| Summary: | 碩士 === 國立陽明大學 === 物理治療暨輔助科技學系 === 104 === Background: The population of people with disabilities continues increasing in Taiwan, which is over one million, and those who need care more than their family can provide will turn to the care services from institutions. Long stay is associated with poor health status. Therefore, it is important to provide applicable lifestyle intervention to promote the health in institutional residents with disabilities. Studies investigating the health problems among people with disabilities living in institutions have demonstrated that these individuals may be prone to chronic diseases, compared to their counterparts. Obesity and overweight are the most common health problems in this population. As a result, an applicable health promotion programs becomes important. However, few studies focus on lifestyle intervention targeting people with disabilities, and most studies do not take the environmental factors into consideration. The aim of this study is to use the framework of ICF model to investigate the effect of intervention of activity lifestyle on health in institutional residents with disabilities. Objective: To investigate the effect of 24-week intervention of lifestyle on health of institutional residents with disabilities. Methods: This was a quasi-experimental study. A one-way repeated measures design over time design was employed to collect data from institutions in Taipei. Each of those residents received a 24-week intervention of lifestyle through consensus on ISP by staffs and researcher base on baseline of health status before intervention. Telephone access and workshop was regular tracked (regular follow) and record the status of implementation. Friedman test was used to compare between baseline and post-teat of the ICF Adult-checklist and one-way ANOVA with repeated measures was used to compare between baseline and post-teat of health related physical fitness and physical activity. Satisfactions by residents and staffs of this model were also collected after intervention. The significant level is set at .05. Results: Total twenty residents. After 24-week intervention of lifestyle, “General tasks and demands (d2) ”, “Mobility (d4) ”, “Self-care (d5) ”, “Interpersonal interactions and relationships (d7) ”, “Community, social and civic life (d9) ” of ICF adult-checklist had significant improved (p<0.05). Hips, sit-up 30s, sit-up 60s, flexibility test, and cardiopulmonary function of health related physical fitness and time of physical activity also had significant improved (p<0.05). Conclusions: The modle of 24-week intervention of activity lifestyle can significantly improve activity and participation.
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