Multiple sclerosis \[MS\] is a prevalent neurological disease that is the leading cause of irreversible neurological disability among young women and the second leading cause of disability among young men in the United States. This disease results in the progressive loss of walking mobility and substantial worsening of cognition, symptoms, and quality of life over time. There is evidence that physical activity is beneficially associated with aerobic fitness and brain structure and function in persons with MS. Nevertheless, this population is strikingly sedentary and physically inactive. This highlights a vital opportunity to improve aerobic fitness and brain health by developing behavioral interventions that increase physical activity. To that end, this project is a Phase-II randomized control trial for examining the efficacy of a behavioral intervention that is based on social-cognitive theory and delivered through the Internet for increasing physical activity and, secondarily, improving aerobic fitness and brain structure and function in persons with MS.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
24
A behavioral intervention that involves an Internet website and one-on-one video coaching calls for increasing physical activity in people with MS.
A behavioral intervention that involves an Internet website and one-on-one video coaching calls for increasing wellness in people with MS.
University of Alabama at Birmingham
Birmingham, Alabama, United States
Minutes of moderate to vigorous physical activity - Baseline
Activity monitors are Actigraph accelerometers that participants will wear on an elastic belt around their waist for 7 days. These activity monitors measure how frequently and how much an individual moves.
Time frame: Assessment will be conducted before the intervention
Minutes of moderate to vigorous physical activity - Post intervention
Activity monitors are Actigraph accelerometers that participants will wear on an elastic belt around their waist for 7 days. These activity monitors measure how frequently and how much an individual moves.
Time frame: Assessment will be conducted immediately after the intervention
cardiorespiratory fitness; oxygen consumption during exercise - baseline
A graded exercise test on a treadmill. Participants will walk at a quick pace on the treadmill and the incline will increase every 2 minutes until the participant is no longer able to keep pace with the treadmill.
Time frame: Assessment will be conducted before the intervention
cardiorespiratory fitness; oxygen consumption during exercise - post intervention
A graded exercise test on a treadmill. Participants will walk at a quick pace on the treadmill and the incline will increase every 2 minutes until the participant is no longer able to keep pace with the treadmill.
Time frame: Assessment will be conducted immediately after the intervention
distance walked - baseline
The six-minute walk test will be used to measure walking endurance. The test involves walking for 6 minutes without stopping.
Time frame: Assessment will be conducted before the intervention
distance walked - post-intervention
The six-minute walk test will be used to measure walking endurance. The test involves walking for 6 minutes without stopping.
Time frame: Assessment will be conducted immediately after the intervention
information processing speed; cognitive function - baseline
The symbol digit modalities test will be used to measure information processing speed. The test involves matching numbers to symbols.
Time frame: Assessment will be conducted before the intervention
information processing speed; cognitive function - post intervention
The symbol digit modalities test will be used to measure information processing speed. The test involves matching numbers to symbols.
Time frame: Assessment will be conducted immediately after the intervention
volume of subcortical grey matter brain structures - baseline
An MRI will be conducted to measure brain structure.
Time frame: Assessment will be conducted before the intervention
volume of subcortical grey matter brain structures - post intervention
An MRI will be conducted to measure brain structure.
Time frame: Assessment will be conducted immediately after the intervention
resting state functional brain connectivity - baseline
An MRI will be conducted to measure brain function.
Time frame: Assessment will be conducted before the intervention
resting state functional brain connectivity - post intervention
An MRI will be conducted to measure brain function.
Time frame: Assessment will be conducted immediately after the intervention
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