An exploration of illness-related barriers to PATH-FIT participation among College Students

This qualitative phenomenological study explored illness-related barriers to participation in the PATH-FIT program among college students in selected State Universities and Colleges (SUCs) in Rizal, Philippines. Rising concerns about physical inactivity and mental health challenges among college students, coupled with a lack of research on illness-related barriers within the Philippine context, prompted this investigation. The study aimed to understand students lived experiences, identifying physical, psychological, and social factors hindering PATH-FIT engagement, and exploring supportive conditions that facilitated participation despite health issues. Fifteen students were purposively selected based on their participation in PATH-FIT and self-reported health concerns. Semi-structured interviews were conducted, and data were analyzed using thematic analysis. Findings revealed that physical limitations, mental health struggles (anxiety, depression), social anxiety, and academic burnout significantly impacted participation. Students highlighted the need for instructor understanding, flexible policies, and peer support to overcome these barriers. While recognizing PATH-FIT's value, participants emphasized the need for greater program inclusivity and accommodation for diverse health needs. The study recommends curriculum modifications, instructor training on inclusive teaching, enhanced support systems, and policy revisions to create a more equitable and accessible PATH-FIT program. Further research is needed to evaluate the effectiveness of these recommendations and explore the long-term impact of illness-related barriers.