关键词: autism environmental barriers exercise professional practice sensory issues social supports

来  源:   DOI:10.1089/aut.2020.0055   PDF(Pubmed)

Abstract:
UNASSIGNED: Autistic adults engage in lower levels of physical activity (PA) than their nonautistic peers, and over 60% do not meet national guidelines for PA. In addition, autistic adults face myriad barriers to PA participation that can make accessing activities challenging. To support the inclusion of autistic adults in PA, this study sought to explore first-hand recommendations for PA participation from autistic adults\' perspective.
UNASSIGNED: We interviewed 23 autistic adults aged 18 to 75 years about their PA experiences across their lifespan, including querying the participants\' recommendations for supporting autistic adults in PA. A qualitative descriptive design with a constructivist lens guided the thematic analysis.
UNASSIGNED: The analysis resulted in two overarching themes: (1) It\'s helpful to have someone there to support; and (2) It\'s that sensory thing, it always is. Each theme includes participant-provided recommendations to guide professionals in the field of PA.
UNASSIGNED: The autistic adult voice, long absent from conversations about PA, is a valuable and needed addition to understand how to improve PA experiences for this population. Recommendations from this study include (1) listening to the perspectives and insight of autistic adults, (2) consideration of sensory stimulus when planning for PA participation, and (3) encouraging and providing social supports for PA participation.
UNASSIGNED: Why was this study done?: Autistic adults have many health concerns such as anxiety, depression, and obesity. Physical activity can improve these health concerns. Yet, professionals lack knowledge about how to provide optimal physical activity experiences for autistic individuals. Very little research has engaged autistic adults to directly ask their recommendations about their own physical activity needs.What was the purpose of this study?: This study wanted recommendations from autistic adults on how to make physical activity more accessible and enjoyable. By doing this, the authors hope to increase the voices of autistic adults in physical activity research.What did the researchers do?: The researchers asked 23 autistic adults for their recommendations on how to improve physical activity experiences.What were the results of the study?: Participants\' responses were grouped into two categories: (1) It\'s helpful to have someone there to support and (2) It\'s that sensory thing, it always is. The first theme highlights the social supports that many autistic adults feel they need to be successful. Supports include individuals within the close social circles of the autistic adults, such as parents, friends, and other close people. They can also include professionals, such as teachers or exercise trainers. The second theme highlights the need to address the sensory sensitivities of the individual before activity can take place; if an environment or activity is not \"sensory friendly\" or is not accommodating, then autistic adults are less likely to engage.What do these findings add to what was already known?: Autistic adults face many barriers to physical activity participation. These findings offer first-hand accounts by autistic adults about how to improve their physical activity experiences. These results also offer ideas on how to increase physical activity engagement for autistic individuals. Other research has focused on improving physical activity in those who are autistic, but this research is rarely from the perspective of the autistic individual. This study is one of a very small number of studies that has done this and is the first to ask autistic adults to give recommendations for physical activity participation.What are potential weaknesses in the study?: This study only interviewed autistic adults who prefer to communicate verbally, and so the study sample is not representative of all autistic adults. Many participants in the sample were from the United States, and autistic adults in other countries may have different opinions about physical activity participation. Finally, the researchers may have recruited individuals with an interest in physical activity-autistic adults who are not interested or dislike physical activity may have different recommendations.How will these findings help autistic adults now or in the future?: This study will help professionals provide more appropriate physical activity experiences to autistic adults. Also, this research could help practitioners and researcher make physical activity spaces more welcoming and enjoyable for autistic adults.
摘要:
未经评估:自闭症成年人的体力活动(PA)水平低于非自闭症同龄人,超过60%的人不符合国家PA指南。此外,自闭症成年人在参与PA方面面临无数障碍,这可能使访问活动具有挑战性。为了支持将自闭症成年人纳入PA,这项研究试图从自闭症成人的角度探索参与PA的第一手建议。
UNASSIGNED:我们采访了23名年龄在18至75岁之间的自闭症成年人,了解他们一生中的PA经历,包括询问参与者在PA中支持自闭症成年人的建议。具有建构主义视角的定性描述性设计指导了主题分析。
UNASSIGNED:分析得出了两个总体主题:(1)有人在那里支持是有帮助的;(2)这是感官上的东西,总是如此。每个主题都包括参与者提供的建议,以指导PA领域的专业人员。
未经授权:自闭症成人的声音,长期缺席关于PA的谈话,是了解如何改善该人群的PA体验的有价值且需要的补充。这项研究的建议包括(1)听取自闭症成年人的观点和见解,(2)在规划PA参与时考虑感官刺激,(3)鼓励和提供参与巴勒斯坦权力机构的社会支持。
未经调查:为什么要进行这项研究?:自闭症成年人有许多健康问题,例如焦虑,抑郁症,和肥胖。身体活动可以改善这些健康问题。然而,专业人士缺乏如何为自闭症患者提供最佳体育活动体验的知识。很少有研究让自闭症成年人直接询问他们关于自己身体活动需求的建议。这项研究的目的是什么?:这项研究希望自闭症成年人就如何使身体活动更容易获得和愉快提出建议。通过这样做,作者希望在体育活动研究中增加自闭症成年人的声音。研究人员做了什么?:研究人员询问了23名自闭症成年人关于如何改善体育锻炼体验的建议。研究的结果是什么?:参与者的反应分为两类:(1)有人在那里支持是有帮助的;(2)这是感官上的事情,总是如此。第一个主题突出了许多自闭症成年人认为他们需要成功的社会支持。支持包括自闭症成年人密切社交圈内的个人,比如父母,朋友,和其他亲密的人。他们还可以包括专业人士,如教师或运动教练。第二个主题强调需要在活动发生之前解决个体的感官敏感性;如果环境或活动不是“感官友好的”或不适应,那么自闭症成年人不太可能参与。这些发现对已经知道的内容有什么补充?自闭症成年人在参加体育锻炼方面面临许多障碍。这些发现提供了自闭症成年人关于如何改善他们的身体活动体验的第一手资料。这些结果还提供了有关如何增加自闭症患者体育锻炼参与度的想法。其他研究集中在改善自闭症患者的体育锻炼上,但是这项研究很少从自闭症个体的角度进行。这项研究是极少数这样做的研究之一,并且是第一个要求自闭症成年人提供体育活动参与建议的研究。这项研究的潜在弱点是什么?:这项研究只采访了喜欢口头交流的自闭症成年人,因此,研究样本并不能代表所有自闭症成年人。样本中的许多参与者来自美国,和其他国家的自闭症成年人可能对体育活动的参与有不同的看法。最后,研究人员可能招募了对体育活动感兴趣的个体--对体育活动不感兴趣或不喜欢的自闭症成年人可能有不同的建议.这些发现将如何帮助现在或将来的自闭症成年人?:这项研究将帮助专业人士为自闭症成年人提供更合适的身体活动体验。此外,这项研究可以帮助从业者和研究人员使自闭症成年人的体育活动空间更受欢迎和愉快。
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