Abstract
ABSTRACTBackground: Accessibility to physical activity in the form of sport and recreation for people with disability has been investigated primarily from the perspective of service consumers. This study aimed to increase insights into the factors that influence accessibility to sport and recreation activity for people with long-term mobility impairment from multiple perspectives. Methods: We interviewed participants with mobility impairment, service providers, and service planners and funders in five locations across New Zealand. The interviews underwent thematic analysis into four levels of the social ecological framework. Results: In total, 53 participants were interviewed. People with mobility impairment were challenged by physical and financial circumstances, social attitudes, and the built environment. Service providers experienced fiscal and organizational constraints to providing an inclusive environment. Funding and planning organizations removed planned accessibility features to save money. Conc...
Highlights
Physical activity is promoted nationally and globally because of its benefits for health and well-being, both for people with and without disability (Heath et al 2012; Kesaniemi et al 2001; Kohl et al 2012; World Health Organization 2012)
People with disability are even more likely to be physically inactive than the general population (Boslaugh and Andresen 2006; World Health Organization 2011) regardless of physical activity being important for this group because of their higher rates of deleterious ‘lifestyle’ diseases (Rimmer and Wang 2005) and comorbidities (Kinne, Patrick, and Doyle 2004; Marge 2008; Santiago and Coyle 2004)
Our study extended the conventional singular perspective of people with disability to multiple perspectives of stakeholders based on Ainsworth’s ecological model
Summary
Physical activity is promoted nationally and globally because of its benefits for health and well-being, both for people with and without disability (Heath et al 2012; Kesaniemi et al 2001; Kohl et al 2012; World Health Organization 2012). Accessibility to physical activity in the form of sport and recreation for people with disability has been investigated primarily from the perspective of service consumers. This study aimed to increase insights into the factors that influence accessibility to sport and recreation activity for people with long-term mobility impairment from multiple perspectives. People with mobility impairment were challenged by physical and financial circumstances, social attitudes, and the built environment. Conclusions: The barriers perceived by people with disabilities are sustained by financial, administrative, and attitudinal constraints Such knowledge should allow generation of strategies to transform the barriers into facilitators
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