Startseite The effect of an online physical activity intervention for South Korean immigrant parents of individuals with autism spectrum disorder
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The effect of an online physical activity intervention for South Korean immigrant parents of individuals with autism spectrum disorder

  • Seo Hee Lee ORCID logo EMAIL logo und Seung Yeon Park
Veröffentlicht/Copyright: 26. August 2025
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Abstract

The main purpose of the study was to explore the perceptions of South Korean immigrant parents of individuals on the autism disorder spectrum (ASD) about participating in an online PA intervention in terms of advocating physical activity (PA) participation for their children on the autism disorder spectrum. A secondary purpose was to identify the similar or different experiences between two groups of parents (i.e., adults with ASD, children with ASD). We recruited 12 parents of adults and children on the autism disorder spectrum for this qualitative descriptive study. The data sources were a semi-structured interview with Zoom technology, a Google demographic questionnaire, and the researcher’s reflective journal. In addition, the Theory of Planned Behavior (TpB; Ajzen 1991. The theory of planned behavior. Organizational Behavior and Human Decision Processes 50(2). 179–211) served as the theoretical framework to develop the intervention (e.g., interview questions), understand the contextual meaning of parental experiences, and uncover the underlying factors shaping parents’ perceptions of teaching PA after the intervention. The data were analyzed using a constant comparative data analysis, which revealed three major themes: (a) new knowledge about PA, (b) the lack of confidence, and (c) the roles of advocacy. The overall study’s results revealed that the majority of South Korean immigrant parents of individuals on the autism disorder spectrum increased their knowledge about PA through the intervention. However, a number of perceived behavior controls, such as a lack of prior experience in PA, challenging behaviors in their children, and cultural and language differences, continued to hinder their ability to actively advocate PA participation for their children on the autism disorder spectrum.


Corresponding author: Seo Hee Lee, Turlock Unified School District, Valencia, USA, E-mail:

References

Ajzen, Icek. 1991. The theory of planned behavior. Organizational Behavior and Human Decision Processes 50(2). 179–211.10.1016/0749-5978(91)90020-TSuche in Google Scholar

Ajzen, Icek. 2000. Attitudes, personality, and behavior, 2nd edn. Milton-Keynes: McGraw-Hill Education.Suche in Google Scholar

Ajzen, Icek. 2002. Perceived behavioral control, self-efficacy, locus of control, and the theory of planned Behavior. Journal of Applied Social Psychology 32(4). 665–683. https://doi.org/10.1111/j.1559-1816.2002.tb00236.x.Suche in Google Scholar

Ajzen, Icek & Nicole Gilbert Cote. 2008. Attitudes and the prediction of behavior. In William D. Crano & Radmila Prislin (eds.), Attitudes and attitude change, 289–311. New York: Psychology Press.Suche in Google Scholar

Ajzen, Icek & Martin Fishbein. 1980. Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice-Hall.Suche in Google Scholar

American Psychiatric Association. 2013. Diagnostic and statistical manual of mental disorders, 5th edn. Washington, DC: American Psychiatric Association.10.1176/appi.books.9780890425596Suche in Google Scholar

Augestad, Liv Berit & Lin Jiang. 2015. Physical activity, physical fitness, and body composition among children and young adults with visual impairments: A systematic review. British Journal of Visual Impairment 33(3). 167–182. https://doi.org/10.1177/0264619615599813.Suche in Google Scholar

Ayvazoglu, Nalan R., Francis M. Kozub, Gretchen Butera & Maresa J. Murray. 2015. Determinants and challenges in physical activity participation in families with children with high functioning autism spectrum disorders from a family systems perspective. Research in Developmental Disabilities 47. 93–105. https://doi.org/10.1016/j.ridd.2015.08.015.Suche in Google Scholar

Baio, Jon, Lisa Wiggins, Deborah L. Christensen, Matthew J. Maenner, Julie Daniels, Zachary Warren, Margaret Kurzius-Spencer, Catherine Zahorodny, Maureen S. Durkin, Maureen Rice, John N. Constantino, Li-Ching Lee, Diana Schieve, Marshalyn Yeargin-Allsopp, Kim Van Naarden Braun, Jennifer L. Dowling & Susan S. Christensen. 2018. Prevalence of autism spectrum disorder among children aged 8 years – Autism and Developmental Disabilities Monitoring Network, 11 sites, United States, 2014. MMWR. Surveillance Summaries 67(6). 1–23. https://doi.org/10.15585/mmwr.ss6706a1.Suche in Google Scholar

