A Web-Based Physical Activity Portal for Individuals Living With a Spinal Cord Injury: Qualitative Study

JMIR Form Res, 2019 · DOI: 10.2196/12507 · Published: July 25, 2019

Spinal Cord Injury Rehabilitation Telehealth & Digital Health

Simple Explanation

This study explores what features are preferred in a web-based platform designed to help individuals with spinal cord injuries (SCI) manage their physical activity. The research involved interviewing individuals with SCI and health care professionals (HCPs) to understand their needs and preferences for such a platform. The goal is to identify features that can motivate and support people with SCI to be more physically active after they leave rehabilitation.

Study Duration

Not specified

Participants

13 individuals with SCI and 9 health care professionals

Evidence Level

Qualitative study

Key Findings

1
Participants valued resources that provide guidance on physical activity, strategies to overcome barriers, and information on risks and benefits.
2
Interactive features such as access to healthcare professionals and peer support forums were considered important for reassurance and support.
3
The way information is presented, including appearance, language, and ease of use, significantly influences the appeal and utility of the platform.

Research Summary

This study aimed to identify the preferred features of a Web-based self-management physical activity portal through stakeholder engagement with individuals with a spinal cord injury and health care professionals (HCPs). Five core themes emerged: (1) knowledge: guidance and barrier management; (2) possibility of achievement: the risks and benefits of physical activity and modelling; (3) self-regulation strategies: action planning, goal setting, tracking, rewards, and reminders; (4) interactivity: peers and professionals; and (5) format: appearance, language, and ease of use. The mean (median) ratings of the likelihood of promoting and using a Web-based portal tailored to individuals’ needs were 9.00 (8.78) and 7.75 (7.88) for HCPs and individuals with an SCI, respectively.

Practical Implications

Design of Web-Based Portals

The findings will inform the design of a Web-based self-management physical activity portal to increase physical activity adherence and behavior change.

Enhancement of Existing Platforms

Content should be updated and enhanced to reflect the needs and preferences of the SCI community. Interactive features, including contact with peers and professionals through the same system, should be embedded within the website.

Early Introduction of Self-Management Tools

Introducing self-management tools to patients early on in their recovery process is an integral step to ensure a continuum of care.

Study Limitations

1
The majority of the individuals who participated (83%) reported that they have been engaging in physical activity for more than 6 months.
2
Some participants reported that they did not have sufficient time to navigate the website, which may have influenced their exploration of the available resources.
3
Due to time and resource constraints, only persons with an SCI living in urban areas were recruited.

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