"I needed something to hook me." A narrative study on adherence to Pilates.

INTRODUCTION: Exercise adherence is necessary for achieving long-term benefits. Along with other elements, stories and narratives can play a role in understanding and promoting adherence. The aim of the present study was to explore how stories and narratives may affect adherence to Pilates. METHOD: 8 Pilates practitioners who had been participating in a Pilates program for 6 or more years were interviewed. Data obtained were analysed using thematic narrative analysis, (focusing on the whats of stories) and holistic narrative analysis (examining how narratives acted on adherence). RESULTS AND DISCUSSION: Results highlight pain, Pilates as a health-related method, and the social relations as characters, plots and scenarios of stories enhancing long-term participation in Pilates. Exercise is medicine and eudaimonic well-being are presented as narratives articulating the coherence to practitioners' adherence. They act for participants subjectivizing their Pilates practice into a serious commitment to health. CONCLUSION: Stories and narratives are relevant to give meaning and sense to the adherence to Pilates. A focus on stories can be added as a strategy to promote adherence to Pilates.

Moving on From the Delphi Study: The Development of a Physical Activity Training Programme Prototype Through Co-produced Qualitative Research.

This research developed from a co-produced project called Moving Social Work. The purpose of this ongoing project is to train social workers in how to promote physical activity for and to disabled people. The first stage of the project consisted of building evidence to design a training programme prototype. As part of this stage, a Delphi study was conducted to ask leading experts about what should be included in the prototype. Questionnaires were sent to participants until consensus was reached. In reflecting on the results, people involved in the study commented that there was more about the experts' opinions than percentages of agreement. Our co-production partners resolved that the Delphi was insufficient and called for detailed conversations with the experts. In response to this call, follow-up interviews with 10 experts who participated in the final questionnaire round of the Delphi were carried out. The interviews were co-produced, dyadic and data prompted. Dialogical inquiry was used to frame and co-analyse data. The results illuminate the capacity of qualitative research to justify, rectify, complicate, clarify, concretize, expand and question consensus-based evidence. The implications of the results for Moving Social Work are discussed. Beyond the empirical border of the project, wider contributions to literature are presented. As part of these, two key statements are highlighted and warranted: dialogical inquiry supports the practice of co-produced research, and Delphi studies should be followed by a Big Q qualitative study.

Designing a programme to train social workers on how to promote physical activity for disabled people: A Delphi study in the UK.

Recently, social workers have been identified as a key messenger group for promoting physical activity (PA) to disabled people. Also identified is the need to train social workers in PA promotion. In response, the purpose of this article is to inform the design of a training programme prototype aiming to support social workers to become active PA messengers. We conducted a three-round Delphi study to identify the essential contents and teaching methods for the programme, as well as the challenges that may jeopardise its success. Qualified experts on physical activity and health, social work, and/or disability working in the UK were invited to partake in the study. The response rates were 55% (33/60) in the first round, 79% (26/33) in the second and 77% (20/26) in the third rounds. Following the last questionnaire round, the experts reached consensus on 8 contents, 7 teaching methods and 10 challenges to success. The top three most important contents were: benefits of PA (1.05 ± 0.22), what PA means to disabled people (1.15 ± 0.36) and person-centred PA planning (1.35 ± 0.57). The most relevant teaching methods were interactive activities and discussions (1.20 ± 0.51) and case studies (1.25 ± 0.43). Blended learning (1.85 ± 0.57) was preferred to e-learning (2.20 ± 0.60) and face-to-face learning (2.10 ± 0.70). Lack of time (1.30 ± 0.46) and confidence (1.45 ± 0.59) were deemed vital challenges. However, consensus around other potential barriers such as lack of interest and commitment (1.30 ± 0.46), lack of buy in from employers (1.75 ± 0.70) and professional inertia (2.05 ± 0.67) suggest that a major challenge for long-term impact is to convince key people that social work and PA promotion make a good match. The results of this study provide a valuable starting point evidence base for PA curriculum development. Future research will delve into expert opinions using in-depth qualitative interviews. Participatory approaches including knowledge cafés will also be used to add more views of stakeholders with experiential knowledge.

Training Healthcare Professionals on How to Promote Physical Activity in the UK: A Scoping Review of Current Trends and Future Opportunities.

