Examining factors of physical activity participation in youth with spina bifida using the Theoretical Domains Framework

Volfson, Zlata; McPherson, Amy C.; Tomasone, Jennifer R; Faulkner, Guy; Arbour-Nicitopoulos, Kelly P.

doi:10.1016/j.dhjo.2020.100922

Cited by 4 publications

(9 citation statements)

References 103 publications

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“…Social influences, self-efficacy, positive impacts on health and mental health, as well as enjoyment have been identified as facilitators to PA in youth with spina bifida. 52 Meanwhile, motivation and meaningfulness are primary facilitators of PA and high-intensity exercise in spinal cord injury. 53 54 Conversely, lack of knowledge, control and inaccessible environments have been identified as barriers to PA. 52 Through developing understanding of barriers and facilitators of exercise, clinicians are more likely to provide programmes that encourage adherence with consistent health benefits.…”

Section: Discussionmentioning

confidence: 99%

“… 52 Meanwhile, motivation and meaningfulness are primary facilitators of PA and high-intensity exercise in spinal cord injury. 53 54 Conversely, lack of knowledge, control and inaccessible environments have been identified as barriers to PA. 52 Through developing understanding of barriers and facilitators of exercise, clinicians are more likely to provide programmes that encourage adherence with consistent health benefits. 53 Furthermore, extending rehabilitation services and physiotherapy to when the individual returns to the community, with contextual understanding, aids individuals to overcome relevant barriers.…”

Section: Discussionmentioning

confidence: 99%

“…Social influences, self-efficacy, positive impacts on health and mental health, as well as enjoyment have been identified as facilitators to PA in youth with spina bifida 52. Meanwhile, motivation and meaningfulness are primary facilitators of PA and high-intensity exercise in spinal cord injury 53 54.…”

Section: Discussionmentioning

confidence: 99%

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Barriers and facilitators of physical function, activity, sports and exercise in children and adolescents with spinal pain: a protocol for a systematic review and meta-ethnography

et al. 2023

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IntroductionSpinal pain is one of the leading causes of disability, with the incidence of adolescent back pain estimated at 20%. Multiple barriers influence exercise participation in adolescents. However, there remains a lack of literature surrounding patients’ choice to exercise, perceived barriers and facilitators of exercise, and their relationship to participant demographics. The aim of this systematic review with meta-ethnography will be to identify the barriers and facilitators of exercise participation among adolescents with thoracic or lower back pain (LBP). The secondary aim will be to identify any trends in barriers and facilitators of exercise between different demographic groups within children or adolescents under 18 years.Methods and analysisThe seven-phase process identified by Noblit and Hare’s meta-ethnography approach will be used. A comprehensive electronic search of databases (AMED, CINAHLplus, EMBASE, MEDLINE, SCOPUS, Nursing & Allied Health, PubMed, PsycINFO, SPORTDiscus, Social Science Database) will be completed during April 2022. Grey literature using reference lists, websites and search engines will also be searched in accordance with Peer Review of Electronic Search Strategies (PRESS) guidelines. Inclusion criteria include: (A) qualitative studies, (B) participants under 18 years experiencing thoracic or LBP, (C) identification of barriers and facilitators of exercise participation in exercise, sports or physical activity and (D) primary research. This systematic review with meta-ethnography review aims to generate theories of behaviours and interpret significance across multiple studies. This process aims to develop future physiotherapeutic behavioural interventions, inform service provision and identify possible future research questions.Ethics and disseminationNo ethical approval was required due to the nature of using previously published work to form a systematic review paper. This systematic review and meta-ethnography will be disseminated through both conference presentations and journal publications. No funding was received for this review.PROSPERO registration numberCRD42022314796.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Barriers and facilitators of physical function, activity, sports and exercise in children and adolescents with spinal pain: a protocol for a systematic review and meta-ethnography

et al. 2023

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“…This observation warrants consideration of the role of parents of YPD. Given the unique challenges that YPD experience, parents are a vital source of support and often manage their child's schedule and act as a prompt to execute plans ( 29 ). Thus, YPD may not feel confident in their ability to self-manage goals.…”

Section: Discussionmentioning

confidence: 99%

An Online Physical Activity Intervention for Youth With Physical Disabilities: A Pilot Study

Sharma

Latimer-Cheung

Cairney

et al. 2021

Front. Rehabilit. Sci.

