推进:了解医学复杂性成人体育活动
Valerie Perkoski1, Mary Shotwell1, Charlotte Chatto2
1Rocky Mountain University of Health Professions, 1800 South Novell Place, Provo, UT 84606, USA.
Health care transitions
|April 28, 2025
概括
对于患有严重和深刻智力障碍 (SPID) 和运动障碍 (MIs) 的成年人来说,体力活动 (PA) 受到个性化偏好和可访问性的影响. 临床医生可以通过解决障碍,如无法访问和缺乏教育等障碍来提高PA参与度.
科学领域:
- 健康科学 卫生科学 卫生科学
- 关于残疾人的研究.
- 康复医学 康复医学 康复医学
背景情况:
- 患有严重和深刻智力障碍 (SPID) 的成年人往往有复杂的医疗需求和运动障碍 (MIs).
- 对于患有SPID和MIs的成年人来说,理解体育活动 (PA) 的经验在儿科后护理是有限的.
- 本研究从临床医生与这一群体工作的角度来研究PA的经验.
研究的目的:
- 探索严重和深刻的智力障碍 (SPID) 和移动障碍 (MI) 的成年人参与体育活动 (PA) 的促进者和障碍.
- 了解临床医生在促进SPID和MI的成年人中PA的作用.
- 通过社会生态模型 (SEM) 的不同层次来确定影响PA的因素.
主要方法:
- 与八名临床医生进行了半结构面试.
- 采访数据以主题分析,由5级社会生态模型 (SEM) 组织.
- 记录了临床医生识别的PA障碍物和促进器.
主要成果:
- 关键的促进因素包括个性化的PA偏好,可访问的环境和强大的社会支持.
- 主要障碍包括难以进入 (运输,建筑物),缺乏关于PA需求/机会的教育,以及临床医生的报销问题.
- 会议强调了临床医生宣传和改善家庭和社区服务 (HCBS) 的重要性.
结论:
- 解决SEM层面的因素对于改善SPID和MI的成年人获得PA和改善健康结果至关重要.
- 临床医生对于评估,教育和促进这一群体的PA机会至关重要.
- 需要加强支持和政策变化,以促进包容性PA环境.
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