European Journal of Adapted Physical Activity 16, 12 (2023) | DOI: 10.5507/euj.2022.009

Children with neurodevelopmental disorder participating in an intervention –physical activity on prescription (PAP): parent’s reasoning about their children’s participation in sport.

Lars Kristén1, Maria Nyholm1, Marie Lydell1
1 School of Health and Welfare, Halmstad University, Sweden

Children with disabilities engage less in physical activity and sports during their spare time compared to their peers without disabilities. Modern sports, contextual factors, and parents’ fear of discrimination have been discussed as barriers to participation. The aim of this study is to describe parents’ experiences of their child with neurodevelopmental disorders (NDD) participating in a PAP intervention. The intervention involved a Child and Adolescent Psychiatry outpatient clinic (CAP), the Regional Sport Federation, and local sport clubs in the southwestern region of Sweden. A sample of 13 parents took part in semi-structured interviews, and qualitative content analysis was used for data analysis. The analysis resulted in three main categories, including sub-categories. By being part of a collaboration, the parents experienced two different worlds coming together, the CAP and the sport world, and they were also aware of the collaboration’s organisation and need for resources. In growing with sports, the parents described that treating the children with respect involved learning sports from the child’s condition and creating a social space for them. Regarding individual motivation for participating in sports, the parents expressed that the children felt proud to be part of the PAP intervention and experienced a sense of belonging in the group with the other children. The study highlights perspectives for developing sports for all in local sport clubs and improving sports as part of the CAP care for children with NDD.

Keywords: Child and Adolescent Psychiatry outpatient clinic; collaboration; disability; qualitative method; sports

Received: August 26, 2021; Revised: July 1, 2022; Accepted: July 19, 2022; Published online: October 2, 2023  Show citation

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Kristén, L., Nyholm, M., & Lydell, M. (2023). Children with neurodevelopmental disorder participating in an intervention –physical activity on prescription (PAP): parent’s reasoning about their children’s participation in sport. European Journal of Adapted Physical Activity, 16, Article 12. https://doi.org/10.5507/euj.2022.009
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    References

    1. Arim, R. G., Findlay, L. C., & Kohen, D. E. (2012). Participation in physical activity Go to original source...
    2. for children with neurodevelopmental disorders. International Journal of Pediatrics, (460384), 1-2. https://doi.org/10.1155/2012/460384 Go to original source... Go to PubMed...
    3. Ayvazoglu, N. R., Kozub, F. M., Butera, G., & Murray, M. J. (2015). Determinants and challenges in physical activity participation in families with children with high functioning autism spectrum disorders from a family systems perspective. Research in Developmental Disabilities, 47, 93-105. https://doi.org/10.1016/j.ridd.2015.08.015 Go to original source... Go to PubMed...
    4. Beckman, L., Janson, S., & Kobyletzki, L. (2016). Associations between neurodevelopmental disorders and factors related to school, health, and social interaction in schoolchildren: Results from a Swedish population-based survey. Disability and Health Journal, 9(4), 663-672. https://doi.org/10.1016/j.dhjo.2016.05.002 Go to original source... Go to PubMed...
    5. Bull, F. C., Al-Ansari, S.S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J-P., Chastin, S., Chou, R., Dempsey, P.C., DiPietro, L., Ekelund, U., Firth, J., Friedenreich, C.M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P.T., … Willumsen, J.F., (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451-1462. https://doi.org/10.1136/bjsports-2020-102955 Go to original source... Go to PubMed...
    6. Carbone, P.S., Smith, P.J., Lewis, C., & LeBlanc, C., (2021). Promoting the Participation of Children and Adolescents With Disabilities in Sports, Recreation, and Physical Activity. Pediatrics 148(6), e2021054664. http://doi.org/10.1542/peds.2021-054664 Go to original source... Go to PubMed...
    7. Carty, C., van der Ploeg, H. P., Biddle, S. J. H., Bull, F., Willumsen, J., Lee, L., Kamenov, K., & Milton, K. (2021). The first global physical activity and sedentary behavior guidelines for people living with disability. Journal of Physical Activity & Health, 18(1), 86-93. https://doi.org/10.1123/jpah.2020-0629 Go to original source... Go to PubMed...