What physical activity (PA) training do current and future healthcare professionals (HCPs) receive in the UK? How is PA training delivered to them? The present scoping review looks at existing evidence to respond these questions. Seven databases were searched: Medline, SportDISCUS, PsycINFO, EMBASE, CINAHL, Cochrane Review Database, and Web of Science. Grey literature sources and key stakeholders were consulted. Studies were screened for inclusion, data were extracted and charted, and findings were synthesised according to the two research questions. Of the 3535 identified studies, 25 were included. The results show that no standardised approach was used to deliver PA promotion in HCPs training. PA training content was chiefly underpinned by an epidemiological approach. Online delivery of content predominated in continuing professional development training, whereas in undergraduate healthcare curriculum, delivery strategies varied. Overall, the process of embedding PA in HCPs' curriculum and culture is ongoing. In addition to highlighting what is present within healthcare education, this study identifies further opportunities. Potential avenues include extending PA promotion into other workforces, including social workers.

Physical Activity and Accomplishment of Recommendations in University Students with Disabilities: A Longitudinal Study.

University settings are socio-environmental contexts that can reduce health disparities in students with disabilities. Therefore, the aim of this study was twofold: (a) to examine the longitudinal physical activity (PA) changes of Spanish university students with disabilities during a three-year period; and (b) to identify the accomplishment of the World Health Organization's PA recommendations in this period. A three-year follow-up cohort study was conducted on 355 university students with disabilities (172 men, 183 women). The participants completed an electronic survey on PA after which a descriptive analysis, longitudinal (Wilcoxon tests) and cross-sectional pairwise comparisons (Mann-Whitney U and Kruskal-Wallis tests) were performed on non-normal data. The results show no significant PA changes during the three-year period. The cross-sectional comparisons between the waves presented a reduction in vigorous PA according to sex and similar values by age, origin of disability, and socioeconomic status. A global reduction of 0.6% was found in achieving the recommendations between the waves. We also found an increase of 5.3% in the participants classified as overweight-obese during this period. The findings offered in this study have important implications for university disability care services and sports services. University policies should focus on rethinking PA and sports programs for students with disabilities.

Environmental Barriers and Facilitators to Physical Activity among University Students with Physical Disability-A Qualitative Study in Spain.

This paper qualitatively examines environmental factors operating as barriers and/or facilitators to participation in physical activity (PA) of people with physical disabilities. Interview data were collected from 27 Spanish university students through the innovative method of two-on-one interviews. Thereafter, data were subject to a flexible thematic analysis. Three themes were constructed: associations; PA practice spaces; and nonhumans. Concepts from different theories were used to generate meaningful interpretations around each theme. Drawing on our results, we offer several reflections and directions. Two key messages can be highlighted. First, environmental barriers and facilitators are context dependent and thus do not precede the circumstances in which they emerge. Second, Spanish universities should work harder to become relevant PA promoting environments for students with physical disability. The knowledge generated in this study is expected to inform the design, implementation and evaluation of programs promoting PA among Spanish university students with physical disability.

'It's not a part of me, but it is what it is': the struggle of becoming en-wheeled after spinal cord injury.

PURPOSE: Many people who experience spinal cord injury become long-term wheelchair users. This article addresses the process of becoming en-wheeled through the case example of a disabled man called Patrick. DESIGN: An intrinsic case study informed by posthumanist developments was used. Within this design, Patrick and his manual wheelchair were the entangled participants of the inquiry. METHODS: Interviews and fieldwork observation with Patrick were conducted. Qualitative data were analysed using the posthumanist notion of 'assemblages'. RESULTS: The results illuminate Patrick's struggle of negotiating a new embodied selfhood that includes the wheelchair. Patrick engaged in ableist rehabilitation after spinal cord injury to recuperate the capacity to walk and break his connection with the wheelchair. After extensive treatment of his body, he reluctantly assumed his cyborg or posthuman condition. CONCLUSION: The analysis and discussion resulted in a theoretical frame that presents the notions of humanist and posthumanist enwheelment as two directions of a continuum. The paper offers a useful tool for understanding and addressing enwheelment plus other cyborgification processes. We advocate for its acceptance into the disability studies and rehabilitation practice repertoire.IMPLICATIONS FOR REHABILITATIONEnwheelment -the process of becoming one with the wheelchair - is relevant to people after SCI (or other impairments).The notions of humanist and posthumanist enwheelment are developed and presented as two ends of a continuum.Rehabilitation workers should be mindful of the complexities of cyborgification to avoid ableism and help people flourishing within and beyond recovery.

