At the baseline, 73% of the participants stated that they would like to be involved in an exercise program, yet only 45% were active in such a program at the end of the study. Physicians had recommended an exercise program in only 48% of the cases. The major concerns identified by the participants as barriers to physical fitness were lack of motivation (54%), cost of an exercise program (40%), not knowing where to exercise (36%), and lack of interest (34%). 52% stated that they felt a fitness center would not able to meet their needs as a person with SCI; 34% cited accessibility and privacy concerns about exercising in such a facility. There was no difference in the barriers reported among those with paraplegia vs. tetraplegia and complete vs. incomplete injuries or those who were ambulatory. The HPLP-II physical activity subscale mean score significantly improved from baseline to final measurement for the intervention group (P=0.001), with no change for the control group. The PADS total activity scale and its subscales showed no significant change for either the intervention or the control group over the course of the project. There were no significant changes in any of the physical fitness measures (BMI, endurance, and total cholesterol). The mean score on the secondary conditions scale was significantly lower than the score at baseline (P=0.001), indicating fewer and less severe problems with secondary conditions. Also, the total number of secondary conditions reported was significantly less for the intervention group (P<0.01) with no change observed for the control group. Significant improvements were observed for other wellness parameters, including self-efficacy, health behaviors, nutritional awareness and behavior, and use of stress management techniques.