Bandura, Albert. 1986. Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.Suche in Google Scholar

Betancourt, Hector & Steven R. López. 1993. The study of culture, ethnicity, and race in American psychology. American Psychologist 48(6). 629–637. https://doi.org/10.1037/0003-066X.48.6.629.Suche in Google Scholar

Boeije, Hennie. 2002. A purposeful approach to the constant comparative method in the analysis of qualitative interviews. Quality and Quantity 36(4). 391–409.10.1023/A:1020909529486Suche in Google Scholar

Buchanan, Alice M., Benjamin Miedema & Georgia C. Frey. 2017. Parents’ perspectives of physical activity in their adult children with autism spectrum disorder: A social-ecological approach. Adapted Physical Activity Quarterly 34(4). 401–420. https://doi.org/10.1123/apaq.2016-0099.Suche in Google Scholar

Budiman, Abby, Anthony Cilluffo & Neil G. Ruiz. 2019. Key facts about Asian origin groups in the U.S. Washington, D.C.: Pew Research Center. https://www.pewresearch.org/social-trends/2019/07/23/key-facts-about-asian-origin-groups-in-the-u-s/ (accessed 9 May 2025).Suche in Google Scholar

Cardon, Adair & Tara Marshall. 2021. To raise a child with autism spectrum disorder: A qualitative, comparative study of parental experiences in the United States and Senegal. Transcultural Psychiatry 58(3). 335–350. https://doi.org/10.1177/1363461520953342.Suche in Google Scholar

Colorafi, Karen Jiggins & Bronwynne Evans. 2016. Qualitative descriptive methods in health science research. HERD: Health Environments Research and Design Journal 9(4). 16–25. https://doi.org/10.1177/1937586715614171.Suche in Google Scholar

Columna, Luis, Justin A. Haegele, Ashlyn Barry & Laura Prieto. 2024. “I can do it”: Perceived competence of parents of autistic children after participating in a physical activity intervention. Journal of Physical Activity and Health 21(3). 275–282. https://doi.org/10.1123/jpah.2023-0669.Suche in Google Scholar

Columna, Luis, Laura A. Prieto, Pamela Beach, Natalie Russo & John T. Foley. 2021. A randomized feasibility trial of a fundamental motor skill parent-mediated intervention for children with autism spectrum disorders. International Journal of Environmental Research and Public Health 18(23). 12398. https://doi.org/10.3390/ijerph182312398.Suche in Google Scholar

Columna, Luis, Laura Prieto, Gianpietro Elias-Revolledo & Justin A. Haegele. 2020. The perspectives of parents of youth with disabilities toward physical activity: A systematic review. Disability and Health Journal 13(2). 100851. https://doi.org/10.1016/j.dhjo.2019.100851.Suche in Google Scholar

Columna, Luis, Denzil A. Streete, Samuel R. Hodge, Suzanna Rocco Dillon, Beth Myers, Michael L. Norris, Tiago V. Barreira & Kevin S. Heffernan. 2018. Parents’ beliefs about physical activity for their children with visual impairments. Adapted Physical Activity Quarterly 35(4). 361–380. https://doi.org/10.1123/apaq.2017-0084.Suche in Google Scholar

Creswell, John W. & Cheryl N. Poth. 2016. Qualitative inquiry and research design: Choosing among five approaches, 4th edn. Thousand Oaks, CA: Sage.Suche in Google Scholar

Cross, Christopher T. & M. Suzanne Donovan (eds.). 2002. Minority students in special and gifted education. Washington, D.C.: National Academies Press.Suche in Google Scholar

Glaser, Barney G. & Anselm L. Strauss. 2017. The discovery of grounded theory: Strategies for qualitative research, 1st edn. Chicago, IL: Aldine Publishing.10.4324/9780203793206-1Suche in Google Scholar

Haegele, Justin A. & David Porretta. 2015. Physical activity and school-age individuals with visual impairments: A literature review. Adapted Physical Activity Quarterly 32(1). 68–82. https://doi.org/10.1123/apaq.2013-0110.Suche in Google Scholar

