A review of social and environmental barriers to physical activity for adults with intellectual disabilities.

doi:10.1016/J.DHJO.2008.11.004

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A review of social and environmental barriers to physical activity for adults with intellectual disabilities.

Journal Article•DOI•

A review of social and environmental barriers to physical activity for adults with intellectual disabilities.

Amy E. Bodde¹, Dong-Chul Seo¹•Institutions (1)

Indiana University¹

01 Apr 2009-Disability and Health Journal (Elsevier)-Vol. 2, Iss: 2, pp 57-66

TL;DR: Of primary importance is the development of policies among agencies that serve individuals with ID that could help minimize transportation, financial, policy and educational barriers, which are more modifiable than negative supports.

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About: This article is published in Disability and Health Journal.The article was published on 2009-04-01. It has received 163 citations till now. The article focuses on the topics: Population & Intellectual disability.

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Journal Article•DOI•

Participation of people living with disabilities in physical activity: a global perspective.

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Kathleen A. Martin Ginis¹, Hidde P. van der Ploeg², Hidde P. van der Ploeg³, Charlie Foster⁴, Byron Lai⁵, Christopher B McBride, Kwok Ng⁶, Kwok Ng⁷, Michael Pratt⁸, Celina H Shirazipour⁹, Celina H Shirazipour¹⁰, Brett Smith¹¹, Priscilla M. Vásquez⁸, Gregory W. Heath¹² - Show less +10 more•Institutions (12)

University of British Columbia¹, University of Sydney², Public Health Research Institute³, University of Bristol⁴, University of Alabama at Birmingham⁵, University of Eastern Finland⁶, University of Limerick⁷, University of California, San Diego⁸, University of California, Los Angeles⁹, Cedars-Sinai Medical Center¹⁰, Durham University¹¹, University of Tennessee at Chattanooga¹²

31 Jul 2021-The Lancet

TL;DR: In this paper, a global overview of the prevalence, benefits, and promotion policies for physical activity for people living with disabilities (PLWD) is provided, with a focus on low-income and middle-income countries.

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126 citations

Journal Article•DOI•

Motivational correlates of physical activity in persons with an intellectual disability: a systematic literature review

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Yeshayahu Hutzler¹, Olga Korsensky¹•Institutions (1)

Wingate Institute¹

01 Sep 2010-Journal of Intellectual Disability Research

TL;DR: Improved physical fitness and elevated skill level gained during exercise and sport activities appear to serve as mediators for increased perceptions of self-efficacy and social competence in persons with intellectual disability.

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Abstract: Background The purpose of this study is to systematically retrieve, examine and discuss scientific studies focusing on motivational correlates that both contribute to, and can be assumed to be effects of, participation in sport, recreation, or health-related physical activities in persons with intellectual disability (ID). Methods A systematic analysis of the literature retrieved through electronic databases and other resources was performed, covering articles published from 1980 through 2009. Inclusion criteria were based on terms referring to the participants, the psychosocial correlates and the type of activity. Results Twenty-three articles satisfied the inclusion criteria, and were divided into four categories of studies: (1) cross-sectional designs, (2) experimental prospective one-group designs, (3) longitudinal comparative intervention designs, and (4) qualitative designs. The level of quality regarding the intervention studies was assessed using four different scales, and on average they depicted a moderate level of evidence. Conclusions Both exercise and sport-related activities seem to contribute to well-being. Improved physical fitness and elevated skill level gained during exercise and sport activities appear to serve as mediators for increased perceptions of self-efficacy and social competence. Peer modelling, as well as video and audio reinforcement, appear to be important modalities in maintaining compliance to exercise programmes.

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125 citations

Journal Article•DOI•

Understanding low levels of physical activity in people with intellectual disabilities: A systematic review to identify barriers and facilitators

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Leontien Bossink, Annette van der Putten¹, Carla Vlaskamp¹•Institutions (1)

University of Groningen¹

01 Sep 2017-Research in Developmental Disabilities

TL;DR: Results reveal a broad range of barriers and facilitators, but not for people with more severe ID, and further research should also examine these factors among stakeholders responsible for providing support.

