Mhealth-based just-in-time adaptive intervention to improve physical activity levels of individuals with spinal cord injury

Active Project Grant Awarded Last action

Award ID
R01HD103904
Recipient
Awarding agency
Obligated
$7,789,893

Award facts

Completion date 96% complete
Originally
Funding
  • $7,135,362.00 Federal
  • $654,531.00 Non-federal
Place of performance
Philadelphia, PA 19122, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
The lack of regular physical activity (PA) in over 290,000 individuals with spinal cord injury (SCI) in the united states (US) is an ongoing health crisis. This lack of activity has potentially devastating consequences because low levels of PA in people with SCI elevates the risk of mortality due to cardiovascular diseases, diabetes, and lung disease. Furthermore, low levels of PA in individuals with SCI have been associated with secondary conditions such as pain, fatigue, weight gain, and deconditioning. Regular PA and exercise-based interventions have been linked with improved outcomes and healthier lifestyles among those with SCI. Sensor- based activity monitors can assess PA and exercise interventions by quantifying wheelchair movement, movement of the individual, and physiological changes. However, these monitors do not provide real-time, tailored feedback and recommendations that might help individuals with SCI increase their PA levels in the community. The overarching goal of this proposal is to evaluate a sensor-enabled, just-in-time adaptive intervention (jitai) strategy to increase and sustain PA levels among individuals with SCI in their communities. The long-term goal of this research is to effectively integrate a mobile health jitai with existing PA intervention programs to motivate health-related behavior change in individuals with SCI. A primary objective of this proposal is to extend our pilot work to evaluate the integration of a jitai with a web-based 14-week PA intervention program from the national center on health, physical activity and disability (aim 1). We hypothesize that the integration of web-based PA intervention program with jitai will result in significantly higher PA levels over 14 weeks compared to the standard we-based PA intervention program alone. A secondary objective of this study is to extend existing algorithms that use commercial wearable technology to robustly detect PA behaviors to facilitate the delivery of tailored just-in-time actionable feedback and PA recommendations for individuals with SCI (aims 3 and 4). The integration of the jitai, which provides feedback and PA recommendations due to sensor-based assessments of PA, with the standard web-based PA intervention program will be tested via a clinical trial that combines a randomized controlled trial and a micro-randomized trial. Our team includes investigators with expertise in SCI research, mobile health, PA tracking, and behavioral change interventions. The proposed study will yield novel insights about jitais and jitais combined with more traditional, web-based PA intervention programs, which will help researchers design engaging PA interventions for individuals with disability in the community that may improve their health and quality of life.

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Subawards

Subrecipient Amount Awarded
Regents Of The University Of Michigan The team at the University of Michigan, led by Dr. Nahum-Shani, will provide guidance pertaining to the design, conduct and data analysis of the… $29,685
University Of Alabama At Birmingham Other reporting expectations: The Clinical Trial Study or Studies listed above have been determined by NICHD to be considered MEDIUM risk requiring increased… $21,990
Northeastern University Statement of Work Project duration: 5 years The long-term goal of this research is to improve the health and quality of life of individuals with spinal cord… $162,227
Good Shepherd Rehabilitation Network Co-Investigator, Dr. Stephanie Kolakowsky-Hayner (Years 3-5: 3% effort) Dr. Kolakowsky-Hayner is the Director of Research and Clinical Outcomes at the Good… $10,410
Regents Of The University Of Michigan The clinical trial(s) supported by this award are subject to the Dissemination Plan specified in the application dated 2/5/2020 and the NIH policy on… $29,670
Northeastern University Aim 1: Evaluate the efficacy of the WI + JITAI compared to the standard WI alone. Exploratory outcomes include long-term PA (measured via sensors and… $165,377
University Of Alabama At Birmingham Aim 1: Evaluate the efficacy of the WI + JITAI compared to the standard WI alone. Exploratory outcomes include long-term PA (measured via sensors and… $28,727
Thomas Jefferson University "Dr. Schmidt-Read is currently the Spinal Cord Injury (SCI) Program Director and Research Coordinator at the Magee Rehabilitation Hospital (Magee Rehab). Dr.… $34,738
Thomas Jefferson University $8,865
Northeastern University "The long-term goal of this research is to improve the health and quality of life of individuals with spinal cord injury (SCI) by improving their physical… $153,248
Regents Of The University Of Michigan "The team at the University of Michigan, led by Dr. Nahum-Shani, will provide guidance pertaining to the design, conduct and data analysis of the… $29,670
University Of Alabama At Birmingham "Principal Investigator, Institution: Shivayogi Hiremath 636 Ritter Annex 1301 Cecil B. Moore Ave. Philadelphis, PA, 19122 Temple University (215) 204-9012… $31,920
Thomas Jefferson University The clinical trial(s) supported by this award are subject to the Dissemination Plan specified in the application dated 2/5/2020 and the NIH policy on… $8,865
Regents Of The University Of Michigan Dr. Nahum-Shani is a Research Associate Professor at the Survey Research Center in the Institute of Social Research of the University of Michigan. She will be… $0
University Of Alabama At Birmingham Co-I Dr. Thirumalai will customize an online eHealth program (NCHPAD 14-Weeks) to be offered alongside the proposed intervention. The customization will include… $0
Thomas Jefferson University "Co-Investigator, Dr. Mary Schmidt-Read (Years 1-5: .60 calendar months effort) Dr. Schmidt-Read will be instrumental in providing her research expertise of SCI… $0
Northeastern University The long-term goal of this research is to improve the health and quality of life of individuals with spinal cord injury (SCI) by improving their physical… $165,377
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Quick answers

Who received award R01HD103904?

R01HD103904 was awarded to Temple University-Of The Commonwealth System Of Higher Education by National Institute of Child Health and Human Development (National Institutes of Health) on July 20, 2021.

How much is award R01HD103904 worth?

$7,789,893 has been obligated on R01HD103904: $7,135,362 in federal funding and $654,531 in non-federal funding.

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