    8. Coates, J., & Vickerman, P. (2010). Empowering children with special educational needs to speak up: experiences of inclusive physical education. Disability and Rehabilitation, 32(18), 1517-1526. https://doi.org/10.3109/09638288.2010.497037 Go to original source... Go to PubMed...
    9. Coster, W., & Khetani, M. A. (2008). Measuring participation of children with disabilities: issues and challenges. Disability and Rehabilitation, 30(8), 639-648. https://doi.org/10.1080/09638280701400375 Go to original source... Go to PubMed...
    10. Crawford, J. J., Gayman, A. M., & Tracey, J. (2014). An examination of post-traumatic growth in Canadian and American Parasports athletes with acquired spinal cord injury. Psychology of Sports & Exercise, 15(4), 399-406. https://doi.org/10.1016/j.psychsport.2014.03.008 Go to original source...
    11. Danermark, B. (2005). Sociologiska perspektiv på funktionshinder och handikapp. [Sociological perspectives on functional limitation and disability]. Studentlitteratur.
    12. Eriksson, S., & Saukkonen, E. (2021). Rehabilitation or leisure? Physical exercise in the practice of physiotherapy with young persons with profound intellectual and multiple disabilities. Scandinavian Journal of Disability Research, 23(1), 295-304. https://doi.org/10.16993/sjdr.795 Go to original source...
    13. Fliers, E.A., Buitelaar, J.K., Maras, A., Kim Bul, K., Höhle, E., Stephen V., Faraone, S.V., Franke, B., & Rommelse, N.N.J. (2013). ADHD is a risk factor for overweight and obesity in children. Journal of Development & Behavioral Pediatrics, 34(8), 566-574. https://doi.org/10.1097/DBP.0b013e3182a50a67 Go to original source... Go to PubMed...
    14. Geidne, S., & Jerlinder, K. (2016). How sports clubs include children and adolescents with disabilities in their activities: A systematic search of peer-reviewed articles. Sports Science Review, 25(1-2), 29-52. https://doi.org/10.1515/ssr-2016-0002 Go to original source...
    15. Goodley, D. (2011). Disability Studies: An Interdisciplinary Introduction (2nd ed.). SAGE.
    16. Geisthardt C.L., Brotherson, M.J., & Cook, C.C. (2002). Friendships of children with disabilities in the home environment. Education and Training in Mental Retardation and Developmental Disabilities, 37(3), 235-232. https://www.jstor.org/stable/23880002
    17. Graneheim, U. H., Lindgren, B. M., & Lundman, B. (2017). Methodological challenges in qualitative content analysis: A discussion paper. Nurse Education Today, 56, 29-34. https://doi.org/10.1016/j.nedt.2017.06.002 Go to original source... Go to PubMed...
    18. Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105-112. https://doi.org/10.1016/j.nedt.2003.10.001 Go to original source... Go to PubMed...
    19. Heiman, T. (2002). Friendship quality among children in three educational settings. Journal of Intellectual and Development Disability, 25(1), 1-12. https://doi.org/10.1080/132697800112749 Go to original source...
    20. Hsieh, H-F., & Shannon, S. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277-1288. https://doi.org/10.1177/1049732305276687 Go to original source... Go to PubMed...
    21. Hurley, S. K, & Burt, T. L. (2015). Development of physical competence through motor skill acquisition for children and youth with disabilities: Parental perceptions. Health Psychology Report, 3(1), 1-12. https://doi.org/10.5114/hpr.2015.47623 Go to original source...
    22. Jeong, M., Kim, S. Y., & Lee, E. (2015). Parents' beliefs and intentions toward supporting physical activity participation for their children with disabilities. Adapted Physical Activity Quarterly, 32(2), 93-106. https://doi.org/10.1123/APAQ.2013-0106 Go to original source... Go to PubMed...
    23. Kaiser, M.L., Schoemaker, M.M., Albaret, J. M., & Geuze, R.H. (2015). What is the evidence of impaired motor skills and motor control among children with attention deficit hyperactivity disorder (ADHD)? Systematic review of the literature. Research in Developmental Disabilities, 36, 338-357. https://doi.org/10.1016/j.ridd.2014.09.023 Go to original source... Go to PubMed...
