Lifestyle Medicine

Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)

Research Papers and Posters

Usability of the Group Lifestyle Balance Program – Adapted for individuals with Impaired Mobility (GLB-AIM) (467074)

Monday, October 1
3:50 PM - 4:07 PM
Location: Morocco

Research Objectives : To evaluate participants’ assessment of usability.

Design : Randomized controlled trial with a wait-list control group.

Setting : The community-based GLB-AIM was delivered during group-based meetings convened in-person and by conference call.

Participants : The predominantly female (66.7%), white (63.6%), middle-aged (49.8+ 11.4 years) sample (n=66) lived with their mobility impairment an average of 12.2+10.3 years. Two-thirds used a wheelchair due to SC I (47%), MS (19.7%), arthritis (9.1%), and amputation (7.6%).

Interventions : The 12 month GLB-AIM addressed issues facing people with mobility impairment with weight loss. The 23 sessions teach behavioral strategies to reduce caloric intake and increase physical activity are delivered over 13 weekly core sessions and 10 tapered support sessions.

Main Outcome Measure(s) : Usability examined via participant survey ratings for perceptions of helpfulness and satisfaction with the GLB-AIM program and each component on a 1 – 5 scale; higher scores are better.

Results : The GLB-AIM program received high helpfulness (4.4+0.95) and satisfaction (4.5+0.71) ratings. Lifestyle coaches received the highest helpfulness (4.8+0.65) and satisfaction (4.9+0.30) scores and in-person sessions received the second highest helpfulness (4.4+0.80) and satisfaction (4.4+0.61) ratings.

Conclusions : Participants rated the program highly for helpfulness and satisfaction, with the coaching staff and in person meetings rated highest for satisfaction, and tracking food rated as helpful components for weight loss efforts. These results provide encouraging evidence that the GLB-AIM program is well liked by individuals living with long-term mobility impairment.

Author(s) Disclosures : This research was supported by the Disability and Research Dissemination Center (DRDC) through its Grant Number 5U01DD001007, FAIN No. U01DD001007 from the Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the DRDC or the CDC.

Learning Objectives:

Katherine Froehlich-Grobe

Associate Director of Research
Baylor Scott & White Institute for Rehabilitation

Dr. Froehlich-Grobe received her graduate degrees in behavioral psychology and is the Associate Director of Research at Baylor Institute for Rehabilitation after spending 16 years in academia. Dr. Froehlich-Grobe has 20 years of experience conducting studies that explore and promote the health and function of individuals with physical disabilities. Most of this research career has focused on exploring and targeting theory-based approaches to address barriers to promoting health for this population. She has successfully applied various research methods in her research program which includes conducting focus groups, surveys, and randomized controlled trials with heterogeneous samples of individuals with physical disabilities. She was PI of an NIH-funded randomized controlled home-based exercise trial conducted with wheelchair users that delivered a phone-based intervention. She has also performed physical accessibility surveys of recreation facilities, polling places, and public housing. More recently, Dr. Froehlich-Grobe’s research has begun to target addressing obesity among people with mobility impairments and she has published data regarding disparities in obesity prevalence based on disability status, adapted and tested an evidence-based intervention for individuals with mobility impairment in a CDC-funded randomized controlled trial. Currently she is PI of a NIDILRR-funded trial testing the effectiveness of using a virtual platform to deliver a 16 week behaviorally-based intervention to promote exercise among people with SCI.


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Simon Driver

Director of Rehabilitation Research
Baylor Institute for Rehabilitation

I completed my PhD in 2005 and have been in my current role as Director of Rehabilitation at Baylor Institute for Rehabilitation since 2014.


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Usability of the Group Lifestyle Balance Program – Adapted for individuals with Impaired Mobility (GLB-AIM) (467074)


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