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Derakhshan P, Miller WC, Bundon A, Labbé D, Bolt T, Mortenson WB. Adaptive outdoor physical activities for adults with mobility disability: a scoping review. FRONTIERS IN REHABILITATION SCIENCES 2024; 4:1331971. [PMID: 38259872 PMCID: PMC10801018 DOI: 10.3389/fresc.2023.1331971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 12/18/2023] [Indexed: 01/24/2024]
Abstract
Introduction Outdoor physical activity (PA) contributes to the physical and mental health and well-being of individuals with a mobility impairment. However, individuals are commonly excluded from outdoor PA because of accessibility challenges. No reviews summarizing evidence on factors that facilitate/hinder participation and inclusion of individuals with mobility disabilities in adaptive outdoor PA were identified.. This makes it challenging to establish the key components for implementing inclusive outdoor PA interventions. A scoping review was conducted to identify barriers and facilitators to participation in adaptive outdoor PA and identify suggestions for adaptive outdoor PA design. Methods A scoping review of qualitative and quantitative studies was conducted based on the methodological framework of Arksey and O'Malley with modifications by Levac. Barriers and facilitators were categorized into four levels based on a Social Ecological Model (SEM). Suggestions for interventions designed to overcome accessibility issues of outdoor PA were classified based on Universal Design (UD). Results Thirty-seven factors regarding barriers and facilitators of outdoor adaptive PA were extracted from 19 studies published between 2002 and 2023. Barriers and facilitators were identified primarily in four levels of the SEM, including intrapersonal, social-environmental, physical-environmental, and policy-related. Eleven design suggestions were identified and categorized according to the seven principles of UD. This study identified gaps in the presented barriers and facilitators and the design suggestions of the included studies, mainly at the social and environmental level, such as a lack of innovation in program delivery and logistics. Conclusion This study identified gaps in knowledge about facilitators and barriers to outdoor adaptive PA and in the design of interventions addressing them. Future research should focus on the strategies addressing these gaps by involving individuals with mobility disability in designing interventions to gain a better insight into their needs.
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Affiliation(s)
- Pegah Derakhshan
- GF Strong Rehabilitation Centre, University of British Columbia, Vancouver, BC, Canada
- Graduate Program in Rehabilitation Sciences, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
- International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada
| | - William C. Miller
- GF Strong Rehabilitation Centre, University of British Columbia, Vancouver, BC, Canada
- Graduate Program in Rehabilitation Sciences, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
- International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada
- Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Andrea Bundon
- School of Kinesiology, University of British Columbia, Vancouver, BC, Canada
| | - Delphine Labbé
- Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL, United States
| | - Tanelle Bolt
- Founder of RAD, Recreational Adaptive Society, Invermere, BC, Canada
| | - W. Ben Mortenson
- GF Strong Rehabilitation Centre, University of British Columbia, Vancouver, BC, Canada
- Graduate Program in Rehabilitation Sciences, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
- International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada
- Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
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Prescott M, Gamache S, Mortenson WB, Best KL, Grandisson M, Mostafavi MA, Labbé D, Morales E, Mahmood A, Borisoff J, Sawatzky B, Miller WC, Bulk LY, Robillard JM, Routhier F. Providing Accessible ReCreation Outdoors-User-driven Research on Standards: Mobile and virtual interviews for winter assessments (Preprint). JMIR Res Protoc 2022; 11:e38715. [PMID: 36206037 PMCID: PMC9587487 DOI: 10.2196/38715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 06/30/2022] [Accepted: 07/04/2022] [Indexed: 11/13/2022] Open
Abstract
