110 Participants Needed

Physical Activity Training for Wheelchair Users

(WATCH Trial)

Recruiting at 1 trial location
KA
KA
Overseen ByKerri A Morgan, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Washington University School of Medicine

What You Need to Know Before You Apply

What is the purpose of this trial?

The goal of the study is to improve cardiometabolic health outcomes for wheelchair users and identify strategies for achieving sufficient physical activity intensity during bouts of structured physical activity.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

Is physical activity training safe for wheelchair users?

Research indicates that physical activity training, including high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT), is generally safe for wheelchair users and can improve fitness and cardiorespiratory function.12345

How is the treatment 'Physical Activity Training for Wheelchair Users' different from other treatments?

This treatment is unique because it focuses on intensity-controlled physical activity specifically tailored for wheelchair users, aiming to improve cardiovascular health and physical fitness through structured exercise programs, which is not commonly addressed in existing treatments for this population.25678

What data supports the effectiveness of the treatment Education and Access (EA), Physical Activity Training, Cardiometabolic Health Intervention, Intensity-controlled physical activity training (IPAT), Tailored intensity-controlled physical activity training, IPAT, Structured physical activity intervention for wheelchair users?

Research shows that home-based exercise programs, like high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT), can be safe and effective for long-term wheelchair users, improving their physical activity levels and fitness. Additionally, interventions that combine exercise with skills training can enhance physical activity, fitness, and confidence in wheelchair mobility.1791011

Who Is on the Research Team?

KA

Kerri A Morgan, PhD

Principal Investigator

Washington University School of Medicine

Are You a Good Fit for This Trial?

This trial is for adults over 18 who use wheelchairs due to physical disabilities, can consent, speak English, and are able to move at least one arm. Participants should live in the community and not be very active currently—doing less than an hour of moderate exercise a week.

Inclusion Criteria

Willing to participate in two assessments and 40 intervention sessions
Community-dwelling
Able to provide informed consent
See 4 more

Exclusion Criteria

I have a severe, deep skin wound.
Determination by their physician to be medically unstable
I am currently being treated for a recent injury.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants engage in a 14-week physical activity intervention, either intensity-controlled or independent, to improve cardiometabolic health

14 weeks

Follow-up

Participants are monitored for changes in cardiometabolic health outcomes, including VO2max, body composition, and metabolic blood chemistries

3 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Education and Access (EA)
  • Intensity-controlled physical activity training (IPAT)
Trial Overview The study tests two methods: 'Education and Access' which provides information and resources, and 'Intensity-controlled physical activity training' where participants do exercises designed to improve heart health while managing how hard they work out.
How Is the Trial Designed?
2Treatment groups
Active Control
Placebo Group
Group I: Intensity-controlled physical activity training (IPAT)Active Control1 Intervention
Group II: Education and Access (EA)Placebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Washington University School of Medicine

Lead Sponsor

Trials
2,027
Recruited
2,353,000+

Published Research Related to This Trial

The Internet-based physical activity support program (IPAS) did not show significant improvements in moderate-to-vigorous physical activity (MVPA) or secondary outcomes among 137 cancer survivors compared to a control group after 6 months.
Blended care, which included physiotherapist telephone counseling, received better satisfaction scores than online-only support, but overall adherence to the program was low, indicating a need for improved accessibility and support in future trials.
Effects of and Lessons Learned from an Internet-Based Physical Activity Support Program (with and without Physiotherapist Telephone Counselling) on Physical Activity Levels of Breast and Prostate Cancer Survivors: The PABLO Randomized Controlled Trial.van de Wiel, HJ., Stuiver, MM., May, AM., et al.[2021]
In a study of 128 inactive wheelchair users over 12 months, those receiving staff-supported exercise interventions reported about 17 more minutes of exercise per week compared to those in the self-guided group, indicating that more intensive support can enhance exercise adoption.
Despite the staff-supported group exercising more frequently, there were no significant differences in aerobic capacity or strength between the two groups, suggesting that while support helps with exercise frequency, additional strategies may be needed to improve overall fitness levels.
Exercise for everyone: a randomized controlled trial of project workout on wheels in promoting exercise among wheelchair users.Froehlich-Grobe, K., Lee, J., Aaronson, L., et al.[2021]
A study involving 11 manual wheelchair users found that both high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) were feasible and safe for home-based exercise, with no severe adverse events reported.
While neither training program significantly improved cardiorespiratory fitness or upper limb strength, participants in both groups reported moderate to significant subjective improvements, indicating potential benefits of these training methods.
Feasibility, Safety, and Preliminary Effectiveness of a Home-Based Self-Managed High-Intensity Interval Training Program Offered to Long-Term Manual Wheelchair Users.Gauthier, C., Brosseau, R., Hicks, AL., et al.[2022]

Citations

Effects of and Lessons Learned from an Internet-Based Physical Activity Support Program (with and without Physiotherapist Telephone Counselling) on Physical Activity Levels of Breast and Prostate Cancer Survivors: The PABLO Randomized Controlled Trial. [2021]
Exercise for everyone: a randomized controlled trial of project workout on wheels in promoting exercise among wheelchair users. [2021]
Feasibility, Safety, and Preliminary Effectiveness of a Home-Based Self-Managed High-Intensity Interval Training Program Offered to Long-Term Manual Wheelchair Users. [2022]
Validity of consumer-grade activity monitor to identify manual wheelchair propulsion in standardized activities of daily living. [2022]
The effects of wheelchair mobility skills and exercise training on physical activity, fitness, skills and confidence in youth using a manual wheelchair. [2022]
[Training program for rehabilitation of patients with internal diseases]. [2016]
High-Intensity Interval or Continuous Moderate Exercise: A 24-Week Pilot Trial. [2019]
Physical activity promotion in the health care system. [2022]
Exercise program for wheelchair activity. [2006]
Physical activity programs for cardiovascular outcomes in community wheelchair users: A systematic review. [2022]
Effects of a wheelchair ergometer training programme on spinal cord-injured persons. [2022]
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