Panpan Chen, Hongjun Yu, Cheng-Feng Lin, Jiaqi Guo, Jeannette Elliott, Adam Bleakney, Yih-Kuen Jan
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引用次数: 0
Abstract
Purpose: Adaptive sports participation has been shown to improve quality of life (QoL) in individual with disabilities. However, inconsistent results in various domains of QoL exist in the literature. The objective of this mixed-methods systematic review is to identify and synthesize evidence from quantitative and qualitative studies on the effect of adaptive sports on QoL in individuals with disabilities who use wheelchairs for mobility.
Methods: A systematic literature review of quantitative, qualitative, and mixed-methods research on the effect of adaptive sports on QoL was conducted on five databases (Scopus, Web of Science, PsycINFO, Medline, and PubMed). Quality appraisal was conducted by two authors by using the Mixed Methods Appraisal Tool.
Results: This review identified 4 key findings from 41 studies, including 31 quantitative and 10 qualitative studies. First, individuals with disabilities using wheelchairs for mobility who actively engaged in adaptive sports tend to report higher QoL scores compared with those who were inactive or did not participate. Second, the relationship between the duration of regular participation in adaptive sports and QoL scores exhibited inconsistent results. Third, a multi-component adaptive sports program demonstrates the potential to further improve QoL scores. Last, qualitative investigations reveal that participation in adaptive sports positively influences various domains of well-being in wheelchair users, including encompassing physical and emotional well-being, interpersonal relationships, material well-being, personal development, self-determination, and social inclusion.
Conclusion: This review provides a comprehensive relationship between adaptive sports participation and QoL of wheelchair users. This study identifies the value of multi-component interventions and demonstrates the diverse positive influences of adaptive sports on well-being.
目的：事实证明，参加适应性体育运动可以提高残疾人的生活质量（QoL）。然而，文献中对 QoL 各个领域的研究结果并不一致。本混合方法系统性综述的目的是从定量和定性研究中找出并综合有关适应性运动对使用轮椅行动的残疾人生活质量影响的证据：在五个数据库（Scopus、Web of Science、PsycINFO、Medline 和 PubMed）中对有关适应性运动对 QoL 影响的定量、定性和混合方法研究进行了系统的文献综述。两位作者使用混合方法评估工具进行了质量评估：本综述从 41 项研究（包括 31 项定量研究和 10 项定性研究）中发现了 4 项主要发现。首先，使用轮椅代步的残疾人如果积极参加适应性运动，其 QoL 得分往往高于不积极参加或不参加适应性运动的人。其次，定期参加适应性运动的持续时间与 QoL 分数之间的关系表现出不一致的结果。第三，一项多成分适应性运动计划显示出进一步提高 QoL 分数的潜力。最后，定性调查显示，参与适应性运动对轮椅使用者的各个幸福领域都有积极影响，包括身体和情感幸福、人际关系、物质幸福、个人发展、自我决定和社会包容：本综述全面阐述了轮椅使用者参与适应性运动与 QoL 之间的关系。本研究确定了多成分干预措施的价值，并展示了适应性运动对幸福感的各种积极影响。
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