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Purpose <p>This study evaluated the feasibility and initial health effects on functional, physical, and psychosocial outcomes of a community-based, 12-week high-intensity functional training (HIFT) intervention for adults with mobility disabilities.</p> Design and sample <p>A single-group, pre-post design with assessments at baseline and post-intervention. Twelve participants (75% female; 37–74&#xa0;years) with mobility disabilities.</p> Intervention <p>Twelve-week, thrice-weekly community-based HIFT program.</p> Measures <p>Feasibility was assessed via recruitment, retention, and adherence. The Canadian Occupational Performance Measure (COPM) evaluated self-report physical function, while physical health outcomes comprised fitness, strength, flexibility, and weight-related assessments. Psychosocial measures included quality of life (QOL), self-efficacy, and perceived barriers. Energy expenditure via portable indirect calorimetry and exit interviews captured participant experiences.</p> Analysis <p>Feasibility was reported as percentages; descriptive statistics and effect sizes were calculated for functional, physical, and psychosocial outcomes. Thematic analysis identified themes from transcriptions.</p> Results <p>Recruitment was 51%, retention was 83%, and attendance was 77.5%, with one adverse event. Cohen’s<i> d</i> effect sizes indicated improvements in function (d = 0.93–1.04), fitness (d = 0.65–1.59), flexibility (d = 0.36–0.64), BMI (d = 0.32), QOL (d = 1.04), self-efficacy (d = 1.03), and barriers to health behavior (d = 0.48). Participants reported high satisfaction and community support following the intervention. Energy expenditure averaged 154.65 (65.5) kcals/session and 86.13 (42) kcals during exercise.</p> Conclusion <p>A community-based HIFT program for individuals with mobility disabilities is feasible; however, the small sample size limits the ability to attribute changes to the intervention.</p> ClinicalTrials.gov <p>HIFT for People with Mobility-Related Disabilities (Research GO); NCT05516030.</p>

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Feasibility and preliminary functional, physical, and psychosocial effects of high-intensity functional training for adults with mobility disabilities

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月27日

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  • Lyndsie M. Koon,
  • Joseph E. Donnelly,
  • Richard Washburn,
  • Joseph R. Sherman,
  • Magdelyn M. Kroeger,
  • Rebecca E. Swinburne Romine,
  • Reed Handlery,
  • Kaci Handlery

摘要

Purpose

This study evaluated the feasibility and initial health effects on functional, physical, and psychosocial outcomes of a community-based, 12-week high-intensity functional training (HIFT) intervention for adults with mobility disabilities.

Design and sample

A single-group, pre-post design with assessments at baseline and post-intervention. Twelve participants (75% female; 37–74 years) with mobility disabilities.

Intervention

Twelve-week, thrice-weekly community-based HIFT program.

Measures

Feasibility was assessed via recruitment, retention, and adherence. The Canadian Occupational Performance Measure (COPM) evaluated self-report physical function, while physical health outcomes comprised fitness, strength, flexibility, and weight-related assessments. Psychosocial measures included quality of life (QOL), self-efficacy, and perceived barriers. Energy expenditure via portable indirect calorimetry and exit interviews captured participant experiences.

Analysis

Feasibility was reported as percentages; descriptive statistics and effect sizes were calculated for functional, physical, and psychosocial outcomes. Thematic analysis identified themes from transcriptions.

Results

Recruitment was 51%, retention was 83%, and attendance was 77.5%, with one adverse event. Cohen’s d effect sizes indicated improvements in function (d = 0.93–1.04), fitness (d = 0.65–1.59), flexibility (d = 0.36–0.64), BMI (d = 0.32), QOL (d = 1.04), self-efficacy (d = 1.03), and barriers to health behavior (d = 0.48). Participants reported high satisfaction and community support following the intervention. Energy expenditure averaged 154.65 (65.5) kcals/session and 86.13 (42) kcals during exercise.

Conclusion

A community-based HIFT program for individuals with mobility disabilities is feasible; however, the small sample size limits the ability to attribute changes to the intervention.

ClinicalTrials.gov

HIFT for People with Mobility-Related Disabilities (Research GO); NCT05516030.