Perceived Barriers to Leisure-Time Physical Activity Among Physically Active Individuals With Spinal Cord Injury
Objective: To investigate barriers to leisure-time physical activity (LTPA) for physically active people with spinal cord injury (SCI). Design: Prospective cross-sectional. Setting: General community. Participants: One hundred and five physically active individuals with SCI. Interventions: Semi-stru...
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Elsevier
2024-12-01
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| Series: | Archives of Rehabilitation Research and Clinical Translation |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590109524000934 |
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| author | Paul K. Watson, BAppSci Laura Stendell, MPhysio Camila Quel De Oliveira, PhD James W. Middleton, MBBS, PhD Mohit Arora, PhD Glen M. Davis, PhD |
| author_facet | Paul K. Watson, BAppSci Laura Stendell, MPhysio Camila Quel De Oliveira, PhD James W. Middleton, MBBS, PhD Mohit Arora, PhD Glen M. Davis, PhD |
| author_sort | Paul K. Watson, BAppSci |
| collection | DOAJ |
| description | Objective: To investigate barriers to leisure-time physical activity (LTPA) for physically active people with spinal cord injury (SCI). Design: Prospective cross-sectional. Setting: General community. Participants: One hundred and five physically active individuals with SCI. Interventions: Semi-structured interviews and surveys. Main Outcome Measure: Participants were surveyed and interviewed to determine barriers and determinants of LTPA participation. SCI-specific physical activity (PA) guideline adherence was documented. Barriers were categorized using the capability, opportunity, motivation, and behavior model, and regression statistics were used to determine relationships between LTPA volume and barriers. Results: Health problems, costs of equipment and programs, pain, and a lack of energy were the most common capability barriers, and a lack of accessible facilities, confidence in the knowledge and skill of a health professional, and a lack of time were common opportunity barriers. Motivation barriers pertained to self-consciousness in a fitness center and a lack of interest. Believing LTPA to be too difficult, uninteresting, and unable to improve health emerged as significant barriers to SCI-specific PA guideline adherence. Conclusion: SCI-specific PA guideline adherence was below 50% in physically active individuals. There are still numerous capability and opportunity barriers that physically active people with SCI must overcome when engaging in LTPA. Motivational barriers such as feeling self-conscious in a fitness center significantly influence PA guideline compliance in this population. Service providers should emphasize the benefit of LTPA to people with SCI while providing LTPA options that facilitate enjoyment, interest, and inclusivity, particularly for those who do not meet PA guideline recommendations. |
| format | Article |
| id | doaj-art-02420ebc86ac43508717fafcc80bc4c6 |
| institution | OA Journals |
| issn | 2590-1095 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Rehabilitation Research and Clinical Translation |
| spelling | doaj-art-02420ebc86ac43508717fafcc80bc4c62025-08-20T02:21:52ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952024-12-016410038010.1016/j.arrct.2024.100380Perceived Barriers to Leisure-Time Physical Activity Among Physically Active Individuals With Spinal Cord InjuryPaul K. Watson, BAppSci0Laura Stendell, MPhysio1Camila Quel De Oliveira, PhD2James W. Middleton, MBBS, PhD3Mohit Arora, PhD4Glen M. Davis, PhD5Discipline of Exercise and Sport Sciences, Sydney School of Health Sciences, Faulty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia; Corresponding author Paul K Watson, AES, AEP, AFHEA, PhD Candidate, Discipline of Exercise and Sport Sciences, Sydney School of Health Sciences, The University of Sydney, Sydney NSW 2006, Australia.Discipline of Physiotherapy, Graduate School of Health, University of Technology Sydney, Sydney, NSW, AustraliaThe John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, St Leonards, Sydney, NSW, AustraliaThe John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, St Leonards, Sydney, NSW, Australia; The Kolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaThe John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, St Leonards, Sydney, NSW, Australia; The Kolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaDiscipline of Exercise and Sport Sciences, Sydney School of Health Sciences, Faulty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaObjective: To investigate barriers to leisure-time physical activity (LTPA) for physically active people with spinal cord injury (SCI). Design: Prospective cross-sectional. Setting: General community. Participants: One hundred and five physically active individuals with SCI. Interventions: Semi-structured interviews and surveys. Main Outcome Measure: Participants were surveyed and interviewed to determine barriers and determinants of LTPA participation. SCI-specific physical activity (PA) guideline adherence was documented. Barriers were categorized using the capability, opportunity, motivation, and behavior model, and regression statistics were used to determine relationships between LTPA volume and barriers. Results: Health problems, costs of equipment and programs, pain, and a lack of energy were the most common capability barriers, and a lack of accessible facilities, confidence in the knowledge and skill of a health professional, and a lack of time were common opportunity barriers. Motivation barriers pertained to self-consciousness in a fitness center and a lack of interest. Believing LTPA to be too difficult, uninteresting, and unable to improve health emerged as significant barriers to SCI-specific PA guideline adherence. Conclusion: SCI-specific PA guideline adherence was below 50% in physically active individuals. There are still numerous capability and opportunity barriers that physically active people with SCI must overcome when engaging in LTPA. Motivational barriers such as feeling self-conscious in a fitness center significantly influence PA guideline compliance in this population. Service providers should emphasize the benefit of LTPA to people with SCI while providing LTPA options that facilitate enjoyment, interest, and inclusivity, particularly for those who do not meet PA guideline recommendations.http://www.sciencedirect.com/science/article/pii/S2590109524000934exerciserehabilitationbarrierleisure-time physical activityspinal cord injury |
| spellingShingle | Paul K. Watson, BAppSci Laura Stendell, MPhysio Camila Quel De Oliveira, PhD James W. Middleton, MBBS, PhD Mohit Arora, PhD Glen M. Davis, PhD Perceived Barriers to Leisure-Time Physical Activity Among Physically Active Individuals With Spinal Cord Injury Archives of Rehabilitation Research and Clinical Translation exercise rehabilitation barrier leisure-time physical activity spinal cord injury |
| title | Perceived Barriers to Leisure-Time Physical Activity Among Physically Active Individuals With Spinal Cord Injury |
| title_full | Perceived Barriers to Leisure-Time Physical Activity Among Physically Active Individuals With Spinal Cord Injury |
| title_fullStr | Perceived Barriers to Leisure-Time Physical Activity Among Physically Active Individuals With Spinal Cord Injury |
| title_full_unstemmed | Perceived Barriers to Leisure-Time Physical Activity Among Physically Active Individuals With Spinal Cord Injury |
| title_short | Perceived Barriers to Leisure-Time Physical Activity Among Physically Active Individuals With Spinal Cord Injury |
| title_sort | perceived barriers to leisure time physical activity among physically active individuals with spinal cord injury |
| topic | exercise rehabilitation barrier leisure-time physical activity spinal cord injury |
| url | http://www.sciencedirect.com/science/article/pii/S2590109524000934 |
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