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Background <p>Rights‑based, accessible research is increasingly emphasized in neurodevelopmental disorders. We piloted a community‑embedded, inclusive surf therapy program co‑designed with families of children and adolescents with intellectual disabilities (ID) in Japan.</p> Methods <p>Single‑group, repeated‑measures design with assessments at baseline (Pre), post‑intervention (Post), and 1‑month follow‑up (1&#xa0;M). Eight enrolled; six who attended ≥ 5 sessions and completed KIDSCREEN‑27 at all time points formed the primary analysis set. Feasibility outcomes were recruitment, attendance/adherence, retention, data completeness, and safety. Parent‑proxy KIDSCREEN‑27 subscales and total were analyzed with Friedman tests (Kendall’s W); standardized mean change Pre → 1&#xa0;M (d_av) was reported.</p> Results <p>Feasibility was acceptable (median attendance 5/6; 1&#xa0;M retention 6/8; no adverse events). KIDSCREEN‑27 Total (Overall HRQoL) improved (χ<sup>2</sup>(2) = 12.00, <i>p</i> = .002, W = 1.00; d_av = 2.22), as did Psychological Well‑Being (χ<sup>2</sup>(2) = 6.95, <i>p</i> = .031, W = .58; d_av = 1.70). Other subscales showed small‑to‑moderate, non‑significant changes.</p> Conclusions <p>Inclusive, co‑designed surf therapy was feasible and safe and was associated with improvements in overall HRQoL at 1-month follow-up. A fully powered, controlled trial is warranted.</p>

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Feasibility of an Inclusive, Co-designed Surf Therapy Program for Children and Adolescents with Intellectual Disabilities in Japan: A Pilot Study

  • 期刊论文

  • 发表日期：

    2026年7月13日

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  • Satoko Tsuda,
  • Kazumi Kubota,
  • Hiroyasu Shiozu

摘要

Background

Rights‑based, accessible research is increasingly emphasized in neurodevelopmental disorders. We piloted a community‑embedded, inclusive surf therapy program co‑designed with families of children and adolescents with intellectual disabilities (ID) in Japan.

Methods

Single‑group, repeated‑measures design with assessments at baseline (Pre), post‑intervention (Post), and 1‑month follow‑up (1 M). Eight enrolled; six who attended ≥ 5 sessions and completed KIDSCREEN‑27 at all time points formed the primary analysis set. Feasibility outcomes were recruitment, attendance/adherence, retention, data completeness, and safety. Parent‑proxy KIDSCREEN‑27 subscales and total were analyzed with Friedman tests (Kendall’s W); standardized mean change Pre → 1 M (d_av) was reported.

Results

Feasibility was acceptable (median attendance 5/6; 1 M retention 6/8; no adverse events). KIDSCREEN‑27 Total (Overall HRQoL) improved (χ2(2) = 12.00, p = .002, W = 1.00; d_av = 2.22), as did Psychological Well‑Being (χ2(2) = 6.95, p = .031, W = .58; d_av = 1.70). Other subscales showed small‑to‑moderate, non‑significant changes.

Conclusions

Inclusive, co‑designed surf therapy was feasible and safe and was associated with improvements in overall HRQoL at 1-month follow-up. A fully powered, controlled trial is warranted.