{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T15:58:35Z","timestamp":1765727915621,"version":"build-2065373602"},"reference-count":46,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T00:00:00Z","timestamp":1667433600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Science Research Program of the Fujian Health Commission","award":["2021zylc51","201720"],"award-info":[{"award-number":["2021zylc51","201720"]}]},{"name":"Xiamen city\u2019s Precision Rehabilitation for People with a Disability program","award":["2021zylc51","201720"],"award-info":[{"award-number":["2021zylc51","201720"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Structural equation modeling was used to derive a relationship predicting the intention to participate in community physical activity among community-dwelling adults with a physical disability in Xiamen, China. The data were collected in a cross-sectional survey. The structural equation modeling combined biomedicine and the theory of planned behavior. It integrated ratings using the rehabilitation set from the international classification of functioning, disability, and health and role-physical scores from the short form 36 health survey questionnaire instrument. The model demonstrated a good ability to predict self-reported participation intentions, explaining 62% of the variance. The standard coefficients showed that activity limitation (27%), role-physical score (21%) and body impairment (14%) were the most influential predictors. ICF-RS ratings and role-physical ratings together can usefully predict physically disabled adults\u2019 intention of participating in community physical activities. Suggestions are presented for multidisciplinary intervention and improving this portion of the WHO\u2019s classification system.<\/jats:p>","DOI":"10.3390\/jpm12111832","type":"journal-article","created":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T04:11:31Z","timestamp":1667448691000},"page":"1832","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Predicting Intention to Participate in Community Physical Activities for Adults with Physical Disabilities"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7660-5044","authenticated-orcid":false,"given":"Qi","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Clinical Medicine, Xiamen Medical College, Xiamen 361023, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongwu","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Fifth Hospital of Xiamen, Xiamen 361101, China"},{"name":"Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dingzhao","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Fifth Hospital of Xiamen, Xiamen 361101, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinhong","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Fifth Hospital of Xiamen, Xiamen 361101, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Fifth Hospital of Xiamen, Xiamen 361101, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taibiao","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Fifth Hospital of Xiamen, Xiamen 361101, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0489-5142","authenticated-orcid":false,"given":"Tiebin","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1097\/JSA.0000000000000242","article-title":"Impact of Adaptive Sports Participation on Quality of Life","volume":"27","author":"Diaz","year":"2019","journal-title":"Sports Med. Arthrosc. Rev."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1037\/a0028083","article-title":"Testing the integration of ICF and behavioral models of disability in orthopedic patients: Replication and extension","volume":"57","author":"Quinn","year":"2012","journal-title":"Rehabil. Psychol."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Mavaddat, N., Sadler, E., Lim, L., Williams, K., Warburton, E., Kinmonth, A.L., Mckevitt, C., and Mant, J. (2021). What underlies the difference between self-reported health and disability after stroke? A qualitative study in the UK. BMC Neurol., 21.","DOI":"10.1186\/s12883-021-02338-x"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.3109\/09638288.2011.635749","article-title":"Testing integrated behavioural and biomedical models of activity and activity limitations in a population-based sample","volume":"34","author":"Dixon","year":"2011","journal-title":"Disabil. Rehabil."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1177\/1090198104263660","article-title":"Health Promotion by Social Cognitive Means","volume":"31","author":"Bandura","year":"2004","journal-title":"Health Educ. Behav."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1080\/08870446.2011.613995","article-title":"The theory of planned behaviour: Reactions and reflections","volume":"26","author":"Ajzen","year":"2011","journal-title":"Psychol. Health"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"101199","DOI":"10.1016\/j.dhjo.2021.101199","article-title":"Theory of planned behavior to promote physical activity of adults with physical disabilities: Meta-analytic structural equation modeling","volume":"15","author":"Sur","year":"2021","journal-title":"Disabil. Health J."