Exploring physical activity level after procurement of adapted tricycle; Quantity versus enjoyment

: People with disabilities are less active than people without disabilities, and many do not reach the recommended amount of moderate intensity physical activity. This study aimed to investigate whether people with disabilities who acquired an individually adapted tricycle became more physically active, and to map which factors they reported as important for using their tricycle. People with disabilities applying for an adapted leg-driven tricycle participated in this observational study. ActiGraph GT3x accelerometer was worn for 7 days before and after acquiring the adapted tricycle (pre- and post-test). An open-ended question, in a questionnaire described factors important for tricycle use. Forty-five participants were included, aged 5 to 79 years (Mean = 32.3 years, SD = 22.7) with a large variety of complex disabilities, most with mobility impairments and some with intellectual disability. No significant change in activity level from pre- to post-test was found. However, individual differences were large. Reported reasons for not using the tricycle were bad weather conditions, pain when or after cycling, and insecurity. Reasons for using the tricycle were reported to be increased mobility, joy, and the feeling of freedom. To identify modifiable facilitators and barriers for using an individually adapted tricycle is crucial for regular use.