A pilot study of a web-based physical activity motivational program for adults with physical disabilities
Abstract
PURPOSE: Develop, deliver, and assess the efficacy of a 4-week web-based leisure-time physical activity (LTPA) motivational program based on the Transtheoretical Model and tailored to inactive adults with physical disabilities. METHOD: This was a pilot-based study incorporating a true experimental design with one treatment and one control group. The intervention program was delivered on the web and was based on the constructs of the Transtheoretical Model. From the 151 individuals who completed the LTPA standardized questionnaire at baseline, 75 people participated in the 1-month post-test assessment. RESULTS: The results of the analysis confirmed the pretest LTPA scores as the study covariate for the post-test assessment (F (1,72)=16.06, p=0.001, (2 )= 0.18). Based on the one-way ANCOVA, there were no statistically significant differences in LTPA scores between the treatment and control groups at post-test. However, the corresponding effect size and variance explained by the treatment approached a moderate level of significance (d=0.34 and (2 )= 0.04). CONCLUSIONS: Although conclusive statements about program effectiveness cannot be secured, several 'lessons learned' from this project may be 'key factors' for program improvement. Given the pilot nature of the study and the limited resources for program development and monitoring, continued examination of such motivational materials and delivery mechanisms for people with physical disabilities appear warranted.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In three studies, an Internet-based physical activity intervention was compared with a waiting list group.
“In three studies, an Internet-based physical activity intervention was compared with a waiting list group.”
From Internet-based physical activity interventions: a systematic review of the literature. (2007) · cites this paper as [41]
Six studies used one or more theoretical models to compose the contents of the interventions.
“Six studies used one or more theoretical models to compose the contents of the interventions.”
From Internet-based physical activity interventions: a systematic review of the literature. (2007) · cites this paper as [41]
In two studies, the study sample included only those participants who completed both baseline and follow-up measurements, excluding dropouts from the analysis.
“In two studies [41,42], the study sample included only those participants who completed both the baseline as well as the follow-up measurements, excluding dropouts from the analysis.”
From Internet-based physical activity interventions: a systematic review of the literature. (2007) · cites this paper as [41]
Six of the 10 studies compared the characteristics of dropouts with the subjects that completed all outcome measurements.
“All studies reported a dropout rate, with six of the 10 studies comparing the characteristics of these dropouts with the subjects that completed all outcome measurements [32,35,36,39-41].”
From Internet-based physical activity interventions: a systematic review of the literature. (2007) · cites this paper as [41]
Cites
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,406 · see citing works
Statistical Power Analysis for the Behavioral Sciences (2nd ed.).
Lachenbruch, P. A., & Cohen, J. (1989) · Journal of the American Statistical Association · doi:10.2307/2290095 · Cited by 37,385 · see citing works
Statistical Methods for Rates and Proportions
Fleiss, J. L., Levin, B., & Paik, M. C. (2003) · Wiley Series in Probability and Statistics · doi:10.1002/0471445428 · Cited by 18,646 · see citing works
Statistical Methods for Rates and Proportions, 2nd ed
GROVE, W. A. (1981) · American Journal of Psychiatry · doi:10.1176/ajp.138.12.1644-a · Cited by 3,756 · see citing works
Don't Make Me Think: A Common Sense Approach to Web Usability
Krug, S., & Black, R. L. (2009) · Cited by 1,054 · see citing works
ACSM’s Guidelines for Exercise Testing and Prescription 9th Ed. 2014
Ferguson, B. (2014) · Europe PMC (PubMed Central) · Cited by 929 · see citing works
Using Internet technology to deliver a behavioral weight loss program
Tate, D. F. (2001) · JAMA · doi:10.1001/jama.285.9.1172 · Cited by 925 · see citing works
The physical activity scale for individuals with physical disabilities: development and evaluation.
Washburn, R., Zhu, W.-M., McAuley, E., Frogley, M., & Figoni, S. (2002) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2002.27467 · Cited by 483 · see citing works
Marcus, B. H., Emmons, K. M., Simkin‐Silverman, L. R., Linnan, L. A., Taylor, E. R., Bock, B. C., Roberts, M. B., Rossi, J. S., & Abrams, D. B. (1998) · American Journal of Health Promotion · doi:10.4278/0890-1171-12.4.246 · Cited by 317 · see citing works
What Makes a Good Staging Algorithm: Examples from Regular Exercise
Reed, G. R., Velicer, W. F., Prochaska, J. O., Rossi, J. S., & Marcus, B. H. (1997) · American Journal of Health Promotion · doi:10.4278/0890-1171-12.1.57 · Cited by 291 · see citing works
8 Physical Activity among Persons with Disabilities???A Public Health Perspective
HEATH, G. N., & Fentem, P. H. (1997) · Exercise and Sport Sciences Reviews · doi:10.1249/00003677-199700250-00010 · Cited by 237 · see citing works
Making Health Communication Programs Work: Planner's Guide
(2001) · PsycEXTRA Dataset · doi:10.1037/e568412010-001 · Cited by 200 · see citing works
Rimmer, J. H., & Braddock, D. L. (2002) · American Journal of Health Promotion · doi:10.4278/0890-1171-16.4.220 · Cited by 162 · see citing works
