Perceptions of Barriers, Facilitators, and Outcomes of Aerobic Exercise in Community Fitness Facilities by Adults With Intellectual Disability

IF 1.9 3区医学 Q2 PSYCHOLOGY, EDUCATIONAL

Journal of Applied Research in Intellectual Disabilities Pub Date : 2025-07-29 DOI:10.1111/jar.70108

Iva Obrusnikova, Ashley M. Steinbrecher, Albert R. Cavalier, Richard R. Suminski, Cora J. Firkin

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引用次数: 0

Abstract

Background

Adults with intellectual disability do not meet recommended physical activity (PA) levels, contributing to sedentary lifestyles and health disparities. Community fitness facilities (CFFs) present valuable opportunities for engagement but are often underutilised.

Method

This mixed-methods study, grounded in Social Cognitive Theory, combined semi-structured interviews and quantitative functional assessments to examine the perceived benefits, costs, barriers, and facilitators of aerobic exercise amongst 20 adults with intellectual disability, aged 19–43. Associations between perceptions, PA, and exercise performance were examined.

Results

Participants perceived substantial health benefits from aerobic exercise. However, physical discomfort and environmental constraints were commonly cited and were associated with lower PA levels and performance. Some perceived facilitators were unexpectedly correlated with increased sedentariness and lower functional performance, possibly due to programme design misalignments.

Conclusions

To enhance participation and health outcomes, CFF programmes must be tailored to address individual psychological needs and physical capabilities, whilst also improving accessibility and support.

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智力残疾成人在社区健身设施进行有氧运动的障碍、促进因素和结果的认知

智力残疾的成年人没有达到推荐的身体活动水平，导致久坐不动的生活方式和健康差异。社区健身设施（cff）提供了宝贵的参与机会，但往往未得到充分利用。方法本研究以社会认知理论为基础，采用半结构化访谈和定量功能评估相结合的方法，对20名年龄在19-43岁的智力残疾成年人进行有氧运动的收益、成本、障碍和促进因素进行了研究。知觉、PA和运动表现之间的关系被检验。结果：参与者认为有氧运动对健康有实质性的好处。然而，身体不适和环境限制通常被认为与较低的PA水平和表现有关。一些被认为是促进因素的人出乎意料地与久坐不动的增加和较低的功能表现相关，这可能是由于程序设计失调所致。为了提高参与和健康结果，CFF方案必须针对个人心理需求和身体能力进行调整，同时改善可及性和支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Research in Intellectual Disabilities Multiple-

CiteScore

4.70

自引率

12.50%

发文量

期刊介绍： JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.