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Navigator Role for Promoting Adaptive Sports and Recreation Participation in Individuals With Disabilities
Moriah Iverson1, Alexander V Ng, Alice F Yan
1From the Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, Wisconsin (MI, KZ, RP, DWB); Marquette University Program in Exercise Science, Milwaukee, Wisconsin (AVN); University of Wisconsin Milwaukee, Joseph J. Zilber School of Public Health, Milwaukee, Wisconsin (AFY); Milwaukee County Office for Persons with Disabilities, Milwaukee, Wisconsin (MB); Curative Care Network, Milwaukee, Wisconsin (DF-P); Coordinated Education Service Agency, Milwaukee, Wisconsin (CS); and Office for Resource Center Development, Milwaukee, Wisconsin (MS).
Objective:
The aims of the study were to gain a better understanding of the resources, barriers, and facilitators of participation in adaptive sport and recreational activities as a means of achieving physical activity recommendations in individuals with disability and to understand preferences for a patient navigator service to help mitigate the barriers.
Design:
Clinical, academic, and community stakeholders applied a community-engaged research approach to develop online surveys and focus group questions for adults with a disability or parents of a child with a disability to meet study objectives.
Results:
One hundred ninety-eight adults and 146 parents completed the online surveys. Sixteen adults and 18 parents took part in focus groups. Many participants lacked knowledge of available adaptive sport and recreational resources; other barriers were expense, limited number of trained volunteers, and need for instruction. Conversely, persons were facilitated by community, socialization, and words of encouragement/motivation. Participants strongly preferred a patient navigator to be a person active in adaptive sport and recreational or an informative resource-filled website.
Conclusions:
Our findings suggest that physical activity programs including adaptive sport and recreational should be designed to offer people with disabilities opportunities to build social networks and strengthen social support. A patient navigator service could help increase participation in adaptive sport and recreational and physical activity within a community context.
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