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Effectiveness of a Self-Management Intervention to Promote an Active Lifestyle in
Persons With Long-Term Spinal Cord Injury : The HABITS Randomized Clinical Trial

Most people with long-term spinal cord injury (SCI) have a very
inactive lifestyle. Higher activity levels have been associated with health
benefits and enhanced quality of life. Consequently, encouraging an active
lifestyle is important and behavioral interventions are needed to establish
durable lifestyle changes. OBJECTIVE: The Healthy Active Behavioral Intervention
in SCI (HABITS) study was aimed to evaluate the effectiveness of a structured
self-management intervention to promote an active lifestyle in inactive persons
with long-term SCI. METHODS: This assessor-blinded randomized controlled trial
was conducted at 4 specialized SCI units in the Netherlands. Sixty-four
individuals with long-term SCI (>10 years), wheelchair-user and physically
inactive, were included. Participants were randomized to either a 16-week
self-management intervention consisting of group meetings and individual
counseling and a book, or to a control group that only received information about
active lifestyle by one group meeting and a book. Measurements were performed at
baseline, 16 weeks, and 42 weeks. Primary outcome measures were self-reported
physical activity and minutes per day spent in wheelchair driving. Secondary
outcomes included perceived behavioral control (exercise self-efficacy, proactive
coping), stages of change concerning exercise, and attitude toward exercise.
RESULTS: Mixed models analyses adjusted for age, sex, level of SCI, time since
injury, baseline body mass index, and location did not show significant
differences between the intervention and control groups on the primary and
secondary outcomes ( P >/= .05). CONCLUSIONS: A structured 16-week
self-management intervention was not effective to change behavior toward a more
active lifestyle and to improve perceived behavioral control, stages of change,
and attitude.

Langue : ANGLAIS

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