Fostering independence in health-promoting exercise

The Integrated Model of Physical Activity and Disability was used to design a strength and aerobic exercise program for adults with intellectual disability participating in Special Olympics. This study examined the extent to which four participants could acquire exercise skills in a face-to-face context and apply these skills at home with indirect support. Adherence to the program, as well as program satisfaction, was examined. Participants were able to acquire the strength skills and most were able to use these skills at home with minimal support. The participants liked the approach, in particular the individualized planning and follow-up via telephone calls. These participants were able to use an exercise DVD independently at home and three of the four participants showed a threefold increase in exercise frequency. The utility of the approach lies in the capacity to extend the reach of face-to-face programs beyond tangible constraints such as facilities and staff availability.