Longitudinal Examination of Leisure-Time Physical Activity (LTPA), Participation, and Social Inclusion Upon Joining a Community-based LTPA Program for Adults With Physical Disabilities

Sweet, Shane N; Shi, Zhiyang; Rocchi, Meredith; Ramsay, Jean; Pagé, Véronique; Lamontagne, Marie-Ève; Gainforth, Heather L.

doi:10.1016/j.apmr.2021.02.025

Cited by 9 publications

(7 citation statements)

References 44 publications

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“…Our results indicated that FAM is conducive towards increasing LTPA participation, particularly LTPA after program delivery. This finding is consistent with previous evidence, which showed that engagement in LTPA in inclusive, community-based LTPA programs supported increased LTPA participation [12]. Even though our participants were engaging in more mild and moderate forms of LTPA after FAM, the largest increase was seen for strenuous intensities.…”

Section: Discussionsupporting

confidence: 93%

“…Such increases in SDT variables and LTPA participation can be attributed to the kinesiologist and kinesiology interns in FAM who created a welcoming and inclusive environment and provided personalized feedback, hence providing relatedness support. These results are similar to an implementation evaluation by Rocchi et al (2021) [35] reporting that participants with spinal cord injury who were more engaged during their LTPA sessions and had more discussion with their exercise counselor reported an increase in motivation and LTPA upon completion of their program. The continuous interaction between participants and their counsellor demonstrates the key role engagement has in the success of need-supportive LTPA interventions [35].…”

Section: Discussionsupporting

confidence: 81%

“…Engagement in LTPA provides numerous benefits, including psychological and physical well-being [9][10][11]. Physical activity levels has also been associated with life satisfaction among individuals with disabilities [12]. However, researchers advocate that general physical activity guidelines, such as the WHO physical activity guidelines [4], do not include measures to assess LTPA in disability populations, preventing suitable recommendations of LTPA participation for adults with disabilities [13].…”

Section: Introductionmentioning

confidence: 99%

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Evaluating an Adapted Physical Activity Program for University Students and Staff Living with a Physical Disability and/or Chronic Condition through a Self-Determination Theory Lens

Liska,

Pastore,

Bedard

et al. 2024

Disabilities

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The purpose of this mixed-method study was to (1) examine the effect of an adapted physical activity program, Fitness Access McGill (FAM), on leisure-time physical activity (LTPA), autonomous and controlled motivation, and the basic psychological needs of self-determination theory among university students/staff with a physical disability and/or chronic conditions, and (2) explore participants’ experiences after completing FAM. Nineteen participants completed validated questionnaires for all study outcomes pre- and post-FAM. Nine participants partook in a 30–60 min semi-structured interview conducted within three months of completing FAM. Quantitative data were analyzed using repeated measures effect size calculations. Qualitative data were analyzed using directed content analysis. Participants reported an increase in total LTPA (dRMpooled = 0.58), with the greatest positive change on strenuous intensity (dRMpooled = 0.81). Large effects were found for changes in autonomous motivation (dRMpooled = 0.52), autonomy (dRMpooled = 0.79), competence (dRMpooled = 0.79), and relatedness (dRMpooled = 0.89). Participants reported FAM being supportive towards their psychological needs, the development of a LTPA routine, and enhanced overall well-being. Future research can be built upon this study to develop a robust understanding as to how need-supportive, adapted LTPA programs could be implemented within community settings or out-patient rehabilitation to support exercise engagement, physical health and overall well-being among adults with disabilities.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

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Evaluating an Adapted Physical Activity Program for University Students and Staff Living with a Physical Disability and/or Chronic Condition through a Self-Determination Theory Lens

Liska,

Pastore,

Bedard

et al. 2024

Disabilities

Self Cite

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“…The LTPAQ-SCI was validated against an hour-to-hour recall of all daily activities. Although this questionnaire was validated in a sample of adults with SCI, it has been used with other disability groups [22] and the wording applies to a stroke population.…”

Section: Methodsmentioning

confidence: 99%

Examining Model Similarity for Exercise Self-Efficacy among Adults Recovering from a Stroke: A Community-Based Exercise Program

Pastore,

Jarry,

Zou

et al. 2024

Disabilities

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We used a single-case experimental research design to examine the effect of modelling (peer versus non-peer) on exercise self-efficacy in stroke survivors who participated in a community-based exercise program. Data were obtained using an ABCA design: (A1) no model/baseline 1 (3 weeks); (B) peer model (6 weeks); (C) non-peer model (6 weeks); and (A2) no model/baseline 2 (3 weeks). Four participants completed self-efficacy questionnaires after each weekly session. Overall, participants reported higher exercise self-efficacy in the model conditions (Cohen’s d range from −0.37 to 4.22), with ratings appearing highest for the non-peer model. Modelling in general may help stroke survivors increase their exercise self-efficacy. Lastly, we provide our reflections on the pragmatics of completing a study within a community setting.

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“…17 Community-based physical activities have also been associated with benefits of higher levels of leisure-time physical activity (eg, exercising at fitness centres, playing sports, and walking/wheeling) and enhanced participation in family-related activities. 18 In fact, the availability of community-based physical activity programmes was identified as an important facilitator for physical activity participation. 19 Adapted community-based programmes and facilities could help reduce 8 the numerous barriers to physical activity faced by people with mobility disabilities.…”

Section: What This Study Addsmentioning

confidence: 99%

Physical activity is for everyone: a call to action for education and knowledge mobilisation to optimise the continuum of services for people with mobility disabilities in Québec, Canada

Bédard,

Best,

Sweet

2023

BMJ Open Sport Exerc Med

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Approximately 2.7 million Canadians live with mobility disabilities. There is scientific documentation describing the importance of physical activity for maintaining or increasing functional capacity, which can support mobility and enhance social participation for people with mobility disabilities. However, numerous barriers continue to restrict participation in community-based physical activity for people with mobility disabilities. It is critical to address these barriers now. A consensus activity was conducted to identify challenges and solutions to overcome the barriers to physical activity promotion among people with mobility disabilities in Quebec, Canada. Three challenges were identified: (1) better services and communication continuum between research, clinical and community organisations, (2) enhanced knowledge mobilisation between research, clinical and community settings and (3) more education for healthcare professionals and community knowledge users regarding mobility and physical activity. Research priorities should focus on developing, testing and implementing existing interventions and programmes to ensure accessible physical activity and to facilitate participation in community settings for people with mobility disabilities.

show abstract

Longitudinal Examination of Leisure-Time Physical Activity (LTPA), Participation, and Social Inclusion Upon Joining a Community-based LTPA Program for Adults With Physical Disabilities

Cited by 9 publications

References 44 publications

Evaluating an Adapted Physical Activity Program for University Students and Staff Living with a Physical Disability and/or Chronic Condition through a Self-Determination Theory Lens

Evaluating an Adapted Physical Activity Program for University Students and Staff Living with a Physical Disability and/or Chronic Condition through a Self-Determination Theory Lens

Examining Model Similarity for Exercise Self-Efficacy among Adults Recovering from a Stroke: A Community-Based Exercise Program

Physical activity is for everyone: a call to action for education and knowledge mobilisation to optimise the continuum of services for people with mobility disabilities in Québec, Canada

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