Can J Occup Ther. 2023 Jun;90(2):161-172. doi: 10.1177/00084174231160954.
Physical activity (PA) is essential for maintaining well-being in adults with disabilities. This population experienced reduced PA during the COVID-19 pandemic; yet, the impact on quality of PA participation remains unclear. This secondary analysis explored how pandemic restrictions impacted six experiential dimensions of quality of PA participation among adults with disabilities. An exploratory sequential mixed-methods design, including semi-structured interviews ( = 10) and self-reported surveys ( = 61), was conducted in May-2020 and February-2021. Quality of PA participation was measured using the Measure of Experiential Aspects of Participation (MeEAP). Participants included community-dwelling adults over 19 years of age (mean 59.2 ± 14.0 years) living with stroke, spinal cord injury, or other physical disabilities. Directed content analysis identified three themes related to adjusting PA participation for restrictions, motivation barriers, and valuing social support. These themes highlighted five factors, such as resilience, as potential quantitative predictors of quality of PA participation. While paired correlations with MeEAP scores were observed, these factors were not statistically predictive in multiple regression analysis (adjusted = -0.14, (10,50) = 0.92, = .53). The interplay between , , , and dimensions of quality of PA participation was complex, with an emphasized role for mental health, in adults with disabilities.
身体活动（PA）对残疾成年人的健康至关重要。在 COVID-19 大流行期间，这一人群的身体活动减少；然而，其对身体活动参与质量的影响仍不清楚。本二次分析探讨了大流行限制如何影响残疾成年人身体活动参与质量的六个体验维度。采用探索性顺序混合方法设计，包括半结构式访谈（ = 10）和自我报告调查（ = 61），于 2020 年 5 月至 2021 年 2 月进行。身体活动参与质量使用体验参与测量（MeEAP）进行测量。参与者包括居住在社区的 19 岁以上成年人（平均年龄 59.2 ± 14.0 岁），患有中风、脊髓损伤或其他身体残疾。定向内容分析确定了三个与调整身体活动以适应限制、动机障碍和重视社会支持有关的主题。这些主题突出了五个因素，如韧性，作为身体活动参与质量的潜在定量预测因素。虽然观察到与 MeEAP 评分的配对相关性，但这些因素在多元回归分析中没有统计学预测意义（调整后 = -0.14，（10,50） = 0.92，p = .53）。身体活动参与质量的、、和维度之间的相互作用很复杂，心理健康在残疾成年人中起着重要作用。
