Barriers and facilitators to participation in physical activity for students with disabilities in an integrated school setting: a meta-synthesis of qualitative research evidence

融合学校环境中残疾学生参与体育活动的障碍和促进因素:定性研究证据的元综合分析

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Abstract

PURPOSE: This review investigates the factors influencing the participation of students with disabilities (SWD) in physical activities (PA) within integrated school settings. MATERIALS AND METHODS: A keyword search of articles published up to May 2024 identified 22 studies meeting the inclusion criteria. Thematic synthesis was used to analyze the data, resulting in a dynamic theoretical model. RESULTS: The model encompasses 19 themes, including an individual-level "Special factor" and three phases: perspectives from school administrators (First phase), a two-way dialogue between school management and staff (Second phase), and interactions among staff, SWD, and peers (Third phase). The final phase, based on basic psychological needs theory, identifies autonomy, competence, and relatedness needs. CONCLUSION: The dynamic model highlights that no single factor fully explains SWD participation in PA within inclusive environments. Educators must consider physiological, behavioral, and cognitive aspects, as well as mediating factors and processes (three phases), to design tailored strategies that address SWD needs and foster a supportive environment. SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/PROSPERO/view/CRD42024577620.

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