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Trial registered on ANZCTR
Registration number
ACTRN12625000829415p
Ethics application status
Not yet submitted
Date submitted
16/07/2025
Date registered
1/08/2025
Date last updated
1/08/2025
Date data sharing statement initially provided
1/08/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Feasibility of an All-Abilities Gym Program for Young Adults with physical disabilities.
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Scientific title
Feasibility of a student-mentored gym-based intervention for Young Adults with non-progressive disabilities in regional centre.
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Secondary ID [1]
314921
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Nil known
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Universal Trial Number (UTN)
U1111-1325-4133
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Trial acronym
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Linked study record
Current study is a follow up of ACTRN12623001293651.
The PI is commencing this work at a new organisation, and with a wider participant pool and locale (Warrnambool, VIC and Cairns, QLD).
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Health condition
Health condition(s) or problem(s) studied:
Physical disability
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Condition category
Condition code
Neurological
334520
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0
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Other neurological disorders
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Musculoskeletal
334521
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A 12-week intervention program is designed for young adults aged 18 to 40 with a personal with a physical disability (PwD) and reside in regional areas. The intervention involves a screening process using the PAR-Q+ questionnaire to assess the participant's readiness for exercise. Medical clearance is sought if indicated by the screening results. Upon clearance, participants will be paired with student peer mentors studying a heatlh related degree at a regional University Campus in Warrnambool, Victoria or Cairns, Queensland. These mentors will not be functioning as personal trainers or health specialists will exercise alongside the PwD, following a tailored exercise regime created by a physiotherapist.
The intervention consists of two 1-hour sessions per week for 12 weeks, incorporating progressive resistance and aerobic exercises. Intensity will be prescribed at a moderate intensity, and assessed using RPE for cardiovascular exercise and repetition range of 10 to 12 repetitions for progressive strength training. Exercise sessions will be monitored via PhysiTrack, an online exercise prescription, delivery and monitoring tool. Exercises may consist of an arm ergometer for upper limb cardiovascular training and pin loaded machines, bands and cables for progressive strength training, aiming for a repetition range of 10 - 12. Before participation, mentors undergo 2 hours of online disability awareness training and one hour in person training, covering program content, manual handling, and strategies to motivate and support PwD. Participants also meet with the principal investigator (PI) for customisation of exercise prescriptions aligned with their goals, preferences, and abilities. Safety instructions on equipment use will be provided in the first week, with the PI supervising the initial two gym sessions and conducting weekly check-ins with each exercising pair separately.
The intervention will operate within a local council community gym, screened prior for access and safety, Participants will receive a gym membership for the 12-week duration and undergo interviews using semi-structured schedules at the program's conclusion. Outcome measures include validated tools assessing participation, quality of life, and physical fitness data collected and analysed from program logs. Gym staff (2), will also be interviewed after the intervention for their perspectives on the trial.
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Intervention code [1]
331526
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Rehabilitation
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Comparator / control treatment
No control group.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Primary - Feasibility - Safety / Practicality, which will be assessed as a composite of primary outcome.
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Assessment method [1]
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Incident log
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Timepoint [1]
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Safety data collected throughout 12-weeks of intervention Data is collected in 'real-time' by the participant (student mentor) at the time of incident. Data is checked bi-weekly by the PI, or once contacted if in the case of an incident.
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Primary outcome [2]
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Primary - Feasibility - Acceptability
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Assessment method [2]
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Semi-structured interviews
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Timepoint [2]
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Interviews will be completed 1-week post-intervention (12-weeks + 1-week).
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Primary outcome [3]
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Primary - Feasibility - Adaption
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Assessment method [3]
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Adaption log Semi-structured interviews
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Timepoint [3]
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Adaptation log data will be collected throughout 12-weeks of intervention. Interviews will be completed 1-week post-intervention (12-weeks + 1-week). Data is collected in 'real-time' by the participant (student mentor) at the time of the adaptation being noted as required. Data is checked bi-weekly by the PI, or once contacted if in the case of an adapation requirement which is impacting the intervention..
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Secondary outcome [1]
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Limited-efficacy Participation
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Assessment method [1]
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Both measures of participation 1. Participation - Goal Attainment Scale (GAS) 2. Youth and Adult Participation and Environment measure (Y-PEM).
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Timepoint [1]
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Both outcome measures GAS and Y- PEM will be assessed at 0, 6, 12-weeks and follow-up at 24-weeks.
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Secondary outcome [2]
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Limited-efficacy Quality of Life.
