Koon Lyndsie M, Hall Jean P, Arnold Kristen A, Donnelly Joseph E, Heinrich Katie M
Research and Training Center on Independent Living, Life Span Institute, University of Kansas, 1000 Sunnyside Ave., Room 1052, Lawrence, KS 66045, USA.
Institute for Health and Disability Policy Studies (KU-IHDPS), Life Span Institute, University of Kansas, 1000 Sunnyside Ave., Room 1052, Lawrence, KS 66045, USA.
Sports (Basel). 2023 Jun 12;11(6):116. doi: 10.3390/sports11060116.
People with mobility-related disabilities (MRDs) experience many personal and environmental barriers to engagement in community-based exercise programs. We explored the experiences of adults with MRD who currently participate in high-intensity functional training (HIFT), an inclusive and accessible community-based exercise program.
Thirty-eight participants completed online surveys with open-ended questions, with ten individuals also participating in semi-structured interviews via telephone with project PI. Surveys and interviews were designed to examine changes to perceived health, and the elements of HIFT that promote sustained participation.
Thematic analysis revealed themes related to health changes following HIFT participation including improved physical, functional, and psychosocial health outcomes. Other themes emerged within the HIFT environment that promoted adherence for participants such as accessible spaces and equipment, and inclusive HIFT sessions and competitions. Additional themes included participants' advice for the disability and healthcare communities. The resulting themes are informed by the World Health Organization's International Classification of Functioning, Disability, and Health.
The findings provide initial data on the potential effects of HIFT on multiple dimensions of health outcomes and contribute to the growing literature on community-based programs that are adaptable and inclusive for people with MRD.
与行动能力相关的残疾(MRD)患者在参与社区锻炼项目时面临诸多个人和环境障碍。我们探讨了目前参与高强度功能训练(HIFT)的成年MRD患者的经历,HIFT是一项具有包容性且人人可及的社区锻炼项目。
38名参与者完成了带有开放式问题的在线调查,其中10人还通过电话参与了与项目负责人的半结构化访谈。调查和访谈旨在考察感知健康的变化以及促进持续参与的HIFT要素。
主题分析揭示了与参与HIFT后健康变化相关的主题,包括身体、功能和心理社会健康状况的改善。在HIFT环境中还出现了其他促进参与者坚持锻炼的主题,如无障碍空间和设备,以及包容性的HIFT课程和竞赛。其他主题包括参与者对残疾和医疗保健社区的建议。所得主题以世界卫生组织的《国际功能、残疾和健康分类》为依据。
研究结果提供了关于HIFT对健康结果多个维度潜在影响的初步数据,并为越来越多关于对MRD患者具有适应性和包容性的社区项目的文献做出了贡献。