Journal of Rehabilitation Research & Development (JRRD)

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Volume 53 Number 6, 2016
   Pages 973 — 988

Abstract — Psychosocial effects of competitive Boccia program in persons with severe chronic disability

Sharon Barak, PhD;1* Nuria Mendoza-Laiz, PhD;2 Maria Teresa Gutiérrez Fuentes, PhD;3 Maria Rubiera, PhD;3 Yeshayahu Hutzler, PhD4

1The Edmond and Lily Safra Children's Hospital, Chaim Sheba Medical Center, Ramat Gan, Israel; and Kaye ??Academic College of Education, Beer-Sheba, Israel; 2Facultad de Ciencias del Deporte, Universidad de Castilla La Mancha, Toledo, Spain; 3CRE de Discapacidad y Dependencia, IMSERSO, León, Spain; 4Zinman College of Physical Education and Sport Sciences and Israel Sport Center for the Disabled, Israel

Abstract — People with severe physical disabilities may experience psychosocial problems. Boccia is one sport that athletes with severe disability can engage in, but no information on the effects of Boccia on psychosocial outcomes for participants with severe disability is available. Therefore, we analyzed the effects of Boccia on psychosocial outcomes in persons with severe disabilities. The study included two competitive Boccia groups: independent competitive (IC) (n = 9) and nonindependent competitive (NIC) (n = 7), as well as a recreational Boccia group (n = 14) and control subjects (n = 13) (mean age for all participants = 46.46 +/– 10.75 yr). All participants underwent a rehabilitation program. Between-group differences in change scores were assessed using analysis of variance/multivariate analysis of variance. Within-group differences were compared using t-tests and effect sizes (ESs). Change in psychosocial parameters was not significantly influenced by study group (p > 0.05). All groups presented moderate-to-large ESs in physical and psychological quality of life (ES > 0.51). In comparison to the control group, who presented small-to-trivial ESs in General Health Questionnaire-28 (GHQ-28), State-Trait Anxiety Inventory, and Profile of Mood States-??Tension, the IC and recreational group presented moderate ESs in GHQ-28, whereas the NIC group presented moderate ESs in anxiety and tension. In conclusion, the rehabilitation program had a general positive effect on the psychosocial status of individuals with severe physical disabilities. However, the competitive Boccia groups demonstrated a greater number of favorable changes, suggesting an added value of participation in Boccia.

Key words: Boccia, cerebral palsy, exercise, physical activity, physical disability, physical training, psychological adaptation, quality of life, rehabilitation, self-efficacy, severe physical disability, sports.


View HTML ?? View PDF ?? Contents Vol. 53, No. 6
This article and any supplementary material should be cited as follows:
Barak S, Mendoza-Laiz N, Gutiérrez Fuentes MT, Rubiera M, Hutzler Y. Psychosocial effects of competitive Boccia program in persons with severe chronic disability. J Rehabil Res Dev. 2016;53(6):973–88.
http://dx.doi.org/10.1682/JRRD.2015.08.0156
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