A theory-informed qualitative exploration of social and environmental determinants of physical activity and dietary choices in adolescents with intellectual disabilities in their final year of school

Gemma Stevens, Andrew Jahoda, Lynsay Matthews, Catherine Hankey, Craig Melville, Heather Murray, Fiona Mitchell

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Abstract

Background
The prevalence of obesity is higher in those with intellectual disabilities than the general population. The aim of the study was to understand the determinants of physical activity and dietary patterns in this population during their final year of school.

Method
Qualitative data were generated from 10 interviews with adolescents with mild–moderate intellectual disabilities. Data were analysed using deductive thematic analysis, employing Self-Determination Theory as a theoretical framework.

Results
Adolescents’ environment and social interactions play a pivotal role in influencing physical activity and dietary patterns. Three themes emerged from the analysis: situatedness, motivation and wider environmental influences.

Conclusions
School structure, high self-efficacy and social connectedness facilitate increased physical activity and healthier diet in adolescents with intellectual disabilities. Home life, low self-efficacy and a lack of social connectedness can serve as a barrier to PA and a healthy diet.
Original languageEnglish
Number of pages16
JournalJournal of Applied Research in Intellectual Disabilities
DOIs
Publication statusPublished - 12 Apr 2017

Fingerprint

Intellectual Disability
disability
Self Efficacy
Exercise
determinants
adolescent
self-efficacy
motivation analysis
school
Personal Autonomy
Interpersonal Relations
self-determination
Population
Motivation
Obesity
Interviews
lack
interaction
interview
Healthy Diet

Keywords

  • dietary patterns
  • intellectual disabilities
  • physical activity
  • qualitative
  • self-determination
  • transition
  • environment
  • social
  • school

Cite this

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title = "A theory-informed qualitative exploration of social and environmental determinants of physical activity and dietary choices in adolescents with intellectual disabilities in their final year of school",
abstract = "BackgroundThe prevalence of obesity is higher in those with intellectual disabilities than the general population. The aim of the study was to understand the determinants of physical activity and dietary patterns in this population during their final year of school.MethodQualitative data were generated from 10 interviews with adolescents with mild–moderate intellectual disabilities. Data were analysed using deductive thematic analysis, employing Self-Determination Theory as a theoretical framework.ResultsAdolescents’ environment and social interactions play a pivotal role in influencing physical activity and dietary patterns. Three themes emerged from the analysis: situatedness, motivation and wider environmental influences.ConclusionsSchool structure, high self-efficacy and social connectedness facilitate increased physical activity and healthier diet in adolescents with intellectual disabilities. Home life, low self-efficacy and a lack of social connectedness can serve as a barrier to PA and a healthy diet.",
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author = "Gemma Stevens and Andrew Jahoda and Lynsay Matthews and Catherine Hankey and Craig Melville and Heather Murray and Fiona Mitchell",
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AU - Jahoda, Andrew

AU - Matthews, Lynsay

AU - Hankey, Catherine

AU - Melville, Craig

AU - Murray, Heather

AU - Mitchell, Fiona

N1 - This is the peer reviewed version of the following article: Stevens, G., Jahoda, A., Matthews, L., Hankey, C., Melville, C., Murray, H., & Mitchell, F. (2017). A theory-informed qualitative exploration of social and environmental determinants of physical activity and dietary choices in adolescents with intellectual disabilities in their final year of school. Journal of Applied Research in Intellectual Disabilities, which has been published in final form at https://doi.org/10.1111/jar.12340. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving

PY - 2017/4/12

Y1 - 2017/4/12

N2 - BackgroundThe prevalence of obesity is higher in those with intellectual disabilities than the general population. The aim of the study was to understand the determinants of physical activity and dietary patterns in this population during their final year of school.MethodQualitative data were generated from 10 interviews with adolescents with mild–moderate intellectual disabilities. Data were analysed using deductive thematic analysis, employing Self-Determination Theory as a theoretical framework.ResultsAdolescents’ environment and social interactions play a pivotal role in influencing physical activity and dietary patterns. Three themes emerged from the analysis: situatedness, motivation and wider environmental influences.ConclusionsSchool structure, high self-efficacy and social connectedness facilitate increased physical activity and healthier diet in adolescents with intellectual disabilities. Home life, low self-efficacy and a lack of social connectedness can serve as a barrier to PA and a healthy diet.

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