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An internet-based physical activity intervention for adolescents with cerebral palsy : a randomized controlled trial

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dc.contributor.authorMaher, C.A.
dc.contributor.authorWilliams, M.T.
dc.contributor.authorOlds, T.S.
dc.contributor.authorLane, A.
dc.date.issued2010
dc.description.abstract<h4>Aim</h4>To determine the effectiveness of an 8-week internet-based, lifestyle physical-activity intervention for adolescents with cerebral palsy (CP).<h4>Method</h4>A randomized controlled trial using concealed allocation with blinded assessments at baseline, 10, and 20 weeks. Forty-one adolescents with CP participated (26 males, 15 females; mean age 13y 7mo, SD 1y 8mo, range 11-17y; Gross Motor Function Classification System levels: I, n=21; II, n=17; III, n=3; unilateral distribution n=16, bilateral n=25). Primary outcome was physical activity (NL-1000 accelerometers and self-report [Multimedia Activity Recall for Children and Adolescents: MARCA]). Secondary outcomes were exercise knowledge (a purpose-designed scale), attitudes, intention and self-efficacy (Lifestyle Education for Activity Program II scales), self-reported sedentary behaviour (MARCA), and functional capacity (6-min walk test).<h4>Results</h4>At 10 weeks the intervention group showed no increased physical activity compared with the comparison group (weekly steps: change of +2420 vs -12189 steps p=0.06; weekly moderate-to-vigorous physical activity: change of +70 vs +8min, p=0.06; weekly distance walked: change of +3 vs -9.1km, p=0.05) and exercise knowledge (12% vs 1% improvement, p=0.08). There were no statistically significant differences for these outcomes at 20 weeks, or in self-reported physical activity at 10 or 20 weeks.<h4>Interpretation</h4>There was a positive short-term pattern for improvement in physical activity and knowledge. Internet-based programs may offer an alternative for participants unable to attend regular face-to-face physical activity programs.
dc.identifier.citationDevelopmental Medicine and Child Neurology, 2010; 52(5):448-455
dc.identifier.doi10.1111/j.1469-8749.2009.03609.x
dc.identifier.issn0012-1622
dc.identifier.issn1469-8749
dc.identifier.orcidMaher, C.A. [0000-0002-8676-0224]
dc.identifier.orcidWilliams, M.T. [0000-0002-0473-5157]
dc.identifier.urihttps://hdl.handle.net/1959.8/97081
dc.language.isoen
dc.publisherMac Keith Press
dc.rightsCopyright The Authors. Journal compilation copyright Mac Keith Press 2010
dc.source.urihttps://doi.org/10.1111/j.1469-8749.2009.03609.x
dc.subjectHumans
dc.subjectCerebral Palsy
dc.subjectTreatment Outcome
dc.subjectExercise
dc.subjectWalking
dc.subjectActivities of Daily Living
dc.subjectMotor Activity
dc.subjectLife Style
dc.subjectTime Factors
dc.subjectComputer-Assisted Instruction
dc.subjectInternet
dc.subjectAdolescent
dc.subjectChild
dc.subjectFemale
dc.subjectMale
dc.titleAn internet-based physical activity intervention for adolescents with cerebral palsy : a randomized controlled trial
dc.typeJournal article
pubs.publication-statusPublished
ror.mmsid9915910606901831

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