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103 citations

Cites background from "A review of social and environmenta..."

...Bodde and Seo (2009) recommend further exploration of discrepancies between reports from people with ID and proxy reports, in order to improve understanding of physical inactivity in people with ID....
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...Another shortcoming of the review by Bodde and Seo (2009), and one that is likely to be of equal importance, is that the authors did not screen any facilitators of physical activity....
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...In one review, Bodde and Seo (2009) identify social and environmental barriers to physical activity in adults with ID, including issues related to transport and finances, negative support, and lack of awareness of options....
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...However, this review refers to people with ID in general, without distinguishing between various levels of ID (Bodde & Seo, 2009)....
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Journal Article•DOI•

Effectiveness of a walking programme to support adults with intellectual disabilities to increase physical activity: walk well cluster-randomised controlled trial

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Craig Melville¹, Fiona Mitchell¹, Kirsten Stalker², Lynsay Matthews¹, Alex McConnachie¹, Heather Murray¹, Chris Melling³, Nanette Mutrie⁴ - Show less +4 more•Institutions (4)

University of Glasgow¹, University of Strathclyde², Glasgow City Council³, University of Edinburgh⁴

29 Sep 2015-International Journal of Behavioral Nutrition and Physical Activity

TL;DR: This is the first published trial of a walking program for adults with intellectual disabilities and since participants spent the majority of their time sedentary, home-based programmes to reduce sitting time may be a viable health improvement approach.

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Abstract: Programs to change health behaviours have been identified as one way to reduce health inequalities experienced by disadvantaged groups. The objective of this study was to examine the effectiveness of a behaviour change programme to increase walking and reduce sedentary behaviour of adults with intellectual disabilities. We used a cluster randomised controlled design and recruited participants over 18 years old and not regularly involved in physical activity from intellectual disabilities community-based organisations. Assessments were carried out blind to allocation. Clusters of participants were randomly allocated to the Walk Well program or a 12-week waiting list control. Walk Well consisted of three face-to-face physical activity consultations incorporating behaviour change techniques, written resources for participants and carers, and an individualised, structured walking programme. The primary outcome measured with accelerometers was change in mean step count per day between baseline and 12 weeks. Secondary outcomes included percentage time per day sedentary and in moderate-vigorous physical activity (MVPA), body mass index (BMI), and subjective well being. One hundred two participants in 50 clusters were randomised. 82 (80.4 %) participants completed the primary outcome. 66.7 % of participants lived in the most deprived quintile on the Scottish Index of Multiple Deprivation. At baseline, participants walked 4780 (standard deviation 2432) steps per day, spent 65.5 % (standard deviation 10.9) of time sedentary and 59 % percent had a body mass in the obesity range. After the walking programme, the difference between mean counts of the Walk Well and control group was 69.5 steps per day [95 % confidence interval (CI) -1054 to 1193.3]. There were no significant between group differences in percentage time sedentary 1.6 % (95 % CI −2.984 to 6.102), percentage time in MVPA 0.3 % (95 % CI −0.7 to 1.3), BMI −0.2 kg/m2 (95 % CI −0.8 to 0.4) or subjective well-being 0.3 (95 % CI −0.9 to 1.5). This is the first published trial of a walking program for adults with intellectual disabilities. Positively changing physical activity and sedentary behaviours may require more intensive programmes or upstream approaches to address the multiple social disadvantages experienced by adults with intellectual disabilities. Since participants spent the majority of their time sedentary, home-based programmes to reduce sitting time may be a viable health improvement approach. Current Controlled Trials ISRCTN50494254

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75 citations

Cites background from "A review of social and environmenta..."

