{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T21:05:39Z","timestamp":1790629539217,"version":"4.1.0"},"reference-count":60,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2019,12,11]],"date-time":"2019-12-11T00:00:00Z","timestamp":1576022400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"The Wenig Family","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"name":"Moose Toys","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>In a mixed-methods design, the current study aimed to evaluate the acceptability of a junior Australian rules football program across two \u2018AllPlay Pre-Learn\u2019 days for children aged 5\u201311 years with disabilities, based on parent and child responses. Three online surveys were created by health professionals based on existing participation models. Surveys were completed by parents immediately before (n = 23), after the \u2018Pre-Learn\u2019 days (n = 15) and following the conclusion of the community version of the program (n = 13). Quantitative findings indicated significant improvements in child ratings around enjoyment of the sport. Qualitative analyses generated three themes around enjoyment in a low-stress environment; the education provided around the sport for parents\/children; and, contemplation about playing the football program within their community. Four families (22% of the original attendees) went on to play the sport within a community setting. Despite acknowledged limitations, this study demonstrates preliminary evidence in support of an \u2018AllPlay Pre-Learn\u2019 day as a stepping stone to facilitate later participation in a football program within a child\u2019s community. Increased participation would allow children to experience the benefits associated with sport participation, such as motor and social skill development.<\/jats:p>","DOI":"10.3390\/ijerph16245058","type":"journal-article","created":{"date-parts":[[2019,12,12]],"date-time":"2019-12-12T03:20:16Z","timestamp":1576120816000},"page":"5058","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["A Pilot Acceptability Study of an \u2018AllPlay Pre-Learn\u2019 Day Program to Facilitate Participation in Organised Physical Activity for Children with Disabilities"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4419-2134","authenticated-orcid":false,"given":"Katherine","family":"Howells","sequence":"first","affiliation":[{"name":"School of Psychology, Faculty of Health, Deakin Child Study Centre, Deakin University, Geelong 3220, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmel","family":"Sivaratnam","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Health, Deakin Child Study Centre, Deakin University, Geelong 3220, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8705-4180","authenticated-orcid":false,"given":"Tamara","family":"May","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Health, Deakin Child Study Centre, Deakin University, Geelong 3220, Australia"},{"name":"Murdoch Childrens Research Institute, Parkville, Australia and Department of Paediatrics, Monash University, Clayton 3052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebony","family":"Lindor","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Health, Deakin Child Study Centre, Deakin University, Geelong 3220, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Rinehart","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Health, Deakin Child Study Centre, Deakin University, Geelong 3220, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2019,12,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1111\/jcpp.12937","article-title":"Annual Research Review: Expanding mental health services through novel models of intervention delivery","volume":"60","author":"Kazdin","year":"2019","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1111\/dmcn.13962","article-title":"Organized physical activity programs: Improving motor and non-motor symptoms in neurodevelopmental disorders","volume":"60","author":"Rinehart","year":"2018","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2317","DOI":"10.1007\/s10803-016-2762-0","article-title":"Comparison of obesity, physical activity, and sedentary behaviors between adolescents with autism spectrum disorders and without","volume":"46","author":"McCoy","year":"2016","journal-title":"J. Autism Dev. Disord."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"647","DOI":"10.3109\/09638288.2012.715721","article-title":"Differences in habitual physical activity levels of young people with cerebral palsy and their typically developing peers: A systematic review","volume":"35","author":"Carlon","year":"2013","journal-title":"Disabil. Rehabil."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10803-019-04026-9","article-title":"Young children with ASD participate in the same level of physical activity as children without ASD: Implications for early intervention to maintain good health","volume":"49","author":"Thomas","year":"2019","journal-title":"J. Autism Dev. Disord."