Diving into Health: A Mixed Methods Study on the Impact of Scuba Diving in People with Physical Impairments

The impacts of scuba diving on people with physical impairments are unknown. Grounded on the social identity approach to health, the aim of this study was to test and describe the relationships between scuba diving social identity, self-efficacy, social health, psychological health, physical health,...

Full description

Bibliographic Details
Main Authors: Tania Santiago Perez, Brandi M. Crowe, Patrick J. Rosopa, Jasmine N. Townsend, Michael R. Kaufman
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/7/984
_version_ 1797607863145725952
author Tania Santiago Perez
Brandi M. Crowe
Patrick J. Rosopa
Jasmine N. Townsend
Michael R. Kaufman
author_facet Tania Santiago Perez
Brandi M. Crowe
Patrick J. Rosopa
Jasmine N. Townsend
Michael R. Kaufman
author_sort Tania Santiago Perez
collection DOAJ
description The impacts of scuba diving on people with physical impairments are unknown. Grounded on the social identity approach to health, the aim of this study was to test and describe the relationships between scuba diving social identity, self-efficacy, social health, psychological health, physical health, health-related quality of life (HRQOL), and disability level among recreational scuba divers with physical impairments. A mixed methods explanatory sequential design was employed. The quantitative strand used an 80-item cross-sectional survey, with the data analyzed via a path analysis. The qualitative strand used 1:1 interviews across 3 case study groups; the data were analyzed using deductive and inductive analyses. Mixing occurred via a joint display with meta-inferences. The quantitative results (<i>n</i> = 78) indicated that self-efficacy was a significant predictor of social health, psychological health, physical health, HRQOL, and disability level. The qualitative findings (<i>n</i> = 15) consisted of six themes, whereby participants described scuba as a positive social identity that provides them with meaning, purpose, and belonging. Furthermore, they described scuba diving as a positive contributor to their self-efficacy, social health, psychological health, physical health, and quality of life. During the mixing of data, the quantitative and qualitative results did not match on the influence of scuba diving social identity on self-efficacy, social health, psychological health, physical health, HRQOL, and disability level. A further analysis revealed that the range restriction impaired the conclusive quantitative evidence on the scuba diving social identity variable. The meta-inferences derived from the data integration suggest that scuba diving plays a role in the self-efficacy, health, HRQOL, and disability level among scuba divers with physical impairments. The findings point to the potential of scuba diving as a health promotion recreational activity and rehabilitation modality for people with physical impairments.
first_indexed 2024-03-11T05:36:33Z
format Article
id doaj.art-1dca2943ff004e0085fae6277462b780
institution Directory Open Access Journal
issn 2227-9032
language English
last_indexed 2024-03-11T05:36:33Z
publishDate 2023-03-01
publisher MDPI AG
record_format Article
series Healthcare
spelling doaj.art-1dca2943ff004e0085fae6277462b7802023-11-17T16:43:46ZengMDPI AGHealthcare2227-90322023-03-0111798410.3390/healthcare11070984Diving into Health: A Mixed Methods Study on the Impact of Scuba Diving in People with Physical ImpairmentsTania Santiago Perez0Brandi M. Crowe1Patrick J. Rosopa2Jasmine N. Townsend3Michael R. Kaufman4Recreational Therapy, Department of Counseling, Recreation & School Psychology, Florida International University, 11200 SW 8th St ZEB 336-A, Miami, FL 33199, USARecreational Therapy, Department of Parks, Recreation & Tourism Management, Clemson University, 105 Sirrine Hall, Clemson, SC 29631, USADepartment of Psychology, Clemson University, 410J Bracket Hall, Clemson, SC 29631, USARecreational Therapy, Department of Parks, Recreation & Tourism Management, Clemson University, 105 Sirrine Hall, Clemson, SC 29631, USATherapeutic Scuba Institute, 4001 SW 132nd Avenue, Miramar, FL 33027, USAThe impacts of scuba diving on people with physical impairments are unknown. Grounded on the social identity approach to health, the aim of this study was to test and describe the relationships between scuba diving social identity, self-efficacy, social health, psychological health, physical health, health-related quality of life (HRQOL), and disability level among recreational scuba divers with physical impairments. A mixed methods explanatory sequential design was employed. The quantitative strand used an 80-item cross-sectional survey, with the data analyzed via a path analysis. The qualitative strand used 1:1 interviews across 3 case study groups; the data were analyzed using deductive and inductive analyses. Mixing occurred via a joint display with meta-inferences. The quantitative results (<i>n</i> = 78) indicated that self-efficacy was a significant predictor of social health, psychological health, physical health, HRQOL, and disability level. The qualitative findings (<i>n</i> = 15) consisted of six themes, whereby participants described scuba as a positive social identity that provides them with meaning, purpose, and belonging. Furthermore, they described scuba diving as a positive contributor to their self-efficacy, social health, psychological health, physical health, and quality of life. During the mixing of data, the quantitative and qualitative results did not match on the influence of scuba diving social identity on self-efficacy, social health, psychological health, physical health, HRQOL, and disability level. A further analysis revealed that the range restriction impaired the conclusive quantitative evidence on the scuba diving social identity variable. The meta-inferences derived from the data integration suggest that scuba diving plays a role in the self-efficacy, health, HRQOL, and disability level among scuba divers with physical impairments. The findings point to the potential of scuba diving as a health promotion recreational activity and rehabilitation modality for people with physical impairments.https://www.mdpi.com/2227-9032/11/7/984adapted/adaptive scuba divingphysical impairment/disabilitysocial identityphysical healthsocial healthpsychological health
spellingShingle Tania Santiago Perez
Brandi M. Crowe
Patrick J. Rosopa
Jasmine N. Townsend
Michael R. Kaufman
Diving into Health: A Mixed Methods Study on the Impact of Scuba Diving in People with Physical Impairments
Healthcare
adapted/adaptive scuba diving
physical impairment/disability
social identity
physical health
social health
psychological health
title Diving into Health: A Mixed Methods Study on the Impact of Scuba Diving in People with Physical Impairments
title_full Diving into Health: A Mixed Methods Study on the Impact of Scuba Diving in People with Physical Impairments
title_fullStr Diving into Health: A Mixed Methods Study on the Impact of Scuba Diving in People with Physical Impairments
title_full_unstemmed Diving into Health: A Mixed Methods Study on the Impact of Scuba Diving in People with Physical Impairments
title_short Diving into Health: A Mixed Methods Study on the Impact of Scuba Diving in People with Physical Impairments
title_sort diving into health a mixed methods study on the impact of scuba diving in people with physical impairments
topic adapted/adaptive scuba diving
physical impairment/disability
social identity
physical health
social health
psychological health
url https://www.mdpi.com/2227-9032/11/7/984
work_keys_str_mv AT taniasantiagoperez divingintohealthamixedmethodsstudyontheimpactofscubadivinginpeoplewithphysicalimpairments
AT brandimcrowe divingintohealthamixedmethodsstudyontheimpactofscubadivinginpeoplewithphysicalimpairments
AT patrickjrosopa divingintohealthamixedmethodsstudyontheimpactofscubadivinginpeoplewithphysicalimpairments
AT jasminentownsend divingintohealthamixedmethodsstudyontheimpactofscubadivinginpeoplewithphysicalimpairments
AT michaelrkaufman divingintohealthamixedmethodsstudyontheimpactofscubadivinginpeoplewithphysicalimpairments