Abstract
Improving community integration and participation in recreational, physical fitness, and sports is important for the physical and mental health of individuals with mobility limitations. People with disabilities experience barriers to full integration in their community with able-bodied friends, teammates, and athletes. These barriers can be addressed with consideration of facilitators and evidence-based practices. Methods for improving integration and participation include consideration for Universal Design and behavioral strategies. These strategies include goal setting, use of routines, self-management, motivation, choice, self-determination, and systematic instructional methodologies.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- CDC:
-
US Centers for Disease Control and Prevention
- ICF:
-
International Classification of Functioning, Disability and Health
- SCI:
-
Spinal cord injury
- UDL:
-
Universal Design for Learning
References
Agran, M., Storey, K., & Krupp, M. (2010). Choosing and choice making are not the same: Asking “what do you want for lunch?” is not self-determination. Journal of Vocational Rehabilitation, 33, 77–88.
Anderson, L., & Kress, C. B. (2003). Inclusion: Including people with disabilities in parks and recreation opportunities. State College: Venture.
Baumgart, D., Brown, L., Pumpian, I., Nisbet, J., Ford, A., Sweet, M., Messina, R., & Schroeder, J. (1982). Principle of partial participation and individualized adaptations in educational programs for severely handicapped students. Journal of the Association for the Severely Handicapped, 7, 17–27.
Bedini, L. A., & Henderson, K. A. (1994). Women with disabilities and the challenges to leisure service providers. Journal of Park & Recreation Administration, 12(1), 17–34.
Bernabe, E. A., & Block, M. E. (1994). Modifying rules of a regular girls softball league to facilitate the inclusion of a child with severe disabilities. Journal of the Association for Persons with Severe Handicaps, 19, 24–31.
Bowden, M. G., Hannold, E. M., Nair, P. M., Fuller, L. B., & Behrman, A. L. (2008). Beyond gait speed: A case report of a multidimensional approach to locomotor rehabilitation outcomes in incomplete spinal cord injury. Journal of Neurologic Physical Therapy, 32(3), 129–138.
Brown, D. R., Yore, M. M., Ham, S. A., & Macera, C. A. (2005). Physical activity among adults > or = 50 yr with and without disabilities, BRFSS 2001. Medicine & Science in Sports & Exercise, 37(4), 620–629, 610p.
Cannella-Malone, H. I., Miller, O., Schaefer, J., Jimenez, E., Page, E. J., & Sabielny, L. M. (2016). Using video prompting to teach leisure skills to students with significant disabilities. Exceptional Children, 82(4), 463–478. https://doi.org/10.1177/0014402915598778
Carter, E. W., Asmus, J., & Moss, C. K. (2013). Fostering friendships: Supporting relationships among youth with and without developmental disabilities. Prevention Researcher, 20(2), 14–17, 14p.
Centers for Disease Control and Prevention. (2015). Physical activity and health: A report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services.
Cowan, R. E., Nash, M. S., & Anderson-Erisman, K. (2012). Perceived exercise barriers and odds of exercise participation among persons with SCI living in high-income households. The Spinal Cord Injury Rehabilitation, 18(2), 126–127.
Cowell, L. L., Squires, W. G., & Raven, P. B. (1986). Benefits of aerobic exercise for the paraplegic: A brief review. Medical Science Sports and Exercise, 18, 501–508.
Curtis, K. A., McClanahan, S., Hall, K. M., Dillon, D., & Brown, K. F. (1986). Health, vocational, and functional status in spinal cord injured athletes and nonathletes. Archives of Physical Medicine and Rehabilitation, 67(12), 862–865.
Devine, M. A. (2012). A nationwide look at inclusion: Gains and gaps. Journal of Parks and Recreation Administration, 30(2), 1–18.
Devine, M. A. (2013). Group member or outsider: Perceptions of undergraduates with disabilities on leisure time physical activity. Journal of Postsecondary Education and Disability, 26(2), 119–133.
Devine, M. A., & Dattilo, J. (2000). Social acceptance and leisure lifestyles of people with disabilities. Therapeutic Recreation Journal, 34(4), 306–322.
Devine, M. A., & Kotowski, L. (1999). Inclusive leisure services: Results of a national survey of park and recreation departments. Journal of Park and Recreation Administration, 17(4), 65–83.
