Krops Leonie A, Hols Doortje H J, Folkertsma Nienke, Dijkstra Pieter U, Geertzen Jan H B, Dekker Rienk
a Department of Rehabilitation Medicine , University Medical Center Groningen, University of Groningen , Groningen , The Netherlands.
b Center for Human Movement Sciences , University Medical Center Groningen, University of Groningen , Groningen , The Netherlands.
Disabil Rehabil. 2018 Oct;40(20):2400-2407. doi: 10.1080/09638288.2017.1336645. Epub 2017 Jun 14.
To explore ideas experts, working in the field of physical activity for people with a disability, pose on a stimulating movement intervention for physically disabled people longer than one year post rehabilitation or not familiar with rehabilitation.
Four semi-structured focus groups were conducted with experts (n = 28). Transcripts were analysed following thematic analysis, using the integrated physical activity for people with a disability and intervention mapping model.
Experts expressed no need for a new intervention, but, instead, a need for adapting an existing intervention, and increased collaboration between organisations. Such an adapted intervention should aim to change participants and environmental attitude towards physical activity, and to increase visibility of potential activities. Several methods were mentioned, for instance individual coaching. Potential participants should be personally approached via various intermediates. The intervention owner and government are responsible for stimulating physical activity and should finance an intervention together with health insurances and the user.
According to experts adapting an existing intervention, together with increased collaboration between organisations, will be effective in stimulating physical activity in the target population. This study provides requirements on an intervention to stimulate physical activity, and suggestions for the approach of the target population, finance, and responsibility. Implications for Rehabilitation There is no need for designing a new intervention, but need for adaptation of an existing intervention for stimulating physical activity in physically disabled people. An intervention to stimulate physical activity in physically disabled people should aim to change participants and environmental attitude towards physical activity, and to increase the visibility of potential activities. Methods for stimulating physical activity in physically disabled people could be the use of individual coaching, feedback, a trial period, and role models. Potential participants should be personally approached via a network of intermediate organisations and via marketing, and the social environment.
探讨在残疾人体育活动领域工作的专家对于针对康复后一年以上或不熟悉康复的身体残疾人士开展的刺激性运动干预所提出的想法。
与专家（n = 28）进行了四个半结构化焦点小组讨论。使用残疾人综合体育活动和干预映射模型，对访谈记录进行主题分析。
专家们表示不需要新的干预措施，而是需要调整现有的干预措施，并加强组织间的合作。这种调整后的干预措施应旨在改变参与者和环境对体育活动的态度，并提高潜在活动的可见性。提到了几种方法，例如个人指导。应通过各种中间人亲自接触潜在参与者。干预措施的所有者和政府有责任促进体育活动，并应与健康保险和用户共同为干预措施提供资金。
专家认为，调整现有干预措施并加强组织间的合作，将有效地促进目标人群的体育活动。本研究提供了对促进体育活动干预措施的要求，以及针对目标人群、资金和责任的方法建议。对康复的启示 无需设计新的干预措施，而是需要调整现有的干预措施以促进身体残疾人士的体育活动。促进身体残疾人士体育活动的干预措施应旨在改变参与者和环境对体育活动的态度，并提高潜在活动的可见性。促进身体残疾人士体育活动的方法可以是使用个人指导、反馈、试用期和榜样。应通过中间组织网络、营销以及社会环境亲自接触潜在参与者。
