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Collaborative practice to support community-based physical activity for young people with childhood-onset physical
Karen Brady1, Jennifer Ryan1, Aoife Cooper2
1CP-Life Research Centre, School of Physiotherapy, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Insights
This study found that implementation strategies for physical activity programs for youth with childhood-onset physical disability often lack detail. Improved reporting is needed to enhance collaborative practice and community participation.
Area of Science:
- Public Health
- Rehabilitation Science
- Implementation Science
Background:
- Young people with childhood-onset physical disability face barriers to community-based physical activity.
- Collaborative practice between healthcare and community providers is crucial for supporting participation.
Purpose of the Study:
- To identify evidence-based implementation strategies that foster collaboration between healthcare and community sectors.
- To support physical activity participation for young people with childhood-onset physical disability.
Main Methods:
- A systematic literature search was conducted across five databases (January 2000 - October 2025).
- Studies focused on childhood-onset physical disability (ages 10-24) and implementation strategies for community physical activity.
- Data were synthesized and mapped to the Family of Participation Related Constructs (fPRC) framework.
Main Results:
- Sixteen studies identified nine implementation strategies, primarily addressing environmental accommodation within the fPRC framework.
- Strategies frequently lacked the necessary detail for successful replication.
- The environmental dimension of accommodation was most commonly targeted.
Conclusions:
- There is a significant need for enhanced reporting of implementation strategies in research.
- Improved documentation will facilitate the replication and scaling of effective practices.
- This will ultimately improve community physical activity participation for young people with disabilities.
Aim:
To identify evidence of implementation strategies that promote collaborative practice between healthcare and community providers of physical activity to support participation in community-based physical activity for young people with childhood-onset physical disability.
Method:
Five databases were searched between January 2000 and October 2025. Studies were screened for inclusion following eligibility criteria for population (childhood-onset physical disability, including but not limited to, cerebral palsy, spina bifida, spinal cord injury, acquired brain injury, traumatic brain injury, skeletal abnormality, brachial plexus injury, obstetric brachial plexus palsy, limb loss, neuromuscular disorder, multiple sclerosis, and genetic disorders; aged 10-24 years), concept (implementation strategies that promote collaborative practice), and community context (gyms, swimming pools, sports clubs, indoor and outdoor recreation centres). Data on study details, strategies, and population characteristics were extracted and synthesized inductively and deductively, and mapped to the Family of Participation Related Constructs (fPRC) framework and the stages of participation.
Results:
Sixteen studies reporting eight interventions were included. Nine strategies were identified and mapped to the fPRC. The environmental dimension of accommodation in the fPRC framework was most frequently addressed in strategies to facilitate participation. Strategies frequently lacked sufficient detail for replication.
Interpretation:
The results emphasize a need for improved reporting of implementation strategies that promote collaborative practice when describing evidence-based practices to support community participation in physical activity for young people with childhood-onset physical disability.
