{"title":"The influence of assistance in home-based exercise programmes for individuals with intellectual disabilities.","authors":"K L Noerr, R Swinford","doi":"10.1111/jir.13191","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Regular physical activity (PA) decreases the risk of comorbidities associated with a sedentary lifestyle in individuals with intellectual disabilities (IDs). They also may experience additional barriers that may prevent PA, including access, proper instruction and support. At-home PA programming is a feasible alternative to long-term adherence. This study aimed to determine (1) how an at-home DVD programme affects PA adherence and (2) the extent to which caregiver support influences PA.</p><p><strong>Methods: </strong>Thirty-one adolescent or adult-aged participants with mild or moderate ID were randomised into a DVD or control group exercise intervention. Participants were given autonomy to choose what type of PA modality from the intervention they would like to participate in. Caregiver support during the PA was also measured.</p><p><strong>Results: </strong>The two-way repeated-measures MANOVA demonstrated that the intervention DVD group was statistically significant, with a large effect size in PA minutes (P = 0.014, ηP<sup>2</sup> = 0.236) and rate of perceived exertion (P = 0.002, ηP<sup>2</sup> = 0.342) compared with the control group.</p><p><strong>Conclusions: </strong>The findings demonstrated that using an adapted DVD increased PA minutes and the rate of perceived exertion without high levels of caregiver support.</p>","PeriodicalId":16163,"journal":{"name":"Journal of Intellectual Disability Research","volume":null,"pages":null},"PeriodicalIF":2.1000,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Intellectual Disability Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jir.13191","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"EDUCATION, SPECIAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Regular physical activity (PA) decreases the risk of comorbidities associated with a sedentary lifestyle in individuals with intellectual disabilities (IDs). They also may experience additional barriers that may prevent PA, including access, proper instruction and support. At-home PA programming is a feasible alternative to long-term adherence. This study aimed to determine (1) how an at-home DVD programme affects PA adherence and (2) the extent to which caregiver support influences PA.
Methods: Thirty-one adolescent or adult-aged participants with mild or moderate ID were randomised into a DVD or control group exercise intervention. Participants were given autonomy to choose what type of PA modality from the intervention they would like to participate in. Caregiver support during the PA was also measured.
Results: The two-way repeated-measures MANOVA demonstrated that the intervention DVD group was statistically significant, with a large effect size in PA minutes (P = 0.014, ηP2 = 0.236) and rate of perceived exertion (P = 0.002, ηP2 = 0.342) compared with the control group.
Conclusions: The findings demonstrated that using an adapted DVD increased PA minutes and the rate of perceived exertion without high levels of caregiver support.
背景：有规律的体育锻炼（PA）可降低智障人士（IDs）因久坐不动的生活方式而患上合并症的风险。他们还可能会遇到其他障碍，包括交通、适当的指导和支持等，这些都可能阻碍他们进行体育锻炼。居家锻炼计划是长期坚持锻炼的可行替代方案。本研究旨在确定：(1) 家庭 DVD 计划对坚持 PA 有何影响；(2) 照顾者的支持对 PA 的影响程度：31名患有轻度或中度智障的青少年或成年参与者被随机分配到DVD或对照组运动干预中。参与者可自主选择参加哪种类型的锻炼方式。此外，还对参与者在锻炼过程中的护理人员支持情况进行了测量：双向重复测量 MANOVA 显示，与对照组相比，DVD 干预组在 PA 分钟（P = 0.014，ηP2 = 0.236）和感知消耗率（P = 0.002，ηP2 = 0.342）方面具有显著的统计学效应：研究结果表明，在没有大量护理人员支持的情况下，使用改编 DVD 可以增加 PA 分钟数和感知消耗率。
期刊介绍：
The Journal of Intellectual Disability Research is devoted exclusively to the scientific study of intellectual disability and publishes papers reporting original observations in this field. The subject matter is broad and includes, but is not restricted to, findings from biological, educational, genetic, medical, psychiatric, psychological and sociological studies, and ethical, philosophical, and legal contributions that increase knowledge on the treatment and prevention of intellectual disability and of associated impairments and disabilities, and/or inform public policy and practice. Expert reviews on themes in which recent research has produced notable advances will be included. Such reviews will normally be by invitation.
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