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Published on: September 30, 2020
Living well with disability: needs, values and competing factors
Suzie Mudge1, Nicola M Kayes, Verna A Stavric
1Person Centred Research Centre, Health & Rehabilitation Research Institute, AUT University, Auckland, New Zealand. suzie.mudge@aut.ac.nz
Disabled individuals face unique challenges in physical activity and healthy eating due to external factors. Addressing these barriers is crucial for improving their overall well-being and promoting healthy lifestyles.
Area of Science:
- Health Sciences
- Disability Studies
- Public Health
Background:
- Obesity is significantly more prevalent in disabled populations (27-62%) compared to the general population (17-22%).
- Disabled individuals often report poorer general health and are at higher risk for obesity-related secondary conditions.
- Existing physical activity and nutrition initiatives may not be relevant or accessible to disabled people.
Purpose of the Study:
- To investigate the specific challenges disabled people encounter when trying to engage in physical activity and healthy eating.
- To understand the factors influencing the adoption and maintenance of healthy behaviors in disabled populations.
- To inform the development of more inclusive and effective health interventions.
Main Methods:
- Employed a participatory action research design with cyclical phases of data collection, analysis, and refinement.
- Conducted focus groups and interviews with disabled individuals, family members, service providers, and advocacy group representatives.
- Utilized conventional content analysis and a structured template for theme refinement based on participant corroboration.
Main Results:
- Identified seven interconnecting themes related to healthy living behaviors, influenced by external factors like people, knowledge, time, cost, identity, and environment.
- Highlighted the central theme: 'It depends: needs, values and competing factors,' emphasizing the complexity of decision-making for disabled individuals.
- 146 participants aged 10-69 from diverse backgrounds contributed to the findings.
Conclusions:
- Disabled people face similar, yet compounded, challenges in healthy living compared to non-disabled individuals.
- Additional, specific factors must be addressed to enhance opportunities for 'living well' among disabled populations.
- Findings provide critical implications for health professionals to tailor interventions for relevance and accessibility.
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