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Physical activity for people with a disability: a conceptual model
Hidde P van der Ploeg1, Allard J van der Beek, Luc H V van der Woude
1Department of Public and Occupational Health, Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands.
Sports Medicine (Auckland, N.Z.)
|September 1, 2004
Summary
Promoting physical activity for individuals with disabilities offers significant health benefits and improves functioning. A new conceptual model, the Physical Activity for people with a Disability (PAD) model, integrates determinants of physical activity with the International Classification of Functioning, Disability and Health.
Area of Science:
- Rehabilitation science
- Public health
- Disability studies
Background:
- Physically active lifestyles yield significant health and fitness benefits.
- Individuals with disabilities can particularly benefit from physical activity, reducing secondary health risks and improving overall functioning.
- Existing models do not adequately address the relationship between physical activity behavior, its determinants, and functioning in people with disabilities.
Purpose of the Study:
- To propose a novel conceptual model detailing the relationships between physical activity behavior, its determinants, and the functioning of people with disabilities.
- To provide a theoretical framework for future research and interventions aimed at promoting physical activity in this population.
Main Methods:
- Systematic literature search for articles on physical activity and disability, with a focus on existing models.
- Construction of the Physical Activity for people with a Disability (PAD) model, integrating the WHO Model of Functioning and Disability (ICF) with determinants from the Attitude, Social influence and self-Efficacy (ASE) model.
- The model integrates physical activity behavior and its determinants into the ICF framework.
Main Results:
- No existing models were found that specifically link physical activity behavior, its determinants, and functioning in people with disabilities.
- A new conceptual model, the PAD model, was developed by synthesizing the ICF and ASE models.
- The PAD model provides a comprehensive framework for understanding and promoting physical activity in individuals with disabilities.
Conclusions:
- The proposed PAD model offers a theoretical basis for future interventions and research on physical activity promotion for people with disabilities.
- The model is currently being utilized in a large physical activity promotion trial across ten Dutch rehabilitation centers.
- This conceptual framework is crucial for advancing public health strategies and improving the well-being of individuals with disabilities through physical activity.