Individuals with intellectual disabilities are a known health disparities group. The Team Wellness (TW) health promotion program was developed to provide healthy lifestyle information to target this population. The purpose of this study was to conduct a qualitative program evaluation on Team Wellness.
Methods:
Interviews were conducted via one-on-one format with program coaches (n = 4, mean age = 25, female = 2, male = 2) and focus group with program athletes (n = 6, mean age = 45, female = 4, male = 2) who completed the TW program.
Results:
Themes that emerged included: (1) Program Perceptions; (2) TW Support; and (3) Program Feedback. Program perceptions were positive and continued athlete participation was anticipated. Coaches felt prepared to facilitate based on previous experience though program fidelity varied.
Conclusion:
Study participants enjoyed TW and identified valuable recommendations. Program fidelity and marketing efforts are important for future consideration. Further quantitative assessment is needed to determine the effectiveness the program.
BalcazarFEKeysCBKaplanDL, et al. (1998) Participatory action research and people with disabilities: principles and challenges. Canadian Journal of Rehabilitation12: 105–112.
2.
BoddeAESeoDC (2009) A review of social and environmental barriers to physical activity for adults with intellectual disabilities. Disability and Health Journal2(2): 57–66.
3.
CharltonJI (2000) Nothing About Us Without Us: Disability Oppression and Empowerment. Berkeley: University of California Press.
4.
HsiehKRimmerJHHellerT (2014) Obesity and associated factors in adults with intellectual disability. Journal of Intellectual Disability Research58(9): 851–863.
5.
KrahnGLHammondLTurnerA (2006) A cascade of disparities: health and health care access for people with intellectual disabilities. Mental Retardation and Developmental Disabilities Research Reviews12(1): 70–82.
6.
KrahnGLWalkerDKCorrea-De-AraujoR (2015) Persons with disabilities as an unrecognized health disparity population. American Journal of Public Health105(S2): S198–S206.
7.
LloydMTempleVAFoleyJT (2012) International BMI comparison of children and youth with intellectual disabilities participating in Special Olympics. Research in Developmental Disabilities33(6): 1708–1714.
8.
MagilvyJKThomasE (2009) A first qualitative project: qualitative descriptive design for novice researchers. Journal for Specialists in Pediatric Nursing14(4): 298–300.
9.
MaulikPKMascarenhasMNMathersCD, et al. (2011) Prevalence of intellectual disability: a meta-analysis of population-based studies. Research in Developmental Disabilities32(2): 419–436.
10.
MyśliwiecADamentkoM (2015) Global initiative of the Special Olympics movement for people with intellectual disabilities. Journal of Human Kinetics45(1): 253–259.
Office of the Surgeon General (US), National Institute of Child Health and Human Development (US), and Centers for Disease Control and Prevention (US) (2002). Closing the Gap: A National Blueprint to Improve the Health of Persons with Mental Retardation: Report of the Surgeon General’s Conference on Health Disparities and Mental Retardation. US Department of Health and Human Services. Available at: http://www.ncbi.nlm.nih.gov/books/NBK44346/
13.
O’Mara-EvesABruntonGOliverS, et al. (2015) The effectiveness of community engagement in public health interventions for disadvantaged groups: a meta-analysis. BMC Public Health15(1): 129.
14.
RimmerJHPadalabalanarayananSMaloneLA, et al. (2017) Fitness facilities still lack accessibility for people with disabilities. Disability and Health Journal10(2): 214–221.
15.
SarıHYYılmazMSerinE, et al. (2016) Obesity and hypertension in adolescents and adults with intellectual disability. Acta Paulista de Enfermagem29(2): 169–177.
16.
ShandraCL (2018) Disability as inequality: social disparities, health disparities, and participation in daily activities. Social Forces97(1): 157–192.
17.
SigstadHMH (2014) Characteristic interviews, different strategies: methodological challenges in qualitative interviewing among respondents with mild intellectual disabilities. Journal of Intellectual Disabilities18(2): 188–202.
18.
SparkesACSmithB (2014) Qualitative Research Methods in Sport, Exercise and Health: From Process to Product. London; New York: Routledge.
StanishHITempleVAFreyGC (2006) Health-promoting physical activity of adults with mental retardation. Mental Retardation and Developmental Disabilities Research Reviews12(1): 13–21.
22.
StinsonJMcCartyKMacDonaldM (2020) Steps for community fitness organizations seeking to engage in inclusive practices. ACSM’s Health & Fitness Journal24(2): 16–21.
23.
VaismoradiMJonesJTurunenH, et al. (2015) Theme development in qualitative content analysis and thematic analysis. Journal of Nursing Education and Practice6(5). DOI: 10.5430/jnep.v6n5p100.
24.
vanSchijndel-SpeetMEvenhuisHMvan WijckR, et al. (2014) Implementation of a group-based physical activity programme for ageing adults with ID: a process evaluation. Journal of Evaluation in Clinical Practice20(4): 401–407.
25.
WallersteinNBDuranB (2006) Using community-based participatory research to address health disparities. Health Promotion Practice7(3): 312–323.
26.
WalshDBeltonSMeeganS, et al. (2018) A comparison of physical activity, physical fitness levels, BMI and blood pressure of adults with intellectual disability, who do and do not take part in Special Olympics Ireland programmes: results from the SOPHIE study. Journal of Intellectual Disabilities22(2): 154–170.
27.
WilsonDKGriffinSSaundersRP, et al. (2009) Using process evaluation for program improvement in dose, fidelity and reach: the ACT trial experience. International Journal of Behavioral Nutrition and Physical Activity6(1): 79.
28.
WoodmanseeCHahneAImmsC, et al. (2016) Comparing participation in physical recreation activities between children with disability and children with typical development: a secondary analysis of matched data. Research in Developmental Disabilities49: 268–276.