...Social, financial, transport and other barriers to accessing gyms [13, 14] mean that only a small proportion of adults with intellectual disabilities, who live in our communities, are able to regularly participate in gym-based programmes [15, 16]....
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Journal Article•DOI•

Physical activity and sedentary behavior in older adults with intellectual disabilities: a comparative study.

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Alicia Dixon-Ibarra¹, Miyoung Lee, Anisia Dugala•Institutions (1)

Oregon State University¹

01 Jan 2013-Adapted Physical Activity Quarterly

TL;DR: Results indicate that older adults with ID are performing less physical activity than comparison groups, and demonstrate the need for health promotion efforts for adults withID across the lifespan.

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Abstract: The purpose of this study was to examine the physical activity patterns of older adults with intellectual disabilities (ID) in comparison with younger adults with ID and older adults without ID. A sample of 109 participants was included in the study. Sophisticated data reduction, time stamped technology, and multiple objective measures (i.e., pedometers and accelerometers) were used to determine physical activity intensities and walking patterns of participants. Results indicate that older adults with ID are performing less physical activity than comparison groups. A small proportion of older adults with ID (6%) met national physical activity recommendations of 150 min of moderate or 75 min of vigorous physical activity in bouts greater than ten minutes across the week (USDHHS, 2008). Sedentary behavior was also an observable factor in this study. These findings demonstrate the need for health promotion efforts for adults with ID across the lifespan.

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70 citations

Cites background from "A review of social and environmenta..."

...Based on previous literature and the current study’s findings, health promotion efforts could address the social environment (Bodde & Seo, 2009; Krahn et al., 2006; Rimmer & Rowland, 2008), opportunities in the community (particularly in the evening and weekend time periods), sedentary behavior,…...
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...…those with ID are similar to the general population such as age, lack of self-efficacy, lack of interest, and preference for sedentary behaviors; however, these barriers are often elevated for those with ID, due to their reliance on social supports and restrictive environments (Bodde & Seo, 2009)....
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References

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Book•

Physical Activity And Health: A Report Of The Surgeon General

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Audrey F. Manley

30 Aug 2004

TL;DR: This report is the first report of the Surgeon General on physical activity and health, and strong evidence is shown to indicate that regular physical activity will provide clear and substantial health gains.

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Abstract: : This report is the first report of the Surgeon General on physical activity and health. For more than a century, the Surgeon General of the Public Health Service has focused the nation's attention on important public health issues. Reports from Surgeons General on the adverse health consequences of smoking triggered nationwide efforts to prevent tobacco use. Reports on nutrition, violence, and HIV/AlDS - to name but a few - have heightened America's awareness of important public health issues and have spawned major public health initiatives. This new report, which is a comprehensive review of the available scientific evidence about the relationship between physical activity and health status, follows in this notable tradition. Scientists and doctors have known for years that substantial benefits can be gained from regular physical activity. The expanding and strengthening evidence on the relationship between physical activity and health necessitates the focus this report brings to this important public health challenge. Although the science of physical activity is a complex and still-developing field, we have today strong evidence to indicate that regular physical activity will provide clear and substantial health gains. In this sense, the report is more than a summary of the science - it is a national call to action.

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5,107 citations

Journal Article•DOI•

PHS Public Health Service

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Paul W. Bowman

01 Oct 1963-AIBS Bulletin

3,888 citations

Journal Article•DOI•

Correlates of adults' participation in physical activity: review and update.

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Stewart G. Trost¹, Neville Owen, Adrian Bauman, James F. Sallis, Wendy J. Brown - Show less +1 more•Institutions (1)

University of Queensland¹

01 Dec 2002-Medicine and Science in Sports and Exercise

TL;DR: There remains a need to better understand environmental influences and the factors that influence different types of PA and longitudinal and intervention studies will be required if causal relationships are to be inferred.

