{
  "abstract": "Objectives To determine the effect on participation attendance (being there) and involvement (experience of participation) compared with usual activities of a community gym-based physical activity intervention ( FitSkills) for young people with disability.Methods An assessor-blinded stepped wedge cluster randomised trial was completed involving 163 participants with self-identified disability (61 female; mean age 19), 123 mentors and 11 sites randomised to four groups. Participant and mentor pairs exercised together two times a week for 12 weeks. The primary outcomes were participation attendance and involvement, and health-related quality of life measured by five questionnaires (Adolescent Physical Activity Recall; Adolescent Sedentary Activity; Children’s Assessment of Participation and Enjoyment; Participation and Environment Measure Children and Youth (PEM-CY); Child Health Utility 9D). The secondary outcomes were participation preferences, walking capacity, attitudes to exercise, physical activity and well-being (life satisfaction). Data were analysed using linear mixed-effects models.Results Immediately after the intervention, there was an increase in participation attendance, measured in terms of the number of different physical activities participated in (0.8 activities, 95% CI 0.4 to 1.1); and frequency (how often activities were performed) for one outcome, the PEM-CY (0.2 units, 95% CI 0.01 to 0.4). There was an increase in time spent doing physical activities (23%, 95% CI 4% to 46%), but no change in sedentary time (3%, 95% CI −6% to 12%). Analysis of time-averaged effects up to 15 months after the intervention showed an increase in the number of physical activities (1.0 activities, 95% CI 0.4 to 1.6) only. There was no change in the primary outcomes of participation involvement (ie, experience of participation) or health-related quality of life immediately after the intervention, or across time.Conclusion A student-mentored community-gym-based physical activity intervention increased self-reported physical activities in the intermediate term but did not change health-related quality of life in young people with disability.Trial registration ACTRN12617000766314.",
  "authors": [
    {
      "affiliations": [
        "Olga Tennison Autism Research Centre, La Trobe University, Melbourne, Victoria, Australia"
      ],
      "name": "Nora Shields"
    },
    {
      "affiliations": [
        "Olga Tennison Autism Research Centre, La Trobe University, Melbourne, Victoria, Australia",
        "Department of Mathematical and Physical Sciences, La Trobe University, Melbourne, Victoria, Australia"
      ],
      "name": "Yeshna Bhowon"
    },
    {
      "affiliations": [
        "Department of Sport, Exercise and Nutrition Sciences, La Trobe University, Melbourne, Victoria, Australia"
      ],
      "name": "Claire Willis"
    },
    {
      "affiliations": [
        "Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, La Trobe University, Bundoora, Victoria, Australia",
        "Allied Health Clinical Research Office, Eastern Health, Melbourne, Victoria, Australia"
      ],
      "name": "Nicholas F Taylor"
    },
    {
      "affiliations": [
        "School of Health and Social Development, Deakin University, Melbourne, Victoria, Australia",
        "Deakin Health Economics, Institute for Health Transformation, Deakin University, Melbourne, Victoria, Australia"
      ],
      "name": "Shalika Bohingamu Mudiyanselage"
    },
    {
      "affiliations": [
        "School of Health and Social Development, Deakin University, Melbourne, Victoria, Australia",
        "Deakin Health Economics, Institute for Health Transformation, Deakin University, Melbourne, Victoria, Australia"
      ],
      "name": "Jennifer J Watts"
    },
    {
      "affiliations": [
        "Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia"
      ],
      "name": "Christine Imms"
    },
    {
      "affiliations": [
        "Department of Mathematical and Physical Sciences, La Trobe University, Melbourne, Victoria, Australia"
      ],
      "name": "Luke A Prendergast"
    }
  ],
  "title": "A community-based physical activity intervention (FitSkills) can improve participation attendance of young people with disability: a stepped wedge cluster randomised trial",
  "uid": "7869a213-46c5-5e3d-afe1-499838ce7548"
}