Humillación, educación física y formación superior en ciencias de la actividad física y el deporte: una autoetnografía moderada / Humilhação, educação física e formaçao superior em atividade física e ciências do desporto: uma autoetnografia moderada / Humiliation, physical education and sports tertiary education: a moderate autoethnography

Resumen En Educación Física, el alumnado con baja competencia motriz puede verse humillado. La humillación suele quedar silenciada dentro de las personas que la sufren. Este artículo pretende sacar a la luz y reflexionar sobre los sentimientos de humillación de una alumna de Ciencias de la Actividad Física y el Deporte (CCAFD). Para ello, la alumna ofrece un relato autoetnográfico que representa sus experiencias de manera semificcional. Dentro del espectro autoetnográfico, se adopta una posición moderada. Tras justificar dicha posición, el artículo presenta algunas reflexiones acerca de cómo el campo de la educación físico-deportiva, y en particular los estudios de CCAFD, generan prácticas y sentimientos de humillación. Se destaca el rol de dos ideologías presentes en Educación Física: la ideología del rendimiento y el sexismo. El artículo concluye resaltando la necesidad de incentivar una sensibilidad ideológica que permita considerar aspectos didácticos, organizativos y evaluativos de las prácticas físico-educativas desde el prisma de la humillación.

Resumo Em Educação Física, os estudantes com baixas capacidades motoras podem ser humilhados. A humilhação é frequentemente silenciada por aqueles que a sofrem. Este artigo traz à luz e reflete sobre os sentimentos de humilhação de uma estudante de Actividade Física e Ciências do Desporto (CCAFD). Para tal, a estudante oferece uma história autoetnográfica que representa as suas experiências de uma forma semificcional. Dentro do espectro autoetnográfico, é adotada uma posição moderada. Depois de justificar esta posição, o artigo apresenta algumas reflexões sobre como o campo da Educação Física e esportes, e em particular os estudos do CCAFD, geram práticas e sentimentos de humilhação. O papel de duas ideologias presentes na Educação Física é destacado: a ideologia do desempenho e o sexismo. O artigo conclui salientando a necessidade de encorajar uma sensibilidade ideológica que permita a consideração de aspectos didácticos, organizacionais e avaliativos das práticas físico-educacionais sob a perspectiva da humilhação.

Abstract Students with poor motor skills may feel humiliated in PE classes, but they often supress it. This paper aims to reveal and reflect on the supressed feelings of humiliation of a Physical Education and Sport Tertiary Education (PESTE) student. In order to do so, the student offers an autoethnographic story that represents her experiences in a semi-fictional way. Within the autoethnographic spectrum, a moderate position is justified and adopted. This paper presents some reflections on how the ideologies of performance and sexism in the field of Physical Education and sport, and in the PESTE degree in particular, create practices and feelings of humiliation. The conclusions drawn from this study emphasize the need to encourage ideological sensitivity that allows considering educational, organizational, and evaluative aspects of Physical Education practices through those who may feel humiliated.

Traveling Material↔Semiotic Environments of Disability, Rehabilitation, and Physical Activity.

In this article, we apply narrative dialogism and new materialism to health research. We examine how material↔semiotic environments (MSEs) affect the rehabilitation process of Patrick, a man who exercised with the aim to recover from spinal cord injury. The MSEs are considered embedded subcases within the overall holistic case of Patrick. Three MSEs were identified: the hospital gym, the personal gym, and the adapted gym. These are examined using the analytical lens of assemblages. First, the mutually affecting components of each MSE are described. Second, a larger environmental assemblage is identified, which is termed exercise-is-restitution assemblage. This composite assemblage illuminates the associations between the three MSEs, and reveals how restitution resonated across time and space. The article contributes to the literature by reconceptualizing restitution. It highlights the importance of the materiality of health-related narratives, and it reveals the potential of MSE for transforming rehabilitation and improving exercise promotion and maintenance.

Predicting physical activity in university students with disabilities: The role of social ecological barriers in the theory of planned behaviour.

BACKGROUND: Even though university students with disabilities are less active than their peers without disabilities, there is scarce knowledge on the predictors of physical activity (PA) in this population. OBJECTIVES: To predict PA in Spanish university students with disabilities using the Theory of Planned Behaviour (TPB) and to examine the role of social ecological barriers within this theoretical framework. METHODS: Participants (N = 1079; Mean age = 40.12) for this cross-sectional study were recruited through the disability care services of 55 Spanish universities. The TPB constructs were assessed using a questionnaire. The Spanish short form of the International Physical Activity Questionnaire was used to measure PA and the reduced Spanish version of the Barriers to Physical Activity for People with Mobility Impairments was used to measure social ecological barriers. RESULTS: Two different models were computed through path analysis. Model 1 included the traditional TPB constructs and model 2 added a social ecological barriers variable. In both models, attitudes (ß = 0.152; ß = 0.152), subjective norms (ß = 0.114; ß = 0.115) and self-efficacy (ß = 0.657; ß = 0.659) each predicted PA intentions. PA intentions (ß = 0.118; ß = 0.122), self-efficacy (ß = 0.225; ß = 0.207) and controllability (ß = 0.098; ß = 0.075) predicted PA. In model 2, social ecological barriers predicted PA (ß = 0.099). Regression analyses revealed intrapersonal barriers as a significant predictor of self-efficacy (ß = -0.441). Controllability was predicted by intrapersonal barriers (ß = -0.265), community barriers (ß = -0.100) and organizational barriers (ß = -0.095). CONCLUSIONS: Future PA behaviour change interventions should target intentions, self-efficacy and controllability, since they directly predicted PA. These interventions would benefit from considering social ecological barriers to PA.

