Enhance Wellness for Individuals With Long-Term Physical Disabilities

Project Enhance for Adults Aging With Long-Term Physical Disability

This project is an adaptation trial, testing the efficacy of an evidence-based community wellness program, Enhance Wellness (http://www.projectenhance.org/enhancewellness.aspx), in a sample of middle and older-aged adults living with multiple sclerosis, spinal cord injury, post-polio syndrome and muscular dystrophy.

This is a quasi-experimental project, comparing the effects of Enhance Wellness in a sample of adults aged 45 years or older and living with long-term physical disability, to two quasi-control groups: a sample of adults without long-term disability participating in Enhance Wellness, and a sample of adults with long-term disability not participating in Enhance Wellness. Outcomes are collected pre-intervention and post-intervention, approximately 6-months apart.

Inclusion Criteria:

• Multiple Sclerosis, Muscular Dystrophy, Post-Polio Syndrome, or Spinal Cord Injury diagnosis (Group 1 and 3)
• Living in King County, Washington (Group 1 only)
• Ability to read and understand English

Exclusion Criteria:

• Active suicidal ideation
• Requires the use of a mechanical ventilator to breathe or speak