Drum, C. E., Peterson, J. J., Culley, C., Krahn, G., Heller, T., McCubbin, J., et al. (2009). Guidelines and criteria for the implementation of community-based health promotion programs for individuals with disabilities. Critical Issues and Trends: Underserved Populations, 24, 93–101.
Ferguson, D. L., & Baumgart, D. (1991). Partial participation revisited. Journal of the Association for Persons with Severe Handicaps, 16, 218–227.
Fine, M., & Asch, A. (1988). Disability beyond stigma: Social interaction, discrimination, and activism. Journal of Social Issues, 44(1), 3–21. https://doi.org/10.1111/j.1540-4560.1988.tb02045.x
Froehlich-Grobe, K., Figoni, S. F., Thompson, C., & White, G. W. (2008). Exploring the health of women with mobility impairments. Women & Health, 48, 21–41.
Geron, E. (1976). Differences between sport form and physical fitness from a psychological point of view. International Journal of Sport Psychology, 7, 133–142.
Gold, M. W. (1980). Did I say that? Articles and commentary on the try another way system. Champaign: Research Press.
Graham, F., Rodger, S., & Ziviani, J. (2009). Coaching parents to enable children’s participation: An approach for working with parents and their children. Australian Occupational Therapy Journal, 56, 16–23.
Gray, D. B., Hollingsworth, H. H., Stark, S. L., & Morgan, K. L. (2006). Participation survey/mobility: Psychometric properties of a measure of participation for people with mobility impairments and limitations. Archives of Physical Medicine and Rehabilitation, 87, 189–197.
Guttmann, L. (1976). Significance of sport in rehabilitation of spinal paraplegics and tetraplegics. Journal of the American Medical Association, 236(2), 195–197.
Hoge, G., Dattilo, J., & Williams, R. (1999). Effects of leisure education on perceived freedom in leisure of adolescents with mental retardation. Therapeutic Recreation Journal, 33(4), 320–332.
Iovannone, R., Dunlap, G., Huber, H., & Kincaid, D. (2003). Effective educational practices for students with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 18, 150–165.
Jaarsma, E. A., Dijkstra, P. U., Geertzen, J. H., & Dekker, R. (2014). Barriers to and facilitators of sports participation for persons with physical disabilities: A systematic review. Scandinavian Journal of Medicine & Science in Sports, 24, 871–881.
Jackson, R. W., & Davis, G. M. (1983). The value of sports and recreation for the physically disabled. The Orthopedic Clinics of North America, 14(2), 301–315.
Jerome, J., Frantino, E. P., & Sturmey, P. (2007). The effects of errorless learning and backward chaining on the acquisition of internet skills in adults with developmental disabilities. Journal of Applied Behavior Anaylsis, 40(1), 185–189.
Kehn, M., & Kroll, T. (2009). Staying physically active after spinal cord injury: A qualitative exploration of barriers and facilitators to exercise participation. BMC Public Health, 9, 168–178.
Kerstin, W., Gabriele, B., & Richard, L. (2006). What promotes physical activity after spinal cord injury? An interview study from a patient perspective. Disability and Rehabilitation, 28(8), 481–488.
Kinne, S., Patrick, D. L., & Doyle, D. L. (2004). Prevalence of secondary conditions among people with disabilities. American Journal of Public Health, 94(3), 443–445.
Kleiber, D. A., & Hutchinson, S. L. (1999). Heroic masculinity in the recovery from spinal cord injury. In A. Sparkes & M. Silvennoinen (Eds.), Talking bodies: Men’s narratives of the body and sport (pp. 135–155). Jyvaskyla: SoPhi University of Jyvaskyla.
LaPorte, R. E., Brenes, G., Dearwater, S., Murphy, M. A., Cauley, J. A., Dietrick, R., & Robertson, R. (1983). HDL cholesterol across a spectrum of physical activity from quadriplegia to marathon running. Lancet (London, England), 1(8335), 1212–1213.
Lassman, K. A., Jolivette, K., & Wehby, J. H. (1999). “My teacher said I did good work today!”: Using collaborative behavioral contracting. Teaching Exceptional Children, 31, 12–18.
Lazarus, M. (2016). Wellness in the workplace. Behavioral Health News, 3(2), 1–14.
Lemay, R. (2006). Social role valorization insights into the social integration conundrum. Mental Retardation, 44(1), 1–12, 12p.
Lieberman, L. J., Lytle, R. K., & Clarcq, J. A. (2008). Getting it right from the start: Employing the universal design for learning approach to your curriculum. The Journal of Physical Education, Recreation and Dance, 79, 32–39.
