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Study Purpose
The manuscript reports participant feedback on Seated Physical Activity INtervention, or SPIN, a program for wheelchair users with multiple sclerosis. It addresses barriers that can restrict participation in physical activity and exercise training. SPIN was adapted from the Guidelines for Exercise in MS approach through a three-step, community-engaged framework based on the needs of wheelchair users with MS.
Program and Evaluation
SPIN included an exercise prescription, equipment, and behavioral coaching grounded in Social Cognitive Theory. Researchers conducted semi-structured interviews with nine people who completed the 16-week intervention. Questions covered overall experience, enjoyable or missing components, delivery modifications, barriers, lessons learned, and additional research topics. The researchers used a rapid qualitative analysis approach, and interviews averaged 16 minutes.
Participant Feedback
Participants reported enjoying SPIN and described it as flexible and appropriate for individuals with MS. They highlighted coaching calls from knowledgeable staff, which provided support and accountability, as well as exercise equipment and video demonstrations. Participants suggested possible enhancements, including peer support, real-time feedback during exercise, and additional wellness topics such as diet. The authors present these findings as considerations for developing future exercise programs, rather than treatment recommendations.
