Negotiating Participation: How Women Living With Disabilities Address Barriers to Exercise

Rolfe, Danielle; Yoshida, Karen; Renwick, Rebecca; Bailey, Carrie A.

doi:10.1080/07399330802484621

Cited by 18 publications

(13 citation statements)

References 32 publications

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“…However, barriers for people with disabilities is reported when wanting to participate in gym-based exercising e.g. lack of accessibility, lack of social support, oppressive attitudes within gyms [ 7 , 65 ], and further, instructors/staff have a key role in promoting inclusiveness or the opposite [ 66 , 67 ] in fitness centres. Less has been written about the overt and unconscious ableism that must also be addressed to craft inclusive fitness spaces.…”

Section: Discussionmentioning

confidence: 99%

Fitness for all: how do non-disabled people respond to inclusive fitness centres?

Nikolajsen

Richardson

Sandal

et al. 2021

BMC Sports Sci Med Rehabil

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Background Representation of people with disabilities in fitness centres is lacking, despite initiatives to promote inclusion mainly in the UK and USA. Success creating these inclusive spaces is mixed and few were crafted taking into account attitudes and biases of non-disabled co-members. Inclusive fitness centres have not gained much attention in Denmark, and the campaign ‘Fitness for All - fitness for people with physical disabilities’ was initiated. The aim of this study was shaped by two key questions; 1) what is the ideal fitness space from the perception of non-disabled fitness users? and 2) how might their dis/ableist attitudes negate inclusion in three future pilot inclusive fitness centres across Denmark? Method Three focus groups involving 5–7 (total n = 18) adult non-disabled participants were conducted. Aged ranged between 19 and 75 years, both men and women were involved, with fitness centre experiences ranging from 0 to 20+ years. Interviews were transcribed and analysed using Malterud’s four-step method of systematic text condensation. Results Of most importance was a pleasant atmosphere which should make them feel welcome and comfortable. Good social relations within the space were also highly valued. Participants welcomed people with physical disabilities but predicted many challenges with an inclusive fitness centre and expressed unconscious ableist attitudes. Conclusion The current study adds essential knowledge regarding how non-disabled people perceive the ideal inclusive fitness centre. A welcoming and inviting atmosphere is essential whereas social skills, ableism, ignorance, and preconceptions are important barriers that may hinder inclusion of participants with disabilities in inclusive fitness centres.

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Section: Discussionmentioning

confidence: 99%

Fitness for all: how do non-disabled people respond to inclusive fitness centres?

Nikolajsen

Richardson

Sandal

et al. 2021

BMC Sports Sci Med Rehabil

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“…An interesting counterargument is that the challenges associated with getting to and from programs away from home may offer a significant opportunity for problem-solving and the application of skills learned within the program itself, providing a feeling of achievement for participants, which may in turn encourage further engagement. 27 Another issue that has been identified as a barrier to engagement in programs away from home is the time and energy required for regular attendance, representing an additional burden on people already dealing with the challenges of ongoing health conditions. 17 This may be a particularly important consideration in developing programs for people with MS given the prevalence of fatigue as a significant symptom.…”

Section: Influence Of Program Setting On Program Effectiveness Primarmentioning

confidence: 99%

Home or Away? Choosing a Setting for a Falls-Prevention Program for People with Multiple Sclerosis

Gunn

Cattaneo

Finlayson

et al. 2014

International Journal of MS Care

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Evidence suggests that choice of setting may be important in influencing the outcomes of rehabilitation programs, as well as optimizing participant satisfaction and adherence. This article aims to examine the factors that may inform the choice of setting for a falls-prevention program tailored to the needs of people with multiple sclerosis, including the influence of setting on program effectiveness, participant engagement, cost, and sustainability. Any new program should ensure that the choice of setting is informed by the intended program outcomes as well as an awareness of the opportunities and challenges presented by each type of setting. Evaluations of falls programs for older people suggest that immediate outcomes are similar regardless of setting; however, long-term outcomes may differ by setting, possibly owing to differential effects on adherence. Programs based away from home may offer benefits in terms of maintaining motivation, providing peer-support opportunities, and allowing regular access to facilitator input, while home-based programs offer unique opportunities for context-based practice and the integration of falls-prevention activities into real life. Additionally, home-based programs may address some of the long-term feasibility issues associated with programs away from home. A "mixed" program incorporating elements of home- and community-based activity may be the most sustainable and effective choice to achieve both long- and short-term goals within a falls-prevention program. However, currently there are significant gaps in knowledge relating to comparative program outcomes, cost, and long-term sustainability.

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“…The most common barriers to physical activity include attitudes and beliefs towards physical activity held by people with mobility impairments, their friends, and their family members 6–10 , built environment features of fitness centers 11–13 , and community features such as safety and the built environment. 14–17 …”

Section: Introductionmentioning

confidence: 99%

Development of the Barriers to Physical Activity Questionnaire for People with Mobility Impairments

Vasudevan

Rimmer

Kviz

2015

Disability and Health Journal

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Background Despite the widely known benefits of physical activity, people with disabilities are more likely to be inactive when compared to people without disabilities. Previous questionnaires that measure barriers physical activity for people with disabilities do not measure barriers from an ecological perspective. Objective The purpose of this study was to develop the Barriers to Physical Activity Questionnaire for People with Mobility Impairments (BPAQ-MI) that measures barriers using an ecological framework. Methods This study consisted of two phases. In Phase one, developed the content validity by (a) developing an item bank, (b) identifying missing items and combining items using a Delphi panel, and (c) refine item wording via cognitive interviews. In Phase two, people with mobility impairments took part in in-person interviews to establish test-retest reliability, internal consistency, and construct validity of the BPAQ-MI. Results Exploratory factor analysis revealed the BPAQ-MI was comprised of eight subscales or factors: health; beliefs and attitudes; family; friends; fitness center built environment; staff and policy; community built environment; and safety. The BPAQ-MI demonstrated very good test-retest reliability. Cronbach’s alpha ranged from 0.792 to 0.935. The BPAQ-MI showed significant negative correlations with exercise (minutes/week) and significant positive correlations between BPAQ-MI subscales and inactivity (hours/day). Conclusions The BPAQ-MI is the first questionnaire that places greater equity at measuring barriers to physical activity across the intrapersonal, interpersonal, organizational, and community domains. The BPAQ-MI has the potential to assist researchers in understanding the complex relationship between barriers and ultimately develop physical activity interventions that address these barriers.

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Negotiating Participation: How Women Living With Disabilities Address Barriers to Exercise

Cited by 18 publications

References 32 publications

Fitness for all: how do non-disabled people respond to inclusive fitness centres?

Fitness for all: how do non-disabled people respond to inclusive fitness centres?

Home or Away? Choosing a Setting for a Falls-Prevention Program for People with Multiple Sclerosis

Development of the Barriers to Physical Activity Questionnaire for People with Mobility Impairments

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