An Intervention for Changing Sedentary Behavior Among African Americans With Multiple Sclerosis: Protocol

Background: Sedentary behavior is a major concern among patients with multiple sclerosis (MS), as it may accelerate disease progression and exacerbate physical disability. This is especially concerning among African Americans, a segment of the MS population who present with greater neurological disability and higher odds of physical comorbidities than their Caucasian counterparts. Objective: To date, researchers have not proposed interventions that focus on changing sedentary behavior in African Americans with MS. Methods: This paper describes a pilot study that examines the feasibility and efficacy of using text messaging along with theory-driven newsletters and behavioral coaching for changing sedentary behavior in African Americans with MS. We herein present the methods, procedures, and outcomes for our ongoing study. Results: Enrollment began in February 2018 and is expected to conclude in April 2019. Study results will be reported in the fall of 2019. Conclusions: After completion of this pilot intervention, we will summarize our study results in manuscripts for publication in peer-reviewed journals that will provide critical information on the feasibility and efficacy of our strategy. These results will inform future studies and, potentially, larger interventions for remotely reducing sedentary behavior in African Americans with MS.