Department of Physiotherapy, Podiatry, and Prosthetics and Orthotics, La Trobe University, Melbourne, Australia.
Department of Paediatrics, The University of Melbourne, Melbourne, Australia.
Disabil Rehabil. 2022 May;44(9):1669-1681. doi: 10.1080/09638288.2021.1903103. Epub 2021 Mar 30.
To evaluate feasibility of scaling up a 12-week community-based exercise program () in which young people with disability exercise with a student mentor.
Within a stepped wedge cluster randomised trial, seven domains of feasibility were assessed: demand, implementation, acceptability, practicality, adaptation, integration, and expansion.
Of the 163 participants with disability (61 females; 20.8 ± 5 y) and 226 mentors who enrolled, 123 participants and mentors completed . Population demand was estimated at 9% of members of participating organisations. Most participants (76%) completed the twice-weekly program within 12 weeks, attending 79% of sessions (mean 18.9 ± 4.7). Key program elements valued by participants were the mentor, tailored exercise, and regular program schedule. Majority (87%) of mentors were recruited from physiotherapy, occupational therapy, and exercise science courses. Positives for participants were perceived benefits and organisational support, and for mentors, understanding disability. Communication and scheduling were burdens. Three serious and 28 non-serious adverse events occurred. Adaptations (additional screening, risk analysis, extra mentor support, or in-person consultation) enabled 29 young people with complexity to participate. The number of trial sites was expanded to 11 to accommodate participants.
Scaling-up is feasible, but with caveats related to communication, scheduling, and efficiency of recruitment.IMPLICATIONS FOR REHABILITATIONKey elements valued by participants as part of the successful scale-up of a community-based exercise program () across a large metropolitan city included a peer-mentor, tailored exercise, and organisational support structure. can be adapted to include young people with complex disability with additional supports including screening, risk analysis, and professional support for the peer-mentor.The benefits of , including social connectedness for young people with a disability and normalisation of disability for mentors, outweigh the burdens of participation.Communication with program organisers and scheduling logistics between the young person, their family/carers and peer mentors are important factors to manage for the successful implementation of .
评估在社区基础上扩大为期 12 周的锻炼计划（）的可行性，该计划中，残疾年轻人与学生导师一起锻炼。
在一项阶梯式楔形集群随机试验中，评估了七个可行性领域：需求、实施、可接受性、实用性、适应性、整合和扩展。
在 163 名残疾参与者（61 名女性；20.8±5 岁）和 226 名导师中，有 123 名参与者和导师完成了 。参与组织成员的需求估计为 9%。大多数参与者（76%）在 12 周内完成了每周两次的计划，参加了 79%的课程（平均 18.9±4.7）。参与者看重的计划关键要素是导师、量身定制的锻炼和定期的计划安排。大多数（87%）导师是从物理治疗、职业治疗和运动科学课程中招募的。参与者认为的好处和组织支持，以及导师对残疾的理解，对导师来说是积极的。沟通和日程安排是负担。发生了 3 起严重和 28 起非严重不良事件。适应（额外的筛选、风险分析、额外的导师支持或面对面咨询）使 29 名有复杂情况的年轻人能够参与。试验点的数量扩大到 11 个，以容纳参与者。
规模扩大是可行的，但存在沟通、日程安排和招聘效率方面的问题。
参与者作为在一个大型城市中成功扩大社区基础锻炼计划（）的一部分所重视的关键要素包括同伴导师、量身定制的锻炼和组织支持结构。可以通过增加筛选、风险分析和同伴导师的专业支持等额外支持，使患有复杂残疾的年轻人参与进来。对于残疾年轻人来说，包括社交联系和导师对残疾的正常化， 的好处超过了参与的负担。与计划组织者的沟通以及年轻人、他们的家人/照顾者和同伴导师之间的日程安排后勤工作是成功实施的重要因素。
