Spinal Cord InjuriesLLSNCT06227000
Living Longer and Stronger With Spinal Cord Injury (SCI)
A study testing Living Longer and Stronger with SCI in people with Spinal Cord Injuries, run by The University of Texas Health Science Center, Houston at 1 site in United States.
Trial summary
The purpose of this study is to develop a health promotion group intervention to meet the unique health promotion needs of people aging with SCI, to test the efficacy of the adapted intervention program, Living Longer and Stronger with SCI, in a randomized controlled trial and to assess the mechanisms through which… Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Spinal Cord Injuries
- What is being tested?
- Living Longer and Stronger with SCI
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 180 participants
- Where
- 1 siteUnited States
- Study dates
- 13 Feb 2024to 1 Jul 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- traumatic spinal cord injury (SCI)
- have traumatic SCI for at least 15 years OR be over the age of 45
- use a manual or power wheelchair for mobility at least some of the time
- reside in the U.S.
- speak and read English
- access to a smart phone, tablet, or a computer with Internet access
- have or be willing to obtain email for study correspondence
Who cannot join
- cognitive impairment that significantly limits their ability to give informed consent, participate in the intervention, or complete study assessments as determined by an inability to correctly answer questions demonstrating study comprehension
- have a significant visual or hearing impairment that would prohibit their ability to participate in the interactive online intervention with accommodations
- report active suicidality or significant problems with alcohol or other drug use
- live in an institution
Trial locations and contacts
1 site in 1 country.
United States1 site
TIRR Memorial Hermann Spinal Cord Injury and Disability Research Center
Houston, Texas, 77030
About this study
Official title: Living Longer and Stronger With Spinal Cord Injury: An Online Program for Promoting Healthy Aging
The purpose of this study is to develop a health promotion group intervention to meet the unique health promotion needs of people aging with SCI, to test the efficacy of the adapted intervention program, Living Longer and Stronger with SCI, in a randomized controlled trial and to assess the mechanisms through which the intervention may enhance physical, psychological, and social health.
- Conditions
- Spinal Cord Injuries
- Being tested
- Living Longer and Stronger with SCI, Control
- Keywords
- spinal cord injury, aging, health promotion, intervention, randomized controlled trial
- Medical subject headings
- Spinal Cord Injuries
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Living Longer and Stronger with SCIBehavioural
Study staff will schedule a brief zoom training session with each person assigned to the intervention to ensure that they are able to download and use the Zoom platform. Once a weekly session day and time has been determined the 8-week LLS intervention program will begin. LLS group participants will participate in 2-hour weekly sessions co-facilitated by a study investigator and one of the study's senior advisors. Participants will be encouraged to set a health-oriented goal and complete weekly action plans. They will be provided with materials each week with health-related information and resources. Participants will also be asked to complete a short survey each week to rate the session. After completing the 8 sessions, a link to the post-test survey and some questions to evaluate the LLS program will be sent to the participants. Finally there will be follow up survey to be completed at 4 months post intervention.
ControlBehavioural
Participants will be sent links to the three surveys at the same time as those assigned to the LLS group but they will not attend any of the zoom calls. They will be offered all study materials at the end of the study.
| Study group | Role | What they receive |
|---|---|---|
| Living Longer and Stronger (LLS) intervention | Experimental | Not described Receives: Behavioral: Living Longer and Stronger with SCI |
| Control Group | Active comparator | Not described Receives: Behavioral: Control |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in physical health as assessed by the SF-36 General Health Subscale
a 5-item scale of self-perceived health. The subscale consists of a single-item rating of health and four additional items reflecting perceived current health, resistance to illness and health outlook. Individual item responses range from 1-5. To score, select items (1, 3, and 5) are recoded so that higher scores indicate better health. The 5 items are then summed and transformed to a 0-100 scale with higher scores reflecting better health.
