{"id":{"repo_id":"toronto-retro","oai_identifier":"oai:utoronto.scholaris.ca:1807/127917"},"canonical_url":"https://search.dev.ndltd.org/etd/toronto-retro/oai:utoronto.scholaris.ca:1807/127917","repository":{"repo_id":"toronto-retro","name":"University of Toronto","base_url":"https://utoronto.scholaris.ca/server/oai/request"},"display":{"title":"Co-creating and Implementing a Community-Based Peer-Assisted Physical Activity Program to Promote Exercise and Sport Participation after Moderate-to-Severe Traumatic Brain Injury","abstract":"Traumatic brain injury (TBI) is a leading cause of death and disability around the world, and moderate-to-severe TBI may result in long-term or lifelong sequelae that prevent individuals from returning to a pre-injury way of functioning. Physical activity (PA; e.g., exercise and sport) demonstrates the potential to alleviate some of this burden through meaningful health-improving activities that are positive for mood, community participation, and quality of life after moderate-to-severe TBI. However, adults with moderate-to-severe TBI do not participate in recommended amounts of PA. Therefore, establishing best-practice methods to support PA participation in the community after moderate-to-severe TBI is warranted for the purpose of improving long-term outcomes. This doctoral dissertation addresses that gap with (1) a scoping review of the current literature about community-based PA interventions after moderate-to-severe TBI, (2) an exploratory case study of an existing peer-based PA program being piloted in a YMCA fitness centre, (3) an interpretive case study of co-creating a tailored peer-based PA program with key stakeholders, and (4) an interpretative phenomenological analysis of COVID-19’s impact on program participants and their PA. Results showed (1) community-based PA interventions can lead to significant improvements in health-related outcomes after moderate-to-severe TBI, but further research is needed with sex and gender considerations, telehealth applications, and better intervention reporting; (2) the inner mechanisms of a peer-based PA program from the perspective of multiple stakeholders and the autonomy-supportive approaches needed to tailor the intervention for future users; (3) how the participation in and co-creation of a new optimized community-based peer-assisted program can increase PA autonomy, reduce PA barriers, and lead to important biopsychosocial benefits; and (4) the profound impact of COVID-19 and necessary considerations to support PA in a pandemic after moderate-to-severe TBI. Findings of this dissertation include implications for the rehabilitation sciences and literature. Integrated knowledge transfer approaches to co-creating a peer-based PA program in the community can lead to the co-production of knowledge between researchers and users, who benefit from health promotion opportunities that further their participation in society. Peer-based PA programs can transcend rehabilitation to the community context with positive health behaviours that extend beyond a formal intervention.","abstract_html":"Traumatic brain injury (TBI) is a leading cause of death and disability around the world, and moderate-to-severe TBI may result in long-term or lifelong sequelae that prevent individuals from returning to a pre-injury way of functioning. Physical activity (PA; e.g., exercise and sport) demonstrates the potential to alleviate some of this burden through meaningful health-improving activities that are positive for mood, community participation, and quality of life after moderate-to-severe TBI. However, adults with moderate-to-severe TBI do not participate in recommended amounts of PA. Therefore, establishing best-practice methods to support PA participation in the community after moderate-to-severe TBI is warranted for the purpose of improving long-term outcomes. This doctoral dissertation addresses that gap with (1) a scoping review of the current literature about community-based PA interventions after moderate-to-severe TBI, (2) an exploratory case study of an existing peer-based PA program being piloted in a YMCA fitness centre, (3) an interpretive case study of co-creating a tailored peer-based PA program with key stakeholders, and (4) an interpretative phenomenological analysis of COVID-19’s impact on program participants and their PA. Results showed (1) community-based PA interventions can lead to significant improvements in health-related outcomes after moderate-to-severe TBI, but further research is needed with sex and gender considerations, telehealth applications, and better intervention reporting; (2) the inner mechanisms of a peer-based PA program from the perspective of multiple stakeholders and the autonomy-supportive approaches needed to tailor the intervention for future users; (3) how the participation in and co-creation of a new optimized community-based peer-assisted program can increase PA autonomy, reduce PA barriers, and lead to important biopsychosocial benefits; and (4) the profound impact of COVID-19 and necessary considerations to support PA in a pandemic after moderate-to-severe TBI. Findings of this dissertation include implications for the rehabilitation sciences and literature. Integrated knowledge transfer approaches to co-creating a peer-based PA program in the community can lead to the co-production of knowledge between researchers and users, who benefit from health promotion opportunities that further their participation in society. Peer-based PA programs can transcend rehabilitation to the community context with positive health behaviours that extend beyond a formal intervention.","abstract_has_math":false,"creators":["Quilico, Enrico L."],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":"Rehabilitation Science","school":null,"contributors":[],"advisors":["Colantonio, Angela","Swaine, Bonnie"],"committee_chairs":[],"committee_members":[],"year":2023,"date_issued":"2023-06","date_published":"2023-06","updated_at":"2026-07-27T21:28:09Z","subjects":["Community","Exercise","Peer","Physical Activty","Sport","Traumatic Brain Injury"],"languages":[],"rights":["Attribution-NonCommercial-NoDerivatives 4.0 International"],"rights_urls":["http://creativecommons.org/licenses/by-nc-nd/4.0/"],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/1807/127917","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Colantonio, Angela","Swaine, Bonnie"]},{"key":"dc:contributor.department","label":"Department","values":["Rehabilitation Science"]},{"key":"dc:creator","label":"Author","values":["Quilico, Enrico L."]