Healy, Sean, Justin A. Haegele, Michelle Grenier & Jeanette M. Garcia. 2017. Physical activity, screen-time behavior, and obesity among 13-year olds in Ireland with and without autism spectrum disorder. Journal of Autism and Developmental Disorders 47(1). 49–57. https://doi.org/10.1007/s10803-016-2920-4.Suche in Google Scholar

Healy, Seán & Geneviève Marchand. 2020. The feasibility of project CHASE: A Facebook-delivered, parent-mediated physical activity intervention for children with autism. International Journal of Disability, Development and Education 67(2). 225–242. https://doi.org/10.1080/1034912X.2019.1597968.Suche in Google Scholar

Hernandez, Donald J., Nancy A. Denton & Suzanne E. Macartney. 2008. Children in immigrant families: Looking to America’s future. Social Policy Report 22(3). 1–24. https://doi.org/10.1002/j.2379-3988.2008.tb00056.x.Suche in Google Scholar

Hillier, Ashleigh, Abigail Buckingham & David Schena. 2020. Physical activity among adults with autism: Participation, attitudes, and barriers. Perceptual and Motor Skills 127(5). 874–890. https://doi.org/10.1177/003151252092756.Suche in Google Scholar

Hinckson, Erica A., Annette Dickinson, Tineke Water, Madeleine Sands & Lara Penman. 2013. Physical activity, dietary habits and overall health in overweight and obese children and youth with intellectual disability or autism. Research in Developmental Disabilities 34(4). 1170–1178. https://doi.org/10.1016/j.ridd.2012.12.006.Suche in Google Scholar

Jegatheesan, Brinda. 2009. Cross-cultural issues in parent-professional interactions: A qualitative study of perceptions of Asian American mothers of children with developmental disabilities. Research and Practice for Persons with Severe Disabilities 34(3–4). 123–136. https://doi.org/10.2511/rpsd.34.3-4.123.Suche in Google Scholar

Jeong, Mihye, So-Yeun Kim & Euikyung Lee. 2015. Parents’ beliefs and intentions toward supporting physical activity participation for their children with disabilities. Adapted Physical Activity Quarterly 32(2). 93–105. https://doi.org/10.1123/APAQ.2013-0106.Suche in Google Scholar

Ku, Byungmo & Justin A. Haegele. 2023. Understanding parental physical activity behaviours in parents of children with disabilities: An expanded theory of planned behaviour approach. Journal of Intellectual and Developmental Disability 48(2). 117–126. https://doi.org/10.3109/13668250.2022.2104448.Suche in Google Scholar

Kuhn, Jennifer C. & Alice S. Carter. 2006. Maternal self-efficacy and associated parenting cognitions among mothers of children with autism. American Journal of Orthopsychiatry 76(4). 564–575. https://doi.org/10.1037/0002-9432.76.4.564.Suche in Google Scholar

Lai, Yuan & F. Ishu Ishiyama. 2004. Involvement of immigrant Chinese Canadian mothers of children with disabilities. Exceptional Children 71(1). 107–122. https://doi.org/10.1177/001440290407100106.Suche in Google Scholar

Lee, Seo Hee, Seungyeon Park & Samuel R. Hodge. 2023. South Korean immigrant parents’ experiences and perspectives about facilitating community physical activity programming. International Education and Culture Studies 3(2). 12–32.Suche in Google Scholar

MacDonald, Megan, Catherine Lord & Dale A. Ulrich. 2013. The relationship of motor skills and social communicative skills in school-aged children with autism spectrum disorder. Adapted Physical Activity Quarterly 30(3). 271–282. https://doi.org/10.1123/apaq.30.3.271.Suche in Google Scholar

Maenner, Matthew J., Zachary Warren, Ashley Robinson Williams, Esther Amoakohene, Amanda V. Bakian, Deborah A. Bilder, Maureen S. Durkin, Whitney Rice, Li-Ching Lee, Catherine E. Rice, Jennifer L. Wiggins, John N. Constantino, Susan S. Christensen, Marshalyn Yeargin-Allsopp, Kim Van Naarden Braun, Carolyn DiGuiseppi, Kayla N. Anderson & Jon Baio. 2023. Prevalence and characteristics of autism spectrum disorder among children aged 8 years – Autism and Developmental Disabilities Monitoring Network, 11 sites, United States, 2020. MMWR. Surveillance Summaries 72(2). 1–14. https://doi.org/10.15585/mmwr.ss7202a1.Suche in Google Scholar

