Exploring the experiences of individuals living with neurological conditions in UMove: a physiotherapy student-led physical activity program.

Abstract

Introduction: Physical activity engagement can improve wellbeing and social participation for individuals living with long-term neurological conditions. Student-led services enable healthcare access for those clinically underserved and increase student clinical opportunities. Furthermore, attendees become important facilitators of student learning. UMove is a free undergraduate physiotherapy student-led physical activity program aimed at improving wellbeing for people living with long-term neurological conditions. Its ongoing nature is unique for a physical activity program, with some attendees coming for over 12 years. Student experiences within physiotherapy student-led programs are well-documented, however, those of attendees, particularly those with long-term neurological conditions, remain underexplored.

Objective: The primary objective was to explore the experiences of long-term UMove attendees. Secondary objectives included identifying perceived benefits and barriers to participation, and evaluating whether and how UMove affected attendees' wellbeing.

Method: Participants were 11 adults with a long-term neurological condition attending UMove for over one year. Employing Interpretive Description qualitative methodology, individualized interviews were semi-structured, audio-recorded, transcribed verbatim, and analyzed. Questions included experiences, reasons for joining, and perceived barriers and motivators to attendance.

Results: The key theme, "Valuing UMove," epitomized the value participants placed not only on this accessible program but their work with students. The flexible, tailored program met diverse and evolving needs of attendees ("Person-Centered Care"). Opportunities for social interaction with other attendees and students facilitated meaningful social connection and a sense of community, driving adherence and engagement ("Connection Conundrum" and Wise Participation). "Challenges and Improvements" highlighted improvements that could be made.

Conclusion: Participants had positive experiences and valued the opportunities UMove provided them which went beyond physical activity to include socialization and supporting student learning.