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"865","DOI":"10.3109\/09638288.2015.1066450","article-title":"Physical activity predicts quality of life and happiness in children and adolescents with cerebral palsy","volume":"38","author":"Maher","year":"2016","journal-title":"Disabil. Rehabil."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"479","DOI":"10.2147\/NDT.S58455","article-title":"Improvement of gross motor and cognitive abilities by an exercise training program: Three case reports","volume":"10","author":"Alesi","year":"2014","journal-title":"Neuropsychiatr. Dis. Treat."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1002\/aur.1955","article-title":"The effect of physical activity interventions on youth with autism spectrum disorder: A meta-analysis","volume":"11","author":"Healy","year":"2018","journal-title":"Autism Res."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"157","DOI":"10.4278\/ajhp.070930103","article-title":"The benefits of physical activity for youth with developmental disabilities: A systematic review","volume":"23","author":"Johnson","year":"2009","journal-title":"Am. J. Health Promot."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"3126","DOI":"10.1007\/s10803-016-2854-x","article-title":"A meta-analytic review of the efficacy of physical exercise interventions on cognition in individuals with autism spectrum disorder and ADHD","volume":"46","author":"Tan","year":"2016","journal-title":"J. Autism Dev. Disord."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1177\/1362361315616002","article-title":"A systematic review of the behavioural outcomes following exercise interventions for children and youth with autism spectrum disorder","volume":"20","author":"Bremer","year":"2016","journal-title":"Autism"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders\u2014DSM 5, American Psychiatric Publishing.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_13","first-page":"567","article-title":"Community-based intervention trials in low-and middle-income countries","volume":"2","author":"Sullivan","year":"2009","journal-title":"Oxf. Textb. Public Health Vol. 2 Methods Public Health"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Howells, K., Sivaratnam, C., May, T., Lindor, E., McGillivray, J., and Rinehart, N. (2019). Efficacy of Group-Based Organised Physical Activity Participation for Social Outcomes in Children with Autism Spectrum Disorder: A Systematic Review and Meta-analysis. J. Autism Dev. Disord.","DOI":"10.1007\/s10803-019-04050-9"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1007\/s10882-010-9215-z","article-title":"Perceived barriers and facilitators of participation in after-school physical activity by children with autism spectrum disorders","volume":"23","author":"Obrusnikova","year":"2011","journal-title":"J. Dev. Phys. Disabil."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1111\/j.1365-2788.2011.01425.x","article-title":"Identifying the barriers and facilitators to participation in physical activity for children with Down syndrome","volume":"55","author":"Barr","year":"2011","journal-title":"J. Intellect. Disabil. Res."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Shields, N., and Synnot, A. (2016). Perceived barriers and facilitators to participation in physical activity for children with disability: A qualitative study. BMC Pediatrics, 16.","DOI":"10.1186\/s12887-016-0544-7"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1136\/bjsports-2011-090236","article-title":"Perceived barriers and facilitators to physical activity for children with disability: A systematic review","volume":"46","author":"Shields","year":"2012","journal-title":"Br. J. Sports Med."},{"key":"ref_19","first-page":"1","article-title":"\u2018We\u2019re doing AFL auskick as well\u2019: Experiences of an adapted football program for children with autism","volume":"6","author":"May","year":"2017","journal-title":"J. Motor Learn. Dev."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1016\/j.jpeds.2012.02.042","article-title":"Identification of facilitators and barriers to physical activity in children and adolescents with cerebral palsy","volume":"161","author":"Verschuren","year":"2012","journal-title":"J. Pediatrics"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1630","DOI":"10.3109\/09638288.2012.748844","article-title":"Stages of change in physical activity behavior in children and adolescents with cerebral palsy","volume":"35","author":"Verschuren","year":"2013","journal-title":"Disabil. Rehabil."},{"key":"ref_22","unstructured":"Engel, A. (2011). Physical Activity Participation in Children with Autism Spectrum Disorders: An Exploratory Study. [Ph.D. Thesis, University of Toronto]."