Acceptability, Safety and Feasibility of a Sedentary Behaviour Intervention (REACH-SCI) in Individuals with Spinal Cord Injury: A Mixed-Methods Study
- 1City St George's, University of London
Abstract
PurposeIndividuals with paraplegia often have high levels of sedentary behaviour, which increases cardiovascular disease risk. This study assessed the acceptability, safety and feasibility of a sedentary behaviour intervention (REACH-SCI) in individuals with paraplegia.
Materials and methodsA pre-post feasibility study was conducted in wheelchair-users with paraplegia (n=18) to evaluate an 8-week intervention comprised of a wearable activity tracker, educational booklet, goal setting, motivational support sessions, peer support and activity tools (Trial registration: NCT06957483). Acceptability was assessed via semi-structured interviews and questionnaires, safety via adverse events, pain and fatigue, and intervention feasibility via components being delivered as intended. Intervention engagement and preliminary efficacy were also assessed.
ResultsThe intervention and study procedures were acceptable and safe, intervention components were delivered as planned, and the study was feasible in terms of participant recruitment, retention and data completion rates. Engagement with intervention components was generally high, except for peer support. The intervention demonstrated preliminary efficacy for improving sedentary behaviour, physical activity, cardiovascular disease biomarkers and psychosocial outcomes.
ConclusionsAn intervention to reduce sedentary behaviour in individuals with paraplegia was acceptable, safe and feasible. The effectiveness of REACH-SCI should be evaluated in a definitive trial to inform clinical care and public health guidelines.
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BibTeX
@misc{cooper2026acceptability,
title = {{Acceptability, Safety and Feasibility of a Sedentary Behaviour Intervention (REACH-SCI) in Individuals with Spinal Cord Injury: A Mixed-Methods Study}},
author = {D. L. Cooper and A. Warland and E. Norris and C. Kilbride and S. Paddison and B. D. Maylor and K. A. Finlay and L. Ferrandino and D. P. Bailey},
howpublished = {medRxiv},
year = {2026},
month = oct,
doi = {10.64898/2026.10.21.26365989},
url = {https://www.medrxiv.org/content/10.64898/2026.10.21.26365989v1},
note = {CC BY},
}
RIS
TY - UNPB
TI - Acceptability, Safety and Feasibility of a Sedentary Behaviour Intervention (REACH-SCI) in Individuals with Spinal Cord Injury: A Mixed-Methods Study
AU - D. L. Cooper
AU - A. Warland
AU - E. Norris
AU - C. Kilbride
AU - S. Paddison
AU - B. D. Maylor
AU - K. A. Finlay
AU - L. Ferrandino
AU - D. P. Bailey
PY - 2026
DA - 2026/10/21
PB - medRxiv
DO - 10.64898/2026.10.21.26365989
UR - https://www.medrxiv.org/content/10.64898/2026.10.21.26365989v1
AB - PurposeIndividuals with paraplegia often have high levels of sedentary behaviour, which increases cardiovascular disease risk. This study assessed the acceptability, safety and feasibility of a sedentary behaviour intervention (REACH-SCI) in individuals with paraplegia. Materials and methodsA pre-post feasibility study was conducted in wheelchair-users with paraplegia (n=18) to evaluate an 8-week intervention comprised of a wearable activity tracker, educational booklet, goal setting, motivational support sessions, peer support and activity tools (Trial registration: NCT06957483). Acceptability was assessed via semi-structured interviews and questionnaires, safety via adverse events, pain and fatigue, and intervention feasibility via components being delivered as intended. Intervention engagement and preliminary efficacy were also assessed. ResultsThe intervention and study procedures were acceptable and safe, intervention components were delivered as planned, and the study was feasible in terms of participant recruitment, retention and data completion rates. Engagement with intervention components was generally high, except for peer support. The intervention demonstrated preliminary efficacy for improving sedentary behaviour, physical activity, cardiovascular disease biomarkers and psychosocial outcomes. ConclusionsAn intervention to reduce sedentary behaviour in individuals with paraplegia was acceptable, safe and feasible. The effectiveness of REACH-SCI should be evaluated in a definitive trial to inform clinical care and public health guidelines.
ER -