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Background: Physical activity (PA) interventions are limited in number and reach for youth with physical disabilities (YPD) who experience systemic barriers that may preclude their in-person participation. Further, a lack of theory in the development and evaluation of PA interventions impedes our understanding and replication of active components of behavior change. These limitations pose challenges in the effective promotion of PA in YPD. Theory-based and more inclusive methods of PA intervention delivery must be explored in our efforts to promote PA and overall health in YPD.Methods: A pilot study was conducted to evaluate the feasibility and outcomes of an online, 4-week social cognitive theory-based PA intervention for YPD. Intervention feasibility (implementation fidelity, intervention compliance, and intervention acceptability) was evaluated through manual documentation, weekly feedback questionnaires, and open-ended feedback at 1-month post-intervention. Targeted social cognitive (outcome expectations, self-efficacy [task, self-regulatory, barrier] and self-regulation) and PA behavior outcomes were self-reported at baseline and 1-week and 1-month post-intervention.Results: Sixteen YPD (Mage = 17.4 ± 2.7 years, 69% female) completed the study. Intervention feasibility was supported by high implementation fidelity (100%), high intervention compliance (>90%), and positive ratings on indicators of acceptability for all weeks of the intervention (weekly feedback questionnaire means ranging from 5.74 to 6.19 out of 7). Through open-ended feedback, participants indicated the intervention was easy to use and understand, favorably shifted their self-awareness and personal meaning of PA, and provided value and potential for future use pertaining to the learned self-regulation skills and strategies. Participants also provided formatting and content recommendations for intervention improvement. Repeated measures ANOVAs showed significant and large effect sizes for changes in participants' task (p = 0.01, n2p = 0.28) and barrier (p = 0.02, n2p = 0.24) self-efficacy, goal-setting and planning and scheduling behaviors (ps < 0.001, n2ps = 0.42), and self-reported PA behavior (p = 0.02, n2p = 0.26).Conclusions: An online PA intervention for YPD is feasible and may offer potential benefit through the enhancement of self-efficacy, self-regulation, and PA behavior. Continued research is necessary to understand the efficacy and longer-term outcomes of online, theory-based interventions for YPD as a PA promotion strategy.

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“…However, to the best of the authors’ knowledge, uptake of exercise for those with AIS remains low with a lack of qualitative data exploring the factors influencing participation, despite the known benefits of sports, exercise, and PA and its central role in care pathways [ 17 , 18 , 19 , 20 , 21 , 22 , 23 ]. In order to understand these factors there is a body of qualitative research [ 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 ]. Synthesis of this is important and can be easily structured around related frameworks, such as the biopsychosocial model [ 33 ] and the international classification of functioning disability and health, children, and youth (ICF-CY) [ 34 ].…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Participation in Physical Activity, Sports, and Exercise in Children and Adolescents with Spinal Pain or Spinal Conditions: A Systematic Review and Meta-Ethnography

Tucker

Heneghan

Gardner

et al. 2023

Behavioral Sciences

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Background: Physical activity is an effective treatment for paediatric spinal pain. However, participation rates remain low and review evidence is needed to establish why. This review identifies factors influencing participation in sports, exercise, and physical activity in those aged 18 or under with spinal pain or spinal conditions. Trends or differences between discrete sub-populations are identified. Methods: A meta-ethnographic review was undertaken. Qualitative papers were identified and appraised using the JBI checklist. Thematic trends were mapped onto the biopsychosocial model and subthemes identified. Uniqueness was calculated and the confidence in the evidence was evaluated using the GRADE-CERQual tool. Results: Data were gathered from nine qualitative papers (384 participants). Three themes were identified: (1) biological: physical challenges and bladder and bowel care; (2) psychological: perceptions of differences to peers, struggle, anger, sadness, adjustment, and acceptance; and (3) sociological: influence of friends, social acceptance, negative attitudes from others, and the influence of their disability on family routine. Conclusions: Sociological factors were most influential on exercise participation alongside related psychological and biological factors. Adolescents over 14 years offered greater critical insight compared to the younger children. Results are best applied to neuromuscular conditions with further robust evidence required in paediatric musculoskeletal spinal pain.

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Examining factors of physical activity participation in youth with spina bifida using the Theoretical Domains Framework

Cited by 4 publications

References 103 publications

Barriers and facilitators of physical function, activity, sports and exercise in children and adolescents with spinal pain: a protocol for a systematic review and meta-ethnography

Barriers and facilitators of physical function, activity, sports and exercise in children and adolescents with spinal pain: a protocol for a systematic review and meta-ethnography

An Online Physical Activity Intervention for Youth With Physical Disabilities: A Pilot Study

Factors Influencing Participation in Physical Activity, Sports, and Exercise in Children and Adolescents with Spinal Pain or Spinal Conditions: A Systematic Review and Meta-Ethnography

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