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Barriers and enablers to participation in Immersion Therapy for people living with disability 认领 引用
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作者 Luke Romano James Martin Caroline Ellison 《Translational Exercise Biomedicine》 2026年第1期37-47,共11页
Objectives:This study explored the perceived barriers and enablers to participation in Immersion Therapy,a novel water-based intervention for people living with disability.Methods:A mixed-methods design was used,compr... Objectives:This study explored the perceived barriers and enablers to participation in Immersion Therapy,a novel water-based intervention for people living with disability.Methods:A mixed-methods design was used,comprising a custom survey with Likert-scale responses and optional comment sections,followed by semi-structured interviews.The survey was distributed to current and past Immersion Therapy participants recruited through purposive sampling in Adelaide,South Australia,between June and August 2024.Interviews were completed 2–6 weeks after the survey.Quantitative data were summarized descriptively,and qualitative insights were analyzed using reflexive thematic analysis.Although full data saturation was not achieved,consistent themes were identified across data sources.Results:16 participants completed the survey,and seven completed interviews.Key barriers included travel distance,changeroom accessibility,and anxiety around participation.Some were impairment-specific(e.g.,temperature regula-tion,confidence in unfamiliar environments).Enablers included strong staff support,perceived safety,clear communication,and enjoyment.Participants often described a sense of empowerment and freedom of move-ment in water not achievable on land.Conclusions:Barriers and enablers to participation in Im-mersion Therapy at the single center studied reflect the complex interplay of environmental,psychological,and in-dividual factors.The findings highlight the importance of inclusive facility design,participant-centered communica-tion,and program flexibility.Given the modest sample size and single-site design,the findings should be interpreted as exploratory.Addressing these modifiable barriers may support improved accessibility to therapeutic exercise ser-vices for people living with disability. 展开更多
关键词 disability Immersion Therapy accessibility ac-cess to therapy exercise participation
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