    24. Kallings, L.V. (2016). The Swedish approach on physical activity on prescription. Implementation of physical activity in health care - facilitators and barriers. Clinical Health Promotion, 6(Supplement), 31(3). http://clinhp.org/ifile/Vol6_Supplement2_HEPA_p31_p33.pdf
    25. King, G., Law, M., King, S., Rosenbaum, P., Kertoy, M. K., & Young, N. L. (2003). A conceptual model of the factors affecting the recreation and leisure participation of children with disabilities. Physical & Occupational Therapy in Pediatrics, 23(1), 63-90. https://doi.org/10.1080/J006v23n01_05 Go to original source...
    26. Kristén, L. (2010). Anpassad fysisk aktivitet för barn och ungdomar med funktionshinder [Adapted physical activity for children and young people with disabilities]. In L. Hallberg (Ed.), Hälsa & livsstil. Forskning & praktiska tillämpningar (1 ed., pp. 157-171). Studentlitteratur.
    27. Kristén, L., Ivarsson, A., Parker, J., & Ziegert, K. (2015). Future challenges for intervention research in health and lifestyle research - A systematic meta-literature review. Journal of Qualitative Studies on Health and Well-Being, 10(1), 1-13. https://doi.org/10.3402/qhw.v10.27326 Go to original source... Go to PubMed...
    28. Kristén, L., Klingvall-Arvidsson, B., & Ring, M. (2020). The co-development of inclusive tools in physical education for pupils with and without disabilities. Sport in Society, 25(5), 1000-1016. https://doi.org/10.1080/17430437.2020.1819243 Go to original source...
    29. Law, M., King, G., King, S., Kertoy, M., Hurley, P., Rosenbaum, P., Young, N., & Hanna, S. (2006). Patterns of participation in recreational and leisure activities among children with complex physical disabilities. Developmental Medicine and Child Neurology, 48(5), 337-342. https://doi.org/10.1017/S0012162206000740 Go to original source... Go to PubMed...
    30. Lauruschkus, K., Hallstrom, I., Westbom, L., Tornberg, A., & Nordmark E. (2017). Participation in physical activities for children with cerebral palsy: feasibility and effectiveness of physical activity on prescription. Archives of Physiotherapy, 28(7), 13. https://doi.org/10.1186/s40945-017-0041-9 Go to original source... Go to PubMed...
    31. Leijon, M., Bendtsen, P., Nilsen, P., Festin, K., & Ståhle A. (2009). Does a physical activity Referral scheme improve the physical activity among routine primary health care patients? Scandinavian Journal of Medicine and Science in Sports, 19(5), 627-36. https://doi.org/10.1111/j.1600-0838.2008.00820.x Go to original source... Go to PubMed...
    32. Lincoln, Y.S., & Guba, E.G. (1985). Naturalistic Inquiry. SAGE. https://doi.org/10.1016/0147-1767(85)90062-8 Go to original source...
    33. Lindgren, B-M., Lundman, B., & Graneheim U.H. (2020). Abstraction and interpretation during the qualitative content analysis process. International Journal of Nursing Studies, 108(3), 103632. https://doi.org/10.1016/j.ijnurstu.2020.103632 Go to original source... Go to PubMed...
    34. Lindqvist, R. (2020). Socialvetenskapliga perspektiv på funktionshinder.: Medborgarskap, delaktighet och tillgänglighet för personer med funktionsnedsättning [Social science perspectives on disability.: Citizenship, participation and accessibility for people with disabilities]. Studentlitteratur.
    35. Lindqvist, R., & Sauer, L. (Eds.) (2007). Funktionshinder, kultur och Samhälle [Disability, culture and Society]. First edition. Studentlitteratur.
    36. Long, T., & Johnson, M. (2000). Rigour, reliability and validity in qualitative research. Clinical Effectiveness in Nursing, 4(1), 30-37. https://doi.org/10.1054/cein.2000.0106 Go to original source...
