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Introduction : This study sought to examine: (a) the associations between physical activity, sedentary time, and sleep duration, as discrete behaviors, with depression among adults with visual impairments; and (b) the impact of meeting none, one, two, or three of the guidelines for these behaviors on depression among adults with visual impairments. Materials : One hundred eighty-two (Mage = 44.8) adults with visual impairments, recruited via email through two visual impairment organizations in the United States, completed the International Physical Activity Questionnaire–Short Form, a sleep duration question, the Major Depression Inventory, and a demographic questionnaire. Based on results from the questionnaires, dichotomous variables for meeting or not meeting physical activity, sleep, and sitting guidelines were created. Data were analyzed using three components: a descriptive analysis, Pearson product-moment correlation analyses, and hierarchical regression analyses. Results : Overall, 14.8% of participants were categorized as having some degree of depression. Meeting the sleep guideline was a significant negative predictor of depression scores in the hierarchical regression analyses. The number of guidelines met was a negative predictor for depression score controlling for other variables. Discussion : Adequate sleep, as well as meeting all three guidelines synergistically, was meaningful in influencing depression among this population. The current study's results should prompt the continued examination of health-behaviors among adults with visual impairment using a more holistic 24-hour activity cycle framework. Implications for practitioners : This study supports the utilization of multi-behavioral interventions to reduce the risk of depression by enhancing physical activity and sleep, while reducing sitting time, among this population. [ABSTRACT FROM AUTHOR]

The primary purpose of this study was to examine physical activity, nutritional intake, and psychological well-being differences between youth with visual impairments and their siblings residing in the same household. A secondary purpose was to examine the relationship between physical activity behavior and psychological well-being among youth with visual impairments. A sample of 22 dyads of youth with visual impairments and siblings completed this study. Data were collected through parent-reported demographic and psychological well-being questionnaires, nutritional intake questionnaires, and accelerometry. Data were analyzed descriptively and inferentially, examining proportion difference using McNemar's z-test, and mean differences using multivariate analyses of variance. Siblings without visual impairments had higher but not significantly higher daily average moderate-to-vigorous physical activity (d = 0.46), significantly higher prosocial score (d = 0.63), and lower but not significantly lower difficulty scores (d = 0.39), than youth with visual impairments. Small, not statistically significant, nutritional intake differences between siblings were found. Differences in physical activity and nutritional habits between those with visual impairments and their siblings were not significant, supporting the environmentally driven nature of these variables. Associations between physical activity and well-being were not apparent in this study but may be partially explained by low participant physical activity. Youth with visual impairments and the siblings may be influenced by the same familial factors and molded in a similar fashion by parenting behaviors regarding health-related behaviors. In this study, youth with visual impairments engaged in similar physical activity and nutritional behaviors to their siblings without visual impairments. Efforts to improve health-related behaviors among those with visual impairments may be most effective at the family level. Small subsets of youth with visual impairments gain mental health benefits from physical activity engagement. [ABSTRACT FROM AUTHOR]

Introduction: Moderate to vigorous physical activity (MVPA) is associated with positive physical and psychological health outcomes, yet youth with visual impairments tend to not to engage in sufficient MVPA. The purposes of this study were to (a) examine how familial factors were associated with MVPA among youth with visual impairments, their siblings, and parents and (b) examine the daily MVPA correlation among these family members. Methods: Twenty-two familial triads, including one child with a visual impairment, participated in this study. Accelerometers were used to measure MVPA and individual and familial factors were reported via questionnaire. Results: Of the individual and familial factors measured, only family member role significantly predicted MVPA (β =.43, p <.01), as parents accumulated significantly more activity than their children (f2 =.22). The MVPA of children with visual impairments and their siblings were positively correlated (r =.39), while small negative relationships were found between MVPA of parents and children with and without visual impairments (r = −.16; r = −.33, respectively). Discussion: In contrast with earlier findings, parents in the current study were significantly more active than their children with or without visual impairments. Potential reasons for this difference included the homogeneity of the sample, including a relatively high mean income level and parent education, which may have alleviated some typically reported barriers to parental MVPA. Future inquiries in this area should examine individual- and family-level factors concurrently to better understand their impact on MVPA within the familial triad. [ABSTRACT FROM AUTHOR]

