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Spinal Cord Ser Cases. 2017 Aug 3;3:17044. doi: 10.1038/scsandc.2017.44. eCollection 2017.

A randomized controlled trial to test the efficacy of the SCI Get Fit Toolkit on leisure-time physical activity behaviour and social-cognitive processes in adults with spinal cord injury.

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Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada.
Department of Kinesiology and Physical Education, McGill University, Montreal, Quebec, Canada.
Center for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Quebec, Canada.
Center for Interdisciplinary Research in Rehabilitation and Social Integration, Institut de Rédadaptation en Déficience Physique de Québec, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Montreal, Quebec, Canada.
Faculty of Medicine, Department of Rehabilitation, Université Laval, Quebec City, Quebec, Canada.
School of Health and Exercise Sciences, University of British Columbia, Okanagan, Kelowna, British Columbia, Canada.
International Collaboration on Repair Discoveries (ICORD), Vancouver, British Columbia, Canada.
School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario, Canada.



Single blind, two-group randomized controlled trial.


To evaluate the efficacy of the SCI Get Fit Toolkit delivered online on theoretical constructs and moderate-to-vigorous physical activity (MVPA) among adults with SCI.


Ontario and Quebec, Canada.


Inactive, English- and French-speaking Canadian adults with traumatic SCI with Internet access, and no self-reported cognitive or memory impairments.


Participants (N=90 Mage=48.12±11.29 years; 79% male) were randomized to view the SCI Get Fit Toolkit or the Physical Activity Guidelines for adults with SCI (PAG-SCI) online. Primary (intentions) and secondary (outcome expectancies, self-efficacy, planning and MVPA behaviour) outcomes were assessed over a 1-month period.


Of the 90 participants randomized, 77 were included in the analyses. Participants viewed the experimental stimuli only briefly, reading the 4-page toolkit for approximately 2.5 min longer than the 1-page guideline document. No condition effects were found for intentions, outcome expectancies, self-efficacy, and planning (ΔR2⩽0.03). Individuals in the toolkit condition were more likely to participate in at least one bout of 20 min of MVPA behaviour at 1-week post-intervention compared to individuals in the guidelines condition (OR=3.54, 95% CI=0.95, 13.17). However, no differences were found when examining change in weekly minutes of MVPA or comparing whether participants met the PAG-SCI.


No firm conclusions can be made regarding the impact of the SCI Get Fit Toolkit in comparison to the PAG-SCI on social cognitions and MVPA behaviour. The limited online access to this resource may partially explain these null findings.


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