Physical activity and chronic disease prevention: Where is the research on people living with disabilities?

Ginis, Kathleen A. Martin; Sharma, Ritu; Brears, Sarah L.

doi:10.1503/cmaj.211699

Cited by 5 publications

(6 citation statements)

References 6 publications

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“…This paper presented participants' perspectives for a randomized controlled trial aimed to investigate the effectiveness of a convenient telehealth exercise program for adults with neurological and physical disabilities. Currently, there are minimal exercise guidelines for PWD, and much more research is needed to develop effective interventions for increasing the benefits of exercise in this population ( 20 , 21 ). Preliminary findings from this qualitative study indicate the potential benefit of a telehealth physical activity program for PWD.…”

Section: Discussionmentioning

confidence: 99%

How do people with physical/mobility disabilities benefit from a telehealth exercise program? A qualitative analysis

Wilroy¹,

Kim²,

Lai³

et al. 2022

Front. Rehabilit. Sci.

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People with neurological and physical disabilities (PWD) experience a myriad of secondary and chronic health conditions, thus, reducing their participation and quality of life. A telehealth exercise program could provide a convenient opportunity for improving health in this population. To describe participants' perceived benefits of a telehealth physical activity program among PWD, we conducted semi-structured interviews with 30 study participants after completing the 24-week program SUPER-HEALTH (Scale-Up Project Evaluating Responsiveness to Home Exercise and Lifestyle TeleHealth). Interview data were recorded, transcribed verbatim, and analyzed using inductive thematic analysis. The mean age of the sample was 51 ± 13 years, the primary disability was Multiple Sclerosis, and there were nine men (30%) and 21 (70%) women. Inductive thematic analysis resulted in four themes that include the following: (1) improved health and function, (2) increased activity participation, (3) improved psychosocial health, and (4) optimized performance and benefits. These preliminary findings provided support for the use of a home exercise program and recommendations to improve it to enhance benefits among PWD.

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Section: Discussionmentioning

confidence: 99%

How do people with physical/mobility disabilities benefit from a telehealth exercise program? A qualitative analysis

Wilroy¹,

Kim²,

Lai³

et al. 2022

Front. Rehabilit. Sci.

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“…3 Of the 16 high school graduates, 11 obtained a high school diploma, 4 obtained a high school equivalency certificate (General Educational Development, or GED), and 1 did not obtain either. 4 A list of 23 chronic conditions adapted from Charlson Comorbidity Index [39]. More than half reported the following conditions: 95, high blood pressure or hypertension (81.9%); 94, arthritis or rheumatism (81.0%); 64, high cholesterol (55.2); and 58, vision problems such as glaucoma and cataract (50.0%).…”

Section: Sample Characteristicsmentioning

confidence: 99%

“…Baseline assessment experience High or adequate quality 112 (96.6) Presence of others (non-participants) during visit 76 (65.5) Interviewers' perception of participants Good or excellent understanding of questions 107 (92.2) Enjoyed the baseline assessment session 1 115 (99.1) Assessment seemed tiring for participants (a little to very 2 ) 61 (53.6) Difficulty remembering questions (a little to some 3 ) 44 (37.9) Difficulty hearing (a little to a lot 4 ) 24 (21.7) Required frequent repetition of questions 14 (12.1) Appeared strained by leaning forward and/or watching interviewer's lips very carefully 4 (3.5) Failed to react to interviewer's questions and comments, if not watching interviewer's lips 2 (1.7) 1 Enjoyment level-A great deal: N = 54; Quite a bit: N = 45; Some: N = 16. 2 A little tiring: N = 54; Very tiring: N = 7.…”

Section: Interviewer Observations N (%)mentioning

confidence: 99%

“…However, older adults with disabilities, especially those with ambulatory difficulties, have limited opportunities to participate in physical activity. Clinical trials rarely target older adults who have difficulties walking or standing up [3,4], and most existing motor function assessment instruments do not work well for frail older adults [5,6]. The overarching goal of this paper is to describe challenges in evaluating motor function among frail older adults, discuss strategies for adapting motor function assessments to their home settings, and provide recommendations for future studies on community-dwelling frail older adults.…”