    37. Lydell, M., Kristén L., Nyholm, M. (2022). Health promotion partnership to
    38. promote physical activity in Swedish children with ASD and ADHD. Health Promotion International, 37(6). https://doi.org/10.1093/heapro/daac169 Go to original source... Go to PubMed...
    39. Malterud, K., Siersma, V. D., & Guassora, A. D. (2016). Sample size in qualitative interview studies: Guided by information power. Qualitative Health Research, 26(13), 1753-1760. https://doi.org/10.1177/1049732315617444 Go to original source... Go to PubMed...
    40. Martin Ginis, K. A., Latimer-Cheung, A. E., & West, C. R. (2021a). Commentary on "The first global physical activity and sedentary behavior guidelines for people living with disability". Journal of Physical Activity & Health, 18(4), 348-349. https://doi.org/10.1123/jpah.2020-0871 Go to original source... Go to PubMed...
    41. Martin Ginis, K. A., van der Ploeg, H. P., Foster, C., Lai, B., McBride, C. B., Ng, K., Pratt, M., Shirazipour, C. H., Smith, B., Vásquez, P. M., & Heath, G. W. (2021b) Participation of people living with disabilities in physical activity: a global perspective. Lancet, 398, 443-445. https://doi.org/10.1016/S0140-6736(21)01164-8 Go to original source... Go to PubMed...
    42. McCann, D., Bull, R., & Winzenberg, T. (2012). The daily patterns of time use for parents of children with complex needs: A systematic review. Journal of Child Health Care, 16(1), 26-52. https://doi.org/10.1177/1367493511420186 Go to original source... Go to PubMed...
    43. McConkey, R., Dowling, S., Hassan, D., & Menke, S. (2013). Promoting social inclusion through Unified Sports for youth with intellectual disabilities: a five-nation study. Journal of Disability Research, 57(10), 923-935. https://doi.org/10.1111/j.1365-2788.2012.01587.x Go to original source... Go to PubMed...
    44. Moran, T. E., & Block, M. E. (2010). Barriers to participation in youth sports. Teaching Exceptional Children Plus, 6(3), 1-13. https://files.eric.ed.gov/fulltext/EJ879597.pdf
    45. Morse, J., Barrett, M., Mayan, M., Olson K., & Spiers, J. (2002). Verification strategies for establishing reliability and validity in qualitative research. International Journal of Qualitative Methods, 1(2), 13-22. https://doi.org/10.1177/160940690200100202 Go to original source...
    46. Nichols, C., Block, M. E., Bishop, J. C., & McIntire, B. (2019). Physical activity in young adults with autism spectrum disorder: parental perceptions of barriers and facilitators. Autism, 23(6), 1398-1407. https://doi.org/10.1177/136236131881022 Go to original source... Go to PubMed...
    47. Obrusnikova, I., & Miccinello, D. L. (2012). Parent perceptions of factors influencing after-school physical activity of children with autism spectrum disorders. Adapted Physical Activity Quarterly, 29(1), 63-80. https://doi.org/10.1123/apaq.29.1.63 Go to original source... Go to PubMed...
    48. Petrina, N., Carter, M., & Stephenson, J. (2014). The nature of friendship in children with autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders, 8(2), 111-126. https://doi.org/10.1016/j.rasd.2013.10.016 Go to original source...
    49. Presmanes Hill, A., Zuckerman, K.E., & Fombonne, E. (2015). Obesity and
    50. Autism. Pediatrics, 136(6), 1051-1061. https://doi.org/10.1542/peds.2015-1437 Go to original source... Go to PubMed...
    51. Riley, B., Rimmer, J., Wang, E., & Schiller, W. (2008). A conceptual framework for improving the accessibility of fitness and recreation facilities for people with disabilities. Journal of Physical Activity & Health, 5(1), 158-168. https://doi.org/10.1123/jpah.5.1.158 Go to original source... Go to PubMed...
    52. Rimmer, J. H. (2001). Physical fitness levels of persons with cerebral palsy. Developmental Medicine and Child Neurology, 43(3), 208-212. https://doi.org/10.1111/j.1469-8749.2001.tb00189.x Go to original source...
