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Health Education Research Advance Access published online on October 10, 2006

Health Education Research, doi:10.1093/her/cyl114
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© The Author 2006. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org
Received February 2, 2006
Accepted August 24, 2006

Original article

Health promotion for people with disabilities: development and evaluation of the Living Well with a Disability program

C. H. Ravesloot 1 *, T. Seekins 1, T. Cahill 2, S. Lindgren 3, D. E. Nary 4, and G. White 4

1 Rural Institute, University of Montana, Missoula, MT 59812, USA
2 Center for Development and Disability, University of New Mexico, Albuquerque, NM 87107, USA
3 Center for Disabilities and Development, University of Iowa, Iowa City, IA 52242, USA
4 Research and Training Center on Independent Living, University of Kansas, Lawrence, KS 66045, USA

* To whom correspondence should be addressed.
C. H. Ravesloot, E-mail: cravesloot{at}comcast.net


   Abstract

People with disabilities can benefit from health promotion opportunities to reduce the incidence and severity of secondary conditions that further limit their participation in society. This paper describes participatory action research (PAR) methods we used to develop, implement and evaluate the Living Well with a Disability program. Community-based agencies that provide information and referral services to people with disabilities (independent living centers funded under Title VII, Rehabilitation Act) recruited a convenience sample of 246 people with mobility impairments to participate in a randomly assigned, wait-list control health promotion intervention study. Paper-and-pencil outcome measures included the secondary conditions surveillance instrument, unhealthy days and health care utilization. Logistic regression on outcomes controlling for demographic variables and pre-test measures indicated reductions in all three outcome variables. People with mobility impairments who participated in the Living Well with a Disability program reported less limitation from secondary conditions, fewer unhealthy days and less health care utilization. PAR methods are particularly important to design useful interventions for this population.


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AMERICAN JOURNAL OF LIFESTYLE MEDICINEHome page
J. H. Rimmer and J. L. Rowland
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[Abstract] [PDF]



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