Background.Physical activity (PA) is essential for maintaining
well-being in adults with disabilities. This population experienced reduced PA
during the COVID-19 pandemic; yet, the impact on quality of PA participation
remains unclear.Purpose.This secondary analysis explored how
pandemic restrictions impacted six experiential dimensions of quality of PA
participation among adults with disabilities.Methods.An
exploratory sequential mixed-methods design, including semi-structured
interviews (n=  10) and self-reported surveys
(n=  61), was conducted in May-2020 and February-2021.
Quality of PA participation was measured using the Measure of Experiential
Aspects of Participation (MeEAP). Participants included community-dwelling
adults over 19 years of age (mean 59.2  ±  14.0 years) living with stroke,
spinal cord injury, or other physical disabilities.Findings.Directed content analysis identified three themes related to adjusting PA
participation for restrictions, motivation barriers, and valuing social support.
These themes highlighted five factors, such as resilience, as potential
quantitative predictors of quality of PA participation. While paired
correlations with MeEAP scores were observed, these factors were not
statistically predictive in multiple regression analysis (adjustedR2= −0.14,F(10,50)  =  0.92,p=  .53).Implications.The interplay
betweenMeaning,Autonomy,Engagement, andBelongingnessdimensions
of quality of PA participation was complex, with an emphasized role for mental
health, in adults with disabilities.