    53. Rosenbaum, P., & Gorter, J. W. (2011). The 'F-words' in childhood disability: I swear this is how we should think! Child: Care, Health and Development, 38(4), 457-463. https://doi.org/10.1111/j.1365-2214.2011.01338.x Go to original source... Go to PubMed...
    54. Sandelowski, M. (1996). Using qualitative methods in intervention studies. Research in Nursing and Health, 19(4), 359-364. https://doi.org/10.1002/(SICI)1098-240X(199608)19:4<359::AID-NUR9>3.0.CO;2-H Go to original source...
    55. Shields, N., & Synnot A.J. (2016). Perceived barriers and facilitators to physical activity for children with disability: a qualitative study. BMC Pediatrics, 16, 9. https://doi.org/10.1186/s12887-016-0544-7 Go to original source... Go to PubMed...
    56. Shields, N., Synnot, A. J., & Barr, M. (2011). Perceived barriers and facilitators to physical activity for children with disability: a systematic review. British Journal of Sports Medicine, 46(14), 989-997. https://doi.org/10.1136/bjsports-2011-090236 Go to original source... Go to PubMed...
    57. Smith, B., Netherway, J., Jachyra, P., Bone, L., Baxter, B., Blackshaw, J., & Foster, C. (2022). Infographic. Communicate physical activity guidelines for disabled children and disabled young people. British Journal of Sports Medicine, 56(10), 588-589. https://doi.org/10.1136/bjsports-2022-105411 Go to original source... Go to PubMed...
    58. The Swedish Public Health Agency. (March 24, 2023). Recommendations for physical activity and sedentary life. https://www.folkhalsomyndigheten.se/livsvillkor-levnadsvanor/fysisk-aktivitet-och-matvanor/rekommendationer-for-fysisk-aktivitet-och-stillasittande/
    59. Tideman, M (2013). Inkludering - individen i ett samhälleligt sammanhang [Inclusion - the individual in a societal context]. In T. Barow (Ed). Mångfald och differentiering. Studentlitteratur.
    60. Tøssebro, J. (2004). Introduction to the special issue: Understanding disability. Scandinavian Journal of Disability Research, 6(1), 3-7. https://doi.org/10.1080/15017410409512635 Go to original source...
    61. UN, Convention on the Rights of Persons with Disabilities, Resolution 61/106, 13 December 2006; and UN, Optional Protocol to the Convention on the Rights of Persons with Disabilities, Resolution 61/106, 13 December 2006. All UN treaties are available at OHCHR, Universal Human Rights Instruments.
    62. U.S. Department of Health and Human Services. (2008). 2008 Physical activity guidelines for Americans. ODPHP Publication No. U0036. Rockville, MD 20852. Health.gov. https://health.gov/sites/default/files/2019-09/paguide.pdf
    63. U.S. Government Accountability Office. (2010). Student with disabilities: More information and guidance could improve opportunities in physical education and athletics. http://www.gao.gov/assets/310/305770.pdf
    64. Weiler, R., Van Mechelen, W., Fuller, C., & Verhagen, E. (2016). Sport injuries sustained by athletes with disability: a systematic review. Sports Medicine, 46(8), 1141-1153. https://doi.org/10.1007/s40279-016-0478-0 Go to original source... Go to PubMed...
    65. Willis, C. E., Nyquist, A., Jahnsen, R., Elliott, C., & Ullenhage, A. (2018). Enabling physical activity participation for children and youth with disabilities following a goal-directed, family-centred intervention. Research in Developmental Disabilities, 77, 30-39. https://doi.org/10.1016/j.ridd.2018.03.010 Go to original source... Go to PubMed...
    66. Willis, C. E., Reid, S., Elliott, C., Nyquist, A., Jahnsen, R., Rosenberg, M., & Girdler, S. (2019). 'It's important that we learn too': Empowering parents to facilitate participation in physical activity for children and youth with disabilities. Scandinavian Journal of Occupational Therapy, 26(2), 135-148. https://doi.org/10.1080/11038128.2017.1378367 Go to original source... Go to PubMed...
    67. World Health Organization (WHO). (2011). World report on Disability. Geneva: World Health Organization.

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