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Due to inaccessible community fitness spaces, participants adopted distinct coping strategies: American participants typically exercised at home to ensure consistency (often sacrificing technical progression), while Brazilian participants relied on specialized public institutions to achieve higher exercise intensity (despite facing systemic program fragility). These results highlight that the drivers of sustained exercise manifest differently across distinct sociopolitical contexts. Consequently, interventions cannot be universal. We propose culturally situated strategies based on the Behavior Change Wheel, specifically environmental restructuring and enablement, to move beyond generic advice and foster sustainable participation.<\/jats:p>","DOI":"10.1123\/apaq.2026-0023","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:48:00Z","timestamp":1787809680000},"page":"375-386","source":"Crossref","is-referenced-by-count":0,"title":["Factors Influencing Exercise Among Adults With Visual Impairments in Brazil and the United States: A Cross-Cultural Qualitative Study Using the Capability, Opportunity, Motivation\u2014Behavior Model"],"prefix":"10.1123","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6613-6785","authenticated-orcid":true,"given":"Roberta C.","family":"Gaspar","sequence":"first","affiliation":[{"name":"Department of Pedagogy of Human Body Movement, School of Physical Education and Sport, University of S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6948-4464","authenticated-orcid":true,"given":"Baillie R.","family":"Bouten","sequence":"additional","affiliation":[{"name":"Department of Human Movement Studies and Special Education, Old Dominion University, 2009 Student Recreation Center, Norfolk, VA, USA"},{"name":"Center for Movement, Health, and Disability, Darden College of Education and Professional Studies, Old Dominion University, 2009 Student Recreation Center, Norfolk, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8580-4782","authenticated-orcid":true,"given":"Justin A.","family":"Haegele","sequence":"additional","affiliation":[{"name":"Department of Human Movement Studies and Special Education, Old Dominion University, 2009 Student Recreation Center, Norfolk, VA, USA"},{"name":"Center for Movement, Health, and Disability, Darden College of Education and Professional Studies, Old Dominion University, 2009 Student Recreation Center, Norfolk, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0761-1050","authenticated-orcid":true,"given":"Ot\u00e1vio L.P.C.","family":"Furtado","sequence":"additional","affiliation":[{"name":"Department of Pedagogy of Human Body Movement, School of Physical Education and Sport, University of S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9171-0777","authenticated-orcid":true,"given":"Sergio R.","family":"Silveira","sequence":"additional","affiliation":[{"name":"Department of Pedagogy of Human Body Movement, School of Physical Education and Sport, University of S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"1","key":"r1","series-title":"Implementation Science,","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0605-9","article-title":"A guide to using the Theoretical domains framework of behaviour change to investigate implementation problems","volume":"12","author":"Atkins, L.","year":"2017","unstructured":"Atkins, L., Francis, J., Islam, R., O\u2019Connor, D., Patey, A., Ivers, N., Foy, R., Duncan, E.M., Colquhoun, H., Grimshaw, J.M., Lawton, R., & Michie, S. 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