Abstract
Purpose: The aim of the study was to investigate perceptions of staff about the promotion of physical activity (PA) in selected group residences of Hong Kong (HK), some of which had experienced a multi-component PA program. Method: Focus group interviews with nineteen staff members from four group homes (two of which received the program) were conducted. Findings: A SWOT analysis provided important insights into residential staff views about key influences on the quality of PA programs for residents with intellectual disabilities (ID). Positive (strengths and opportunities) and negative (weaknesses and threats) influences were identified. They were associated with characteristics of residents, staff, and group residence. Increasing age and low motivation are impediments to PA engagement of adults with ID. Staff competence and prior unsuccessful experience in promoting PA are also implicated. Conclusion: The PA program quality is mediated by the quality of staff interpersonal interactions with their clients and their commitment in encouraging such adults with ID to join and persistent in PA as well as staff seeking external resources and support as well as using initiative to adapt PA promotion activities in their specific group residential context.
Highlights
Hong Kong (HK) is a highly urbanized modern city, recognized for the density of high-rise buildings that occupy only 25% of the land mass [1]
Staff commitment to engaging their residents in physical activity (PA) was seen in two group homes where they had been kicking a soccer ball along corridors and an outdoor court and shooting basketballs with their residents
When engaging residents in outdoor basketball, staff members were required to accompany and play with their residents to ensure for their safety
Summary
Hong Kong (HK) is a highly urbanized modern city, recognized for the density of high-rise buildings that occupy only 25% of the land mass [1]. The open areas for hiking are accessed by car or public transport. The HK population is essentially homogeneous: 92% ethnic. The prevalence of people with intellectual disabilities (ID) in HK is between 1.0% and. Before the age of 18, a person displaying significant limitations in two or more areas of adaptive behavior on learning of conceptual, social, and daily living skills is clinically diagnosed with ID [4]. When compared with the general population, adults with
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