Effectiveness of an educational health promotion program on influencing physical activity behaviors in individuals with mobility disabilities Public Deposited

http://ir.library.oregonstate.edu/concern/graduate_thesis_or_dissertations/hd76s298n

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  • Participation in regular physical activity is important for individuals with a mobility disability to decrease risk of chronic disease, improve quality of life, and maintain and improve functional ability. Consequently, there is a need for programs that can facilitate the adoption and maintenance of regular physical activity for adults with a mobility disability. Purpose: To pilot test a physical activity centered education (PACE) program for individuals with a mobility disability. Methods: A case study approach was adopted and consisted of two participants with a mobility disability, one in the support and one in the awareness group. The participant in the support group completed the 8-week (1 90minute session/week) PACE program in person at the Health Promotion for People with Disabilities Lab. The participant in the awareness group was mailed the PACE materials and completed the program independently at home. Thus, the primary between group differences was the intensity and type of support provided for physical activity adoption. Participants in each group completed pre, and post assessments, with the participant in the support group completing an additional follow-up assessment measuring: (1) amount of weekly physical activity (self-report), (2) self-efficacy to be active, and (3) barriers to physical activity. Finally, after the follow-up assessment, the participant in the support group completed an interview to evaluate the program. ANALYSIS: Descriptive analysis of quantitative data was calculated and was reported in frequencies and percentage change over time. Qualitative data was analyzed using a cross-case analysis to identify themes and conceptual patterns in the responses. RESULTS: Both participants reported a decrease in barriers faced. The participant in the support group reported decreased physical activity and increased self-efficacy whereas, the participant in the awareness group reported increased physical activity and decreased self-efficacy. During the follow-up interview, five themes were identified including (1) PA knowledge, (2) PA participation, (3) PA expectations, (4) Program participation, and (5) Program feedback. CONCLUSION: The findings from this case study were mixed between amount of activity completed, barriers faced, and self-efficacy. However, these results are difficult to interpret due to a confounding health factor (spinal stenosis) faced by the participant in the support group that likely impacted all outcome measures. Through the program evaluation, suggested program adjustments included improving program applicability by including community specific information, incorporating personalized activity plans, and providing practical examples of adapted activities of daily living and exercises.
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