People with disabilities are a health disparity population that face many barriers to health promotion opportunities in their communities. Inclusion in public health initiatives is a critical approach to address the health disparities that people with disabilities experience. The National Center on Health, Physical Activity and Disability (NCHPAD) is tackling health disparities in the areas of physical activity, healthy nutrition, and healthy weight management. Using the NCHPAD Knowledge Adaptation, Translation, and Scale-up Framework, NCHPAD is systematically facilitating, monitoring, and evaluating inclusive programmatic, policy, systems, and environmental (PPSE) changes in communities and organizations at a local and national level. Through examples we will highlight the importance of adapting knowledge, facilitating uptake, developing strategic partnerships and building community capacity that ultimately creates sustainable, inclusive change.
People with disabilities (PWDs) are an underrecognized population who tend to experience poorer health outcomes than those without disabilities. Many of these disparate health outcomes are preventable and can be addressed through various lifestyle interventions, such as physical activity and access to appropriate health care services. However, PWDs face significant barriers to health care and health-promoting activities within their communities that can positively affect these health outcomes and improve quality of life. In order to ensure access to these beneficial programs, inclusive practices must be incorporated into all aspects of the physical and social environment, including the built environment, equipment, service delivery, policy and decision making, programming, and staff training. The purpose of this article is to discuss barriers often experienced by PWDs in accessing health promotion programs and address practical considerations that can ensure inclusion of PWDs' health care and health promotion programming. Additionally, this article will provide clinical exercise physiologists with resources, tools, and examples of inclusive approaches that will provide a foundation to offer inclusive programs and practices to all Americans, including those with disabilities.
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