Physical Literacy and Rehabilitation

A Multi-phased Technology Integrated Physical Literacy Program Targeting Adults With Multimorbidity. A Knowledge Translation Project

With the aging population, the prevalence of chronic conditions continues to rise, affecting 1/3 of Canadians. The promotion of physical literacy, defined as "the motivation, confidence, physical competence and knowledge, to take responsibility for engagement in physical activity for life", has emerged as a promising strategy to increase movement for children. However, little is known about how physical literacy can impact aging adults. A working definition of physical literacy for adults focusing on mobility, function and self-monitoring provides opportunity to guide public health programs in addressing the rehabilitation needs of persons living with multiple chronic conditions.

The objectives of this three stage mixed methods study is to:

1. Develop a new physical literacy framework, with the help of health professionals and end-users that promotes optimal physical functioning for adults.
2. Develop a population-based health intervention using rehabilitation strategies that are delivered virtually to increase physical literacy for adults.

The first 2 qualitative studies will be used to inform the third quantitative intervention.

First, an on-line consensus approach with physiotherapy leaders, rehabilitation researchers and public health experts will be used to identify a new physical literacy framework as it relates to adults.

Second, virtual semi-structured interviews with working adults who are living with 2 or more chronic conditions will determine how aging adults frame physical literacy in their life, specifically with the management of chronic conditions.

Lastly, working adults with 2 or more chronic conditions will participate in a 5-week physical literacy program. Multifaceted knowledge translation strategies including; "walk and talk" with a neighbour or friend, podcasts and on-line mobility challenges will be utilized.

It is anticipated the intervention will improve important physical literacy outcomes such as; physical competence, function, mobility, motivation, awareness, and self-efficacy.

Inclusion Criteria:

• Subjects will be screened by the primary researcher for the following inclusion criteria:

  1. Diagnosed from a physician with 2 or more chronic conditions and have lived with the conditions for ≥1 year
  2. Able to speak English
  3. Employed full time as a teacher in the Hamilton-Wentworth School Board, Ontario between the ages of 45 and 65 years.
  4. Describe themselves as moderately physically active or inactive over the past 12 months

Exclusion Criteria:

• Advised by physician not to participate in physical activity