Viviene A. Temple

Perspectives of Constraining and Enabling Factors for Health-Promoting Physical Activity by Adults with Intellectual Disability.

Abstract Background Physical activity influences health in individuals and within populations. This study explored factors perceived as enabling or inhibiting participation in physical activity by adults with intellectual disability from a health promotion perspective. Method Six focus group interviews were conducted: adults with intellectual disability (1 group, n = 9), direct care workers (1 group, n = 5), group home supervisors (2 groups, n = 9 and n = 6), managers (1 group, n = 4), and parents (1 group, n = 7). Results Three major themes were identified from the focus group interviews: motivation for participation, social support, and political and financial support. Conclusions The most critical issue was the lack of clear policies. Both day training centres and accommodation services would benefit from development of policies related to health‐promoting physical activity. Flowing on logically from the development of policy would be much needed training and support of staff.

Physical activity of children in family child care.

Physical activity was monitored for 65 boys and girls, during family child care, using accelerometry. Average accelerometer wear time was 7.0 h (SD = 0.83), and average counts per epoch were 104.6 (SD = 31.6). Mean minutes per hour of moderate-vigorous physical activity and sedentary behaviour were 1.76 min (SD = 0.90) and 39.49 min (SD = 4.50), respectively. The very low levels of moderate-vigorous physical activity suggest that the young children in this study may be insufficiently active during child care.

Physical activity levels of individuals living in a group home

This study investigated the physical activity patterns of six adults living in a group home. Physical activity was measured by direct observation. Participants were observed for seven consecutive days for a total time of 564 hours and 13 minutes. Energy expenditure estimates were calculated from direct observation and Caltrac® accelerometer data. The intraclass correlation between energy expenditure estimates was. 83. On average per day, participants spent 10 hours lying down, 6 hours sitting, 3 hours standing, 3 hours undertaking personal tasks, and engaged in light to moderate sport, leisure or work at other times. Two participants met the Australian guidelines for physical activity participation; another met the guidelines when he was well. Walking for transport was found to offer a simple, cost neutral opportunity for each participant to meet physical activity guidelines if they could be trained to walk faster.

A window of opportunity? Motor skills and perceptions of competence of children in Kindergarten

BackgroundOur aim was to examine the relationship between motor skill proficiency and perceptions of competence of children in their first year of school. We also explored gender-based differences.FindingsParticipants were 260 kindergarten children (mean age = 5y 9 m; boys = 52%) from eight schools; representing 78% of eligible children in those schools. Motor skills were measured using the Test of Gross Motor Development-2 and perceptions of physical competence were assessed using the Pictorial Scale of Perceived Competence and Social Acceptance for Young Children. Motor skill scores were generally low (percentile ranks ranged from 16 - 24) but perceptions of physical competence were positive (boys = 18.1/24.0, girls = 19.5/24.0). A MANOVA showed a significant overall effect for gender (Wilks lambda = .84 with F (3, 254) = 15.84, p < 0.001) and univariate F tests were significant for all outcome variables. The relationship between object control skills and perceptions of physical competence among girls was not significant; however all other correlations were modest but significant.ConclusionsAlthough motor skill levels were quite low, the children generally held positive perceptions of their physical competence. These positive perceptions provide a window of opportunity for fostering skillfulness. The modest relationships between perceptions of competence and motor skill proficiency suggest that the children are beginning to make self-judgments at a young age. Accordingly, opportunities for children to become and feel physically competent need to occur early in their school or preschool life.

Pilot study of a dog walking randomized intervention: effects of a focus on canine exercise.

OBJECTIVE The promotion of dog walking among owners who do not walk their dogs regularly may be a viable physical activity intervention aperture, yet research is very limited and no intervention studies have employed control groups. Therefore, the purpose of this pilot study was to examine the viability of dog walking for physical activity intervention using messages targeting canine exercise. METHOD Inactive dog owners (n=58) were randomized to either a standard control condition or the intervention (persuasive material about canine health from walking and a calendar to mark walks) after completing a baseline questionnaire package and wearing a pedometer for one week. Participants (standard condition n=28; intervention condition n=30) completed the six and 12 week follow-up questionnaire packages. RESULTS Intention to treat analyses showed that both groups increased physical activity significantly across the 12 weeks (η(2)=0.09 to 0.21). The intervention group resulted in significantly higher step-counts compared to the control group (Δ 1823 steps) and showed significantly higher trajectories from baseline to 12 weeks in the self-reported physical activity measures (η(2)=0.11 to 0.27). CONCLUSION The results are promising for the viability of increasing dog walking as a means for physical activity promotion and suggest that theoretical fidelity targeting canine exercise may be a helpful approach.

A Systematic Review of Dropout from Organized Sport among Children and Youth.