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Kostanjsek, N. (2011). Use of The International Classification of Functioning, Disability and Health (ICF) as a conceptual framework and common language for disability statistics and health information systems. BMC Public Health, 11.","DOI":"10.1186\/1471-2458-11-S4-S3"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1016\/j.apmr.2015.12.030","article-title":"Toward the International Classification of Functioning, Disability and Health (ICF) Rehabilitation Set: A Minimal Generic Set of Domains for Rehabilitation as a Health Strategy","volume":"97","author":"Prodinger","year":"2016","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"508","DOI":"10.2340\/16501977-2066","article-title":"Towards system-wide implementation of the International Classification of Functioning, Disability and Health (ICF) in routine practice: Developing simple, intuitive descriptions of ICF categories in the ICF generic and rehabilitation set","volume":"48","author":"Prodinger","year":"2016","journal-title":"J. Rehabil. Med."},{"key":"ref_11","first-page":"4","article-title":"Expert consensus on the International Classification of Functioning, Disability and Health (ICF)","volume":"36","author":"Yan","year":"2021","journal-title":"China J. Rehabil. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1097\/MRR.0000000000000254","article-title":"Developing operational items for the International Classification of Functioning, Disability and Health Rehabilitation Set: The experience from China","volume":"41","author":"Gao","year":"2018","journal-title":"Int. J. Rehabil. Res."},{"key":"ref_13","first-page":"1193","article-title":"The reliability and validity analysis of the International Classification of Functioning, Disability and Health Rehabilitation Set in non-acute patients","volume":"34","author":"Gao","year":"2019","journal-title":"China J. Rehabil. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"jrm00147","DOI":"10.2340\/16501977-2756","article-title":"A team approach to applying the International Classification of Functioning, Disability and Health Rehabilitation set in clinical evaluation","volume":"53","author":"Zhang","year":"2021","journal-title":"J. Rehabil. Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1080\/17437199.2013.855592","article-title":"Developing an integrated biomedical and behavioural theory of functioning and disability: Adding models of behaviour to the ICF framework","volume":"8","author":"Johnston","year":"2013","journal-title":"Health Psychol. Rev."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1111\/j.1559-1816.2002.tb00236.x","article-title":"Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior","volume":"32","author":"Ajzen","year":"2002","journal-title":"J. Appl. Soc. Psychol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"87","DOI":"10.4278\/0890-1171-11.2.87","article-title":"The Theory of Planned Behavior: A Review of its Applications to Health-Related Behaviors","volume":"11","author":"Godin","year":"1996","journal-title":"Am. J. Health Promot."},{"key":"ref_18","first-page":"164","article-title":"Theory of Planned Behavior in Research Examining Physical Activity Factors Among Individuals with Disabilities: A Review","volume":"36","author":"Kirk","year":"2019","journal-title":"Adapt. Phys. Act. Q."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1123\/jsep.19.1.36","article-title":"Application of the theories of reasoned action and planned behavior to exercise be-havior: A meta-analysis","volume":"19","author":"Hausenblas","year":"1997","journal-title":"J. Sport Exerc. Psych."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1123\/jsep.24.1.3","article-title":"A Meta-Analytic Review of the Theories of Reasoned Action and Planned Behavior in Physical Activity: Predictive Validity and the Contribution of Additional Variables","volume":"24","author":"Hagger","year":"2002","journal-title":"J. Sport Exerc. Psychol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1123\/jpah.2.1.76","article-title":"The Theories of Reasoned Action and Planned Behavior Applied to Exercise: A Meta-analytic Update","volume":"2","author":"Downs","year":"2005","journal-title":"J. Phys. Act. Health"},{"key":"ref_22","unstructured":"Backman, I.L., and von Hofston, C. (2002). Disability as behaviour: Models of measurement and explanation. Psychology at the Turn of the Millennium, Psychology Press."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1037\/0090-5550.53.2.191","article-title":"Using the ICF and psychological models of behavior to predict mobility limitations","volume":"53","author":"Dixon","year":"2008","journal-title":"Rehabil. Psychol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"131","DOI":"10.3109\/09593989609036429","article-title":"Models of disability","volume":"12","author":"Johnston","year":"1996","journal-title":"Physiother. Theory Pract."},{"key":"ref_25","first-page":"1","article-title":"Functional decline in people with diabetes: Bidirectional relationships between body function and activity\u2013participation components in a two-wave longitudinal structural equation modeling","volume":"20","author":"Pinhal","year":"2022","journal-title":"Physiother. Theory Pract."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Kongwattanakul, K., Hiengkaew, V., Jalayondeja, C., and Sawangdee, Y. (2020). A structural equation model of falls at home in individuals with chronic stroke, based on the international classification of function, disability, and health. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0231491"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/00368504211042468","article-title":"Predict the exercise behavior intention of the older adults in Taipei City to promote exercise behavior","volume":"104","author":"Huang","year":"2021","journal-title":"Sci. Prog."