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Abstract: Purpose To review and update the evidence relating to the personal, social, and environmental factors associated with physical activity (PA) in adults. Methods Systematic review of the peer-reviewed literature to identify papers published between 1998 and 2000 with PA (and including exercise and exercise adherence). Qualitative reports or case studies were not included. Results Thirty-eight new studies were located. Most confirmed the existence of factors already known to be correlates of PA. Changes in status were noted in relation to the influence of marital status, obesity, smoking, lack of time, past exercise behavior, and eight environmental variables. New studies were located which focused on previously understudied population groups such as minorities, middle and older aged adults, and the disabled. Conclusion The newly reported studies tend to take a broader “ecological” approach to understanding the correlates of PA and are more focused on environmental factors. There remains a need to better understand environmental influences and the factors that influence different types of PA. As most of the work in this field still relies on cross-sectional studies, longitudinal and intervention studies will be required if causal relationships are to be inferred.

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2,730 citations

"A review of social and environmenta..." refers background in this paper

...In general, barriers and facilitators to PA fall into five categories: demographic/biological; psychological, cognitive, and emotional factors; behavioral attributes/skills; social/ cultural factors; and physical environment factors [14,18]....
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Journal Article•DOI•

Toward a better understanding of the influences on physical activity: the role of determinants, correlates, causal variables, mediators, moderators, and confounders.

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Adrian Bauman¹, James F. Sallis², David A. Dzewaltowski³, Neville Owen⁴•Institutions (4)

University of New South Wales¹, San Diego State University², Kansas State University³, University of Queensland⁴

01 Aug 2002-American Journal of Preventive Medicine

TL;DR: It is proposed that the term "correlate" be used, instead of "determinant," to describe statistical associations or correlations between measured variables and physical activity.

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1,076 citations

"A review of social and environmenta..." refers background in this paper

...Another noticeable difference between these populations is that barriers to PA in the general population are often looked at through a theoretical framework of health behavior [42]....
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...While cost of programs has been cited as a barrier for both populations, it actually appears to have a weak overall association with physical activity for the general population [42]....
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Journal Article•DOI•

Environmental and Policy Determinants of Physical Activity in the United States

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Ross C. Brownson¹, Elizabeth A. Baker, Robyn A. Housemann, Laura K. Brennan, Stephen J. Bacak - Show less +1 more•Institutions (1)

Saint Louis University¹

01 Dec 2001-American Journal of Public Health

TL;DR: An array of environmental and policy determinants, particularly those related to the physical environment, are associated with physical activity and should be taken into account in the design of interventions.

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Abstract: Objectives. This study examined (1) descriptive patterns in perceived environmental and policy determinants of physical activity and (2) associations between these factors and behavior. Methods. A cross-sectional study was conducted from 1999 to 2000 among US adults; individuals at lower income levels were oversampled. Results. Availability of areas for physical activity was generally higher among men than among women. The 4 most commonly reported personal barriers were lack of time, feeling too tired, obtaining enough exercise at one's job, and no motivation to exercise. Neighborhood characteristics, including the presence of sidewalks, enjoyable scenery, heavy traffic, and hills, were positively associated with physical activity. There was a high level of support for health policy–related measures. Up to one third of individuals who had used environmental supports reported an increase in physical activity. Conclusions. An array of environmental and policy determinants, particularly those related to the ...

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1,041 citations

"A review of social and environmenta..." refers background in this paper

...It has not shown to be a significant barrier for adults in the general population [20]....
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...Policy-level changes in environmental and social barriers may affect a greater number of people than individual-level PA interventions [20]....
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...Physical environment factors such as lack of access to fitness facilities and outdoor sidewalks, paths and trails are also established barriers to PA in general population [17,19,20]....
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...Strong social support from family, friends, and fitness staff is actually one of the best predictors of participating in regular PA [20,41]....
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...Social support has been found to be predictive of PA in the general population [20,22], and it is probable that social support is an equal or even more important independent predictor of PA among adults with ID....
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