Journal
DISABILITY AND REHABILITATION
Volume 40, Issue 5, Pages 527-537Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/09638288.2016.1261415
Keywords
Knowledge translation; knowledge-to-action framework; leisure-time physical activity; exercise; physical disability
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Funding
- Rick Hansen Institute
- Ontario Neurotrauma Foundation
- Rick Hansen Institute Mentor-Trainee Capacity Building Award in Knowledge Mobilization
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Purpose: Get in Motion (GIM) is an evidence-based telephone counseling service that promotes leisure-time physical activity (LTPA) among Canadian adults with spinal cord injury (SCI). The first phase of GIM sustained intentions for, and increased participation in, LTPA; however, it is unclear how GIM led to these outcomes. The purpose of this study was to explore the implementation correlates of change in LTPA intentions and behavior in the second phase of GIM. Methods: The frequency, duration, and content of counseling sessions were tailored to meet clients' (N = 46; 50.0% male; 50.0% paraplegia; 51.46 (SD 12.36) years old) needs and preferences. Intervention dose and content were monitored using Counseling Session Checklists. Clients self-reported their intentions for and actual aerobic and strength-training LTPA participation at baseline, 2-, 4-, and 6-months, and their perceptions of service quality at 6-months. Results: The second phase of GIM effectively sustained LTPA intentions and increased time spent on moderate-to-vigorous strength-training and total LTPA. Increases in clients' moderate-to-vigorous aerobic LTPA were significantly positively related to intervention dose, intervention content (both informational and behavioral strategies), and clients' perceptions of service credibility. Conclusions: This study identified intervention dose and content as key implementation variables for an LTPA telephone counseling service for adults with SCI.
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