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Stehr, P., Rossmann, C., Kremer, T., and Geppert, J. (2021). Determinants of Physical Activity in Older Adults: Integrating Self-Concordance into the Theory of Planned Behavior. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18115759"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1097\/MRR.0b013e328344ae09","article-title":"Disability and profiles of functioning of patients with Parkinson\u2019s disease described with ICF classification","volume":"34","author":"Raggi","year":"2011","journal-title":"Int. J. Rehabil. Res."},{"key":"ref_30","first-page":"111","article-title":"Comparison on the first version and the second version of SF-36","volume":"23","author":"Chen","year":"2006","journal-title":"Chin. J. Soc. Med."},{"key":"ref_31","first-page":"AS264","article-title":"Comparison of methods for the scoring and statis-tical analysis of SF-36 health profile and summary measures: Summary of results from the Medical Outcomes Study","volume":"33","author":"Ware","year":"1995","journal-title":"Med. Care"},{"key":"ref_32","unstructured":"(2022, June 05). Scientific Platform Serving for Statistics Professionals. Suzhou Zhongyan Network Technology. Available online: https:\/\/www.spsspro.com."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1177\/0013164417719308","article-title":"Assessing the quality and appropriateness of factor solutions and factor score estimates in ex-ploratory item factor analysis","volume":"78","author":"Ferrando","year":"2018","journal-title":"Educ. Psychol. Meas."},{"key":"ref_34","unstructured":"Brown, T.T. (2015). Confirmatory Factor Analysis for Applied Research, Guilford Publication."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"2082","DOI":"10.1016\/S0140-6736(21)00393-7","article-title":"Chronic pain: An update on burden, best practices, and new advances","volume":"397","author":"Cohen","year":"2021","journal-title":"Lancet"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1097\/AJP.0000000000000697","article-title":"Sleep and pain: A systematic review of studies of mediation","volume":"35","author":"Whibley","year":"2019","journal-title":"Clin. J. Pain."},{"key":"ref_37","first-page":"97","article-title":"Physiology and Psychology of Dreams","volume":"25","author":"Eiser","year":"2005","journal-title":"Skull Base"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1080\/17437199.2018.1435299","article-title":"How can interventions increase motivation for physical activity? A systematic review and meta-analysis","volume":"12","author":"Knittle","year":"2018","journal-title":"Health Psychol. Rev."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Reedman, S.E., Jayan, L., Boyd, R.N., Ziviani, J., Elliott, C., and Sakzewski, L. (2021). Descriptive contents analysis of ParticiPAte CP: A participation-focused intervention to promote physical activity participation in children with cerebral palsy. Disabil. Rehabil., 1\u201311.","DOI":"10.1080\/09638288.2021.1985636"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"100978","DOI":"10.1016\/j.dhjo.2020.100978","article-title":"Remodeling of the ICF: A commentary","volume":"14","author":"Sykes","year":"2020","journal-title":"Disabil. Health J."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1080\/09638288.2016.1247469","article-title":"Psychological adjustment to chronic disease and rehabilitation: An exploration","volume":"40","author":"Dekker","year":"2018","journal-title":"Disabil. Rehabil."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1111\/bjhp.12153","article-title":"Using impairment and cognitions to predict walking in osteoarthritis: A series of n-of-1 studies with an individually tailored, data-driven intervention","volume":"21","author":"Dixon","year":"2016","journal-title":"Brit. J. Health Psychol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.14740\/jocmr2400w","article-title":"Systematic literature review on ICF from 2001 to 2013 in the Nordic countries focusing on clinical and rehabilitation context","volume":"8","author":"Maribo","year":"2016","journal-title":"J. Clin. Med. Res."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.3109\/09638288.2015.1089604","article-title":"Do we really need to open a classification box on personal factors in ICF?","volume":"38","author":"Leonardi","year":"2015","journal-title":"Disabil. Rehabil."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1080\/09638288.2016.1277404","article-title":"Reconsideration of the scheme of the international classification of functioning, disability and health: Incentives from the Netherlands for a global debate","volume":"40","author":"Heerkens","year":"2017","journal-title":"Disabil. Rehabil."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1093\/ptj\/pzy056","article-title":"The Utility of and Need for Improving the ICF","volume":"98","author":"Jette","year":"2018","journal-title":"Phys. Ther."}],"container-title":["Journal of Personalized Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4426\/12\/11\/1832\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:09:47Z","timestamp":1760144987000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4426\/12\/11\/1832"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,3]]},"references-count":46,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,11]]}},"alternative-id":["jpm12111832"],"URL":"https:\/\/doi.org\/10.3390\/jpm12111832","relation":{},"ISSN":["2075-4426"],"issn-type":[{"type":"electronic","value":"2075-4426"}],"subject":[],"published":{"date-parts":[[2022,11,3]]}}}