Leisure constraints theory was used as a framework to systematically review factors associated with dropout of organized sport among children and adolescents. Keyword searches for the population, context and construct of interest (i.e. dropout) identified articles from the entire contents of the following databases: Academic Search Complete, ERIC, MEDLINE, PsycINFO and SPORTDiscus. The initial search yielded 557 studies, and 43 met the selection criteria. Most studies focused solely on adolescents, and 89% of participants were male. Most studies were cross-sectional using quantitative approaches. Almost 30 different sports were included in the reviewed studies; however, the most represented sports were soccer, swimming, gymnastics and basketball. Findings from this review indicated that intrapersonal and interpersonal constraints are more frequently associated with dropping out of sport than structural constraints. Although many discrete factors associated with dropout were identified, five major areas emerged: lack of enjoyment, perceptions of competence, social pressures, competing priorities and physical factors (maturation and injuries). Rarely were the interrelationships between factors or the underlying dimensions of factors examined. Future research would benefit from mixed-methods and prospective approaches. These approaches would allow children and youth to explain how their experience of sport shaped their motives to dropout and allow researchers to probe the extent to which affordances and motives for participation aligned with athletes’ reasons for dropping out.

Pedometer-Measured Physical Activity of Adults With Intellectual Disability: Predicting Weekly Step Counts

Pedometers are objective, inexpensive, valid, and reliable measures of physical activity. The minimum number of days of pedometer monitoring needed to estimate average weekly step counts was investigated. Seven days of pedometer data were collected from 154 ambulatory men and women (ns = 88 and 66, respectively) with intellectual disability. Correlations between average weekly steps and 3-day combinations ranged from .80 to .94, and adjusted R(2) for 3 days of monitoring was .886. Results suggest that 3 days of pedometer wear is sufficient to predict average weekly steps among ambulatory adults with intellectual disability. This finding will allow researchers to reduce participant burden and study costs, may guide measurement procedures, and inform missing data protocols.

Body mass index of adults with intellectual disability participating in Special Olympics by world region

BACKGROUND People with intellectual disability (ID) experience poorer health and have more unmet health needs compared with people without ID, and they are often absent from population health surveillance. The aim of this study was to describe the body mass index (BMI) status of adult Special Olympics participants by world region and gender. Additionally, the general influence of age and gender on overweight/obesity of all participants was explored. METHOD A total of 11 643 (7150 male and 4493 female) Special Olympics BMI records were available from the Special Olympics International Health Promotion database. BMI was compared by gender and world region. Logistic regression was used to examine whether age and gender were associated with the likelihood of being overweight/obese (BMI ≥ 25.0). RESULTS Overall, 5.5% of the sample was underweight, 36.1% in the normal range, 24.7% overweight and 32.1% obese, and levels of overweight/obesity were very high in North America. Both age and gender were significant predictors of overweight/obesity (odds ratios 1.06 and 0.59, respectively). CONCLUSIONS Our findings demonstrate that adult Special Olympics participants have high levels of overweight and obesity; particularly among women and those from North America. It is crucial that those who work with, care for, coach and live with adults with ID who participate in Special Olympics increase efforts to promote healthy weight status.

International BMI comparison of children and youth with intellectual disabilities participating in Special Olympics

The purpose of this study was to describe the BMI status of children and youth with intellectual disabilities by world region, gender and age. A total of 9678 children and youth records were available from the Special Olympics International Health Promotion database after data cleaning (6084 boys and 3594 girls). Children were defined as 8-11 year olds (n=2035), and youth were defined as 12-18 year olds (n=7643). BMI prevalence rates were computed using the International Obesity Task Force (IOTF) cut-points, and logistic regression was used to determine if either age or gender was associated with being overweight or obese. Approximately 30% of the sample was overweight or obese; however, the prevalence rates in North America were much higher, particularly among girls. Fifty-four percent of girls (95% confidence interval [CI], 51.4-57.2%) were overweight or obese. Logistic regression revealed that both age and gender were significant predictors in North America; however this pattern was not consistent throughout the world regions. BMI status is a significant indicator of health, and these findings suggest that overweight and obesity are significant health concerns for children and youth with intellectual disabilities around the world. Obesity rates in this population are particularly high in North America, and the odds of becoming overweight or obese increased with age in North America. It is critical that health professionals increase Health Promotion efforts, including physical activity and healthy eating behaviors for children and youth with intellectual disabilities.

Factors associated with high levels of physical activity among adults with intellectual disability.

The aim was to identify factors associated with physical activity participation among active (i.e. more than or equal to 10 000 steps per day) individuals with intellectual disability. Staff at day program and supported employment organizations were asked to identify individuals they believed were physically active. To verify participants were active, 7-day pedometer data were collected. Using these data, 13 participants met the inclusion criterion of 10 000 steps per day from 37 individuals identified by staff. Participants (n=13) ranged in age from 18 to 46 years (mean=34, SD= 8) and seven were male. In-depth semistructured interviews were conducted to explore the environmental and social supports for these high levels of physical activity. Three major themes were identified from content and thematic analyses. Key individuals and organizations were important in fostering initial interests and the development of skills. Coaches, staff and parents were important in ‘showing them how.’ For example, how to vacuum or stack produce, how to bowl, how to use weight training equipment or helping to plan a safe walking route. Motivation for initial and ongoing participation was associated with friendship and social connection. Practical support was needed for continued participation. In particular, transportation and affordable activities were very important. Fostering practical skills, supporting the social aspects of physical activity and keeping activities low cost are important enabling and reinforcing factors for physical activity among active persons with intellectual disability.