Cheri A Blauwet1, Heidi Y Yang2, Sebastian A Cruz3, Jamie E Collins4, Karen C Smith5, Elena Losina6, Jeff N Katz7. 1. Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital and the Brigham and Women's Hospital, 300 First Ave, Charlestown, MA 02129(∗). Electronic address: cblauwet@partners.org. 2. Orthopaedic and Arthritis Center for Outcomes Research, Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA(†). 3. Spaulding Rehabilitation Hospital, Boston, MA(‡). 4. Orthopaedic and Arthritis Center for Outcomes Research, Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA; Harvard Medical School, Boston, MA(§). 5. Orthopaedic and Arthritis Center for Outcomes Research, Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA(‖). 6. Orthopaedic and Arthritis Center for Outcomes Research, Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA; Harvard Medical School, Boston, MA(¶). 7. Orthopaedic and Arthritis Center for Outcomes Research, Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA; Harvard Medical School, Boston, MA; Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, MA(#).
Abstract
BACKGROUND: Although community-based adaptive sports have become a popular means of rehabilitation for individuals with disabilities, little is known regarding the factors that lead to sustained participation. OBJECTIVE: To determine the demographic, environmental, disability-related, and functional factors associated with sustained participation in a community-based adaptive sports program. DESIGN: Retrospective cohort study. SETTING: Community-based adaptive sports program. PARTICIPANTS: Adults with mobility-related disabilities. METHODS: Data were collected from registration forms and participation logs. Participants were described as "sustainers" if they attended ≥2 sessions, or as "nonsustainers" if they attended 0 or 1 session. We examined the associations between sustained participation and demographic, environmental, disability-related, and functional factors in bivariate and multivariable analyses. MAIN OUTCOME MEASUREMENT: Sustained participation in the adaptive sports program. RESULTS: Of the 134 participants, 78 (58%) were sustainers and 56 (42%) were nonsustainers. In multivariable analyses, participants who ambulated independently had lower odds of being sustainers (odds ratio [OR] = 0.33, 95% confidence interval [CI] = 0.11, 0.96), and those who used an ambulatory assistive device had twice the odds of being sustainers (OR = 2.0, 95% CI = 0.65, 6.2) compared to those who used a manual wheelchair. Moreover, participants who lived within 5.3 miles of the program site (OR = 3.8, 95% CI = 1.1, 13.0) and those who lived between 5.3 and 24.4 miles from the program site (OR = 2.8, 95% CI = 1.0, 7.7) had significantly higher odds of sustained participation than those who lived more than 24.4 miles from the program site. CONCLUSION: Sustained participation in community-based adaptive sports is associated with living closer to the program site and the presence of a moderate level of functional impairment. These findings suggest that programs might consider increasing the number of satellite sites and expanding offerings for individuals with mild or more significant mobility-related disabilities to effectively increase program participation. LEVEL OF EVIDENCE: II.
BACKGROUND: Although community-based adaptive sports have become a popular means of rehabilitation for individuals with disabilities, little is known regarding the factors that lead to sustained participation. OBJECTIVE: To determine the demographic, environmental, disability-related, and functional factors associated with sustained participation in a community-based adaptive sports program. DESIGN: Retrospective cohort study. SETTING: Community-based adaptive sports program. PARTICIPANTS: Adults with mobility-related disabilities. METHODS: Data were collected from registration forms and participation logs. Participants were described as "sustainers" if they attended ≥2 sessions, or as "nonsustainers" if they attended 0 or 1 session. We examined the associations between sustained participation and demographic, environmental, disability-related, and functional factors in bivariate and multivariable analyses. MAIN OUTCOME MEASUREMENT: Sustained participation in the adaptive sports program. RESULTS: Of the 134 participants, 78 (58%) were sustainers and 56 (42%) were nonsustainers. In multivariable analyses, participants who ambulated independently had lower odds of being sustainers (odds ratio [OR] = 0.33, 95% confidence interval [CI] = 0.11, 0.96), and those who used an ambulatory assistive device had twice the odds of being sustainers (OR = 2.0, 95% CI = 0.65, 6.2) compared to those who used a manual wheelchair. Moreover, participants who lived within 5.3 miles of the program site (OR = 3.8, 95% CI = 1.1, 13.0) and those who lived between 5.3 and 24.4 miles from the program site (OR = 2.8, 95% CI = 1.0, 7.7) had significantly higher odds of sustained participation than those who lived more than 24.4 miles from the program site. CONCLUSION:Sustained participation in community-based adaptive sports is associated with living closer to the program site and the presence of a moderate level of functional impairment. These findings suggest that programs might consider increasing the number of satellite sites and expanding offerings for individuals with mild or more significant mobility-related disabilities to effectively increase program participation. LEVEL OF EVIDENCE: II.
Authors: Emma C Lape; Jeffrey N Katz; Elena Losina; Hannah M Kerman; Marissa A Gedman; Cheri A Blauwet Journal: PM R Date: 2017-10-27 Impact factor: 2.298
Authors: Zachariah G Whiting; David Falk; Jonathan Lee; Beth Weinman; Jesse M Pines; Kenneth Lee Journal: J Spinal Cord Med Date: 2020-08-18 Impact factor: 2.040
Authors: Todd Goldstein; Anthony Oreste; Glenn Hutnick; Ashley Chory; Veronica Chehata; Joseph Seldin; Michael D Gallo; Ona Bloom Journal: PM R Date: 2020-01-18 Impact factor: 2.298
Authors: Renee Pekmezaris; Andrzej Kozikowski; Briana Pascarelli; John P Handrakis; Ashley Chory; Doug Griffin; Ona Bloom Journal: Spinal Cord Ser Cases Date: 2019-05-16