Effects of a 12 week community-based high-level mobility programme on sustained participation in physical activity by adolescents with cerebral palsy: a single subject research design study.
To assess if a high-level mobility programme (HLMP) can promote sustained participation in physical activity by adolescents with cerebral palsy. Eight adolescents with cerebral palsy, Gross Motor Function Classification System levels I-II, 11–16 years, participated in 24 community-based group HLMP s...
| Published in: | Disability & Rehabilitation Vol. 46; no. 15; pp. 3408 - 3419 |
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| Main Authors: | , , , , , |
| Format: | clinical trial research tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
Jul2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178440476&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178440476 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Jul2024 vid: 46 iid: 15 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 178440476 178440476 178440476 10.1080/09638288.2023.2256225 178440476 ppf: 3408 ppct: 11 formats: tig: atl: Effects of a 12 week community-based high-level mobility programme on sustained participation in physical activity by adolescents with cerebral palsy: a single subject research design study. aug: au: Kilgour, Gaela Stott, Ngaire Susan Steele, Michael Adair, Brooke Hogan, Amy Imms, Christine affil: Department of Paediatrics, University of Melbourne, Melbourne, Australia sug: subj: Cerebral Palsy Rehabilitation Therapeutic Exercise Patient Participation Physical Activity Physical Mobility Community Programs Program Evaluation Health Promotion Community Health Services Human Male Female Child Adolescence New Zealand Nonrandomized Trials Clinical Trials Descriptive Statistics Pretest-Posttest Design Diaries Goal Attainment Physical Performance COVID-19 Pandemic Stay-at-Home Orders Scales Funding Source Child: 6-12 years Adolescent: 13-18 years Male Female ab: To assess if a high-level mobility programme (HLMP) can promote sustained participation in physical activity by adolescents with cerebral palsy. Eight adolescents with cerebral palsy, Gross Motor Function Classification System levels I-II, 11–16 years, participated in 24 community-based group HLMP sessions across 12 weeks. Participants set attendance, involvement, and physical performance goals, completed activity diaries over 58 weeks and undertook physical capacity tests. Measures of activity frequency and diversity (attendance) and involvement level were collected weekly across baseline (4–6 weeks), intervention (12 weeks), and nine months follow-up (including Covid lockdown). Median attendance was 23 of 24 HLMP sessions. Attendance goal/s attainment was highest during COVID lockdown. Involvement goals were consistently attained throughout all phases. Physical performance goal/s attainment was highest during intervention phase but reduced during nine months follow-up. Frequency of participation in physical activities varied greatly across study phases (range 0–33 episodes/week) with stable variety of activities and generally high 'involvement.' During the intervention, seven participants improved physical capacity and six maintained, or increased, the gains six months later. Most participants improved physical capacity post-intervention but only some had sustained attendance and involvement in physical activity, highlighting the complexity of physical activity participation. Health professionals' promotion of sustained participation in physical activity needs to consider individual preferences for frequency, diversity and duration. Supporting and measuring involvement in physical activity should be prioritised as a key outcome of an intervention. Physical activity interventions should be followed up for longer than six months to determine sustained changes in participation outcomes Measuring physical capacity and performance gains alone is insufficient to determine sustained, meaningful participation. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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