Hopefulness and meaning in adults with disabilities' physical activity: A qualitative study.

IF 1.9 4区医学 Q3 PSYCHOLOGY, CLINICAL

Rehabilitation Psychology Pub Date : 2023-11-01 Epub Date: 2023-05-18 DOI:10.1037/rep0000496

Krys Standley, Craig Ravesloot, Rayna Sage, Kathleen Ann Sondag

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引用次数: 0

Abstract

Purpose/objective: The body of knowledge regarding the processes involved in changing physical activity behaviors in people with disabilities is very limited. This qualitative study is a follow-up to a pilot study on an individualized health coaching intervention for adults with any type of disabilities, titled Health My Way, that used a disability-specific health-promotion curriculum. In the original study, we found that participants in the health coaching intervention experienced improved health-promoting behavior, notably physical activity. In the current follow-up study, we examined the relationships among participants' personal sense of meaning and hope and the physical activity change process.

Research method/design: Participants (n = 12) were a subset of participants from the original pilot study, who were adults with any type of disability, recruited by convenience sampling. These participants completed in-depth interviews to explore possible interactions among health coaching, health behavior changes (including physical activity), meaning, and hope. The curriculum-based health coaching intervention involved weekly, individual coaching for up to 12 weeks. We used thematic analysis to analyze interview data.

Results: We identified three main themes: tapping into sources of meaning, increasing hopefulness, and hopelessness combined with lack of meaningful engagement.

Conclusions/implications: In the context of health coaching for people with disabilities, identifying sources of personal meaning appears to be necessary for the initial motivation for goal-directed action regarding physical activity. Subsequent generation and maintenance of hope appear to be vital for maintaining physical activity in this population. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

查看原文本刊更多论文

成人残疾体育活动的希望与意义:一项质性研究。

目的/目标:关于改变残疾人体育活动行为过程的知识体系非常有限。这项定性研究是一项试点研究的后续，该研究是针对任何类型残疾的成年人进行的个性化健康指导干预，名为“健康我的方式”，该研究使用了针对残疾的健康促进课程。在最初的研究中，我们发现健康指导干预的参与者经历了改善的健康促进行为，特别是身体活动。在本研究中，我们考察了个体意义感和希望感与体育活动变化过程的关系。研究方法/设计:参与者(n = 12)是原始试点研究参与者的一个子集，他们是通过方便抽样招募的任何类型残疾的成年人。这些参与者完成了深度访谈，以探索健康指导、健康行为改变(包括身体活动)、意义和希望之间可能的相互作用。以课程为基础的健康指导干预包括每周的个人指导，长达12周。我们使用专题分析来分析访谈数据。结果:我们确定了三个主要主题:挖掘意义的来源，增加希望，以及缺乏有意义的参与的绝望。结论/影响:在残疾人健康指导的背景下，确定个人意义的来源似乎是必要的，这是关于身体活动的目标导向行动的初始动机。在这一人群中，希望的产生和维持似乎对保持身体活动至关重要。(PsycInfo数据库记录(c) 2023 APA，版权所有)。

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

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.