Preprint Article Version 1 This version is not peer-reviewed

Proposing an Ecological-Transactional Framework for Exercise Behavior in People with Disability

Version 1 : Received: 9 August 2018 / Approved: 9 August 2018 / Online: 9 August 2018 (21:01:43 CEST)

How to cite: Crawford, D.; Heinrich, K. Proposing an Ecological-Transactional Framework for Exercise Behavior in People with Disability. Preprints 2018, 2018080199 (doi: 10.20944/preprints201808.0199.v1). Crawford, D.; Heinrich, K. Proposing an Ecological-Transactional Framework for Exercise Behavior in People with Disability. Preprints 2018, 2018080199 (doi: 10.20944/preprints201808.0199.v1).

Abstract

Lack of physical activity participation for adults with a disability remain a large public health concern. For those with existing, or newly acquired disability, increased sedentary behavior stemming from physical impairments often results in the development of secondary chronic health conditions (e.g., obesity or osteoarthritis) which leads to participation restrictions within major life roles. Without intervention these secondary conditions further increase physical impairment which, in turn, sets these populations up for continuous negative health trajectories over their remaining lifespan. Physical activity can attenuate the development of secondary health conditions and optimize health outcomes within these populations. However, those with disability often do not possess the necessary physical capacity to maintain physically active lifestyles. Therefore, exercise programs specifically designed to increase physical functioning have been identified as a necessary intermediate step to reduce physical limitations prior to adoption of physically active lifestyles. Adoption of exercise program participation remains a difficult task for both the general population and those with disability alike. Based on current rates of physical inactivity, it is clear that traditional health behavior change models do not adequately address the complexity of this issue. This paper highlights some of the limitations within the current health behavior change models as they relate to exercise behavior. Additionally, a novel conceptual framework is presented for the intent of its incorporation within research and health promotion interventions targeting exercise behavior within disability populations.

Subject Areas

disability, exercise, health promotion, framework, theory

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