PTOTOtherAmerican journal of physical medicine & rehabilitation2021

Navigator Role for Promoting Adaptive Sports and Recreation Participation in Individuals With Disabilities.

Moriah Iverson, Alexander V Ng, Alice F Yan and 7 others

PMID 32675707

WHAT IT FOUND

Adults with disabilities and parents wanted adaptive sports support from a person active in adaptive sports, not an app.

They valued social connection, mental health, and accessible facilities, but cited cost and limited knowledge as barriers.

Key findings

01Participants preferred a patient navigator who is active in adaptive sports and recreation, with a website as the next choice and an app as the least preferred.

0242.8% of adults reported never participating in adaptive sports and recreation, while 89.7% reported at least weekly physical activity of 10 minutes or more.

03Focus group themes included social bonding, peer support, and mental health as incentives, and accessible spaces, trained staff, and physician support as facilitators.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

This was an exploratory study without a tested patient navigator outcome, so it cannot show that navigation increases adaptive sports or physical activity participation. Survey responses were anonymous and recruited through varied channels, so it is unclear who was invited and who chose to respond. The sample was near exclusively White, with 80% of children and 83% of adults reported as White, so it may not reflect people of color or underserved communities. Not all disability types were represented, and the other disability category was not described. Children were not asked directly; parents reported for them, so child perspectives may differ. The survey was not tested to see whether its questions consistently measure barriers and preferences, so the ratings may not be stable or comparable. Focus group findings came from 34 participants and may not generalize.

Declared interests

The article metadata indicates extramural NIH research support. Financial disclosure statements were obtained, and the authors reported no conflicts of interest.

The easy way to misread this

Do not read this as evidence that a patient navigator improves adaptive sports participation. The study was exploratory and reported preferences, barriers, and experiences, not a tested navigator outcome.

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