Exploring the support needs, preferences, and expectations of persons with disabilities when working with qualified exercise professionals in an exercise context.

Abstract

Persons living with disabilities (PWDs) encounter numerous barriers to participation in exercise. Qualified exercise professionals (QEPs) are a potential source to improve the quality of experiences in exercise and long-term participation in exercise for PWDs. However, many QEPs do not possess the competencies needed to assist PWDs while exercising. Adopting critical realism, this study aimed to gain insight from the lived experiences of PWDs regarding their needs, preferences, and expectations when working with QEPs in community exercise settings. We conducted semi-structured interviews with 18 participants to amplify the voices of PWDs and elucidate their lived experiences in exercise contexts. Interview transcripts were inductively analyzed using reflexive thematic analysis. Three central themes emerged: 1) <i>Push me, but not too far</i>; 2) <i>Not a one-size-fits-all</i>; and 3) <i>Communication above all</i>. Our findings indicate PWDs need to feel appropriately challenged, prefer individualized exercise programs, and expect to collaborate with their QEP using open communication. Insight from this study should inform future training for QEPs, while facilitating lasting improvements to the inclusion of PWDs in community exercise settings.