Faculty of Sport and Health Sciences, University of Jyvaskyla, Finland.
Laboratory Epsylon "Dynamics of Human Abilities and Health Behavior" (EA 4556), University of Montpellier, France.
Disabil Health J. 2018 Apr;11(2):174-183. doi: 10.1016/j.dhjo.2017.10.013. Epub 2017 Oct 31.
Despite the strong evidence that physical activity (PA) is a key determinant of health, there is limited knowledge on the content and outcomes of PA promotion interventions among individuals with disabilities.
To conduct a scoping review in order to examine the published literature on PA promotion interventions among adults with disabilities.
A scoping review following the methodological framework provided by Arksey and O'Malley used electronic databases (MEDLINE, PsycINFO, and CINAHL), reference lists, and journals to locate studies. Inclusion criteria were based on study aim, outcome measures, and a disability definition by the WHO International Classification of Functioning, Disability and Health. The Behavior Change Techniques Taxonomy version 1 and Furlan and collaborators' risk of bias assessment were utilized during the data charting stage.
Thirty-eight articles met the inclusion criteria. Most of the studies (70%) reported a significant increase in PA behavior immediately following intervention. However, less than half of the studies (46%) examined the maintenance of pre-/post-test differences. The number of identified behavior change techniques was significantly higher for successful PA promotion interventions than for interventions with no effects on PA. Approximately one-third of studies (32%) were rated as having a high risk of bias.
Although findings support the idea that PA promotion interventions produce positive changes in PA behavior for a variety of disability conditions, risk of bias assessment calls for prudence. There are opportunities for continued development of the area of PA promotion among individuals with disabilities through systematic reviews and meta-analyses.
尽管有大量证据表明身体活动（PA）是健康的关键决定因素，但对于残疾人群体中促进身体活动的干预措施的内容和效果知之甚少。
进行范围综述，以检查关于残疾成年人促进身体活动的干预措施的已发表文献。
采用 Arksey 和 O'Malley 提供的方法学框架进行范围综述，使用电子数据库（MEDLINE、PsycINFO 和 CINAHL）、参考文献列表和期刊来定位研究。纳入标准基于研究目的、结果测量以及世界卫生组织国际功能、残疾和健康分类的残疾定义。在数据图表阶段，利用行为改变技术分类学版本 1 和 Furlan 及其合作者的偏倚风险评估。
符合纳入标准的文章有 38 篇。大多数研究（70%）报告干预后 PA 行为立即显著增加。然而，只有不到一半的研究（46%）检查了预/后测试差异的维持情况。成功的 PA 促进干预措施中识别出的行为改变技术数量明显高于对 PA 没有影响的干预措施。约三分之一的研究（32%）被评为具有高偏倚风险。
尽管研究结果支持这样的观点，即促进身体活动的干预措施可以为各种残疾状况的身体活动行为带来积极的变化，但偏倚风险评估需要谨慎。通过系统评价和荟萃分析，有机会在残疾人群体中持续发展身体活动促进领域。