Mandell, David S., John Listerud, Susan E. Levy & Jennifer A. Pinto-Martin. 2002. Race differences in the age at diagnosis among Medicaid-eligible children with autism. Journal of the American Academy of Child and Adolescent Psychiatry 41(12). 1447–1453. https://doi.org/10.1097/00004583-200212000-00016.Suche in Google Scholar

Merriam, Sharan B. & Elizabeth J. Tisdell. 2015. Qualitative research: A guide to design and implementation, 4th edn. Hoboken, NJ: Jossey-Bass.Suche in Google Scholar

Michie, Susan, Maartje M. Van Stralen & Robert West. 2011. The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science 6(1). 42. https://doi.org/10.1186/1748-5908-6-42.Suche in Google Scholar

Muñoz, Ricardo F. & Tamar Mendelson. 2005. Toward evidence-based interventions for diverse populations: The San Francisco General Hospital prevention and treatment manuals. Journal of Consulting and Clinical Psychology 73(5). 790–799. https://doi.org/10.1037/0022-006X.73.5.790.Suche in Google Scholar

Nachshen, Jennifer S. & Patricia Minnes. 2005. Empowerment in parents of school-aged children with and without developmental disabilities. Journal of Intellectual Disability Research 49(12). 889–904. https://doi.org/10.1111/j.1365-2788.2005.00734.x.Suche in Google Scholar

Natow, Rebecca S. 2020. The use of triangulation in qualitative studies employing elite interviews. Qualitative Research 20(2). 160–173. https://doi.org/10.1177/1468794119830077.Suche in Google Scholar

Neergaard, Mette Asbjoern, Frede Olesen, Rikke Sand Andersen & Jens Sondergaard. 2009. Qualitative description – the poor cousin of health research? BMC Medical Research Methodology 9(1). 52. https://doi.org/10.1186/1471-2288-9-52.Suche in Google Scholar

Nichols, Chad, Martin E. Block, Jason C. Bishop & Brandon McIntire. 2019. Physical activity in young adults with autism spectrum disorder: Parental perceptions of barriers and facilitators. Autism 23(6). 1398–1407. https://doi.org/10.1177/1362361318810221.Suche in Google Scholar

Obrusnikova, Iva & Albert R. Cavalier. 2011. Perceived barriers and facilitators of participation in after-school physical activity by children with autism spectrum disorders. Journal of Developmental and Physical Disabilities 23(3). 195–211. https://doi.org/10.1007/s10882-010-9215-z.Suche in Google Scholar

Obrusnikova, Iva & Suzanna R. Dillon. 2011. Challenging situations when teaching children with autism spectrum disorders in general physical education. Adapted Physical Activity Quarterly 28(2). 113–131. https://doi.org/10.1123/apaq.28.2.113.Suche in Google Scholar

Obrusnikova, Iva & Dannielle L. Miccinello. 2012. Parent perceptions of factors influencing after-school physical activity of children with autism spectrum disorders. Adapted Physical Activity Quarterly 29(1). 63–80. https://doi.org/10.1123/apaq.29.1.63.Suche in Google Scholar

Pan, Chien-Yu & Georgia C. Frey. 2005. Identifying physical activity determinants in youth with Autistic spectrum disorders. Journal of Physical Activity and Health 2(4). 412–422. https://doi.org/10.1123/jpah.2.4.412.Suche in Google Scholar

Pan, Chien-Yu, Chia-Liang Tsai & Kai-Wen Hsieh. 2011. Physical activity correlates for children with autism spectrum disorders in middle school physical education. Research Quarterly for Exercise and Sport 82(3). 491–498. https://doi.org/10.1080/02701367.2011.10599782.Suche in Google Scholar

Patton, Michael Quinn. 2008. Utilization-focused evaluation, 4th edn. Thousand Oaks, CA: Sage Publications.Suche in Google Scholar