Section: Introductionmentioning

confidence: 99%

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Assessing Motor Function in Frail Older Adults in Their Home Settings: Challenges, Strategies and Recommendations

Yin

Caceres

Skowronski

et al. 2023

IJERPH

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Assessing motor competence is essential for evaluating the effectiveness of physical activity interventions that aim to maintain or improve older adults’ function. However, assessing motor competence in older adults who have difficulties walking or standing is challenging, because few instruments or guidelines are appropriate for these frail older adults. This article aims to describe challenges in evaluating motor function among frail older adults, discuss strategies for adapting motor function assessments to their home settings, and provide recommendations for future clinical trials so that older adults with ambulatory difficulties can benefit from motor function assessment and physical activity programs. Data came from the baseline assessment of 116 participants of an ongoing clinical trial, “Promoting Seniors’ Health with Home Care Aides (Pro-Home)”. Our results demonstrated that the Pro-Home study involved participants who would be typically excluded from clinical trials and that the two instruments selected or developed for Pro-Home (Short Physical Performance Battery, Pro-Home Ankle Range of Motion Measure) captured a wide range of lower extremity motor competence with no or few missing data. Recommendations for future studies include knowing the target population thoroughly, developing trust and rapport with all parties involved, and continuously collaborating with interviewers who conduct assessments.

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“…The World Health Organization (WHO) developed physical activity (PA) guidelines for people living with disabilities that recommend (a) a minimum of 150 min/week of moderate, 75 min/week of vigorous, or an equivalent combination of moderate-to-vigorousintensity PA (MVPA); and (b) muscle strength training activities involving all major muscle groups on two or more days/week at a moderate or greater intensity [1]. Because there is so little epidemiological data on the association between PA and health in people with disabilities [2,3], these guidelines were based almost entirely on studies of people without disabilities [4]. In order to collect much-needed data on PA and its relation to health among individuals with disabilities, valid and reliable measures of PA are urgently needed [2,5].…”

Section: Introductionmentioning

confidence: 99%

The Leisure Time Physical Activity Questionnaire for People with Disabilities: Validity and Reliability

Gee,

Neely,

Jevdjevic

et al. 2024

Disabilities

Self Cite

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There is an urgent need for valid and reliable measures of physical activity (PA) participation for use among people with physical and/or sensory disabilities. This study involved adapting the Leisure Time PA Questionnaire for People with Spinal Cord Injury for use in individuals with disabilities (i.e., the LTPAQ-D) and performing a preliminary evaluation of its content validity, construct validity, and same-day test–retest reliability in people with disabilities. User interviews assessed the content validity (n = 5). A cross-sectional study assessed the construct validity and same-day test–retest reliability (n = 27, 45 ± 21 years). Participants completed the LTPAQ-D, other self-report measures of aerobic and strength training PA, as well as tests of cardiorespiratory fitness (i.e., peak oxygen consumption (V˙O2peak)) and muscular strength. LTPAQ-D measures of min/week of aerobic LTPA, aerobic moderate-to-vigorous PA (MVPA), and strength training shared medium-to-large correlations with other self-report measures of aerobic and strength training PA (r = 0.458–0.942, ps < 0.01). After controlling for age, aerobic LTPA and MVPA shared moderate partial correlations with V˙O2peak (r = 0.341 and 0.356, respectively). Min/week of strength training, measured by the LTPAQ-D, was associated with predicted maximal strength on the chest press (r = 0.621, p = 0.009). All LTPAQ-D measures demonstrated good-to-excellent test–retest reliability (intraclass correlations = 0.709–0.948, ps < 0.01). This study provides preliminary evidence of the validity and reliability of the LTPAQ-D as a measure of LTPA among people with disabilities.

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Physical activity and chronic disease prevention: Where is the research on people living with disabilities?

Cited by 5 publications

References 6 publications

How do people with physical/mobility disabilities benefit from a telehealth exercise program? A qualitative analysis

How do people with physical/mobility disabilities benefit from a telehealth exercise program? A qualitative analysis

Assessing Motor Function in Frail Older Adults in Their Home Settings: Challenges, Strategies and Recommendations

The Leisure Time Physical Activity Questionnaire for People with Disabilities: Validity and Reliability

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