A qualitative exploration of the implementation of a participation-focused physical activity intervention according to the family of participation related constructs framework

JSAMS plus Pub Date : 2025-08-19 DOI:10.1016/j.jsampl.2025.100114

Gaela Kilgour , Ngaire Susan Stott , Michael Steele , Brooke Adair , Amy Hogan , Christine Imms

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Abstract

Background

Participation-focused physical activity (PA) interventions are increasing in rehabilitation but can be difficult to replicate if the components of what is delivered and what is received are not clearly described. This study evaluated the implementation of a participation-focused PA intervention by mapping programme content and participant experiences to the theoretical framework: Family of Participation Related Constructs (fPRC).

Methods

A descriptive process evaluation, embedded in a single-case experimental design study, explored the extent to which the intervention (‘Run Club’) achieved the goal of being participation-focused, by exploring what was designed, delivered and received through each intervention phase: before, after, and 9-months following a twice weekly 12-week intervention. The programme was designed to provide both participation and activity-level intervention elements. The programme elements and experiences of participating adolescents with cerebral palsy and their parents were mapped to the fPRC constructs and transactional elements.

Results

Eight adolescents and 12 parents participated. Mapping of the ‘intervention delivered’ indicated that the 24 1-hour sessions of expert coaching in community settings, with family support, and promotion of attendance and involvement at all study phases were designed and delivered as intended. Experiences of ‘programme received’ were mapped across all fPRC constructs and transactions, providing examples of the transactional influences among the person-level constructs (activity competence, sense of self, preferences), the environment and the individuals' attendance and involvement, in the programme and beyond.

Conclusions

The findings demonstrated how a participation-focused intervention approach can be designed and evaluated using the fPRC.

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基于家庭参与相关构念框架的以参与为中心的身体活动干预实施的定性探索

以参与为中心的身体活动（PA）干预措施在康复领域越来越多，但如果没有清楚地描述所提供的内容和所接受的内容的组成部分，则很难复制。本研究通过将项目内容和参与者经验映射到理论框架：家庭参与相关构念（fPRC）来评估以参与为中心的PA干预的实施情况。方法描述性过程评估，嵌入在一个单例实验设计研究中，通过探索每个干预阶段的设计、交付和接收内容，探索干预（“跑步俱乐部”）实现以参与为中心的目标的程度：在每周一次的12周干预之前、之后和9个月之后。该方案旨在提供参与和活动一级的干预内容。参与的脑瘫青少年及其父母的项目要素和经历被映射到fPRC结构和交易要素。结果8名青少年和12名家长参与。“提供干预”的绘图表明，在社区环境中进行的24次1小时的专家辅导，在家庭支持下，以及在所有研究阶段促进出勤和参与，都是按计划设计和提供的。“收到的节目”的经验被映射到所有fPRC构念和交易中，提供了个人层面构念（活动能力、自我意识、偏好）、环境和个人在节目内外的出席和参与之间的交易影响的例子。研究结果证明了如何使用fPRC设计和评估以参与为中心的干预方法。

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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