Trial reportSports medicine (Auckland, N.Z.)2019
The Effects of a Patient and Provider Co-Developed, Behavioral Physical Activity Intervention on Physical Activity, Psychosocial Predictors, and Fitness in Individuals with Spinal Cord Injury: A Randomized Controlled Trial.
Trial report in Sports medicine (Auckland, N.Z.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03111030 (ProACTIVE SCI Physical Activity Coaching Intervention), which is not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
ProACTIVE SCI Physical Activity Coaching Intervention
Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Physical Therapist Involved Physical Activity Interventions: A Systematic Review and Meta-Analysis.Journal of neurologic physical therapy : JNPT · 2026Pooled it
- An Australian and New Zealand clinical practice guideline for the physiotherapy management of people with spinal cord injuries.Spinal cord · 2025Guideline
- Exercise and aerobic capacity in individuals with spinal cord injury: A systematic review with meta-analysis and meta-regression.PLoS medicine · 2023Pooled it
- Active living lifestyles for manual wheelchair users (ALLWheel) program to enhance leisure time physical activity: a pilot randomized control trial.Spinal cord · 2025Trial
- Collaborative Care Versus Usual Care to Improve Quality of Life, Pain, Depression, and Physical Activity in Outpatients With Spinal Cord Injury: The SCI-CARE Randomized Controlled Clinical Trial.Journal of neurotrauma · 2023Trial
- Effectiveness and feasibility of the workout on wheels internet intervention (WOWii) for individuals with spinal cord injury: a randomized controlled trial.Spinal cord · 2022Trial
- A dynamic analysis of physical activity barriers experienced by adults with spinal cord injury.Spinal cord series and cases · 2022Trial
- Trial
- Co-development of a physiotherapist-delivered physical activity intervention for adults with spinal cord injury.Spinal cord · 2020Trial
- Sleep as an Effect Modifier for Physical Activity Intervention Efficacy: Secondary Analysis of Data from Two Randomized Controlled Trials.International journal of behavioral medicine · 2026Article
- Review
- Co-development and implementation of a group-based arm-crank exercise programme in the community for individuals with neurological impairments.BMC sports science, medicine & rehabilitation · 2026Article
- Association between socio-demographic and injury factors, and physical activity behaviour in people with spinal cord injury: a theory-informed systematic review and meta-analysis.BMC sports science, medicine & rehabilitation · 2025Article
- Physical activity promotion in physical therapy, exercise therapy and other movement-based therapies: a scoping review and content analysis of intervention studies and theoretical works.The international journal of behavioral nutrition and physical activity · 2025Article
- Article
- Physical Activity Interventions Framed by the Health Action Process Approach for Adults with Long-Term Conditions: A Scoping Review.International journal of behavioral medicine · 2024Article
- Theory- and evidence-based best practices for physical activity counseling for adults with spinal cord injury.The journal of spinal cord medicine · 2024Article
- Article
- Physical activity promotion to persons with spinal cord injury by health and exercise professionals: A scoping review.The journal of spinal cord medicine · 2023Article
- Assessing the reach, effectiveness, adoption, implementation, and maintenance of the ProACTIVE SCI physical activity counseling intervention among physiotherapists and SCI peer coaches during the transition from rehabilitation to community.Frontiers in neurology · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 2 countries.
Funding
Abstract
backgroundPhysical activity (PA) interventions in people with spinal cord injury (SCI) have been limited by a shortage of (1) evidence for sufficient increases in unsupervised PA to improve aerobic fitness and (2) stakeholder involvement in intervention design.
objectivesThis study examined the effects of a theory-based PA intervention, developed in collaboration with nearly 300 stakeholders, on PA levels, aerobic fitness, and psychosocial predictors of PA among individuals with SCI.
methodsA randomized controlled trial (RCT) was conducted with 28 men and women with chronic SCI (age 45.0 ± 11.5 years, years post-injury 16.4 ± 12.4). Participants randomized to the intervention group (n = 14) received an introductory personal training session followed by eight weekly 15-min PA behavioral coaching sessions per week. PA was assessed using self-report and accelerometers. Aerobic fitness and psychosocial predictors of exercise were evaluated using an incremental exercise test and survey methods, respectively.
resultsAt post-intervention, controlling for baseline, the intervention group showed fivefold greater self-reported moderate to vigorous physical activity [mean difference 247.9 min/day; 95% confidence interval (CI) 92.8-403.1; p = 0.026, d = 1.04], 17% greater accelerometer-measured PA (mean difference 3.9 × 10
conclusionTo our knowledge, this co-created behavioral intervention produced the largest effect size to date for change in self-reported PA in an RCT involving people with physical disability. This is also the first RCT in people with SCI to demonstrate that a behavioral intervention can sufficiently increase unsupervised PA to improve aerobic fitness.
trial registrationClinicalTrials.gov, NCT03111030, 12 April 2017, https://clinicaltrials.gov/ct2/show/NCT03111030?term=NCT03111030&rank=1 .
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.