Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Australia.
Rehabilitation, Ageing, and Independent Living (RAIL) Research Centre, School of Allied Health and Primary Care, Monash University, Australia; Occupational Therapy Department, School of Primary and Allied Health Care, Monash University, Australia.
Disabil Health J. 2024 Jul;17(3):101618. doi: 10.1016/j.dhjo.2024.101618. Epub 2024 Mar 26.
People with disability living in supported accommodation experience ongoing health disparities. Physical activity and dietary quality are factors that may minimise the risk of chronic disease, however this population may experience a range of biopsychosocial barriers to physical activity and healthy eating.
The aim of this review was to synthesise the biopsychosocial determinants of physical activity and healthy eating for people with disability living in supported accommodation, as reported by existing qualitative research.
A systematic review of qualitative evidence was conducted according to the JBI's methodological guidance. In September 2023, five academic databases were searched for relevant literature published since database inception. A secondary analysis of the results of included studies was guided by the International Framework for Functioning, Disability, and Health (ICF), using the ICF Linking Rules.
A total of 31 articles were included. The analysis identified 154 determinants of physical activity and 112 determinants of healthy eating. Determinants were most prominently representative of environmental factors that captured the health promoting role and attitudes of staff, alongside the influence of the organisational context.
This review provided evidence for the complex interactions between body functions and structures, activities and participation, personal factors, and the environment that influence physical activity and healthy eating within supported accommodation. Although there is a limited body of evidence to guide practice, the findings highlight the multifactorial nature of interventions that can be utilised by direct care professionals and adapted to the individual needs and interests of people with disability.
居住在支持性住宿环境中的残疾人士存在持续的健康差距。身体活动和饮食质量是降低慢性病风险的因素，但该人群可能面临一系列身体、心理和社会障碍，影响他们进行身体活动和健康饮食。
本综述旨在综合现有的定性研究，总结居住在支持性住宿环境中的残疾人士进行身体活动和健康饮食的生物-心理-社会决定因素。
根据 JBI 的方法学指南，对定性证据进行了系统综述。2023 年 9 月，在五个学术数据库中搜索了自数据库建立以来发表的相关文献。纳入研究结果的二次分析由国际功能、残疾和健康分类（ICF）指导，使用 ICF 链接规则。
共纳入 31 篇文章。分析确定了 154 个身体活动决定因素和 112 个健康饮食决定因素。决定因素主要代表环境因素，这些因素捕捉了工作人员的健康促进作用和态度，以及组织背景的影响。
本综述为身体功能和结构、活动和参与、个人因素以及环境之间复杂相互作用提供了证据，这些因素影响了支持性住宿中的身体活动和健康饮食。尽管指导实践的证据有限，但研究结果强调了可以由直接护理专业人员利用并适应残疾人士个人需求和兴趣的多因素干预措施的性质。
