The effect of a 9-week structured-exercise program on health-related fitness, self-efficacy, and quality of life of adults with physical disabilities

dc.contributor.advisorDavis, Ronald
dc.creatorOh, Juntack
dc.date.accessioned2020-07-30T19:13:10Z
dc.date.available2020-07-30T19:13:10Z
dc.date.created2020-05
dc.date.issued5/20/2020
dc.date.submitted20-May
dc.date.updated2020-07-30T19:13:11Z
dc.description.abstractStructured-exercise (STE) has been recommended to improve physical and psychological health of individuals with physical disabilities (U.S. Department of Health and Human Service, 2008). The purpose of the present mixed-methods research was to quantitatively examine the effect of a 9-week STE program on the health-related fitness, self-efficacy, and quality of life (QOL) of adults with acquired physical disabilities; to explore qualitatively the perceived benefits of a structure-exercise program, and identify a factors that might be related to their physical and psychological health. Fifteen adults with physical disabilities (e.g., amputee, spinal cord injury, stroke, multiple sclerosis, and traumatic brain injury-related disability; AWPD) were purposely recruited for this study. The 9 weeks individualized STE program (90-min session, three times per week) focused on improving physical and psychological health by engaging participants in physical and mental training. The components of health-related fitness (i.e., muscular strength and body composition), self-efficacy, and QOL were measured at baseline and at the conclusion of the 9-week program. The focus group interview was conducted only at the post-program. Quantitative data were analyzed by paired t-test (α = .05). Qualitative data were analyzed by thematic coding and content analysis (Creswell, 2014). The result of the study indicated that participation in the STE program significantly improved health-related fitness (i.e., grip strength and body composition), self-efficacy, and domains of QOL at posttest compared to pretest. Significant improvement (p < .05) with average moderate effect size (Cohen’s d = 0.5 - 0.8) was found across the variables. The qualitative data were collected and analyzed to follow up on the results of a change in self-efficacy and different variables within QOL. A total of six subthemes emerged, which were merged into two main themes: (a) perceived benefit of a 9-week STE program and (b) key factors of an exercise program for AWPD. Notwithstanding the limitations of this study, the study concluded that participating in a 9-week STE program may improve health-related fitness and positively influence on self-efficacy and domains of QOL of AWPD.
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://hdl.handle.net/11274/12314
dc.language.isoen
dc.subjectStructured exercise
dc.subjectPhysical disability
dc.subjectHealth-related fitness
dc.subjectSelf-efficacy
dc.subjectQuality of life
dc.titleThe effect of a 9-week structured-exercise program on health-related fitness, self-efficacy, and quality of life of adults with physical disabilities
dc.typeThesis
dc.type.materialtext
thesis.degree.departmentKinesiology
thesis.degree.disciplineKinesiology
thesis.degree.grantorTexas Woman's University
thesis.degree.levelDoctoral
thesis.degree.nameDoctor of Philosophy

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