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Balc\u0131, N.\u00c7 (2016). Current rehabilitation methods for Cerebral Palsy. Cerebral Palsy-Current Steps, InTechOpen.","DOI":"10.5772\/64373"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1016\/j.apmr.2010.12.029","article-title":"Parent perspectives to inform development of measures of children\u2019s participation and environment","volume":"92","author":"Bedell","year":"2011","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1016\/j.amepre.2008.06.040","article-title":"Cost effectiveness of community-based physical activity interventions","volume":"35","author":"Roux","year":"2008","journal-title":"Am. J. Prev. Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.1080\/09638288.2018.1432702","article-title":"Barriers and facilitators to physical activity participation for children with physical disability: Comparing and contrasting the views of children, young people, and their clinicians","volume":"41","author":"Wright","year":"2019","journal-title":"Disabil. Rehabil."},{"key":"ref_27","first-page":"12","article-title":"Parent perceptions of barriers to physical activity for children with autism spectrum disorders","volume":"3","author":"Khader","year":"2016","journal-title":"Swed. J. Sci. Res."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Somerset, S., and Hoare, D.J. (2018). Barriers to voluntary participation in sport for children: A systematic review. BMC Pediatrics, 18.","DOI":"10.1186\/s12887-018-1014-1"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"27","DOI":"10.2147\/NDT.S10327","article-title":"Evidence to practice: Treatment of anxiety in individuals with autism spectrum disorders","volume":"7","author":"Lang","year":"2011","journal-title":"Neuropsychiatr. Dis. Treat."},{"key":"ref_30","unstructured":"Reaven, J., Blakeley-Smith, A., Nichols, S., and Hepburn, S. (2011). Facing Your Fears: Group Therapy for Managing Anxiety in Children with High-functioning Autism Spectrum Disorders, Brookes."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1007\/s40617-015-0077-9","article-title":"Using graduated exposure and differential reinforcement to increase food repertoire in a child with autism","volume":"8","author":"Tanner","year":"2015","journal-title":"Behav. Anal. Pract."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1002\/pits.20299","article-title":"School refusal behavior associated with separation anxiety disorder: A cognitive-behavioral approach to treatment","volume":"45","author":"Doobay","year":"2008","journal-title":"Psychol. Schools"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1177\/0145445512456547","article-title":"Graduated exposure and positive reinforcement to overcome setting and activity avoidance in an adolescent with autism","volume":"37","author":"Schmidt","year":"2013","journal-title":"Behav. Modif."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1177\/1747954119870294","article-title":"\u2018Everyone gets a kick\u2019: Coach characteristics and approaches to inclusion in an Australian rules football program for children","volume":"14","author":"May","year":"2019","journal-title":"Int. J. Sports Sci. Coach."},{"key":"ref_35","first-page":"54","article-title":"Junior sport participation programs in Australia","volume":"24","author":"Smith","year":"2005","journal-title":"Youth Stud. Aust."},{"key":"ref_36","unstructured":"Sobel, D. (2019, November 25). Teaching interventions: Pre and over learning. Available online: http:\/\/www.sec-ed.co.uk\/best-practice\/teaching-interventions-pre-and-over-learning\/."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Willis, C.E., Reid, S., Elliott, C., Rosenberg, M., Nyquist, A., Jahnsen, R., and Girdler, S. (2018). A realist evaluation of a physical activity participation intervention for children and youth with disabilities: What works, for whom, in what circumstances, and how?. BMC Pediatrics, 18.","DOI":"10.1186\/s12887-018-1089-8"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1016\/j.amepre.2009.02.002","article-title":"How we design feasibility studies","volume":"36","author":"Bowen","year":"2009","journal-title":"Am. J. Prev. Med."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1177\/1098300715596135","article-title":"Construct and predictive validity of social acceptability: Scores from high school teacher ratings on the School Intervention Rating Form","volume":"18","author":"Harrison","year":"2016","journal-title":"J. Posit. Behav. Interv."},{"key":"ref_40","unstructured":"(2019, July 31). Australian Football League (AFL). Learning AFL, Australian Football Today. Available online: https:\/\/www.afl.com.au\/afl-hq\/the-afl-explained\/afl-football-today."