The purpose of this study was to examine the relations between self-efficacy for exercise, physical activity, and health-related quality of life (HRQoL) in adults with visual impairments. Adults with visual impairments were invited via email through two visual impairment organizations in the United States to complete four questionnaires: (a) the international physical activity questionnaire-short form, (b) the self-efficacy to exercise behaviors scale, (c) the medical outcomes study short form health survey, and (d) a demographic questionnaire. One hundred fifty-nine participants (Mage = 44.77) provided complete surveys for analyses. Data were analyzed using three components: (a) a descriptive analysis, (b) a confirmatory factor analysis, and (c) a test of a hypothesized structural model. Both self-efficacy and HRQoL were tenable among this population with two item removals. Self-efficacy had a direct association (β = 0.26), and an indirect association (β = 0.17) with HRQoL which was mediated by participants' moderate-to-vigorous physical activity (MVPA). MVPA was positively associated with psychological health (β = 0.17), but not with physical health. The findings of this study suggest that self-efficacy can both directly and indirectly, through MVPA, influence HRQoL among adults with visual impairments. This study supports the utilization of self-efficacy based interventions to promote physical activity and thus impact HRQoL among adults with visual impairments. Adults with visual impairments tend to report lower health-related quality of life than peers without visual impairments. In this study, physical activity shows promise as an effective means to improving psychological health-related quality of life for adults with visual impairments. In this study, self-efficacy directly and indirectly, through physical activity, influences health-related quality of life for adults with visual impairments. Results support the utilization of self-efficacy based physical activity interventions to enhance physical activity and health-related quality of life among adults with visual impairments. [ABSTRACT FROM AUTHOR]

Background: Recent movement behaviour guidelines prescribe the optimal time spent in physical activity, screen time, and sleep across a 24‐hr period. The proportion of youth with visual impairments meeting 0, 1, 2, or all 3 of these 24 movement guidelines is unknown. The primary purpose of this observational, cross‐sectional analysis was to examine the proportions of youth with visual impairments in the United States who partially or fully meet the physical activity, screen time, and sleep duration guidelines. A secondary purpose of this analysis was to examine whether demographic variables were associated with the odds of youth with visual impairments meeting these guidelines. Methods: This study included 561 youth with visual impairments from the 2016 to 2017 National Survey of Children's Health (NSCH). Accounting for the NSCH sampling plan, Complex Samples was used to estimate the prevalence of meeting 24‐hr movement guidelines, and a multinomial logistic regression analysis was conducted to examine the odds ratio of guidelines met across different demographic factors. Results: Of the participants in this study, 18.7%, 50.7%, and 73.2% met physical activity, sleep, and screen time guidelines, respectively. Just 5.8% of the sample met all three of the 24‐hr movement guidelines, whereas 10.6% did not meet any of the three guidelines. Conclusions: The proportion of the sample meeting of all three guidelines was low, thus depriving the majority of this population of the physiological and psychological health benefits of meeting each guideline. Moreover, the study identifies physical inactivity as a key risk factor that requires attention in this population. [ABSTRACT FROM AUTHOR]

The purpose of this inquiry was to examine the relationship between barriers to physical activity, expectancy-value variables, and physical activity engagement among adults with visual impairments. Using a descriptive correlational approach, a sample of 214 adults with visual impairments (Mage = 43.14, SD = 13.67) completed questionnaires pertaining to barriers to physical activity, expectancy-value beliefs about physical activity, and physical activity engagement. Data were analyzed via correlation and hierarchical regression. The final regression model explained 20.30% of variance in physical activity (p <.001). Intrinsic value (β = 0.26, p =.01) and expectancy beliefs (β = 0.33, p <.001) each emerged as significant predictors of physical activity engagement, which suggests that expectancy-value theory may have some utility for investigating the physical activity engagement of individuals with visual impairments. However, the lack of significant contribution of other variables such as attainment and utility values, as well as barriers factors, underscores the need for additional research in this area. [ABSTRACT FROM AUTHOR]

The purpose of this study was to examine the reflections of adults with visual impairments regarding paraeducator support during their school-based integrated physical education. An interpretative phenomenological analysis research approach was used, and 9 adults (age 21–34 years; 8 women and 1 man) with visual impairments acted as participants. Semistructured audio-recorded telephone interviews and reflective field notes were sources of data. A 3-step analytic process was adopted for thematic development. Based on the data analysis, 3 interrelated themes emerged: "they wouldn't let me participate"—restriction in the name of safety, "stuck out like a big tree in a field full of poppies"—unwanted social attention and isolation, and "I felt like they weren't trained"—paraeducator disengagement and training needs. The themes highlight concerns expressed by the participants, such as the need for paraeducator training, that should be considered when using paraeducator support during physical education. [ABSTRACT FROM AUTHOR]

Research indicates that individuals with visual impairments tend not to meet the physical activity guidelines for health promotion. Existing literature has identified barriers to physical activity as having the potential to impact the physical activity engagement of this population. Most studies of barriers to physical activity among populations with visual impairments have used instruments developed for other groups. However, scholars within the field of adapted physical activity recommended the development and use of instruments designed to address the needs and characteristics of specific disability groups. Therefore, the purpose of this study was to develop and validate a brief scale designed to measure the magnitude of barriers to physical activity for use among adults with visual impairments. The instrument was developed in four phases: (a) item development, (b) content validity, (c) exploratory factor analysis, and (d) confirmatory factor analysis. Factor analyses yielded 12 items across three barrier factors (i.e., accessibility, personal, and transportation). The Barriers to Physical Activity for Adults with Visual Impairment scale is a valid and reliable measure of barriers to physical activity for this population. [ABSTRACT FROM AUTHOR]