A retrospective, observational study on the effectiveness of an individualized community-based fitness program for people who are living with disability.

Introduction: The aim of this retrospective study is to investigate the effectiveness of an individualised, and interdisciplinary approach to develop self-efficacy in people with disability in enhancing participation in physical activity. The program in this study utilizes available resources in the community to facilitate an environment that can empower participants to develop self-management skills, and to become independent in their own physical activity program. Method: Data of 32 participants who participated in Rocky Bay Fitness Program from October 2014 to December 2017 was retrieved from client management software system. The retrieved data included baseline and re-assessment values of the primary and secondary outcome measures. The outcome measures used in the program have indicated the participants’ level of physical activity and function. Results: Data analysis showed significant increase in physical activity level from initial assessment (≥3<6 months, mean increase of 358 ±178(t(9)=6.34, p=0.000, ≥6<12 months, mean increase of 363± 262 t(6)=6.34, p=0.011, ≥12<24 months, mean increase of 577± 565 t(13)=3.80, p=0.002). The result also indicated significant improvement in functional mobility and lower limb strength, with suggestion that physical activity level is positively correlated with improvement in 6-Minute-Walk-Test (r = 0.674, n = 12, p = 0.016). Conclusion: An individualised program in the community may be effective in promoting sustainable long-term physical activity level in people with disability, and may also improve their functional mobility.