Measured: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in physical health as assessed by the Pain Intensity scale
This consists of one item assessing pain intensity/severity rated on a 11-point scale ranging from 0 (no pain) to 10 (pain so severe you couldn't stand it), higher score indicting worse pain
Measured: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in physical health as assessed by the Interference scale
This is a 1 item questionnaire that is scored on a linear scale from 0 (no interference)-10 (extreme interference), higher score indicting worse outcome
Measured: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in physical health as assessed by the SCI Secondary Conditions Scale (SCI-SCS)
This is a 16 item questionnaire and each item scores range from 0 (not experienced or insignificant problem) to 3 (significant or chronic problem). Items are summed with a potential score range of 0-48 with higher scores reflecting more severe secondary health conditions.
Measured: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in psychological health and wellbeing as assessed by the Patient Health Questionaire-8 (PHQ-8)
This is an 8 item questionnaire and each is scored from 0(not at all) to 3(nearly every day), for a maximum score of 24 higher score indicating worse outcome
Measured: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in psychological health and wellbeing as assessed by the Generalized Anxiety Disorder (GAD-2) scale
This is a 2 item questionnaire and each is scored from 0(not at all) to 3(nearly every day), for a maximum score of 6 higher score indicating worse outcome
Measured: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in psychological health and wellbeing as assessed by the 4-itemPerceived Stress Scale (PSS)
This is a 4 item questionnaire and questions 1 and 4 are scored from 0(never) to 4(very often) , and questions 2 and 3 are scored from 0(very often) to 4 (never) for a maximum score of 16 higher score indicating worse outcome
Measured: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in psychological health and wellbeing as assessed by the SCI-Qol Positive Affect and Well-being Scale
This is a 10 item questionnaire, and each is scored from from 1 (never) to 5 (always). Items are summed to create a raw score. Raw scores are then converted to an IRT-based T-score using provided look-up tables. T-scores range from 26.7 to 68.6 with higher scores representing more positive affect and well-being.
Measured: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in psychological health and wellbeing as assessed by the Diener Satisfaction with Life Scale (SWLS)
This is a 4 item questionnaire and each is scored on a 7-point scale ranging from 1 (strongly disagree) to 7 (strongly agree). Scores are summed resulting in a scale score ranging from 4 to 28 with higher scores representing greater life satisfaction.
Measured: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in social health as assessed by the UCLA Loneliness scale
This is a 3 item questionnaire and each is scored from 1(hardly ever) to 3(often) for a maximum score of 9 higher score indicating worse outcome
Measured: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in social health as assessed by the Spinal Cord Injury - Quality of Life Scale (SCI-QOL) Satisfaction with Participation Scale
This is a 10 item questionnaire and each is scored from 1(not at all) to 5(very much ) with the scale direction depending on whether the item is positively or negatively worded. Item scores are summed to create a raw score which is then converted to an IRT-based T-score using look-up tables. T-scores range from 28.3 to 60.5 with higher scores representing more satisfaction with social roles and activities.
Measured: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Secondary outcomes (4)
Change in self efficacy as assessed by the Generalized Self-Efficacy Scale (GSES)
This is a 10 item questionnaire and each is scored from 1(not at all true) to 4(exactly true), for a maximum score of 40 , higher number indicating better outcome
Measured: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in self efficacy as assessed by the University of Washington Self-efficacy Scale(UW-SES)
This is a 6 item questionnaire and each is scored from 1(not at all) to 5(completely) for a maximum score of 30, higher score indicating better outcome
Measured: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in health behaviors/behavioral symptoms as assessed by the Health Promoting Lifestyle Profile-II (HPLP-II)
This is a 52 item questionnaire and each is scored from 1(never) to 4(routinely).Items are summed and divided by 52, resulting in a scale score reflecting the average score across all items. This score can range from 1-4, with higher scores reflecting more engagement in health promoting behaviors and practices.
Measured: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in health behaviors/behavioral symptoms as assessed by the SCI-specific Health Behavior Questionnaire (HBQ)
This is a 22 item questionnaire with each health behavior item scored from 0 (never) to 3 (always) for a maximum score of 66, higher score indicating better outcome
Measured: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Jan 2024
- Study start13 Feb 2024
- Primary completion1 Jul 2026 (estimated)
- Study completion1 Jul 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Spinal Cord InjuriesStudies of the same condition, open and under way.