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2023-06"]},{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2023-06-27T15:26:06Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2023-06-27T15:26:06Z"]},{"key":"dc:date.issued","label":"Date","values":["2023-06"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Community","Exercise","Peer","Physical Activty","Sport","Traumatic Brain Injury"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:rights","label":"Dc Rights","values":["Attribution-NonCommercial-NoDerivatives 4.0 International"]},{"key":"dc:rights.uri","label":"Rights URI","values":["http://creativecommons.org/licenses/by-nc-nd/4.0/"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/1807/127917"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Traumatic brain injury (TBI) is a leading cause of death and disability around the world, and moderate-to-severe TBI may result in long-term or lifelong sequelae that prevent individuals from returning to a pre-injury way of functioning. Physical activity (PA; e.g., exercise and sport) demonstrates the potential to alleviate some of this burden through meaningful health-improving activities that are positive for mood, community participation, and quality of life after moderate-to-severe TBI. However, adults with moderate-to-severe TBI do not participate in recommended amounts of PA. Therefore, establishing best-practice methods to support PA participation in the community after moderate-to-severe TBI is warranted for the purpose of improving long-term outcomes. This doctoral dissertation addresses that gap with (1) a scoping review of the current literature about community-based PA interventions after moderate-to-severe TBI, (2) an exploratory case study of an existing peer-based PA program being piloted in a YMCA fitness centre, (3) an interpretive case study of co-creating a tailored peer-based PA program with key stakeholders, and (4) an interpretative phenomenological analysis of COVID-19’s impact on program participants and their PA. Results showed (1) community-based PA interventions can lead to significant improvements in health-related outcomes after moderate-to-severe TBI, but further research is needed with sex and gender considerations, telehealth applications, and better intervention reporting; (2) the inner mechanisms of a peer-based PA program from the perspective of multiple stakeholders and the autonomy-supportive approaches needed to tailor the intervention for future users; (3) how the participation in and co-creation of a new optimized community-based peer-assisted program can increase PA autonomy, reduce PA barriers, and lead to important biopsychosocial benefits; and (4) the profound impact of COVID-19 and necessary considerations to support PA in a pandemic after moderate-to-severe TBI. Findings of this dissertation include implications for the rehabilitation sciences and literature. Integrated knowledge transfer approaches to co-creating a peer-based PA program in the community can lead to the co-production of knowledge between researchers and users, who benefit from health promotion opportunities that further their participation in society. Peer-based PA programs can transcend rehabilitation to the community context with positive health behaviours that extend beyond a formal intervention."]},{"key":"dc:description.degree","label":"Dc Description Degree","values":["Ph.D."]},{"key":"dc:title","label":"Title","values":["Co-creating and Implementing a Community-Based Peer-Assisted Physical Activity Program to Promote Exercise and Sport Participation after Moderate-to-Severe Traumatic Brain Injury"]}]}],"canonical_facts":{"dc:contributor.advisor":["Colantonio, Angela","Swaine, Bonnie"],"dc:contributor.department":["Rehabilitation Science"],"dc:creator":["Quilico, Enrico L."],"dc:date":["2023-06"],"dc:date.accessioned":["2023-06-27T15:26:06Z"],"dc:date.available":["2023-06-27T15:26:06Z"],"dc:date.issued":["2023-06"],"dc:description.abstract":["Traumatic brain injury (TBI) is a leading cause of death and disability around the world, and moderate-to-severe TBI may result in long-term or lifelong sequelae that prevent individuals from returning to a pre-injury way of functioning. Physical activity (PA; e.g., exercise and sport) demonstrates the potential to alleviate some of this burden through meaningful health-improving activities that are positive for mood, community participation, and quality of life after moderate-to-severe TBI. However, adults with moderate-to-severe TBI do not participate in recommended amounts of PA. Therefore, establishing best-practice methods to support PA participation in the community after moderate-to-severe TBI is warranted for the purpose of improving long-term outcomes. This doctoral dissertation addresses that gap with (1) a scoping review of the current literature about community-based PA interventions after moderate-to-severe TBI, (2) an exploratory case study of an existing peer-based PA program being piloted in a YMCA fitness centre, (3) an interpretive case study of co-creating a tailored peer-based PA program with key stakeholders, and (4) an interpretative phenomenological analysis of COVID-19’s impact on program participants and their PA. Results showed (1) community-based PA interventions can lead to significant improvements in health-related outcomes after moderate-to-severe TBI, but further research is needed with sex and gender considerations, telehealth applications, and better intervention reporting; (2) the inner mechanisms of a peer-based PA program from the perspective of multiple stakeholders and the autonomy-supportive approaches needed to tailor the intervention for future users; (3) how the participation in and co-creation of a new optimized community-based peer-assisted program can increase PA autonomy, reduce PA barriers, and lead to important biopsychosocial benefits; and (4) the profound impact of COVID-19 and necessary considerations to support PA in a pandemic after moderate-to-severe TBI. Findings of this dissertation include implications for the rehabilitation sciences and literature. Integrated knowledge transfer approaches to co-creating a peer-based PA program in the community can lead to the co-production of knowledge between researchers and users, who benefit from health promotion opportunities that further their participation in society. Peer-based PA programs can transcend rehabilitation to the community context with positive health behaviours that extend beyond a formal intervention."],"dc:description.degree":["Ph.D."],"dc:identifier.uri":["http://hdl.handle.net/1807/127917"],"dc:rights":["Attribution-NonCommercial-NoDerivatives 4.0 International"],"dc:rights.uri":["http://creativecommons.org/licenses/by-nc-nd/4.0/"],"dc:subject":["Community","Exercise","Peer","Physical Activty","Sport","Traumatic Brain Injury"],"dc:title":["Co-creating and Implementing a Community-Based Peer-Assisted Physical Activity Program to Promote Exercise and Sport Participation after Moderate-to-Severe Traumatic Brain Injury"],"dc:type":["Thesis"]},"updated_at":"2026-07-27T21:28:09Z"}