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群体居住环境下智力残疾人士身体活动健康促进计划的定性评估。

Qualitative evaluation of a physical activity health promotion programme for people with intellectual disabilities in a group home setting.

机构信息

College of Public Health and Human Sciences: Adapted Physical Activity, Oregon State University, Corvallis, OR, USA.

Rehabilitation Research, Baylor Institute for Rehabilitation, Dallas, TX, USA.

出版信息

J Appl Res Intellect Disabil. 2018 Jan;31 Suppl 1:97-109. doi: 10.1111/jar.12397. Epub 2017 Aug 23.

Abstract

BACKGROUND

There is a lack of health promotion programming designed to change the physical activity environment of the group home setting. The Menu-Choice programme assists staff in creating physical activity goals alongside residents with intellectual disabilities and provides strategies to incorporate activity into the group home schedule. The purpose of this study was to complete a process evaluation of Menu-Choice utilizing qualitative methods.

METHODS

Twelve participants, who completed a 10-week pilot intervention (n = 7 staff, mean age 42; n = 5 residents, mean age 52), participated in face-to-face interviews. Participants represented five group home sites involved in the intervention.

RESULTS

Meta-themes included: (i) Programme training, (ii) Programme implementation, (iii) Programme physical activity, (iv) Programme barriers, (v) Programme facilitators and (vi) Programme feedback.

CONCLUSIONS

Changes in programme training and simplified programme materials are needed to accommodate identified barriers for implementation. The importance of obtaining increased agency support and policy change is highlighted.

摘要

背景

目前缺乏旨在改变群体居住环境中身体活动的健康促进计划。菜单选择计划帮助工作人员与智障居民一起制定身体活动目标,并提供将活动纳入群体居住日程的策略。本研究的目的是利用定性方法完成菜单选择的过程评估。

方法

12 名参与者完成了为期 10 周的试点干预(n=7 名工作人员,平均年龄 42 岁;n=5 名居民,平均年龄 52 岁),并接受了面对面的访谈。参与者代表参与干预的五个群体居住点。

结果

元主题包括:(i)计划培训,(ii)计划实施,(iii)计划身体活动,(iv)计划障碍,(v)计划促进因素和(vi)计划反馈。

结论

需要对计划培训和简化的计划材料进行更改,以适应已确定的实施障碍。突出了获得更多机构支持和政策变革的重要性。

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