Perceptions of Barriers, Facilitators, and Outcomes of Aerobic Exercise in Community Fitness Facilities by Adults With Intellectual Disability

Background Adults with intellectual disability do not meet recommended physical activity (PA) levels, contributing to sedentary lifestyles and health disparities. Community fitness facilities (CFFs) present valuable opportunities for engagement but are often underutilised. Method This mixed‐methods study, grounded in Social Cognitive Theory, combined semi‐structured interviews and quantitative functional assessments to examine the perceived benefits, costs, barriers, and facilitators of aerobic exercise amongst 20 adults with intellectual disability, aged 19–43. Associations between perceptions, PA, and exercise performance were examined. Results Participants perceived substantial health benefits from aerobic exercise. However, physical discomfort and environmental constraints were commonly cited and were associated with lower PA levels and performance. Some perceived facilitators were unexpectedly correlated with increased sedentariness and lower functional performance, possibly due to programme design misalignments. Conclusions To enhance participation and health outcomes, CFF programmes must be tailored to address individual psychological needs and physical capabilities, whilst also improving accessibility and support.