Actividad física y discapacidad: un estudio cualitativo con mujeres en un gimnasio adaptado / Atividade física e incapacidade: um estudo qualitativo com mulheres em um ginásio adaptado / Physical activity and disability: a qualitative study on women at an adapted gym

Este estudio explora cómo un grupo de mujeres con discapacidad (n=6) experimentan y perciben la práctica de actividad física en un gimnasio adaptado. Se utilizaron entrevistas semiestructuradas como instrumento de recogida de datos cualitativos y se realizó un análisis temático inductivo. Los resultados se agruparon en torno a cuatro categorías temáticas emergentes: condición física y autonomía personal; papel paliativo del ejercicio; bienestar psicológico; relación social y apoyo. Destaca la experiencia satisfactoria de las participantes, en la que predomina una valoración positiva de procesos autorregulativos, la concepción social-relacional de la actividad física y la relevancia del gimnasio adaptado como facilitador ambiental y social. (AU)

Este estudo explora como um grupo de mulheres com incapacidade (n = 6) experimenta e percebe a prática da atividade física em um ginásio adaptado. Foram realizadas entrevistas semiestruturadas como instrumento de coleta de dados qualitativos e uma análise temática indutiva. Os resultados foram agrupados em torno de quatro emergentes categorias temáticas: aptidão e autonomia pessoal; papel paliativo de exercício; bem-estar psicológico; relação social e apoio. Ele destaca a experiência bem sucedida dos participantes, que é dominada por uma avaliação positiva dos processos de autorregulação, concepção social-relacional da atividade física e a relevância do ginásio adaptado como facilitador ambiental e social. (AU)

This study explores how a group of disabled women (n=6) experience and perceive physical activity practice in an adapted gym. Semi-structured interviews were used to collect qualitative data, and a thematic inductive analysis was carried out. Results were grouped under four emergent thematic categories: physical fitness and personal autonomy; the palliative role of exercise; psychological wellbeing; social relation and support. Participants' satisfaction with the experience is highlighted, predominating positive appraisal of self-regulation processes, social-relational conception of physical activity, as well as the relevance of the adapted gym as an environmental and social facilitator. (AU)

El miedo en Educación Física: una historia reconocible / O medo em Educação Física: uma história reconhecível / Fear in Physical Education: a recognizable story

El miedo condiciona la manera de vivir, aprender y crecer en la escuela. Partiendo de datos etnográficos, este estudio explora la experiencia de miedo en Educación Física (EF) por medio de una perspectiva narrativa. Para analizar los datos y comunicar los resultados se utilizan prácticas analíticas creativas. El núcleo del artículo es una historia contada por Eva, una alumna que se enfrenta a un examen de EF. Su mirada evoca qué hace el miedo en diversos ambientes narrativos. La historia se presenta como un recurso para pensar con y sobre la experiencia del miedo en EF(AU)

O medo condições como viver, aprender e crescer na escola. Com base em dados etnográficos, este estudo explora a experiência do medo em Educação Física (EF) através de uma perspectiva narrativa. Para analisar os dados e relatar os resultados foram utilizadas práticas analíticas criativas. O núcleo do artigo é uma história contada por Eva, uma estudante que enfrenta um exame de EF. Seu olhar evoca que faz ele medo em vários ambientes narrativos. A história é apresentada como um recurso para o pensamento e a experiência do medo em EF(AU)

Fear determines how students live, learn and grow up in schools. Drawing on ethnographic data, this study explores fear experience in Physical Education (PE) through a narrative perspective. Creative analytical practices were used to analyse data and represent findings. The core of the paper is a story told by Eva, a student who faces a PE exam. Through her gaze, the story shows rather than tells what fear does within several narrative environments. The story is offered as a resource to think with and about fear experienced in PE(AU)