- More trials run by The University of Texas Health Science Center, HoustonThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 180 participants (estimated)
Sponsor and investigators
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute on Disability, Independent Living, and Rehabilitation Research
- Responsible party
- Principal investigator, Susan Robinson-Whelen, The University of Texas Health Science Center, Houston
- Investigators
- Susan Robinson-Whelen, PhD, Principal investigator, The University of Texas Health Science Center, Houston
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06227000
- Sponsor's protocol ID
- HSC-MH-23-0383
- Other IDs
- 90SIMS0019-01-00
- Acronym
- LLS
- Status last verified
- Apr 2026
- First submitted
- 16 Jan 2024
- Last updated
- 4 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 4 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Living Longer and Stronger With Spinal Cord Injury: An Online Program for Promoting Healthy Aging
- ClinicalTrials.gov ID
- NCT06227000
- Acronym / sponsor ID
- LLS / HSC-MH-23-0383
- Conditions
- Spinal Cord Injuries
- Keywords
- spinal cord injury, aging, health promotion, intervention, randomized controlled trial
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 180 participants (estimated)
- Lead sponsor
- The University of Texas Health Science Center, HoustonUniversity, hospital or other
- Collaborators
- National Institute on Disability, Independent Living, and Rehabilitation Research
- Study start
- 13 Feb 2024 (actual)
- Primary completion
- 1 Jul 2026 (estimated)
- Study completion
- 1 Jul 2026 (estimated)
- First posted
- 26 Jan 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to develop a health promotion group intervention to meet the unique health promotion needs of people aging with SCI, to test the efficacy of the adapted intervention program, Living Longer and Stronger with SCI, in a randomized controlled trial and to assess the mechanisms through which the intervention may enhance physical, psychological, and social health.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Living Longer and Stronger (LLS) intervention | Experimental | Behavioral: Living Longer and Stronger with SCI |
| Control Group | Active comparator | Behavioral: Control |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- traumatic spinal cord injury (SCI)
- have traumatic SCI for at least 15 years OR be over the age of 45
- use a manual or power wheelchair for mobility at least some of the time
- reside in the U.S.
- speak and read English
Key exclusion criteria (4 listed)
- cognitive impairment that significantly limits their ability to give informed consent, participate in the intervention, or complete study assessments as determined by an inability to correctly answer questions demonstrating study comprehension
- have a significant visual or hearing impairment that would prohibit their ability to participate in the interactive online intervention with accommodations
- report active suicidality or significant problems with alcohol or other drug use
- live in an institution
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Living Longer and Stronger with SCIStudy staff will schedule a brief zoom training session with each person assigned to the intervention to ensure that they are able to download and use the Zoom platform. Once a weekly session day and time has been determined the 8-week LLS intervention program will begin. LLS group participants will participate in 2-hour weekly sessions co-facilitated by a study investigator and one of the study's senior advisors. Participants will be encouraged to set a health-oriented goal and complete weekly action plans. They will be provided with materials each week with health-related information and resources. Participants will also be asked to complete a short survey each week to rate the session. After completing the 8 sessions, a link to the post-test survey and some questions to evaluate the LLS program will be sent to the participants. Finally there will be follow up survey to be completed at 4 months post intervention. | Behavioural | Living Longer and Stronger (LLS) intervention |
| ControlParticipants will be sent links to the three surveys at the same time as those assigned to the LLS group but they will not attend any of the zoom calls. They will be offered all study materials at the end of the study. | Behavioural | Control Group |
Primary outcome
Change in physical health as assessed by the SF-36 General Health Subscale
Time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
a 5-item scale of self-perceived health. The subscale consists of a single-item rating of health and four additional items reflecting perceived current health, resistance to illness and health outlook. Individual item responses range from 1-5. To score, select items (1, 3, and 5) are recoded so that higher scores indicate better health. The 5 items are then summed and transformed to a 0-100 scale with higher scores reflecting better health.
