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The purpose of this study was to understand the meaning physically impaired 1 wheelchair sport athletes attributed to wheelchair basketball participation as well as potential physical, psychological, and social health-related quality of life (HRQOL) benefits. Specifically, the experiences of wheelchair sport athletes from low- and middle-income countries (LMIC) affected by ongoing or recent conflict were examined. Focus group participants for this study included 108 wheelchair basketball athletes (77 men and 31 women) from seven men's and three women's national teams at an international wheelchair basketball tournament held in India. All teams were from LMICs in Africa and Asia that were served by the International Committee of the Red Cross due to recent or ongoing armed conflict. Data analysis produced three interrelated themes related to HRQOL: (1) improvements to physical health, (2) psychological impact of sport participation, and (3) social well-being. Physical benefits included improvements to physical functional capacity and decreases in medical complications. Psychological benefits included freedom and respite from inaccessibility and improved self-beliefs and feelings of capability on and off the court. Social well-being benefits included camaraderie in the team setting and positive interpersonal interactions with members of the broader community. Overall, the findings indicated that wheelchair sport is indicated as positively impacting numerous HRQOL indicators for disabled participants in LMIC and is a valuable rehabilitative option and meaningful endeavor for disabled persons.

This study sought to understand the lived experiences of wheelchair basketball athletes from low- and middle-income countries of recent or current armed conflict and the meaning that they ascribed to their participation. Wheelchair basketball athletes (N = 108) from eight national teams participated in semistructured focus-group interviews. Study data were analyzed thematically using an interpretive descriptive approach. Three themes were developed: "I can do anything I want; not only basketball," self-concept changes through sport participation; "Now they see me as a respectable person," societal belonging through sport; and "I have motivated other disabled people," influence on nonparticipating disabled persons. The findings indicated that participation in wheelchair sports may help disabled persons see themselves as capable individuals on the court and in aspects of daily living, perhaps even peer role models for other disabled persons in their communities and countries.

Background: Using the theory of planned behavior (TPB), Haegele et al. 1 created the beliefs of individuals with visual impairments about physical activity scale (BIVIPA-1) to examine individuals with visual impairments' (VI) motivation toward physical activity (PA). The overall factorial tenability of the BIVIPA-1 remains unclear due to its item configuration., Objective/hypothesis: The purposes of this cross-sectional study were to: (a) use confirmatory factor analysis to explore the structure of the expanded BIVIPA-2 and (b) test the predictive utility of TPB constructs on PA among adults with VI., Methods: Adults with VI (n = 236) completed the BIVIPA-2 and a multi-item PA recall instrument. A CFA was performed on the BIVIPA-2, and structural equation modeling was used to explore the relationship between theory constructs and PA., Results: The CFA results showed that the underlying structure of BIVIPA-2 was tenable for adults with VI based on TPB. Structural equation modeling showed limited support for the theorized predictive roles of theory variables on PA, as attitude predicted physical activity intention. Interestingly, subjective norm was a direct predictor for PA among adults with VI (β = 0.145)., Conclusions: TPB had limited predictive utility for physical activity among individuals with VI. The predictive relationship of subjective norms on PA may be somewhat unique to this population. Researchers may consider expanding the model to examine social support and subjective norms constructs and PA among individuals with VI., Competing Interests: Conflicts of interest The authors have no conflicts of interest to declare. This study received no external funding., (Copyright © 2022 Elsevier Inc. All rights reserved.)

Purpose: Research priorities are often set by expert clinicians and researchers. We sought to apply an established process in patient-centered research to engage survivors and their caregivers in prioritizing research topics in prostate cancer., Materials and Methods: A prostate cancer patient survey network, formed in partnership with Us TOO and the National Alliance of State Prostate Cancer Coalitions, engaged in a series of mixed-methods studies to prioritize comparative effectiveness research questions. This was accomplished through an iterative process that included 2 survey rounds and multidisciplinary working groups., Results: There were 591 and 706 survey respondents in the first and second rounds, respectively, with most having had localized prostate cancer (58.1%). Survey participants represented 45 states in the U.S. Five of the top 11 prioritized research questions related to treatment decision making and/or survivorship care. The following had the highest overall importance ratings: What is the comparative effectiveness of different 1) strategies to improve counseling regarding the side effects of prostate cancer treatment, 2) tools for decision making in localized prostate cancer and 3) sequences of treatments for metastatic prostate cancer?, Conclusions: We present a unique, patient-centered list of prioritized research questions among prostate cancer patients and their caregivers. These research questions may inform funding decisions for organizations that support research, and should be considered as priorities for clinicians, researchers and institutions conducting prostate cancer research. Prostate cancer is a common disease that affects 1 in 9 men over their lifetime. Researchers usually identify questions to study without asking men with prostate cancer. We asked survivors of prostate cancer and their caregivers to help us. They identified research questions and topics that are important to them. Researchers can focus on this list of questions to help men with prostate cancer. Groups who pay for research studies can make these questions their priority.

