Article

This review synthesized physical activity and exercise intervention literature
for the past 10 yrs for people with physical and cognitive disabilities including
intervention characteristics, behavior change strategies,
and types of
technologies used to improve targeted outcomes. Systematic searches yielded 132
eligible studies. The major disability groups were multiple sclerosis (41%),
stroke (15%), and spinal cord injury (12%). Research designs primarily involved
randomized controlled trials (61%) versus quasi-experimental designs (39%).
Approximately 20% of the interventions used some form of the following
technology: information and communication technology (48%), interactive
technology (37%), or electronic gauges (30%). Eighteen percent of studies used
intervention strategies based on behavioral theory, which was typically combined
with technology to promote activity and increase adherence in generally larger
study samples. The three prevailing theories included social cognitive theory
(58%), supportive accountability theory (21%), and transtheoretical model (21%).
Upon completing the intervention, studies reported primarily significant outcomes
(80%). Exercise research for PWD has grown in both quantity and quality, but
several gaps remain. Study findings provide a roadmap for future exercise trials
on understudied populations and highlight technology and behavior change theory
as drivers of future intervention research.

Langue : ANGLAIS