Change in physical health as assessed by the Pain Intensity scale
Time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
This consists of one item assessing pain intensity/severity rated on a 11-point scale ranging from 0 (no pain) to 10 (pain so severe you couldn't stand it), higher score indicting worse pain
Change in physical health as assessed by the Interference scale
Time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
This is a 1 item questionnaire that is scored on a linear scale from 0 (no interference)-10 (extreme interference), higher score indicting worse outcome
Change in physical health as assessed by the SCI Secondary Conditions Scale (SCI-SCS)
Time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
This is a 16 item questionnaire and each item scores range from 0 (not experienced or insignificant problem) to 3 (significant or chronic problem). Items are summed with a potential score range of 0-48 with higher scores reflecting more severe secondary health conditions.
Change in psychological health and wellbeing as assessed by the Patient Health Questionaire-8 (PHQ-8)
Time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
This is an 8 item questionnaire and each is scored from 0(not at all) to 3(nearly every day), for a maximum score of 24 higher score indicating worse outcome
Change in psychological health and wellbeing as assessed by the Generalized Anxiety Disorder (GAD-2) scale
Time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
This is a 2 item questionnaire and each is scored from 0(not at all) to 3(nearly every day), for a maximum score of 6 higher score indicating worse outcome
Change in psychological health and wellbeing as assessed by the 4-itemPerceived Stress Scale (PSS)
Time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
This is a 4 item questionnaire and questions 1 and 4 are scored from 0(never) to 4(very often) , and questions 2 and 3 are scored from 0(very often) to 4 (never) for a maximum score of 16 higher score indicating worse outcome
Change in psychological health and wellbeing as assessed by the SCI-Qol Positive Affect and Well-being Scale
Time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
This is a 10 item questionnaire, and each is scored from from 1 (never) to 5 (always). Items are summed to create a raw score. Raw scores are then converted to an IRT-based T-score using provided look-up tables. T-scores range from 26.7 to 68.6 with higher scores representing more positive affect and well-being.
Change in psychological health and wellbeing as assessed by the Diener Satisfaction with Life Scale (SWLS)
Time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
This is a 4 item questionnaire and each is scored on a 7-point scale ranging from 1 (strongly disagree) to 7 (strongly agree). Scores are summed resulting in a scale score ranging from 4 to 28 with higher scores representing greater life satisfaction.
Change in social health as assessed by the UCLA Loneliness scale
Time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
This is a 3 item questionnaire and each is scored from 1(hardly ever) to 3(often) for a maximum score of 9 higher score indicating worse outcome
Change in social health as assessed by the Spinal Cord Injury - Quality of Life Scale (SCI-QOL) Satisfaction with Participation Scale
Time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
This is a 10 item questionnaire and each is scored from 1(not at all) to 5(very much ) with the scale direction depending on whether the item is positively or negatively worded. Item scores are summed to create a raw score which is then converted to an IRT-based T-score using look-up tables. T-scores range from 28.3 to 60.5 with higher scores representing more satisfaction with social roles and activities.
4 secondary outcomes
Change in self efficacy as assessed by the Generalized Self-Efficacy Scale (GSES)
Time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in self efficacy as assessed by the University of Washington Self-efficacy Scale(UW-SES)
Time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in health behaviors/behavioral symptoms as assessed by the Health Promoting Lifestyle Profile-II (HPLP-II)
Time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Change in health behaviors/behavioral symptoms as assessed by the SCI-specific Health Behavior Questionnaire (HBQ)
Time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 May 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Susan Robinson-Whelen, PhD principal investigator
The University of Texas Health Science Center, Houston
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Living Longer and Stronger with SCI in people with Spinal Cord Injuries, run by The University of Texas Health Science Center, Houston at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 4 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in physical health as assessed by the SF-36 General Health Subscale (time frame: Baseline, end of intervention (8 weeks after baseline), follow up (4 months after end of intervention )). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 May 2026.