a Novita Children's Services , Regency Park , Australia.
b School of Psychology , University of Adelaide , Adelaide , Australia.
Disabil Rehabil. 2019 Jun;41(13):1499-1507. doi: 10.1080/09638288.2018.1432702. Epub 2018 Jan 30.
Existing research has explored the barriers and facilitators of physical activity participation for young people with disability from the perspective of young people and their families. However, little research has investigated the views of clinicians who facilitate access to physical activity programs and compared this with their child client's perspectives.
Interviews were conducted with six allied health and sports development professionals associated with a programme which supports access to recreation and sporting activities. Interviews explored facilitators and barriers to physical activity experienced by their clients. Open-ended survey questions investigating barriers and facilitators of physical activity participation were also completed by 28 young people with disability aged 10-17 years who were clients of this programme.
The most salient facilitator of participation described by clinicians was "planning programs to promote success and inclusion." Young people described two main facilitators; "the right people make physical activity fun!" and, similar to clinicians, "appropriate and inclusive opportunities to be active." The most salient barriers identified by clinicians were "practical limitations" and "time constraints and priorities," and a novel barrier raised was "whose choice?" The "lack of accessible and inclusive opportunities" was the most pertinent barrier for young people.
Clinicians should determine both parent and young person commitment to a physical activity before enrolment. Lack of commitment can act as a barrier to physical activity and a more appropriate intervention could focus on increasing awareness of the benefits of being active, drawing on a Stages of Change based model of service delivery. Implications for rehabilitation Rehabilitation professionals seeking to increase physical activity participation for young people with physical disability should discuss readiness and motivation to change prior to any activity/sports referral. Different behaviour change processes are required for young people and for their parents and both are important to achieve physical activity participation. Regular monitoring is important to identify on-going physical and psychological barriers to participation, even for those who were already active. Clinicians should be aware that teenagers may be more ready to be active as they develop greater independence and should raise awareness of the benefits of physical activity.
现有研究从年轻人及其家庭的角度探讨了残疾年轻人参与体育活动的障碍和促进因素。然而，很少有研究调查促进年轻人获得体育活动项目的临床医生的观点，并将其与他们孩子的观点进行比较。
对与支持娱乐和体育活动的计划相关的六名联合健康和运动发展专业人员进行了访谈。访谈探讨了他们客户在体育活动中遇到的促进因素和障碍。该计划的 28 名年龄在 10-17 岁的残疾年轻人还完成了一份关于体育活动参与障碍和促进因素的开放式问卷调查。
临床医生描述的最显著的参与促进因素是“计划方案以促进成功和包容”。年轻人描述了两个主要的促进因素；“合适的人让体育活动变得有趣！”以及类似于临床医生的观点，“有适当和包容的机会参与”。临床医生确定的最显著障碍是“实际限制”和“时间限制和优先事项”，并提出了一个新的障碍是“谁的选择？”“缺乏可及和包容的机会”是年轻人最关心的障碍。
临床医生在注册前应确定家长和年轻人对体育活动的承诺。缺乏承诺可能会成为体育活动的障碍，更合适的干预措施可以集中在提高对活动益处的认识上，借鉴基于变化阶段的服务提供模式。
寻求增加身体残疾的年轻人体育活动参与度的康复专业人员应该在任何活动/运动转介之前讨论改变的准备情况和动力。年轻人和他们的父母都需要不同的行为改变过程，这对实现体育活动参与都很重要。定期监测对于识别持续存在的身体和心理参与障碍非常重要，即使是那些已经活跃的人也是如此。临床医生应该意识到，随着青少年逐渐获得更大的独立性，他们可能更愿意积极参与活动，并提高他们对体育活动益处的认识。
