Introduction: Physical activity (PA) and social interaction are essential to the health of individuals with and without disabilities alike. Unfortunately, individuals with disabilities have fewer opportunities to participate in PA. The purpose of this study was to examine the effects of a 10-week inclusive basketball program for students with special needs on fitness and sport-skill outcomes. Additionally, this study aimed to describe the changes in heart rate (HR) and rating of perceived exertion (RPE) reporting throughout the 10-week program. Methods: The intervention consisted of three stages: skill-based learning, modified game play, and combination--skill and modified game play. These stages included lessons that were expected to illicit low moderate, high moderate, and moderate-to-vigorous physical activity (MVPA) levels of physical activity respectively. During the 10-week intervention, HR and RPE data were collected during each session while fitness and skill assessments were conducted pre- and post-intervention. A single subject range bound changing criterion design was used to assess HR and RPE, while nonparametric statistical tests assessed differences in stage, fitness, and sport skill outcomes. Results: Visual inspection of the data demonstrated behavior stability near the MVPA range and the highest percentage of conforming data (PCD) was seen in stage 3. Verification of the data was observed as all data in stage 1 was lowest across all stages. A chi-square between stages test found significant differences (p = 0.00) in the PCD between stages. Extremely low correlations (r = -0.13 to 0.14) were found between reported RPE with HR. Aerobic fitness did not increase (p = 0.69) but decreases in one-mile run/walk times were observed. Basketball individual ball skills and offensive play did not improve (p = 0.063 and p = 1.0 respectively); however, individual defensive skills (p = 0.046) did improve. Social validity questionnaires indicated positive outcomes and support for the intervention. Conclusion: The intervention did promote greater levels of physical activity intensity, in the MVPA range, and improved individual defensive play in basketball for students with special needs. Both students with special needs and special education teachers felt the intervention and basketball program increased sport skills and positive affective outcomes and would like to expand extra-curricular activities opportunities in schools. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]