Logo Université Laval Logo Université Laval Logo Université Laval

Détail de la nouvelle

Activité physique chez les personnes avec lésion à la moelle épinière

  • Perte d'autonomie et réadaptation, Recherche, Département de réadaptation

L’équipe des professeurs François Routhier, Krista Best et Luc Noreau obtient un financement de plus de 500 000 $ pour poursuivre ses recherches

L’équipe de recherche des professeurs du Département de réadaptation François Routhier, Krista Brest et Luc Noreau a reçu en mai 2018 un financement de 3 ans de 399 850 $ US de la Craig H. Neilsen Foundation. Ces fonds permettront aux professeurs de poursuivre leurs recherches dans le cadre du ALLWheel program : un programme global d’intervention visant à augmenter l’activité physique chez les personnes ayant une lésion à la moelle épinière qui utilisent un fauteuil roulant manuel et vivant en communauté.

Le projet de recherche

Titre : Effectiveness of a phone-based peer physical activity counselling program for people with spinal cord injury: A randomized-controlled trial

Résumé vulgarisé  : The benefits of physical activity (PA) for individuals with spinal cord injury (SCI) are well documented (e.g., reduced risk of chronic disease and endocrine metabolic disorder, improved confidence, and reduced feelings of depression and isolation). Therefore, PA is a favourable health promotion modality. Despite the benefits, 50% of individuals with SCI report no PA participation at all, and thus do not accrue the associated health benefits. Existing PA programs have addressed some of the determinants of PA among individuals with SCI with some success, and have shown promise for telephone delivered and peer-led programs. However, adherence and retention in existing programs is low, and little is known about the long-term effects. More research is needed to understand the complex factors (especially psychological factors) that influence uptake and adherence. Using peers and smartphone technology to deliver a PA intervention integrates important psychological constructs that are associated with behaviour change (e.g., motivation, autonomy support, and perceived competence). The Active Living Lifestyles program for wheelchair users (ALLWheel) is a novel theory-based approach to PA intervention that uses peers and smartphone to have a broad geographic reach for individuals with SCI. The aim of this project is to evaluate the effectiveness of a comprehensive intervention designed to increase PA in community-living individuals with SCI who use manual wheelchairs. According to the Medical Research Council (MRC) framework, researchers, individuals with SCI and healthcare professionals developed the ALLWheel program through: systematic review; expert opinions gathered during focus groups; and consensus of experts through Delphi surveys. Preliminary results from a pre-post study suggest the ALLWheel program works and is feasible. A pilot randomized-controlled trial is a pragmatic next-step in the MRC framework to evaluate the efficacy of the ALLWheel program for increasing PA and for understanding the influence of important psychological variables (p. ex., motivation, autonomy, perceived competence) and the impact of behavioural/participation outcomes (p. ex., PA participation, satisfaction with participation). If effective, the ALLWheel program may provide sustainable health benefits to individuals with SCI with little cost. The ALLWheel program does not add burden for clinicians and has potential for wide geographic reach in Canada and the US.

L’équipe de recherche

François Routhier (U Laval), Krista Best (U Laval), Shane Sweet (U McGill), Kelly Arbour-Nicitopoulos (U of Toronto), Jaimie Borisoff (British Columbia Institute of Technology) and Luc Noreau (U Laval)

Organisme de financement

La Craig H. Neilsen Foundation a pour mission d’offrir un support financier aux programmes et à la recherche scientifique qui vise à améliorer la qualité de vie des gens vivant avec une lésion à la moelle épinière.