Longmore, P. K. (1995). The second phase: From disability rights to disability culture. Retrieved 25 June 2016, from http://www.independentliving.org/docs3/longm95.html
Mihaylov, S., Jarvis, S. N., Colver, A., & Beresford, B. (2004). Identification and description of environmental factors that influence participation of children with cerebral palsy. Developmental Medicine and Child Neurology, 46, 299–304.
Miller, K. D., Schleien, S. J., & Lausier, J. (2009). Search for best practices in inclusive recreation: Programmatic findings. Therapeutic Recreation Journal, 43, 27–41.
Muraki, S., Tsunawake, N., Hiramatsu, S., & Yamasaki, M. (2000). The effect of frequency and mode of sports activity on the psychological status in tetraplegics and paraplegics. Spinal Cord, 38(5), 309.
National Autism Center. (2009). Evidenced-based practice & autism in the schools. Randolph: National Autism Center.
National Center on Universal Design for Learning. (2011). UDL Taskforce. Retrieved 20 Aug 2016, from http://www.udlcenter.org/aboutudl
Pfaffenbach, R. J. (2016). Health education class in the workplace. Behavioral Health News, 3(2), 21–22.
Ravesloot, C. H., Seekins, T., Cahill, T., Lindgren, S., Nary, D. E., & White, G. (2007). Health promotion for people with disabilities: Development and evaluation of the living well with a disability program. Health Education Research, 22(4), 522–531. https://doi.org/10.1093/her/cyl114.
Sallis, J. F., & Hovell, M. F. (1990). Determinants of exercise behavior (Determinants de la pratique de l’activite physique). Exercise & Sport Sciences Reviews, 18, 307–330.
Sallis, J. F., Alcaraz, J. E., McKenzie, T. L., Hovell, M. F., Kolody, B., & Nader, P. R. (1992). Parental behavior in relation to physical activity and fitness in 9-year-old children. American Journal of Diseases of Children, 146(4), 1383–1388.
Schleien, S. J., & Green, F. P. (1992). Three approaches for integrating persons with disabilities into community recreation. Journal of Park & Recreation Administration, 10(2), 51–66.
Schleien, S. J., & Miller, K. D. (2010). Diffusion of innovation: A roadmap for inclusive community recreation services. Research & Practice for Persons with Severe Disabilities, 35, 93–101.
Schleien, S. J., Miller, K. D., & Shea, M. (2009). Searching for best practices in inclusive recreation: Preliminary findings. Journal of Park and Recreation Administration, 27(1), 17–34.
Schleien, S. J., Miller, K. D., Walton, G., & Pruett, S. (2014). Parent perspectives of barriers to child participation in recreational activities. Therapeutic Recreation Journal, 48(1), 61–73.
Seekins, T., Shunkamolah, W., Bertsche, M., Cowart, C., Summers, J. A., Reichard, A., et al. (2012). A systematic scoping review of measures of participation in disability and rehabilitation research: A preliminary report of findings. Disability and Health Journal, 5, 224–232.
Sharts-Hopko, N. C., & Sullivan, M. P. (2003). Obesity as a confounding health factor among women with mobility impairment. Journal of the American Academy of Nurse Practitioners, 15(10), 438–443, 436p.. https://doi.org/10.1111/j.1745-7599.2003.tb00329.x.
Shephard, R. J. (1991). Benefits of sport and physical activity for the disabled: implications for the individual and for society. Scandinavian Journal of Rehabilitation Medicine, 23(2), 51–59.
Sherlock-Shangraw, R. (2013). Creating inclusive youth sport environments with the universal design for learning. The Journal of Physical Education, Recreation and Dance, 84, 40–46.
Shikako-Thomas, K., Majnemer, A., Law, M., & Lach, L. (2008). Determinants of participation in leisure activities in children and youth with cerebral palsy: Systematic review. Physical & Occupational Therapy in Pediatrics, 28(2), 155–169.
Solish, A., Perry, A., & Minnes, P. (2010). Participation of children with and without disabilities in social, recreational and leisure activities. Journal of Applied Research in Intellectual Disabilities, 23(3), 226–236.
Stephens, C., Neil, R., & Smith, P. (2012). The perceived benefits and barriers of sport in spinal cord injured individuals: A qualitative study. Disability & Rehabilitation, 34(24), 2016–2070.
