CAN A PHYSICAL ACTIVITY PROGRAMME IMPROVE THE QUALITY OF LIFE IN YOUTH WHO LIVE IN AN ORPHANAGE? A MIXED METHODS STUDY

Konstantina Trampa, F. Venetsanou
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Abstract

Physical activity (PA) is thought to positively contribute to the improvement of the (poor) Quality of Life (QoL) of youth living in institutions. However, youth’s participation in PA can be affected by the “significant others” in their life. The aim of this study was to (a) investigate the impact of a PA programme on the QoL of youth hosted in an orphanage and (b) understand the role of the relationships formed in this institution in the outcome of the programme objectives. For that purpose, a mixed methods approach was adopted. The study was conducted in an orphanage in Attica, Greece. Twelve of the 13 male orphans (Mage= 13.08 ± 2.43 years) participated in a 10-week PA programme implemented in the institution. The KINDL® questionnaire was completed by the orphans and one caregiver before and after the PA intervention. The qualitative data were collected through observation and semi-structured interviews with 12 orphans and 6 members of the orphanage staff. The results showed that orphans’ QoL levels were poor; whereas a statistically significant decline in their total KINDL® scores (p= .033) and the Emotional Well-Being subscale (p= .013) was identified. Quality data revealed that orphans’ participation in the PA programme was inconsistent, although they estimated that it was valuable. Intra- and inter-personal factors emerged as barriers for PA participation. It seems that living in an institution results in deep deteriorations in youth’s QoL that cannot be surmounted by their participation in a PA programme.
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体育活动计划能改善孤儿院青少年的生活质量吗?混合方法研究
体育活动(PA)被认为对改善生活在机构中的青年(较差的)生活质量(QoL)有积极的贡献。然而,青少年参与PA会受到生活中“重要他人”的影响。本研究的目的是(a)调查个人护理计划对孤儿院收容的青少年生活质量的影响,以及(b)了解该机构中形成的关系在实现计划目标的结果中的作用。为此目的,采用了一种混合方法。这项研究是在希腊阿提卡的一家孤儿院进行的。13名男性孤儿中有12名(年龄= 13.08±2.43岁)参加了该机构实施的为期10周的PA计划。在PA干预前后,孤儿和一名护理人员分别完成了KINDL®问卷。通过对12名孤儿和6名孤儿院工作人员的观察和半结构式访谈,收集了定性数据。结果表明:孤儿的生活质量水平较差;而他们的KINDL®总分(p= 0.033)和情绪健康量表(p= 0.013)在统计上有显著下降。质量数据显示,孤儿参与PA项目的情况不一致,尽管他们估计这是有价值的。个人内部和人际因素成为PA参与的障碍。看来,生活在机构中会导致年轻人的生活质量严重恶化,而这是他们参加PA计划无法克服的。
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