Using a Co-design Approach to Create Tools to Facilitate Physical Activity in Children With Physical Disabilities.

Autor:	Bolster EAM; Research Group Lifestyle and Health, Utrecht University of Applied Sciences, Utrecht, Netherlands., van Gessel C; Co-design Research Group, Utrecht University of Applied Sciences, Utrecht, Netherlands., Welten M; Research Group Participation and Urban Development, Utrecht University of Applied Sciences, Utrecht, Netherlands., Hermsen S; Research Group Lifestyle and Health, Utrecht University of Applied Sciences, Utrecht, Netherlands.; OnePlanet Research Center, Imec the Netherlands, Wageningen, Netherlands., van der Lugt R; Co-design Research Group, Utrecht University of Applied Sciences, Utrecht, Netherlands., Kotte E; Fitkids Foundation, Amsterdam, Netherlands., van Essen A; Co-design Research Group, Utrecht University of Applied Sciences, Utrecht, Netherlands., Bloemen MAT; Research Group Lifestyle and Health, Utrecht University of Applied Sciences, Utrecht, Netherlands.
Jazyk:	angličtina
Zdroj:	Frontiers in rehabilitation sciences [Front Rehabil Sci] 2021 Nov 15; Vol. 2, pp. 707612. Date of Electronic Publication: 2021 Nov 15 (Print Publication: 2021).
DOI:	10.3389/fresc.2021.707612
Abstrakt:	Introduction: There is a lack of effective interventions available for Pediatric Physical Therapists (PPTs) to promote a physically active lifestyle in children with physical disabilities. Participatory design methods (co-design) may be helpful in generating insights and developing intervention prototypes for facilitating a physically active lifestyle in children with physical disabilities (6-12 years). Materials and methods: A multidisciplinary development team of designers, developers, and researchers engaged in a co-design process-together with parents, PPTs, and other relevant stakeholders (such as the Dutch Association of PPTs and care sports connectors). In this design process, the team developed prototypes for interventions during three co-creation sessions, four one-week design sprint, living-lab testing and two triangulation sessions. All available co-design data was structured and analyzed by three researchers independently resulting in themes for facilitating physical activity. Results: The data rendered two specific outcomes, (1) knowledge cards containing the insights collected during the co-design process, and (2) eleven intervention prototypes. Based on the generated insights, the following factors seem important when facilitating a physically active lifestyle: a) stimulating self-efficacy; b) stimulating autonomy; c) focusing on possibilities; d) focusing on the needs of the individual child; e) collaborating with stakeholders; f) connecting with a child's environment; and g) meaningful goal setting. Conclusion: This study shows how a co-design process can be successfully applied to generate insights and develop interventions in pediatric rehabilitation. The designed prototypes facilitate the incorporation of behavioral change techniques into pediatric rehabilitation and offer new opportunities to facilitate a physically active lifestyle in children with physical disabilities by PPTs. While promising, further studies should examine the feasibility and effectivity of these prototypes. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Bolster, Gessel, Welten, Hermsen, Lugt, Kotte, Essen and Bloemen.)
Databáze:	MEDLINE
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