Abstract Details

Title Feasibility of Using Wearable Technology with a Social Cognitive Theory-based Physical Activity Promotion Program in Youth with Multiple Sclerosis

Topic Multiple Sclerosis

Presentation(s) P5 - Poster Session 5 (5:30 PM-6:30 PM)

Poster/Presentation
Number 15-086

Objective (1) To determine the feasibility of a trial using the ATOMIC program and (2) to evaluate if youth with multiple sclerosis (MS) increase their physical activity (PA) following the intervention.

Background Youth with MS experience high levels of disease activity and up to ¾ experience symptoms of depression and fatigue. Vigorous physical activity (PA) may have a significantly positive effect on MS outcomes, however, youth with MS are inactive. No intervention focusing on modifiable factors to increase PA in this population has been reported to date. As such, we have developed a comprehensive social cognitive theory-based PA promotion program, Active Teens with Multiple Sclerosis (ATOMIC), targeting modifiable factors (PA self-efficacy and exercise goal setting).

Design/Methods In this pilot trial, youth with MS (n=11, 10F, average 16.9±1.2 y.o.) followed at the Hospital for Sick Children, Canada received a 12-week wearable and app-based intervention to improve PA. We delivered PA coaching, PA self-monitoring (Fitbit), goal setting, and educational modules regarding different aspects to increase PA, through our MS specific app. We assessed feasibility by examining patient recruitment, retention, and adherence to wearable technology use. We also evaluated change in step count through time using average number of steps/day.

Results Recruitment and retention was higher than expected. 52.4% of youth approached agreed to participate (11/21). One participant withdrew from the trial due to distance from hospital. Fitbit wear was high, with an average of 85% adherence in the participants who completed the 12-week intervention. After 6 weeks in the ATOMIC program, participants’ PA participation increased by 64%, from an average of 4,886 steps/day at baseline to an average of 8,027 steps/day. This increase was maintained after 12 weeks in the program (average of 8,279 steps/day).

Conclusions Our preliminary results show that the ATOMIC intervention for youth with MS is feasible and may result in increased physical activity.

Authors/Disclosures
Stephanie Grover, MSc, CCRP (The Hospital for Sick Children) PRESENTER	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
E. Ann Yeh, MD, MA, FRCPC (Hospital for Sick Children)	Dr. Yeh has received personal compensation in the range of $5,000-$9,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Pipeline therapeutics. Dr. Yeh has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Novartis. Dr. Yeh has received personal compensation in the range of $0-$499 for serving as an officer or member of the Board of Directors for SCN. Dr. Yeh has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Elsevier. The institution of Dr. Yeh has received research support from CIHR. The institution of Dr. Yeh has received research support from National MS Society. The institution of Dr. Yeh has received research support from SickKids Foundation. The institution of Dr. Yeh has received research support from MSSC. The institution of Dr. Yeh has received research support from Garry Hurvitz Foundation. The institution of Dr. Yeh has received research support from Leong Centre. The institution of Dr. Yeh has received research support from OMSLife. The institution of Dr. Yeh has received research support from Canada's Drug Agency. Dr. Yeh has received personal compensation in the range of $0-$499 for serving as a Author with Medscape. Dr. Yeh has a non-compensated relationship as a Editorial Board with Neurology that is relevant to AAN interests or activities. Dr. Yeh has a non-compensated relationship as a Editorial Board with MSJ that is relevant to AAN interests or activities.

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