The intervention consisted of a workshop, entitled "Well On Wheels!," an individual coaching session with each of three module teachers, and a series of follow-up phone calls by the project managers for four months after the workshop. Workshop facilitators attended an all-day retreat and subsequently met bi-weekly during the four months preceding the first workshop to create the curriculum and compose a workshop manual for participants. The wellness workshop consisted of six sessions held every other Friday for three months. The six workshop sessions were each four hours long, with appropriate breaks provided. Every session opened with a welcome, introduction and discussion period led by two Independent Living Consultants who had themselves acquired and adapted to an SCI. Workshop facilitators then time-rotated teaching the four modules that comprised the workshop sessions:

• Lifestyle Management (including sexuality) led by a specialist in stress management and by physiatrists with special expertise in the topic of sexuality
• Physical Activity led by a staff physical therapist with expertise in SCI Nutrition led by a registered dietician, also with expertise in SCI
• Preventing Secondary Conditions conducted by a physiatrist who is the physician Clinical Director for the UMHS SCI inpatient service.

Each course module focused on staying well and preventing a particular secondary condition. The workshops were both didactic and experiential to maximize participant involvement and maintain interest. At the first session, attendees received the Well On Wheels Participants' Manual that had been written by the workshop facilitators and published by the program. The first workshop session focused on the principles of wellness and the importance of holistic health and wellness. The second workshop session targeted pain and skin problems. The theme of the third workshop revolved around preventing the secondary conditions related to the neurogenic bowel and bladder. The fourth workshop session focused on respiratory and spasticity problems and off-setting the secondary conditions of depressed mood and anxiety. The fifth workshop addressed interpersonal relationships and sexuality. The sixth and final session placed emphasis on celebrating personal success and continuing a wellness program either individually or in groups. Each participant received a free arm ergometer for use at home at the end of the workshop.

At the completion of these six workshop sessions, each participant who attended the second assessment clinic met with three of his/her workshop facilitators to discuss and establish a set of personal wellness goals to carry out independently in the four months ahead. These goals and the goal completion record were turned in at the end of the study.

Additionally, workshop participants were contacted by phone over the course of four months for follow-up counseling. The focus of these sessions was individually based, but solution focused. Follow-up counseling included helping the participant identify any problems, generate possible solutions, evaluate the possible effectiveness of such solutions, and develop a plan for implementing solutions. Each of these was written down and reviewed at the next follow-up phone counseling session. The goal of subsequent follow-up counseling was to provide empathy, support, and encouragement to assist the participant in fully implementing the wellness action plan.