Purpose: The primary purpose of this study was to examine physical activity, nutritional intake, and psychological well-being differences between youth with visual impairments and their siblings residing in the same household. A secondary purpose was to examine the relationship between physical activity behavior and psychological well-being among youth with visual impairments., Materials and Methods: A sample of 22 dyads of youth with visual impairments and siblings completed this study. Data were collected through parent-reported demographic and psychological well-being questionnaires, nutritional intake questionnaires, and accelerometry. Data were analyzed descriptively and inferentially, examining proportion difference using McNemar's z -test, and mean differences using multivariate analyses of variance., Results: Siblings without visual impairments had higher but not significantly higher daily average moderate-to-vigorous physical activity ( d  = 0.46), significantly higher prosocial score ( d  = 0.63), and lower but not significantly lower difficulty scores ( d  = 0.39), than youth with visual impairments. Small, not statistically significant, nutritional intake differences between siblings were found., Conclusions: Differences in physical activity and nutritional habits between those with visual impairments and their siblings were not significant, supporting the environmentally driven nature of these variables. Associations between physical activity and well-being were not apparent in this study but may be partially explained by low participant physical activity.Implications for RehabilitationYouth with visual impairments and the siblings may be influenced by the same familial factors and molded in a similar fashion by parenting behaviors regarding health-related behaviors.In this study, youth with visual impairments engaged in similar physical activity and nutritional behaviors to their siblings without visual impairments.Efforts to improve health-related behaviors among those with visual impairments may be most effective at the family level.Small subsets of youth with visual impairments gain mental health benefits from physical activity engagement.

Introduction: Moderate to vigorous physical activity (MVPA) is associated with positive physical and psychological health outcomes, yet youth with visual impairments tend to not to engage in sufficient MVPA. The purposes of this study were to (a) examine how familial factors were associated with MVPA among youth with visual impairments, their siblings, and parents and (b) examine the daily MVPA correlation among these family members., Methods: Twenty-two familial triads, including one child with a visual impairment, participated in this study. Accelerometers were used to measure MVPA and individual and familial factors were reported via questionnaire., Results: Of the individual and familial factors measured, only family member role significantly predicted MVPA (β = .43, p < .01), as parents accumulated significantly more activity than their children (f 2  = .22). The MVPA of children with visual impairments and their siblings were positively correlated (r = .39), while small negative relationships were found between MVPA of parents and children with and without visual impairments (r = - .16; r = - .33, respectively)., Discussion: In contrast with earlier findings, parents in the current study were significantly more active than their children with or without visual impairments. Potential reasons for this difference included the homogeneity of the sample, including a relatively high mean income level and parent education, which may have alleviated some typically reported barriers to parental MVPA. Future inquiries in this area should examine individual- and family-level factors concurrently to better understand their impact on MVPA within the familial triad.

The purpose of this inquiry was to examine the relationship between barriers to physical activity, expectancy-value variables, and physical activity engagement among adults with visual impairments. Using a descriptive correlational approach, a sample of 214 adults with visual impairments (Mage = 43.14, SD = 13.67) completed questionnaires pertaining to barriers to physical activity, expectancy-value beliefs about physical activity, and physical activity engagement. Data were analyzed via correlation and hierarchical regression. The final regression model explained 20.30% of variance in physical activity (p < .001). Intrinsic value (β = 0.26, p = .01) and expectancy beliefs (β = 0.33, p < .001) each emerged as significant predictors of physical activity engagement, which suggests that expectancy-value theory may have some utility for investigating the physical activity engagement of individuals with visual impairments. However, the lack of significant contribution of other variables such as attainment and utility values, as well as barriers factors, underscores the need for additional research in this area.

