A cross-sectional study on perspectives of primary carers about physical activity promotion among children with disability using the COM-B model

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Audrey Anne Lim, Aila Nica Bandong, Roselle Guisihan, Kristofferson Mendoza, Frances Rom Lunar, Carlos Dominic Olegario, Charlemaine Deane Perez, Gabriella Isabel Tablante, Marvin Zotomayor, Esmerita Rotor, Yves Palad, Mary-Grace Kang
Purpose:

This study aimed to investigate the perceptions, capabilities, opportunities, and motivations of Filipino primary carers in promoting PA among CWD.

Methods:

The researchers employed a cross-sectional descriptive survey design using the Promoting Active Lifestyle Among Children with Disabilities (PALS) questionnaire. The PALS questionnaire is a valid and useful tool developed by the researchers based on the COM-B model to explore the perceptions and factors influencing Filipino primary carers promotion of active lifestyle in CWD. The survey was administered to participants through online or pen-and-paper methods. Descriptive statistics were used to analyze the results.

Results:

Ninety-six (96) Filipino primary carers of CWD completed the survey. Most respondents were female (89.58%), aged 35 to 44 years (42.71%), and parents of CWD (83.33%).

Respondents generally had a good understanding of physical activity (PA). They believe that CWD can participate and benefit from PA physically, emotionally, cognitively, and socially. A few misconceptions were identified, such as considering arts and crafts as PA.

Carers believe they understood the PA needs and capabilities of CWD and were aware of available PA opportunities. However, some were unaware of accessible PA programs and resources, both online and within their community. They also reported limited access to space and financial resources for PA.

Most respondents agreed they should be proactive in promoting PA and serve as role models for CWD. They were confident in supporting CWD in engaging in regular PA. However, many found promoting PA emotionally exhausting. Some also expressed concerns about the risk of CWD being harmed, bullied, excluded, or judged during PA activities.



Conclusion(s):

Filipino primary carers generally have a good understanding of PA, are aware of their role, and feel capable of promoting PA among CWD. Areas of concern, such as fear of bullying, and gaps in awareness of accessible PA resources would be important to address to ensure effective implementation of PA programs for CWD.

Implications:

The results of this study can guide program development to improve the knowledge, capabilities, and motivations of primary carers, as well as increase awareness of opportunities, to better promote active lifestyles for children with disabilities. Physical therapists can design these programs for primary carers to provide education, tailored interventions, and foster collaboration which will benefit both the carers and CWD.

Funding acknowledgements:
This project was funded by the National Institutes of Health-University of the Philippines Manila (Project Code: NIH 2022-013)
Keywords:
physical activity
health promotion
children with disabilities
Primary topic:
Health promotion and wellbeing/healthy ageing/physical activity
Second topic:
Paediatrics
Third topic:
Primary health care
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
This study was approved for implementation by the University of the Philippines Research Ethics Board
Provide the ethics approval number:
UPMREB 2022-0157-01
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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