Physical activity promotion in persons with spinal cord injuries: Barriers and facilitators in low-resource communities

Background: A spinal cord injury is a devastating and life-changing event that presents the affected individual with multiple challenges throughout life. Physical activity can help mitigate some of these challenges; however, in low-resource communities where opportunities for physical activity are s...

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Main Authors: Candace Vermaak, Suzanne Ferreira, Elmarie Terblanche, Wayne Derman
Format: Article
Language:English
Published: AOSIS 2022-06-01
Series:African Journal of Disability
Subjects:
Online Access:https://ajod.org/index.php/ajod/article/view/988
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author Candace Vermaak
Suzanne Ferreira
Elmarie Terblanche
Wayne Derman
author_facet Candace Vermaak
Suzanne Ferreira
Elmarie Terblanche
Wayne Derman
author_sort Candace Vermaak
collection DOAJ
description Background: A spinal cord injury is a devastating and life-changing event that presents the affected individual with multiple challenges throughout life. Physical activity can help mitigate some of these challenges; however, in low-resource communities where opportunities for physical activity are scarce, these challenges are often exacerbated and multiple. Objective: This study aimed to identify the barriers and facilitators to physical activity, specifically in individuals with spinal cord injuries, in low-resourced communities. Methods: A total of 57 adults ( 20 years) with a spinal cord injury living in the Western Cape, South Africa completed the self-developed research questionnaire. Results: A total of 289 barriers and 290 facilitators were reported. The most frequently reported barriers were lack of transport (n = 35), impairment type (n = 32), lack of trained volunteers and appropriate programmes (n = 19 each) and lack of information received from therapists following discharge (n = 10). The most frequently reported facilitators were support from family (n = 38), the ‘enjoyment’ of physical activity and the fact that ‘it made me feel good’ (n = 37); safe and accessible facilities were reported by 25 participants and 12 participants reported that higher-quality programmes and better-trained staff would help them to be more physically active. Conclusion: Individuals with a spinal cord injury face many barriers in being physically active. Yet it is evident that people with spinal cord injuries in low-resourced communities are eager to participate and improve their health and physical function. However, this will only realise if practitioners reduce the barriers to access, provide relevant training to staff and volunteers, educate their patients about the importance of physical activity post discharge, and create tailored programmes in safe and accessible community facilities.
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spelling doaj.art-cc99c9ed1e9543e5b7998e66bde5480e2022-12-22T03:38:19ZengAOSISAfrican Journal of Disability2223-91702226-72202022-06-01110e1e810.4102/ajod.v11i0.988290Physical activity promotion in persons with spinal cord injuries: Barriers and facilitators in low-resource communitiesCandace Vermaak0Suzanne Ferreira1Elmarie Terblanche2Wayne Derman3Division of Biokinetics, Department of Sport Science, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape TownInstitute of Sport and Exercise Medicine, Department of Sport Science, Faculty of Health Sciences, Stellenbosch University, Cape TownDivision of Sport Science, Department of Sport Science, Faculty of Medicine and Health Sciences, Stellenbosch University, cape TownInstitute of Sport and Exercise Medicine, Department of Sport Science, Faculty of Health Sciences, Stellenbosch University, Cape Town, South Africa; and, International Olympic Committee Research Center, Cape TownBackground: A spinal cord injury is a devastating and life-changing event that presents the affected individual with multiple challenges throughout life. Physical activity can help mitigate some of these challenges; however, in low-resource communities where opportunities for physical activity are scarce, these challenges are often exacerbated and multiple. Objective: This study aimed to identify the barriers and facilitators to physical activity, specifically in individuals with spinal cord injuries, in low-resourced communities. Methods: A total of 57 adults ( 20 years) with a spinal cord injury living in the Western Cape, South Africa completed the self-developed research questionnaire. Results: A total of 289 barriers and 290 facilitators were reported. The most frequently reported barriers were lack of transport (n = 35), impairment type (n = 32), lack of trained volunteers and appropriate programmes (n = 19 each) and lack of information received from therapists following discharge (n = 10). The most frequently reported facilitators were support from family (n = 38), the ‘enjoyment’ of physical activity and the fact that ‘it made me feel good’ (n = 37); safe and accessible facilities were reported by 25 participants and 12 participants reported that higher-quality programmes and better-trained staff would help them to be more physically active. Conclusion: Individuals with a spinal cord injury face many barriers in being physically active. Yet it is evident that people with spinal cord injuries in low-resourced communities are eager to participate and improve their health and physical function. However, this will only realise if practitioners reduce the barriers to access, provide relevant training to staff and volunteers, educate their patients about the importance of physical activity post discharge, and create tailored programmes in safe and accessible community facilities.https://ajod.org/index.php/ajod/article/view/988physical activityspinal cord injurybarriersfacilitatorslow resource communities
spellingShingle Candace Vermaak
Suzanne Ferreira
Elmarie Terblanche
Wayne Derman
Physical activity promotion in persons with spinal cord injuries: Barriers and facilitators in low-resource communities
African Journal of Disability
physical activity
spinal cord injury
barriers
facilitators
low resource communities
title Physical activity promotion in persons with spinal cord injuries: Barriers and facilitators in low-resource communities
title_full Physical activity promotion in persons with spinal cord injuries: Barriers and facilitators in low-resource communities
title_fullStr Physical activity promotion in persons with spinal cord injuries: Barriers and facilitators in low-resource communities
title_full_unstemmed Physical activity promotion in persons with spinal cord injuries: Barriers and facilitators in low-resource communities
title_short Physical activity promotion in persons with spinal cord injuries: Barriers and facilitators in low-resource communities
title_sort physical activity promotion in persons with spinal cord injuries barriers and facilitators in low resource communities
topic physical activity
spinal cord injury
barriers
facilitators
low resource communities
url https://ajod.org/index.php/ajod/article/view/988
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AT suzanneferreira physicalactivitypromotioninpersonswithspinalcordinjuriesbarriersandfacilitatorsinlowresourcecommunities
AT elmarieterblanche physicalactivitypromotioninpersonswithspinalcordinjuriesbarriersandfacilitatorsinlowresourcecommunities
AT waynederman physicalactivitypromotioninpersonswithspinalcordinjuriesbarriersandfacilitatorsinlowresourcecommunities