Perkins, Kara, Luis Columna, Lauren Lieberman & JoEllen Bailey. 2013. Parents’ perceptions of physical activity for their children with visual impairments. Journal of Visual Impairment and Blindness 107(2). 131–142. https://doi.org/10.1177/0145482X1310700206.Suche in Google Scholar

Pitchford, E. Andrew, Erin Siebert, Jessica Hamm & Joonkoo Yun. 2016. Parental perceptions of physical activity benefits for youth with developmental disabilities. American Journal on Intellectual and Developmental Disabilities 121(1). 25–32. https://doi.org/10.1352/1944-7558-121.1.25.Suche in Google Scholar

Rimmer, James H., Barth Riley, Edward Wang, Amy Rauworth & Janine Jurkowski. 2004. Physical activity participation among persons with disabilities. American Journal of Preventive Medicine 26(5). 419–425. https://doi.org/10.1016/j.amepre.2004.02.002.Suche in Google Scholar

Robertson, Janet, Chris Hatton, Eric Emerson & Susannah Baines. 2015. Prevalence of epilepsy among people with intellectual disabilities: A systematic review. Seizure 29. 46–62. https://doi.org/10.1016/j.seizure.2015.03.016.Suche in Google Scholar

Sakai, Christina, Christina Mulé, Amy LeClair, Frances Chang, Samantha Sliwinski, Yoyo Yau & Karen M. Freund. 2019. Parent and provider perspectives on the diagnosis and management of autism in a Chinese immigrant population. Journal of Developmental and Behavioral Pediatrics 40(4). 257–265. https://doi.org/10.1097/DBP.0000000000000660.Suche in Google Scholar

Sandelowski, Margarete. 2000. Whatever happened to qualitative description? Research in Nursing and Health 23(4). 334–340.10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-GSuche in Google Scholar

Staples, Kerri L. & Greg Reid. 2010. Fundamental movement skills and autism spectrum disorders. Journal of Autism and Developmental Disorders 40(2). 209–217. https://doi.org/10.1007/s10803-009-0854-9.Suche in Google Scholar

Steinmetz, Holger, Michael Knappstein, Icek Ajzen, Peter Schmidt & Rüdiger Kabst. 2016. How effective are behavior change interventions based on the theory of planned behavior? A three-level meta-analysis. Zeitschrift für Psychologie 224(3). 216–233. https://doi.org/10.1027/2151-2604/a000255.Suche in Google Scholar

Tesch, Renata. 2013. Qualitative research: Analysis types and software, 0 edn. New York, NY: Routledge.10.4324/9781315067339Suche in Google Scholar

Ulrich, Donald A. 2019. Test of gross motor development, 3rd edn. Austin, TX: Pro-Ed.10.1037/t87935-000Suche in Google Scholar

U.S. Department of Education. 2000. Twenty-second annual report to Congress on the implementation of the individuals with disabilities education act. Washington, D.C.: Office of Special Education Programs.Suche in Google Scholar

Wang, Hsiu-Chi & Emily A. West. 2016. Asian American immigrant parents supporting children with autism: Perceptions of fathers and mothers. International Journal of Whole Schooling 12(1). 1–21.Suche in Google Scholar

Welterlin, Aurelie & Robert H. LaRue. 2007. Serving the needs of immigrant families of children with autism. Disability and Society 22(7). 747–760. https://doi.org/10.1080/09687590701659600.Suche in Google Scholar

White, Rebecca M. B., Kimberly A. Updegraff, Adriana J. Umaña-Taylor, Katharine H. Zeiders, Norma Perez-Brena & Elizabeth Burleson. 2017. Neighborhood and school ethnic structuring and cultural adaptations among Mexican-origin adolescents. Developmental Psychology 53(3). 511–524. https://doi.org/10.1037/dev0000269.Suche in Google Scholar

Yardley, Lucy. 2000. Dilemmas in qualitative health research. Psychology and Health 15(2). 215–228. https://doi.org/10.1080/08870440008400302.Suche in Google Scholar

Yin, Robert K. 2014. Case study research: Design and methods, 5th edn. Thousand Oaks, CA: Sage Publications.Suche in Google Scholar

Received: 2024-12-03
Accepted: 2025-06-05
Published Online: 2025-08-26

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