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Co-Creating and Implementing a Community-Based Peer-Assisted Physical Activity Program to Promote Exercise and Sport Participation After Moderate-to-Severe Traumatic Brain Injury.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Co-Creating and Implementing a Community-Based Peer-Assisted Physical Activity Program to Promote Exercise and Sport Participation After Moderate-to-Severe Traumatic Brain Injury./
Author:	Quilico, Enrico L.
Description:	1 online resource (222 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-01, Section: A.
Contained By:	Dissertations Abstracts International85-01A.
Subject:	Health sciences. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30243295click for full text (PQDT)
ISBN:	9798379770099

Co-Creating and Implementing a Community-Based Peer-Assisted Physical Activity Program to Promote Exercise and Sport Participation After Moderate-to-Severe Traumatic Brain Injury.
Quilico, Enrico L.

Co-Creating and Implementing a Community-Based Peer-Assisted Physical Activity Program to Promote Exercise and Sport Participation After Moderate-to-Severe Traumatic Brain Injury. - 1 online resource (222 pages)

Source: Dissertations Abstracts International, Volume: 85-01, Section: A.

Thesis (Ph.D.)--University of Toronto (Canada), 2023.

Includes bibliographical references

Traumatic brain injury (TBI) is a leading cause of death and disability around the world, and moderate-to-severe TBI may result in long-term or lifelong sequelae that prevent individuals from returning to a pre-injury way of functioning. Physical activity (PA; e.g., exercise and sport) demonstrates the potential to alleviate some of this burden through meaningful health-improving activities that are positive for mood, community participation, and quality of life after moderate-to-severe TBI. However, adults with moderate-to-severe TBI do not participate in recommended amounts of PA. Therefore, establishing best-practice methods to support PA participation in the community after moderate-to-severe TBI is warranted for the purpose of improving long-term outcomes. This doctoral dissertation addresses that gap with (1) a scoping review of the current literature about community-based PA interventions after moderate-to-severe TBI, (2) an exploratory case study of an existing peer-based PA program being piloted in a YMCA fitness center, (3) an interpretive case study of co-creating a tailored peer-based PA program with key stakeholders, and (4) an interpretative phenomenological analysis of COVID-19's impact on program participants and their PA. Results showed (1) community-based PA interventions can lead to significant improvements in health-related outcomes after moderate-to-severe TBI, but further research is needed with sex and gender considerations, telehealth applications, and better intervention reporting; (2) the inner mechanisms of a peer-based PA program from the perspective of multiple stakeholders and the autonomy-supportive approaches needed to tailor the intervention for future users; (3) how the participation in and co-creation of a new optimized community-based peer-assisted program can increase PA autonomy, reduce PA barriers, and lead to important biopsychosocial benefits; and (4) the profound impact of COVID-19 and necessary considerations to support PA in a pandemic after moderate-to-severe TBI. Findings of this dissertation include implications for the rehabilitation sciences and literature. Integrated knowledge transfer approaches to co-creating a peer-based PA program in the community can lead to the co-production of knowledge between researchers and users, who benefit from health promotion opportunities that further their participation in society. Peer-based PA programs can transcend rehabilitation to the community context with positive health behaviours that extend beyond a formal intervention.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798379770099Subjects--Topical Terms:

3168359
Health sciences.
Subjects--Index Terms:

PA interventionsIndex Terms--Genre/Form:

542853
Electronic books.

Co-Creating and Implementing a Community-Based Peer-Assisted Physical Activity Program to Promote Exercise and Sport Participation After Moderate-to-Severe Traumatic Brain Injury.
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520 $a Traumatic brain injury (TBI) is a leading cause of death and disability around the world, and moderate-to-severe TBI may result in long-term or lifelong sequelae that prevent individuals from returning to a pre-injury way of functioning. Physical activity (PA; e.g., exercise and sport) demonstrates the potential to alleviate some of this burden through meaningful health-improving activities that are positive for mood, community participation, and quality of life after moderate-to-severe TBI. However, adults with moderate-to-severe TBI do not participate in recommended amounts of PA. Therefore, establishing best-practice methods to support PA participation in the community after moderate-to-severe TBI is warranted for the purpose of improving long-term outcomes. This doctoral dissertation addresses that gap with (1) a scoping review of the current literature about community-based PA interventions after moderate-to-severe TBI, (2) an exploratory case study of an existing peer-based PA program being piloted in a YMCA fitness center, (3) an interpretive case study of co-creating a tailored peer-based PA program with key stakeholders, and (4) an interpretative phenomenological analysis of COVID-19's impact on program participants and their PA. Results showed (1) community-based PA interventions can lead to significant improvements in health-related outcomes after moderate-to-severe TBI, but further research is needed with sex and gender considerations, telehealth applications, and better intervention reporting; (2) the inner mechanisms of a peer-based PA program from the perspective of multiple stakeholders and the autonomy-supportive approaches needed to tailor the intervention for future users; (3) how the participation in and co-creation of a new optimized community-based peer-assisted program can increase PA autonomy, reduce PA barriers, and lead to important biopsychosocial benefits; and (4) the profound impact of COVID-19 and necessary considerations to support PA in a pandemic after moderate-to-severe TBI. Findings of this dissertation include implications for the rehabilitation sciences and literature. Integrated knowledge transfer approaches to co-creating a peer-based PA program in the community can lead to the co-production of knowledge between researchers and users, who benefit from health promotion opportunities that further their participation in society. Peer-based PA programs can transcend rehabilitation to the community context with positive health behaviours that extend beyond a formal intervention.
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