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Personal and environmental barriers prevent people with SCI from meeting PA recommendations. WHEEL\u2010LEARN, a 4\u2010week virtual behavior change program, was developed to reduce PA barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the usability, acceptability, feasibility, and proof of concept of WHEEL\u2010LEARN in people with SCI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A pre\u2010\/postintervention study was conducted using mixed methods analysis. Each week for 4\u2009weeks, text\u2010based lessons were emailed to participants. Lessons included PA education and embedded Qualtrics surveys for homework and quizzes. The lessons were supplemented by 1\u2010hour live video\u2010conferencing sessions focused on PA education, group discussion, and guided exercise. Usability was evaluated with the System Usability Scale, an Acceptability Scale, and participant feedback. Pre\u2010 to post\u2010intervention changes in leisure\u2010time PA, quality of life, exercise self\u2010efficacy, and social support were analyzed using Wilcoxon signed\u2010rank tests. Participants provided recommendations for improving WHEEL\u2010LEARN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants from across the United States who used a manual wheelchair (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200916, mean age 53.6\u2009years, 62% female, 94% white) completed the study. Usability was rated excellent on the System Usability and Acceptability surveys, supported by participant feedback. Moderate\u2010to\u2010heavy leisure\u2010time PA increased over 4\u2009weeks from pre (87.8\u2009\u00b1\u200984.8) to post (146.3\u2009\u00b1\u2009103.6) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.049), with an increase in number of participants meeting the PA guidelines from pre\u2010 (4\/16\u2009 [\u200925%]) to postintervention (15\/16\u2009 [93.9%],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.003) with 94% meeting PA guidelines. Pre\u2010post quality of life (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.003) and exercise self\u2010efficacy (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.038) improved, and social support remained stable (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.453).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>WHEEL\u2010LEARN may have reduced PA barriers of limited professional and peer support by delivering physical therapist\u2010led education and semistructured peer discussions that focused on developing short\u2010term achievable PA goals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>WHEEL\u2010LEARN, a short\u2010term lifestyle behavior PA intervention for individuals with SCI, increased PA, quality of life, and exercise self\u2010efficacy. Participant feedback will guide future refinements to enhance long\u2010term support for PA behavior.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmrj.70220","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T11:37:07Z","timestamp":1792582627000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["WHEEL\u2010LEARN: Evaluating the usability, feasibility, and proof of concept of an internet\u2010based healthy lifestyle behavior change intervention for people with spinal cord injury"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5470-6354","authenticated-orcid":false,"given":"Theresa","family":"Tartamella","sequence":"first","affiliation":[{"name":"Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5954-0891","authenticated-orcid":false,"given":"Elizabeth","family":"Nagle","sequence":"additional","affiliation":[{"name":"Department of Health and Human Development, School of Education University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Beals","sequence":"additional","affiliation":[{"name":"Ready\u00ae  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8094-6362","authenticated-orcid":false,"given":"Kelly","family":"Beck","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4536-8656","authenticated-orcid":false,"given":"Mita","family":"Lovalekar","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Nutrition, School of Health and Rehabilitation Sciences University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Spinal Cord Injury Facts and Figures at a Glance","author":"National Spinal Cord Injury Statistical Center","year":"2016"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2021.04.022"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010022\u201007927\u20105"},{"issue":"5","key":"e_1_2_10_5_1","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1038\/sc.2016.181","article-title":"Are adults with spinal cord injury meeting the spinal cord injury\u2010specific physical activity guidelines? 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