Background Although there have been recent efforts to improve access to Canadian national parks, many remain not fully accessible to people with disabilities. Winter conditions, in particular, present challenges that limit their participation in outdoor activities. Objective This study aimed to develop a novel method to assess park access during winter, which will inform recommendations for national park standards to meet the needs of all park visitors (regardless of ability) during winter conditions. Methods A larger participatory mixed methods research project exploring park access was adapted. A 3-phase approach has already been proposed to achieve the study objectives. In the first phase, a scoping review of the existing accessibility standards will be conducted. In the second phase, objective audits of trails and features in 6 parks, 3 in western Canada and 3 in eastern Canada, will be conducted, as well as mobile interviews with 24 various participants in each region regarding their experiences of and recommendations for improving the park’s accessibility. In the final phase, a Delphi participatory consensus development process will be used, based on the data gathered in the first 2 phases, to prioritize recommendations for standards. This paper will focus on the second phase of the study, specifically on whether the in-person winter mobile interviews (ie, walking and wheeling interviews) with people who have a wide range of disabilities while visiting 3 parks in 2 provinces were modified. Changes were made to accommodate the extreme winter weather conditions in Quebec while using safe and informative data collection methods. Results In Quebec, one park, where winter conditions are safer, has been assessed in person (n=4). Web-based interviews were used to facilitate the assessment of other winter and summer conditions in two other parks (n=8). Winter and web-based interviews were completed in April 2022. Data are currently being collected and analyzed, and results will be completed by December 2022. Conclusions We expect that adapting the protocol to gather further information on winter conditions and access to parks will provide high-quality and rich data to better inform park access standards. This participatory mixed methods research will inform the development of park standards that consider the accessibility needs of all people. International Registered Report Identifier (IRRID) DERR1-10.2196/38715
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Affiliation(s)
- Mike Prescott
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Québec, QC, Canada
- Centre for Research in Geospatial Data and Intelligence, Université Laval, Québec, QC, Canada
| | - Stéphanie Gamache
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Québec, QC, Canada
| | - W Ben Mortenson
- Department of Occupational Science & Occupational Therapy, University of British Columbia, Vancouver, BC, Canada
- International Collaboration on Repair Discoveries, Vancouver, BC, Canada
- GF Strong Rehabilitation Research Program, Vancouver, BC, Canada
| | - Krista L Best
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Québec, QC, Canada
- Department of Rehabilitation, Université Laval, Québec, QC, Canada
| | - Marie Grandisson
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Québec, QC, Canada
- Department of Rehabilitation, Université Laval, Québec, QC, Canada
| | - Mir Abolfazl Mostafavi
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Québec, QC, Canada
- Centre for Research in Geospatial Data and Intelligence, Université Laval, Québec, QC, Canada
- Department of Geomatics Sciences, Université Laval, Québec, QC, Canada
| | - Delphine Labbé
- Department of Occupational Science & Occupational Therapy, University of British Columbia, Vancouver, BC, Canada
- Disability and Human Development Department, University of Illinois, Chicago, IL, United States
- Department of Gerontology, Simon Fraser University, Vancouver, BC, Canada
| | - Ernesto Morales
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Québec, QC, Canada
- Department of Rehabilitation, Université Laval, Québec, QC, Canada
| | - Atiya Mahmood
- Department of Gerontology, Simon Fraser University, Vancouver, BC, Canada
| | - Jaimie Borisoff
- International Collaboration on Repair Discoveries, Vancouver, BC, Canada
- Rehabilitation Engineering Design Lab, British Columbia Institute of Technology, Burnaby, BC, Canada
| | - Bonita Sawatzky
- Department of Orthopedics, University of British Columbia, Vancouver, BC, Canada
| | - William C Miller
- Department of Occupational Science & Occupational Therapy, University of British Columbia, Vancouver, BC, Canada
- International Collaboration on Repair Discoveries, Vancouver, BC, Canada
- GF Strong Rehabilitation Research Program, Vancouver, BC, Canada
| | - Laura Yvonne Bulk
- Department of Occupational Science & Occupational Therapy, University of British Columbia, Vancouver, BC, Canada
| | - Julie M Robillard
- Department of Medicine, Division of Neurology, University of British Columbia, Vancouver, BC, Canada
| | - François Routhier
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Québec, QC, Canada
- Department of Rehabilitation, Université Laval, Québec, QC, Canada
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