McKenzie Georgia, Kennedy Rachel A, Willis Claire, Shields Nora
Olga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Melbourne, Australia.
Sport, Performance, and Nutrition Research Group, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Disabil Rehabil. 2025 Aug;47(16):4106-4115. doi: 10.1080/09638288.2024.2440136. Epub 2025 Jan 1.
Social support is a known facilitator of exercise for people with disability. A qualitative approach was used to understand current social support practices in community gyms for young adults with disability.
Embedded within a larger project "Getting Young adult Moving - Supporting Participation and Access to Recreation Centres" (GYM-SPARC), semi-structured interviews were completed with 25 gym staff, representing 29 community gym facilities across Victoria, Australia. Data were analysed using inductive thematic analysis.
Social support types and availability varied across community gyms. Social support practices included orientation, supervision, specialist input, logistical support, motivation, peer support and social activities. These were provided as "standard" supports available to all members, "inclusion" supports specific to people with disabilities, or "external" supports provided by external services but operating within the gym facility. Two themes described how social supports were implemented: (i) stages of participation - "getting in the door, getting started and ongoing participation," and (ii) influencing factors - "people, partnerships and policy."
Social support practices are seldom implemented by community gyms to facilitate young adults with disability to "get in the door." Improving partnerships between gyms, rehabilitation, health and disability services may support the transition into community gym exercise.IMPLICATIONS FOR REHABILITATIONUnderstanding current social support practices enables rehabilitation clinicians and the recreation sector to identify gaps and opportunities to promote gym participation for young adults with disability.Social supports for young adults with a disability are implemented variably across participation phases and driven by people, partnership, and policy factors.Currently, a gap exists in the provision of social support to facilitate young adults with disability "getting in the door" of community gyms.An opportunity exists for rehabilitation clinicians (such as physiotherapists) and community gyms to collaborate and facilitate the transition into community-based gym exercise for young adults with disability.
社会支持是已知的促进残疾人锻炼的因素。本研究采用定性研究方法,以了解社区健身房针对残疾青年的当前社会支持实践情况。
在一个更大的项目“让青年动起来——支持参与和使用娱乐中心”(GYM-SPARC)中,对来自澳大利亚维多利亚州29个社区健身设施的25名健身房工作人员进行了半结构化访谈。采用归纳主题分析法对数据进行分析。
不同社区健身房的社会支持类型和可得性各不相同。社会支持实践包括引导、监督、专业指导、后勤支持、激励、同伴支持和社交活动。这些支持作为面向所有会员的“标准”支持、针对残疾人的“包容”支持或由外部服务提供但在健身房设施内开展的“外部”支持。有两个主题描述了社会支持的实施方式:(i)参与阶段——“进入健身房、开始锻炼和持续参与”,以及(ii)影响因素——“人员、伙伴关系和政策”。
社区健身房很少实施社会支持措施来帮助残疾青年“进入健身房”。改善健身房、康复、健康和残疾服务之间的伙伴关系,可能有助于残疾青年过渡到社区健身房锻炼。
对康复的启示
了解当前的社会支持实践,有助于康复临床医生和娱乐部门识别促进残疾青年参与健身房锻炼的差距和机会。
针对残疾青年的社会支持在不同参与阶段的实施方式各不相同,且受人员、伙伴关系和政策因素驱动。
目前,在为残疾青年提供社会支持以帮助他们“进入”社区健身房方面存在差距。
康复临床医生(如物理治疗师)和社区健身房有机会合作,促进残疾青年过渡到基于社区的健身房锻炼。