard Deviation 3

SECONDARY outcome

Timeframe: Baseline, 9 weeks from intervention start (week 10)

Cardiac image will be collected non-invasively using Doppler ultrasound (Vivid q, GE Healthcare, Buckinghamshire, UK). Image will be collected and stored on the ultrasound for offline analysis.

Outcome measures

Outcome measures
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Change in Cardiac Output
Baseline
3.22 L/min
Standard Deviation 0.78
3.05 L/min
Standard Deviation 0.87
Change in Cardiac Output
Week 10
3.13 L/min
Standard Deviation 0.63
3.13 L/min
Standard Deviation 0.96

SECONDARY outcome

Timeframe: Baseline, 9 weeks from intervention start (week 10)

Cardiac image will be collected non-invasively using Doppler ultrasound (Vivid q, GE Healthcare, Buckinghamshire, UK). Image will be collected and stored on the ultrasound for offline analysis. Longitudinal strain will be used to measure change in fractional shortening.

Outcome measures

Outcome measures
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Change in Fractional Shortening
Baseline
-19.0 % change from original length
Standard Deviation 2.6
-17.5 % change from original length
Standard Deviation 4.3
Change in Fractional Shortening
Week 10
-19.2 % change from original length
Standard Deviation 2.7
-18.1 % change from original length
Standard Deviation 3.3

SECONDARY outcome

Timeframe: Baseline, 9 weeks from intervention start (week 10)

Cardiac image will be collected non-invasively using Doppler ultrasound (Vivid q, GE Healthcare, Buckinghamshire, UK). Image will be collected and stored on the ultrasound for offline analysis. E'/A' (ratio between early diastolic septal tissue velocity and late diastolic septal tissue velocity) will be used to measure change in diastolic function.

Outcome measures

Outcome measures
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Change in Diastolic Function
Baseline
0.99 Ratio
Standard Deviation 0.21
1.10 Ratio
Standard Deviation 0.33
Change in Diastolic Function
Week 10
1.02 Ratio
Standard Deviation 0.32
1.14 Ratio
Standard Deviation 0.36

SECONDARY outcome

Timeframe: Baseline, 9 weeks from intervention start (week 10)

Participants will perform a graded arm ergometer test on an electronically braked arm ergometer. For participants with tetraplegia who have limited handgrip function, gloves will be used to secure hands to the ergometer handles. Participants will be instructed to maintain a cycling rate of 50 revolutions per minute (rpm) for the duration of the test. After an initial warm-up at 0W, power output will be increased each minute at a rate of 2-5 W/min for participants with tetraplegia, or 10 W/min for participants with paraplegia, until volitional exhaustion (i.e. dropping below 30 rpm). Oxygen consumption will be recorded on a breath-by-breath basis for the duration of the test and reported as rolling 30-second averages sampled at 5-second intervals as per consensus recommendations. All outcome data are reported here: https://doi.org/10.1007/s40279-019-01118-5

Outcome measures

Outcome measures
Measure
ProacTive SCI
n=14 Participants
Individualized physical activity coaching sessions ProacTive SCI: Participants will receive weekly physical activity coaching sessions. Each session will be 10-15 minutes, delivered either face to face, over Skype, or over the phone. Additional resources may be emailed to participants based on need throughout the intervention (for example, a goal, list of places to exercise, contact information to reach mentoring services). A typical session may include: 1. An assessment of motivated the participant is to be physically active 2. A: If motivated, a physical activity goal will be set, strategies will be reviewed, and resources to accomplish that goal will be provided. B: If not motivated, questions will be asked to understand why the reasons for lack of motivation. If it is for any reasons including barriers, fear, confidence, or knowledge, the interventionist will discuss strategies to overcome these obstacles. 3. Progress and barriers will be reassessed and discussed.
Wait-list Control
n=14 Participants
Standard care, receiving physical activity coaching sessions after completing post-testing
Aerobic Fitness Evaluation: Peak Oxygen Uptake Test (VO2peak)
Baseline
1.16 L/min
Standard Deviation 0.38
1.13 L/min
Standard Deviation 0.46
Aerobic Fitness Evaluation: Peak Oxygen Uptake Test (VO2peak)
Week 10
1.30 L/min
Standard Deviation 0.43
1.06 L/min
Standard Deviation 0.40

Adverse Events

ProacTive SCI

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Wait-list Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Kathleen Martin Ginis

Unviersity of British Columbia

Phone: 250-807-9768

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place