Blissmer, B. J., & McAuley, E. (2002) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2403_03 · Cited by 99 · see citing works
Evaluation of physical activity web sites for use of behavior change theories
Doshi, A., Patrick, K., Sallis, J. F., & Calfas, K. (2003) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2502_06 · Cited by 96 · see citing works
Cardinal, B. J., & Sachs, M. (1996) · PubMed · Cited by 88 · see citing works
Self-citationFactors Influencing the Exercise Behavior of Adults with Physical Disabilities
Cardinal, B. J., Kosma, M., & McCubbin, J. A. (2004) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000126568.63402.22 · Cited by 80 · see citing works
Self-citationTechnology’s influence on physical activity and exercise science: the present and the future
Nigg, C. R. (2002) · Psychology of sport and exercise · doi:10.1016/s1469-0292(02)00017-1 · Cited by 69 · see citing works
Cardinal, B. J., & Sachs, M. (1995) · American Journal of Health Promotion · doi:10.4278/0890-1171-9.6.430 · Cited by 69 · see citing works
Self-citationMotivating Individuals With Disabilities to Be Physically Active
Kosma, M., Cardinal, B. J., & Rintala, P. (2002) · Quest · doi:10.1080/00336297.2002.10491770 · Cited by 66 · see citing works
Self-citationCardinal, B. J., & Cardinal, M. K. (2000) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2000.10608910 · Cited by 49 · see citing works
Self-citationEffects of a Self-Determination Theory–Based Mail-Mediated Intervention on Adults' Exercise Behavior
Levy, S. S., & Cardinal, B. J. (2004) · American Journal of Health Promotion · doi:10.4278/0890-1171-18.5.345 · Cited by 49 · see citing works
Self-citationPredictors of Physical Activity Stage of Change among Adults with Physical Disabilities
Kosma, M., Cardinal, B. J., & McCubbin, J. A. (2004) · American Journal of Health Promotion · doi:10.4278/0890-1171-19.2.114 · Cited by 42 · see citing works
Self-citationKosma, M., Cardinal, B. J., & McCubbin, J. A. (2004) · Quest · doi:10.1080/00336297.2004.10491834 · Cited by 24 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Webb, T. L., Joseph, J., Yardley, L., & Michie, S. (2010) · Journal of Medical Internet Research · doi:10.2196/jmir.1376 · Cited by 2,517 · see citing works
A meta-analysis of computer-tailored interventions for health behavior change
Krebs, P., Prochaska, J. O., & Rossi, J. S. (2010) · Preventive Medicine · doi:10.1016/j.ypmed.2010.06.004 · Cited by 854 · see citing works
Website-Delivered Physical Activity Interventions
Vandelanotte, C., Spathonis, K. M., Eakin, E. G., & Owen, N. (2007) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2007.02.041 · Cited by 475 · see citing works
Meta-analysis of internet-delivered interventions to increase physical activity levels
Davies, C. A., Spence, J. C., Vandelanotte, C., Caperchione, C. M., & Mummery, W. (2012) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-9-52 · Cited by 488 · see citing works
Portnoy, D. B., Scott-Sheldon, L. A. J., Johnson, B. T., & Carey, M. P. (2008) · Preventive Medicine · doi:10.1016/j.ypmed.2008.02.014 · Cited by 451 · see citing works
Internet-based physical activity interventions: a systematic review of the literature.
van den Berg, M. H., Schoones, J. W., & Vliet Vlieland, T. P. (2007) · Journal of Medical Internet Research · doi:10.2196/jmir.9.3.e26 · Cited by 377 · see citing works
Cugelman, B., Thelwall, M., & Dawes, P. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1367 · Cited by 323 · see citing works
“5% Disabled persons 75 151 Kosma et al (2005) [71]”
Morrison, L. G., Yardley, L., Powell, J., & Michie, S. (2012) · Telemedicine and e-Health · doi:10.1089/tmj.2011.0062 · Cited by 290 · see citing works
Kirwan, M., Duncan, M. J., Vandelanotte, C., & Mummery, W. K. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.1950 · Cited by 189 · see citing works
Participation of African Americans in e-Health and m-Health Studies: A Systematic Review
James, D. C., Harville, C., Sears, C., Efunbumi, O., & Bondoc, I. (2017) · Telemedicine and e-Health · doi:10.1089/tmj.2016.0067 · Cited by 78 · see citing works
Yardley, L., & Nyman, S. R. (2007) · Health Promotion International · doi:10.1093/heapro/dam007 · Cited by 48 · see citing works
Effectiveness of lifestyle physical activity interventions to reduce cardiovascular disease
Dunn, A. L. (2009) · American Journal of Lifestyle Medicine · doi:10.1177/1559827609336067 · Cited by 37 · see citing works
- Authors
- kosma, M., Cardinal, B. J., & Mccubbin, J. A.
- Affiliations
- Louisiana State University (US)
- Oregon State University (US)
- Corresponding author
- kosma, Maria
- Venue
- Disability and Rehabilitation
- Publisher
- Informa UK Limited
- Published
- 2005-01
- Volume
- 27
- Issue
- 23
- Pages
- 1435-1442
- ISSN
- 0963-8288 (ISSN-L)
- 1464-5165
- OpenAlex
- W2157745993
- Cited by
- 96
- References
- 25
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 7 · 2019: 3 · 2018: 8 · 2017: 5 · 2016: 5 · 2015: 1 · 2014: 12 · 2013: 4 · 2012: 9
- FWCI
- 1.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Civil War Book Review (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Social Sciences › Psychology › Social Psychology › Motivation and Self-Concept in Sports
- Keywords
- online intervention, exercise motivation, leisure-time physical activity, physical disability, transtheoretical model, health behavior change, adults with disabilities, program development, physical inactivity
- MeSH terms
- Analysis of Variance, Female, Persons with Disabilities, Disabled Persons, Health Promotion, Humans, Leisure Activities, Male, Motivation, Pilot Projects, Exercise, Statistics, Nonparametric, Internet
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review