Purpose: Physical activity plays a key role in health promotion and disease prevention, yet individuals with visual impairments do not generally engage in sufficient physical activity. The purpose of this study was to explore the expectancy-value beliefs, identity beliefs, and physical activity engagement among individuals with visual impairments., Method: This investigation utilized a qualitative descriptive approach and was situated within the framework of expectancy-value theory. Eight adults (aged 21-34; five women and three men) participated in semi-structured, audio recorded interviews. Transcribed interviews and associated interview notes were thematically analyzed using a five-step process., Results: Three interrelated themes emerged from the data: (a) "I feel better. I feel healthier": The importance of physical activity and sport, (b) "Maybe I will make a goal, maybe I won't": Perceived confidence in physical activity, and (c) "I have to decide if it's really worth it": Barriers to participation. Interpreted through the lens of expectancy-value theory, the themes reflect the complex relationship between participants' feelings of identity and ability, their perceived value of physical activity and sport, and the drawbacks to participation., Conclusion: Further examination using the expectancy-value model is necessary to better understand and support the physical activity needs of this population.Implications for rehabilitationResults of the study indicated that adults with visual impairments believed that physical activity was important for health and enjoyment, but reported experiencing barriers to physical activity participation.Adults with visual impairments reported varying levels of confidence in their ability to be successful at physical activity and sport across different activity contexts and at different periods in their lives.Accessible equipment and facilities are needed to alleviate barriers to physical activity experienced by adults with visual impairments.Rehabilitation professionals should design appropriate, community-based programing to better include individuals with visual impairments in physical activity and exercise settings.

The theory of planned behavior is a psychological framework designed to examine the relationship between beliefs and volitional behaviors such as physical activity engagement. The purpose of this article was to evaluate the published empirical literature on the use of the theory of planned behavior in the context of physical activity beliefs and behaviors of individuals with disabilities. Electronic-database searches were conducted to identify relevant articles published between 1990 and 2018, yielding 11 articles that met all criteria for inclusion. Data such as population, measures, research design, and results were extracted from qualifying studies. Article quality was addressed using modified versions of the National Institutes of Health's Quality Assessment Tools. In keeping with the theory of planned behavior model, major findings indicate that intention to be physically active has the strongest relationship with physical activity behavior, while the predictive usefulness of belief factors was mixed, among individuals with disabilities.

The purpose of this study was to examine the reflections of adults with visual impairments regarding paraeducator support during their school-based integrated physical education. An interpretative phenomenological analysis research approach was used, and 9 adults (age 21-34 years; 8 women and 1 man) with visual impairments acted as participants. Semistructured audio-recorded telephone interviews and reflective field notes were sources of data. A 3-step analytic process was adopted for thematic development. Based on the data analysis, 3 interrelated themes emerged: "they wouldn't let me participate"-restriction in the name of safety, "stuck out like a big tree in a field full of poppies"-unwanted social attention and isolation, and "I felt like they weren't trained"-paraeducator disengagement and training needs. The themes highlight concerns expressed by the participants, such as the need for paraeducator training, that should be considered when using paraeducator support during physical education.

Background: According to empirical evidence, adults with visual impairments are generally less physically active than their sighted peers, however less is known about what specific motivational factors influence physical activity participation among this population. While research has identified self-efficacy as one important motivational factor for physical activity, no previous research has examined this association among individuals with visual impairments., Objective: The primary purpose of the current study was to examine the association between self-efficacy and physical activity for adults with visual impairments., Methods: A total of 147 participants (Mage = 44.5, 65.2% female) completed three online surveys (i.e., demographic questionnaire, International Physical Activity Questionnaire-Short Form [IPAQ-SF], and Self-Efficacy for Exercise Beliefs [SEEB] scale) and were included in the analysis. MET-min/wk and SE beliefs were analyzed descriptively and inferentially using correlation and multiple regression analyses., Results: Participants reported an average of 2799.98 MET-min/wk. Body mass measures showed a mean BMI of 27.59, which was within the overweight range. A positive association (r = 0.29, p < 0.01) was found between self-efficacy and MET-min/wk. A significant amount of variance (10.2%) in MET-min/wk was explained by the overall model., Conclusions: A positive relationship was found between physical activity participation and self-efficacy beliefs, which is aligned with earlier research conducted among individuals without disabilities. This finding underscores the need for further exploration of motivational constructs associated with physical activity engagement among individuals with visual impairments in order to better understand what specific factors impact and can be leveraged to promote physical activity engagement of this population., (Copyright © 2017 Elsevier Inc. All rights reserved.)

The purpose of this study was to adopt an explicitly intersectional approach to examine the embodied perspectives of males with visual impairments about physical education. An interpretative phenomenological analysis research approach was used, and six adults (18-33 years) who identified as males with visual impairments acted as participants. The primary sources of data were semistructured, audiotaped, telephone interviews and reflective field notes. Thematic development utilized a four-step interpretative phenomenological analysis-guided analytical process. Based on the data analysis, the following three interrelated themes emerged: (a) "I didn't feel very integrated": Noninclusionary experiences based on blindness; (b) "Oh great, where's my cane now?": Bullying, blindness, and maleness; and (c) "Okay, just do what you can": Competitive culture glass ceiling. The themes highlight several issues that have been faced by males with visual impairments, which should be considered by physical education and adapted physical education personnel to enhance the quality of education for this population.