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.引言：本回顾性研究旨在探究用于提升残疾人自我效能感、进而促进其参与体育活动的个体化跨学科方法的有效性。本研究项目依托社区现有资源，构建赋能型环境，助力参与者培养自我管理技能，实现体育活动项目的自主开展。 方法：本研究从客户管理软件系统中调取了2014年10月至2017年12月期间参与Rocky Bay健身项目的32名参与者的相关数据。所调取的数据涵盖主要结局指标与次要结局指标的基线值及复测值，本项目采用的结局指标用于反映参与者的体育活动水平与身体机能状况。 结果：数据分析显示，各随访时间段参与者的体育活动水平均出现显著提升：随访3~6个月组平均提升358±178（t(9)=6.34, p=0.000）；随访6~12个月组平均提升363±262（t(6)=6.34, p=0.011）；随访12~24个月组平均提升577±565（t(13)=3.80, p=0.002）。研究结果同时显示，参与者的功能性移动能力与下肢力量均得到显著改善，且提示体育活动水平与6分钟步行试验（6-Minute-Walk-Test）的改善程度呈显著正相关（r=0.674, n=12, p=0.016）。 结论：社区个体化干预项目可有效提升残疾人的长期可持续体育活动水平，同时改善其功能性移动能力。