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Ruggeri, A., Dancel, A., Johnson, R., and Sargent, B. (2019). The effect of motor and physical activity intervention on motor outcomes of children with autism spectrum disorder: A systematic review. Autism.","DOI":"10.1177\/1362361319885215"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1080\/0300443032000079104","article-title":"Visual teaching strategies for children with autism","volume":"173","author":"Tissot","year":"2003","journal-title":"Early Child Dev. Care"},{"key":"ref_43","unstructured":"(2019, August 07). AllPlay Footy. Coaches. Available online: https:\/\/allplayfooty.org.au\/coaches\/."},{"key":"ref_44","first-page":"n3","article-title":"Barriers to Participation of Children with Disabilities in Youth Sports","volume":"6","author":"Moran","year":"2010","journal-title":"TEACHING Except. Child. Plus"},{"key":"ref_45","unstructured":"(2019, October 25). AllPlay Footy. Coaches: CHANGE It. Available online: https:\/\/allplayfooty.org.au\/coaches\/change-it\/."},{"key":"ref_46","unstructured":"Sports Australia (2019, November 26). Playing for Life, Available online: https:\/\/www.sportaus.gov.au\/p4l."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1111\/dmcn.12932","article-title":"\u2018Participation\u2019: A systematic review of language, definitions, and constructs used in intervention research with children with disabilities","volume":"58","author":"Imms","year":"2016","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_48","unstructured":"Field, A. (2013). Discovering Statistics Using IBM SPSS Statistics, Sage."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1080\/00031305.1990.10475712","article-title":"Multiple comparison procedures: The practical solution","volume":"44","author":"Saville","year":"1990","journal-title":"Am. Stat."},{"key":"ref_50","first-page":"431","article-title":"Colloquy: Should familywise alpha be adjusted? Against familywise alpha adjustment","volume":"29","year":"2003","journal-title":"Hum. Commun. Res."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual. Res. Psychol."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1177\/1049732305285708","article-title":"Developing and implementing a triangulation protocol for qualitative health research","volume":"16","author":"Farmer","year":"2006","journal-title":"Qual. Health Res."},{"key":"ref_53","first-page":"7","article-title":"I like football when it doesnt hurt: Factors influencing participation in Auskick","volume":"51","author":"Hickey","year":"2004","journal-title":"ACHPER Healthy Lifestyles J."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1111\/dmcn.14083","article-title":"Mental health disorders and physical risk factors in children with cerebral palsy: A cross-sectional study","volume":"61","author":"Whitney","year":"2019","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1007\/s10567-011-0097-0","article-title":"Anxiety disorders in children and adolescents with autistic spectrum disorders: A meta-analysis","volume":"14","author":"Perrin","year":"2011","journal-title":"Clin. Child Family Psychol. Rev."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1037\/0003-066X.47.9.1102","article-title":"In search of how people change: Applications to addictive behaviors","volume":"47","author":"Prochaska","year":"1992","journal-title":"Am. Psychol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1037\/h0088437","article-title":"Transtheoretical therapy: Toward a more integrative model of change","volume":"19","author":"Prochaska","year":"1982","journal-title":"Psychother. Theory Res. Pract."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1123\/jtpe.14.1.2","article-title":"Exercise promotion in physical education: Application of the transtheoretical model","volume":"14","year":"1994","journal-title":"J. Teach. Phys. Educ."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.ridd.2018.03.010","article-title":"Enabling physical activity participation for children and youth with disabilities following a goal-directed, family-centred intervention","volume":"77","author":"Willis","year":"2018","journal-title":"Res. Dev. Disabil."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1038\/nrn3475","article-title":"Power failure: Why small sample size undermines the reliability of neuroscience","volume":"14","author":"Button","year":"2013","journal-title":"Nat. Rev. Neurosci."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/24\/5058\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:41:30Z","timestamp":1760190090000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/24\/5058"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,11]]},"references-count":60,"journal-issue":{"issue":"24","published-online":{"date-parts":[[2019,12]]}},"alternative-id":["ijerph16245058"],"URL":"https:\/\/doi.org\/10.3390\/ijerph16245058","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,11]]}}}