Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Disabil Rehabil. 2023 Jun;45(12):1984-1991. doi: 10.1080/09638288.2022.2083243. Epub 2022 Jun 12.
To understand the factors influencing participation in community-based gym exercise for young adults with cerebral palsy (CP).
A qualitative study using semi-structured interviews was conducted. Interviews were completed with 39 young adults with CP (15-30 years, GMFCS I-IV) following a peer-supported, gym-based exercise program called .
"Finding what works for me" was the overarching theme. Through their gym experiences, young adults with CP identified four interrelated main themes that influenced whether gym participation "worked" for them, or not: (i) psychological factors, (ii) a "social" participation context, (iii) organisational and logistical support, and (iv) cost. The social context of was perceived to positively influence psychological health outcomes and attenuate perceived barriers to participation. Organisational support facilitated their initial attendance, while logistical effort and cost affected ongoing or future gym participation.
Social involvement plays a critical role in positive participation experiences in community exercise settings for young adults with CP. Clinicians supporting exercise participation for this group should prioritise intervention strategies that promote social engagement and mental wellbeing. Collaboration between clinicians, community leisure organisations, and funding bodies may be essential to overcome logistical and financial barriers during the transition to adulthood. Implications for rehabilitationThe main factor influencing the attendance, involvement, and ongoing exercise preferences of young adults with cerebral palsy (CP) was the social context of the participation experience.Altering the social environment through peer-mentoring can facilitate participation in the gym.Young adults with CP consider mental wellbeing to be an important motivator and outcome of gym-based exercise participation.Mental wellbeing should be prioritised for health promotion for this group.Collaboration between recreation organisations, health services, clinicians, and consumers to address logistical and financial factors can facilitate positive physical activity participation experiences in community settings.
了解影响脑瘫（CP）青年参与社区健身房运动的因素。
采用半结构式访谈进行定性研究。在一项名为 的基于同伴支持的健身房运动计划后，对 39 名 CP 青年（15-30 岁，GMFCS I-IV）进行了访谈。
“找到适合我的方法”是总体主题。通过他们的健身房体验，CP 青年确定了四个相互关联的主要主题，这些主题影响了健身房参与是否“适合”他们：（i）心理因素，（ii）“社会”参与背景，（iii）组织和后勤支持，以及（iv）成本。 被认为对心理健康结果有积极影响，并减轻了参与的感知障碍。组织支持促进了他们的初次参与，而后勤工作和成本则影响了持续或未来的健身房参与。
社会参与在 CP 青年参与社区运动环境中的积极参与体验中起着关键作用。支持该群体参与运动的临床医生应优先考虑促进社会参与和心理健康的干预策略。临床医生、社区休闲组织和资助机构之间的合作可能对于克服成年过渡期的后勤和财务障碍至关重要。
影响脑瘫（CP）青年参与、投入和持续锻炼偏好的主要因素是参与体验的社会背景。通过同伴指导改变社会环境可以促进他们在健身房的参与。CP 青年认为心理健康是健身房运动参与的重要动机和结果。应优先考虑该群体的健康促进，以促进心理健康。为了促进社区环境中积极的体育参与体验，休闲组织、卫生服务、临床医生和消费者之间需要合作，以解决后勤和财务因素。
