ArticleAmerican journal of physical medicine & rehabilitation2026
Effectiveness of a Mobile Health Exercise Program for Adults With Mobility Disabilities: A Randomised Controlled Trial.
Article in American journal of physical medicine & rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPeople with mobility disabilities experience significant barriers to regular physical activity, increasing risks of chronic disease and reducing quality of life. Mobile health (mHealth) programs may help by offering accessible, home-based exercise options. This study compared a 24-week mHealth intervention-with and without social networking-to an attention control condition.
methodsIn this type 1 hybrid randomized controlled trial, 459 adults with mobility disabilities were randomized to one of three groups: M2M (exercise videos), M2Mplus (exercise videos plus social networking and optional coaching), or attention control (health articles). The 24-week intervention was delivered via a tablet-based app with follow-up through 48 weeks. The primary outcome was the Godin Leisure-Time Exercise Questionnaire (GLTEQ) health contribution score, measured at baseline, 12, 24, and 48 weeks.
resultsAt the 24-week primary endpoint, the M2Mplus group showed significantly greater increases in GLTEQ health contribution scores compared with attention control (LSM=4.8; 95% CI 1.7-7.8; P=.002). By 48 weeks, the difference was no longer statistically significant. DISCUSSION: This large hybrid trial shows that scalable mHealth exercise programs can increase short-term physical activity among adults with mobility disabilities, though sustaining activity after the intervention ends remains challenging.
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