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A gap in knowledge exists regarding how to maintain physical activity (PA) for individuals with acquired disabilities following initial introductory experiences. The current study aimed to contribute to filling this gap by exploring the PA pathways of military veterans with a physical disability, particularly those who maintain long-term PA, from impairment to the present. Veterans with a physical disability (N = 18) participated in interviews exploring their PA history and experiences. A reflexive thematic analysis was conducted to generate common pathways in PA participation, as well as to examine which elements of participation supported PA maintenance. Three long-term pathways were identified—two parasport pathways and one recreational PA pathway. Four elements of participation (i.e., mastery, challenge, belongingness, meaning) supported to maintain PA at key junctures. This knowledge provides further understanding of how to promote long-term PA for individuals with acquired disabilities and can support advancements in theory, as well as program development. [ABSTRACT FROM AUTHOR]

Physiotherapists are often important figures in the lives of people with physical disabilities and chronic conditions, yet gaps in understanding remain regarding how therapists promote physical activity and leverage existing community-based recreation programs. We used qualitative methods to explore experiences of physiotherapists as well as individuals with disabilities and chronic conditions receiving physiotherapy, with a focus on strategies to promote physical activity and the extent that therapists leverage community-based resources and programs. Semi-structured interviews were completed with nine physiotherapists (six American and three Canadian) and eight individuals with a physical disability (all Americans). Participants reflected on the salience of physical activity promotion throughout physiotherapy but also highlighted barriers. Three themes explored idealized and problematic experiences with physical activity promotion in therapy: 1) individualized promotion of physical activity; 2) increasing physical activity options for patients via engagement with the community; and 3) options for physical activity in the community. Differences were also noted between therapist and patient participants and when contrasting across countries (i.e. funding models). For instance, physiotherapists in publicly funded contexts relied more heavily on engagement with accessible community-based programming than privately funded counterparts. Therapists should further integrate patient perspectives when considering physical activity promotion. Additional research is needed to explore how therapists incorporate community-based programs into health promotion while further understanding the extent that these strategies align with the scope of physiotherapy practice in varying contexts. [ABSTRACT FROM AUTHOR]

Purpose: Physical activity is an important method of rehabilitation used to promote positive physical and psychosocial outcomes among military personnel, including Veterans, with a physical disability. However, minimal research has explored physical activity program implementation strategies, particularly how these strategies may foster positive rehabilitation outcomes, and quality participation experiences among Veterans post-injury. The purpose of the current study is to document strategies used to deliver physical activity programs to Veterans with a physical disability. Research methods: Semi-structured interviews were conducted with program staff from three Veteran physical activity programs, and program documentation was collected. Data were analyzed using a thematic analysis. Results: Four themes were identified representing strategies used for delivering physical activity programming: (1) foster social connections; (2) challenge participants; (3) tailor programs and outcomes to match participant needs; and (4) include knowledgeable coaches/instructors. Conclusions: The study provides researchers and practitioners (e.g., rehabilitation professionals, program facilitators, coaches) with evidence of strategies for delivering physical activity programming for Veterans post-injury, thus assisting with future program development and evaluation. The findings also provide preliminary insight regarding the potential relationships between physical activity programming and elements of quality participation. Implications for Rehabilitation: Physical activity is a popular method of rehabilitation for military personnel post-injury. Findings highlight four strategies used to deliver physical activity experiences to Veterans with a physical disability. Strategies highlighted provide insight as to how rehabilitation specialists can promote quality experiences for Veterans with a physical disability during physical activity programming. [ABSTRACT FROM AUTHOR]

Objectives An important consideration for physical activity (PA) participation for individuals with a physical disability, including veterans, is that opportunities exist for full participation. Full participation can be understood as both the quantity and quality of participation. The objective of this study is to explore perceptions of a quality PA experience for military veterans with a physical disability. Design Qualitative semi-structured interviews were conducted to explore perspectives of a quality PA experience. Method Eighteen veterans (15 men, 3 women) with a physical disability were recruited using maximum variation sampling to take part in interviews. The interviews explored their PA experiences, with a focus on exploring participants' perspective of a quality PA experience. Data were analyzed using thematic analysis. Results Two overarching themes, elements of a quality experience and conditions enabling access to a quality experience, were identified. Within the overarching theme of elements of a quality experience, four key themes were identified: group cohesion, challenge, having a role, and independence and choice. A further three key themes (the physical and social environments, and program structure) were identified within the overarching theme of conditions for accessing the quality experience. Conclusion The findings both support and extend previous conceptualizations of quality participation. They provide insight into context-specific understandings of quality for PA and veterans. More broadly, the study contributes towards the literature on adapted PA participation, and provides a framework for practitioners aiming to foster quality PA experiences. [ABSTRACT FROM AUTHOR]

Limited research has explored the factors that promote initiation of adapted physical activity (PA) for individuals with acquired disabilities. Thus, the current paper explores the role of social support in initiating PA among this population. Participants consisted of civilians (n = 15; age: 19–73 years) and military personnel (n = 18; age: 30–68 years) with acquired disabilities (e.g., spinal cord injuries, limb amputation). Two semi-structured interviews were conducted exploring perceptions and participation of adapted sport and PA. An inductive thematic analysis was performed to identify patterns relating to social support and PA initiation. Four social support networks were identified — family, peers, coaches, and community. Findings were presented using creative non-fiction. The results illustrate the complexity and critical value of social support in adapted PA, highlight the nuances that arise in the availability and expression of social, and provides the foundation for further exploration of the significance of social support for people with acquired disabilities. • A lack of knowledge exists regarding the role of social support in adapted physical activity (PA) initiation. • Four social support networks influence adapted PA initiation. • Nuances exist in social support type between military and civilian populations. • Social support networks are complex and critical for adapted PA. [ABSTRACT FROM AUTHOR]

Family are influential actors in adapted sport participation. However, little is known about their experiences with adapted sport. The current study sought to explore the experiences of families in adapted sport through the context of the Invictus Games, an international adapted sport competition for military personnel with physical and psychological illnesses and injuries that is unique in its inclusion of family programming. Family members (n = 21; partners, parents, siblings, and children) of Invictus Games Toronto 2017 competitors participated in semi-structured interviews. Data were analyzed using reflexive thematic analysis. Three themes were identified: recognition of family experiences during service and after onset of disability; creating a sense of belonging; and improving family knowledge and perceptions. This study provides insight regarding how adapted sport events can support the well-being of both individuals with illnesses and injuries and their families. • Strategies can be implemented by adapted sport programs to support families. • Programs should recognize the impact of adapted sport on family. • Strategies may also include building knowledge of the value of sport. [ABSTRACT FROM AUTHOR]