The SitLess With MS Program: Intervention Feasibility and Change in Sedentary Behavior
Objectives: This study reports on the feasibility of the SitLess with MS trial, an intervention targeting sedentary behavior in individuals with multiple sclerosis (MS). Design: Single group, pre-post intervention design. Setting: Community. Participants: Participants (N=41) with mild to moderate di...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-12-01
|
| Series: | Archives of Rehabilitation Research and Clinical Translation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590109520300719 |
| _version_ | 1818352506022920192 |
|---|---|
| author | Patricia J. Manns, PhD Golnoush Mehrabani, MD Sarah Norton, BA Saeideh Aminian, PhD Robert W. Motl, PhD |
| author_facet | Patricia J. Manns, PhD Golnoush Mehrabani, MD Sarah Norton, BA Saeideh Aminian, PhD Robert W. Motl, PhD |
| author_sort | Patricia J. Manns, PhD |
| collection | DOAJ |
| description | Objectives: This study reports on the feasibility of the SitLess with MS trial, an intervention targeting sedentary behavior in individuals with multiple sclerosis (MS). Design: Single group, pre-post intervention design. Setting: Community. Participants: Participants (N=41) with mild to moderate disability from MS. Intervention: The intervention was 15 weeks, with a 7-week follow-up, and included 2 stages: SitLess and MoveMore. During the SitLess stage, participants were encouraged to break up prolonged sitting bouts over a 7-week period, whereas the MoveMore stage promoted increased steps per day and interrupting sitting over a 7-week period. The intervention was delivered through weekly one-on-one coaching sessions via telerehabilitation and an accompanying newsletter based on social-cognitive theory. Activity was monitored throughout the program using a Fitbit. Main Outcome Measures: Process (eg, recruitment) and resource and management (eg, personnel requirements) metrics were assessed, along with efficacy outcomes (eg, effect). Progression criteria were set a priori and were related to safety, fatigue, satisfaction, and attrition. Sedentary behavior, measured using the ActivPal, was reported pre- and postintervention, as well as 7 weeks postintervention. Effect sizes (pre to post, pre to 7 weeks post) were calculated for the sedentary behavior outcomes (eg, time sitting, transitions from sitting to standing, number of long sitting bouts). Experiences with the intervention were explored through an online survey. Results: Forty-one participants enrolled, 39 of whom completed the intervention. All participants but 1 were satisfied with the experience. Pre-post intervention effect sizes for change in total sedentary time, number of transitions from sit to stand, and number of long (>30 min) sedentary bouts were 0.34, 0.02, and 0.39 respectively. All a priori progression criteria were met. Conclusions: The SitLess with MS program, a novel intervention that emphasized and facilitated sitting less and moving more, was feasible and resulted in small changes in sedentary behavior in individuals with MS. |
| first_indexed | 2024-12-13T18:54:43Z |
| format | Article |
| id | doaj.art-21f6fb37c5ce4c27b5a701d0c006df63 |
| institution | Directory Open Access Journal |
| issn | 2590-1095 |
| language | English |
| last_indexed | 2024-12-13T18:54:43Z |
| publishDate | 2020-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Rehabilitation Research and Clinical Translation |
| spelling | doaj.art-21f6fb37c5ce4c27b5a701d0c006df632022-12-21T23:34:50ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952020-12-0124100083The SitLess With MS Program: Intervention Feasibility and Change in Sedentary BehaviorPatricia J. Manns, PhD0Golnoush Mehrabani, MD1Sarah Norton, BA2Saeideh Aminian, PhD3Robert W. Motl, PhD4Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada; Corresponding author Patricia J. Manns PhD, Faculty of Rehabilitation Medicine, University of Alberta, 8204 114th St, Edmonton, AB Canada T6G 2G4.Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, CanadaFaculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, CanadaFaculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, CanadaDepartment of Physical Therapy, University of Alabama at Birmingham, Urbana, ALObjectives: This study reports on the feasibility of the SitLess with MS trial, an intervention targeting sedentary behavior in individuals with multiple sclerosis (MS). Design: Single group, pre-post intervention design. Setting: Community. Participants: Participants (N=41) with mild to moderate disability from MS. Intervention: The intervention was 15 weeks, with a 7-week follow-up, and included 2 stages: SitLess and MoveMore. During the SitLess stage, participants were encouraged to break up prolonged sitting bouts over a 7-week period, whereas the MoveMore stage promoted increased steps per day and interrupting sitting over a 7-week period. The intervention was delivered through weekly one-on-one coaching sessions via telerehabilitation and an accompanying newsletter based on social-cognitive theory. Activity was monitored throughout the program using a Fitbit. Main Outcome Measures: Process (eg, recruitment) and resource and management (eg, personnel requirements) metrics were assessed, along with efficacy outcomes (eg, effect). Progression criteria were set a priori and were related to safety, fatigue, satisfaction, and attrition. Sedentary behavior, measured using the ActivPal, was reported pre- and postintervention, as well as 7 weeks postintervention. Effect sizes (pre to post, pre to 7 weeks post) were calculated for the sedentary behavior outcomes (eg, time sitting, transitions from sitting to standing, number of long sitting bouts). Experiences with the intervention were explored through an online survey. Results: Forty-one participants enrolled, 39 of whom completed the intervention. All participants but 1 were satisfied with the experience. Pre-post intervention effect sizes for change in total sedentary time, number of transitions from sit to stand, and number of long (>30 min) sedentary bouts were 0.34, 0.02, and 0.39 respectively. All a priori progression criteria were met. Conclusions: The SitLess with MS program, a novel intervention that emphasized and facilitated sitting less and moving more, was feasible and resulted in small changes in sedentary behavior in individuals with MS.http://www.sciencedirect.com/science/article/pii/S2590109520300719Feasibility studiesMultiple sclerosisRehabilitationTelerehabilitation |
| spellingShingle | Patricia J. Manns, PhD Golnoush Mehrabani, MD Sarah Norton, BA Saeideh Aminian, PhD Robert W. Motl, PhD The SitLess With MS Program: Intervention Feasibility and Change in Sedentary Behavior Archives of Rehabilitation Research and Clinical Translation Feasibility studies Multiple sclerosis Rehabilitation Telerehabilitation |
| title | The SitLess With MS Program: Intervention Feasibility and Change in Sedentary Behavior |
| title_full | The SitLess With MS Program: Intervention Feasibility and Change in Sedentary Behavior |
| title_fullStr | The SitLess With MS Program: Intervention Feasibility and Change in Sedentary Behavior |
| title_full_unstemmed | The SitLess With MS Program: Intervention Feasibility and Change in Sedentary Behavior |
| title_short | The SitLess With MS Program: Intervention Feasibility and Change in Sedentary Behavior |
| title_sort | sitless with ms program intervention feasibility and change in sedentary behavior |
| topic | Feasibility studies Multiple sclerosis Rehabilitation Telerehabilitation |
| url | http://www.sciencedirect.com/science/article/pii/S2590109520300719 |
| work_keys_str_mv | AT patriciajmannsphd thesitlesswithmsprograminterventionfeasibilityandchangeinsedentarybehavior AT golnoushmehrabanimd thesitlesswithmsprograminterventionfeasibilityandchangeinsedentarybehavior AT sarahnortonba thesitlesswithmsprograminterventionfeasibilityandchangeinsedentarybehavior AT saeidehaminianphd thesitlesswithmsprograminterventionfeasibilityandchangeinsedentarybehavior AT robertwmotlphd thesitlesswithmsprograminterventionfeasibilityandchangeinsedentarybehavior AT patriciajmannsphd sitlesswithmsprograminterventionfeasibilityandchangeinsedentarybehavior AT golnoushmehrabanimd sitlesswithmsprograminterventionfeasibilityandchangeinsedentarybehavior AT sarahnortonba sitlesswithmsprograminterventionfeasibilityandchangeinsedentarybehavior AT saeidehaminianphd sitlesswithmsprograminterventionfeasibilityandchangeinsedentarybehavior AT robertwmotlphd sitlesswithmsprograminterventionfeasibilityandchangeinsedentarybehavior |