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Assessment method [2]
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Quality of Life - PROMIS Scale
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Timepoint [2]
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Quality of Life - PROMIS Scale will be assessed at 0, 6, 12-weeks and follow-up at 24-weeks.
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Eligibility
Key inclusion criteria
Group 1: Persons with Physical Disability
• Aged between 18 and 40 years.
• Has a non-progressive physical disability.
• Can follow simple instructions delivered through their preferred method of communication (e.g., verbal, written, or gestured).
• Able to provide their own consent (in written, spoken, or gestured form).
• Able to participate in a moderate-to-high intensity exercise program as determined by the Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) (15). If clearance is indicated by the screening tool, the participant must obtain approval from a general practitioner at their own expense.
Group 2: Student Peer Mentor
1. University student - any year level – from Deakin University School of Nursing, Occupational Therapy or Health Science.
2. Hold current police checks, or willing to obtain prior to commencement of study.
3. Not explicit inclusion criteria but preference for similar age and interests to adult with CP.
Group 3: Gym Staff
• Member of participating gym, who participated in CQU Disability & Health Micro-credentialing Training and assisted with the all-abilities gym program.
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Minimum age
18
Years
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Maximum age
40
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Group 1: Persons with Physical Disability
1. Have participated in a gym-based program within the past three months.
2. Have an unstable, or acute medical condition and have been deemed unsafe to participate by their doctor or health professional (i.e., epilepsy, cardiac condition).
3. Neurological conditions which are degenerative (i.e., muscular dystrophy).
4. A significant psychological or behavioural disorder that would impact their participation (e.g., resistive behaviour, severe depression, or severe anxiety) as reported by the participant or observed during recruitment and project onboarding.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
There are several key components to the analysis of the data. As a first step, demographic data (age, gender, health, description of disability and associated impairments) will be described at the case level ensuring that no participant will be able to be identified.
Quantitative data will be collected and discussed at the individual level using descriptive statistics.
The qualitative data collected from interviews will be analysed using a qualitative description methodology.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/09/2025
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD,VIC
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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CQUniversity: Appleton Institute - Physical Activity Research Group
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
University
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Name
CQUniversity: Appleton Institute
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
321971
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Country [1]
321971
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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CQ University's Human Research Ethics Committee
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Ethics committee address [1]
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https://www.cqu.edu.au/research/current-research/ethics-committees/human-research-ethics
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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18/08/2025
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Approval date [1]
318055
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Ethics approval number [1]
318055
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Summary
Brief summary
More than half the people living in Australia do not exercise regularly, an issue even more acute for adults with physical disabilities (PwD). Physical disabilities can affects motor control, skill, and coordination. There is an association between the severity of a disability and the presence of additional health and psychosocial issues leading to greater complexity of the condition. PwD find it difficult achieving the recommended amounts of physical activity. PwD have often excluded from research, particularly studies relating to exercise. Most PwD research has focused on children and young adolescents with less complex disabilites and who live in metropolitan areas. It is often hard for people with disabilities to exercise because of difficulties accessing places where there are opportunities to be active. In addition, they might not have the right support. The All-Abilites program has been modelled on FitSkills, which was was created to address this issue. FitSkills matches people with disabilities and health students (Nursing, Occupational Therapy, Exercise Science) to exercise together in a gym environment. Studies have shown that FitSkills can engage youth with disabilities in community-based exercise, a finding further supported by a mixed-method case study recently completed (unpublished) carried out in a regional area. With additional support, including screening, risk assessment, and additional professional support for the peer-mentor health student, FitSkills can be tailored for young people with complex disabilities. Our project examines how well FitSkills, renamed All-Abilities, can be implemented in a real-world setting for PwD who live regionally. In this study, we want to see if we can implement an intervention that has the potential to help PwD living regionally to improve their health, well-being, and ability to participate in activities that are meaningful to them.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mr James Czencz
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Address
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Central Queensland University, 42-52 Abbott Street & Shields Street, Cairns, QLD 4870
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Country
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Australia
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Phone
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+61740374732
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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James Czencz
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Address
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Central Queensland University, 42-52 Abbott Street & Shields Street, Cairns, QLD 4870
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Country
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Australia
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Phone
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+61749230000
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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James Czencz
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Address
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Central Queensland University, 42-52 Abbott Street & Shields Street, Cairns, QLD 4870
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Country
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Australia
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Phone
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+61749230000
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Fax
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Email
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
No IPD sharing reason/comment:
Not applicable for feasibility study, or interview data to protect participant identity.
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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