A systematic review of strategies for developing inclusive message content to promote physical activity among people with disabilities

Abstract

Supplementing the physical activity (PA) guidelines with motivational PA messages is an empirically-supported strategy for promoting PA. Inclusive PA messages may be particularly effective for promoting PA participation among people with disabilities by enhancing message relevance. However, many existing PA messages neglect the needs of people with disabilities; a limited availability of inclusive PA messages poses a barrier to PA participation. This study synthesized existing literature regarding strategies for developing the content of optimally effective inclusive PA messages for people with disabilities. Systematic methodologies were employed to identify existing peer-reviewed literature through database (e.g., PsycINFO, Scopus, Web of Science) searches using relevant keywords (e.g., disability, messages, PA). Eligible records included those that discussed PA message preferences or effectiveness, identified people with disabilities as the target population, and were written in English. Screening and data extraction were performed using ASReview (an open-source machine learning program) and Covidence. A thematic analysis of eligible literature was conducted to synthesize findings. Twenty-four studies met eligibility criteria. Two key strategies were identified for developing inclusive PA message content, including: 1) targeting and tailoring PA messages (i.e., customizing PA messages for people with disabilities), and 2) providing self-regulation messages (i.e., messages including strategies that people can use to control their PA behaviours). Mixed findings were revealed regarding the use of message framing and risk information, thus further research is needed to understand optimal practices for strategy implementation. This work can inform inclusive PA messaging practices, with an aim to enhance PA engagement among people with disabilities.