دانلود رایگان مقاله ارزشیابی برنامه ارتقای سلامت فعالیت جسمانی

Abstract

Physical inactivity and high rates of chronic conditions is a public health concern for adults with intellectual disability. Few health promotion programs target the group home setting which is the pre-dominant form of residential accommodation for persons with intellectual disability. A process evaluation of a physical activity health promotion program, Menu-Choice, was conducted with five group home sites for adults with intellectual and developmental disabilities. Menu-Choice assists group home staff in including physical activity goals within resident schedules. The physical activity program was designed based on theoretical frameworks, community-based participatory approaches, and established health promotion guidelines for adults with disabilities. Fourteen program coordinators (age M 39; 77% females), 22 staff (age M 39; 82% females), and 18 residents (age M 59; 72% females; 56% ambulatory) participated. Results from the fidelity survey and program completion highlight potential challenges with implementation. Findings will assist with the refinement of the program for continued implementation trials in the group home community.

6. Conclusions:

lessons learned Based on this preliminary evaluation, several lessons were learned. Health promotion programming in the group home setting is a challenge due to multiple stakeholders involved with implementation. Differing views on the value of physical activity for residents can change how and if a program is delivered. For instance, the results indicate that the majority of program coordinators and staff were overweight and physically inactive. Of the group home sites that used the program their program coordinator and/or staff delivering the program were physical active. To overcome staffs’ differing personal views of physical activity, the program needs to be implemented from a top down approach. If physical activity programming is not a direct responsibility of their job, then personal attitudes could play a role in implementation. Next steps for implementation will include obtaining group home agency buy in and policy level change for physical activity programs. The program training could be a critical component to program adoption. To address feedback, we will include more hands on activities using the program materials. We will also provide activities that will allow exploration of the activity options for residents and specifically persons with severe disabilities. More training on how to write a realistic goal and increase activity is also needed according to participant feedback. Another lesson learned is, despite intention for program simplicity, staff with limited time need a program that is quicker and easier to implement. The program will be revised for to overcome barriers related staff turnover and shortages. We will reevaluate the unused materials and revise or exclude them to make them easier for use. Although program coordinators are to train staff on the program, an additional video outlining the major components of the program could help guide program coordinator training and ensure the staff receive similar training prior to implementing the program.