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Implementation of a group-based physical activity programme for ageing adults with ID: a process evaluation
Marieke van Schijndel-Speet1, Heleen M Evenhuis, Ruud van Wijck
1Intellectual Disability Medicine, Department of General Practice, Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands; Ipse de Bruggen, Zoetermeer, The Netherlands.
Journal of Evaluation in Clinical Practice
|May 7, 2014
Summary
This study evaluated a physical activity program for people with intellectual disabilities (ID), finding it well-accepted and feasible. Successful implementation was achieved, offering insights for future health promotion programs for diverse cognitive and physical deficit groups.
Area of Science:
- Health Promotion
- Disability Studies
- Program Evaluation
Background:
- Physical activity is crucial for health, yet often underutilized by individuals with intellectual disabilities (ID).
- Process evaluation is essential to understand the implementation and effectiveness of health programs for specific populations.
- Assessing factors like fidelity, dose delivered, satisfaction, and context provides a comprehensive view of program delivery.
Purpose of the Study:
- To conduct a process evaluation of a physical activity program designed for people with intellectual disabilities (ID).
- To assess the program's fidelity, dose delivered, participant satisfaction, and contextual factors.
- To identify facilitators and barriers to program implementation for future health promotion initiatives.
Main Methods:
- Employed a mixed-methods approach, utilizing both qualitative and quantitative data collection.
- Gathered insights from both participants in the program and the individuals leading its delivery.
- Focused on key program evaluation concepts: fidelity, dose delivered, satisfaction, and context.
Main Results:
- The physical activity program demonstrated strong acceptance, feasibility, and applicability, particularly for ageing individuals with ID.
- Successful implementation was confirmed regarding fidelity and dose delivered.
- Variations in implementation were noted across different day-activity centers.
Conclusions:
- The program's success in terms of fidelity and dose delivered indicates its potential for effective delivery.
- Identified hampering factors and facilitating activities can inform future program development and implementation strategies.
- Findings are applicable to other vulnerable groups, including frail elderly individuals and those with dementia, for health promotion programs.
