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'Keep fit' exercise interventions to improve health, fitness and well-being of children and young people who use wheelchairs: mixed-method systematic review protocol.

O'Brien, T.D. and Noyes, J. and Spencer, L.H. and Kubis, H-P. and Hastings, R.P. and Edwards, R.T. and Bray, N. and Whitaker, R. (2014) 'Keep fit' exercise interventions to improve health, fitness and well-being of children and young people who use wheelchairs: mixed-method systematic review protocol. Journal of advanced nursing, 70 (12). pp. 2942-2951. DOI: 10.1111/jan.12428

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Abstract

This mixed-method systematic review aims to establish the current evidence base for 'keep fit', exercise or physical activity interventions for children and young people who use wheelchairs. BACKGROUND: Nurses have a vital health promotion, motivational and monitoring role in optimizing the health and well-being of disabled children. Children with mobility impairments are prone to have low participation levels in physical activity, which reduces fitness and well-being. Effective physical activity interventions that are fun and engaging for children are required to promote habitual participation as part of a healthy lifestyle. Previous intervention programmes have been trialled, but little is known about the most effective types of exercise to improve the fitness of young wheelchair users. DESIGN: Mixed-method design using Cochrane systematic processes. Evidence regarding physiological and psychological effectiveness, health economics, user perspectives and service evaluations will be included and analysed under distinct streams. METHODS: The project was funded from October 2012. Multiple databases will be searched using search strings combining relevant medical subheadings and intervention-specific terms. Articles will also be identified from ancestral references and by approaching authors to identify unpublished work. Only studies or reports evaluating the effectiveness, participation experiences or cost of a physical activity programme will be included. Separate analyses will be performed for each data stream, including a meta-analysis if sufficient homogeneity exists and thematic analyses. Findings across streams will be synthesized in an overarching narrative summary. DISCUSSION: Evidence from the first systematic review of this type will inform development of effective child-centred physical activity interventions and their evaluation

Item Type: Article
Subjects: Research Publications
Departments: College of Health and Behavioural Sciences > School of Healthcare Sciences
College of Health and Behavioural Sciences > Institute of Medical & Social Care Research
Date Deposited: 13 Dec 2014 03:43
Last Modified: 22 Jan 2016 03:19
ISSN: 1365-2648
URI: http://e.bangor.ac.uk/id/eprint/3257
Identification Number: DOI: 10.1111/jan.12428
Publisher: John Wiley & Sons
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