Stewart, N. (1981). Value of sport in rehabilitation of the physically disabled. Canadian Journal of Applied Sports Sciences, 6, 166–167.
Storey, K. (2005). Informed choice: The catch-22 of self-determination. Research and Practice for Persons with Severe Disabilities, 30, 232–234.
Storey, K., & Miner, C. (2017). Systematic instruction of functional skills for students and adults with disabilities (2nd ed.). Springfield: Charles C. Thomas Publisher.
Stroud, N., Minahan, C., & Sabapathy, S. (2009). The perceived benefits and barriers to exercise participation in persons with multiple sclerosis. Disability and Rehabilitation, 31(26), 2216–2222.
Stumbo, N. J., Wilder, A., Zahl, M., DeVries, D., Pegg, S., et al. (2015). Community Integration: Showcasing the evidence for therapeutic recreation services. Therapeutic Recreation Journal, 49(1), 35–60.
U.S. Department of Health and Human Services. (2008). Healthy people 2020. Health and disability. Retrieved 15 June 2016, from https://www.healthypeople.gov/2020/topics-objectives/topic/disability-and-health
Valliant, P. M., Bezzubyk, I., Daley, L., & Asu, M. E. (1985). Psychological impact of sport on disabled athletes. Psychological Reports, 56(3), 923–929.
Van der Ploeg, H. P., Van der Beek, A. J., Van der Woude, L. H. V., & Van Mechelen, W. (2004). Physical activity for people with a disability: A conceptual model. Sports Medicine, 34(10), 639–649.
Van Der Woude, L. H. V., De Groot, S., Postema, K., Bussmann, J. B. J., Janssen, T. W. J., & Post, M. W. M. (2013). Active LifestyLe Rehabilitation Interventions in aging Spinal Cord injury (ALLRISC): A multicentre research program. Disability & Rehabilitation, 35(13), 1097–1103.
Wahman, K., Biguet, G., & Levi, R. (2006). What promotes physical activity after spinal cord injury? An interview study from a parent perspective. Disability and Rehabilitation, 28(8), 481–488.
Wehmeyer, M. (1999). A functional model of self-determination: Describing development and implementing instruction. Focus on Autism and Other Developmental Disabilities, 14, 53–62.
Wehmeyer, M. L., Lance, G. D., & Bashinski, S. (2002). Promoting access to the general curriculum for students with mental retardation: A multi-level model. Education and Training in Mental Retardation and Developmental Disabilities, 37, 223–234.
Welsh, B., Jarvis, S., Hammal, D., & Colver, A. (2006). How might districts identify local barriers to participation for children with cerebral palsy? Public Health, 120, 167–175.
Wilhite, B., Devine, M. A., & Goldenberg, L. (1999). Perceptions of youth with and without disabilities: Implications for inclusive leisure programs and services. Therapeutic Recreation Journal, 33, 15–28.
Williams, T. L., & Dattilo, J. (1997). Effects of leisure education on self-determination, social interaction, and positive affect of young adults with mental retardation. Therapeutic Recreation Journal, 31(4), 244–258.
Williams, T. L., Smith, B., & Papathomas, A. (2014). The barriers, benefits and facilitators of leisure time physical activity among people with spinal cord injury: A meta-synthesis of qualitative findings. Health Psychology Review, 8(4), 404–425. https://doi.org/10.1080/17437199.2014.898406.
Wilroy, J., & Knowlden, A. (2016). Systematic review of theory-based interventions aimed at increasing physical activity in individuals with spinal cord injury. American Journal of Health Education, 47(3), 163–175. https://doi.org/10.1080/19325037.2016.1158673.
World Health Organization. (2001). International classification of functioning, disability and health. Retrieved 25 June 2016, from http://www.who.int/classifications/icf/en/
Wuang, Y. P., Ho, G. S., & Su, C. Y. (2013). Occupational therapy home program for children with intellectual disabilities: A randomized controlled trial. Research in Developmental Disabilities, 34, 528–537.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Haymes, L.K., Cote, D.L., Storey, K. (2019). Improving Community Integration and Participation. In: Hollar, D. (eds) Advances in Exercise and Health for People With Mobility Limitations. Springer, Cham. https://doi.org/10.1007/978-3-319-98452-0_3
Download citation
DOI: https://doi.org/10.1007/978-3-319-98452-0_3
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-98451-3
Online ISBN: 978-3-319-98452-0
eBook Packages: MedicineMedicine (R0)