Feasibility, Usability, and Acceptability of a Randomized Controlled Trial Evaluating Teleexercise Interventions for Individuals with Spinal Cord Injury: Interim Analysis of the Spinal Cord Injury Program in Exercise (SCIPE) Study.
Hui-Ju Young, Sangeetha Mohanraj, Laurie A Malone and 4 others
PMID 40980516WHAT IT FOUND
Teleexercise for spinal cord injury was feasible during the 8-week program, with 91.7% retention.
However, engagement dropped sharply after the intervention ended. Usability was rated fair overall, suggesting the platform needs simpler design and better tracking to sustain long-term use.
Key findings
01Retention was high during the 8-week intervention (91.7%) but dropped to 58.3% by the 16-week follow-up.
02The platform's overall usability was rated 'fair' (mean System Usability Scale score 69.8), though the Standard Exercise Training group rated it 'good' compared to the Music-to-Move and Attention Control groups.
03Participants found the platform secure and easy to navigate, but suggested improvements like clearer weekly objectives and more peer interaction to maintain engagement.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
This is an interim analysis with a small sample size (36), so it is not powered to detect statistical significance for clinical outcomes. The interventions were delivered asynchronously, making it difficult to verify if participants actually followed the exercises or read the articles. Attrition was high after the intervention period, which may bias the long-term follow-up data. The study did not include a blinding of participants to the intervention arms, which could influence reported usability and acceptability. Preliminary outcome estimates are based on small effect sizes and wide confidence intervals, limiting their reliability.
Declared interests
The investigators have no financial or nonfinancial disclosures to make in relation to this project.
The easy way to misread this
Do not interpret the preliminary changes in physical activity or quality of life as evidence that these specific teleexercise protocols are effective. The study was an interim feasibility analysis, not powered for efficacy, and the Attention Control group showed unexpected increases in vigorous activity, suggesting nonspecific effects may have influenced the results.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →