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Jofré Urrutia M, Bedregal P, Lizama M. Adapting a quality of life scale for children and young people with Down syndrome in Chile. Am J Med Genet A 2024; 194:233-242. [PMID: 37807345 DOI: 10.1002/ajmg.a.63414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 08/31/2023] [Accepted: 09/10/2023] [Indexed: 10/10/2023]
Abstract
In Chile, there are no validated instruments for the evaluation of quality of life (QoL) of people with Down syndrome (DS). To analyze construct validity and reliability of the KidsLife-Down scale in Chile to measure QoL in people with DS aged from 4 to 21 years. Families of boys, girls, and young people with DS between 4 and 21 years were invited to participate. The scale was answered by relatives or caregivers. To assess the internal consistency, reliability tests were performed using Cronbach's alpha coefficient. A confirmatory factor analysis was performed. The scale was answered by 531 relatives or caregivers. Cronbach's coefficient was greater than 0.7 in all the items. The confirmatory factor analysis of the scale allowed its validation for clinical use in the Chilean population. "Kids Life Down-Chile" scale has adequate psychometric properties to be used in clinical practice and to help us improve QoL with better support strategies.
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Affiliation(s)
- Macarena Jofré Urrutia
- Department of Pediatrics, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Paula Bedregal
- Public Health Department, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Macarena Lizama
- Department of Pediatrics, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
- Centro UC síndrome de Down, Santiago, Chile
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Sun KA, Moon J. Relationship between Subjective Health, the Engel Coefficient, Employment, Personal Assets, and Quality of Life for Korean People with Disabilities. Healthcare (Basel) 2023; 11:2994. [PMID: 37998486 PMCID: PMC10671432 DOI: 10.3390/healthcare11222994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Revised: 11/15/2023] [Accepted: 11/17/2023] [Indexed: 11/25/2023] Open
Abstract
The aim of this research is to examine the effect of subjective health on the quality of life of Korean people with disabilities. The second goal of this study is to examine the effect of the Engel coefficient on quality of life. Additionally, this study is conducted to inspect the effect of employment and personal assets on quality of life. Further, in this work, the moderating effect of personal assets on the association between employment and quality of life for people with a disability is explored. The Panel Survey of Employment for the Disabled served as the source of data. The study period ranges from 2016 to 2018. To test the research hypotheses, this study adopted econometric analyses, namely, ordinary least squares, fixed effect, and random effect models. The results revealed that the quality of life for people with disabilities is positively influenced by subjective health, employment, and personal assets. In contrast, the Engel coefficient exerts a negative impact on quality of life. Plus, the finding indicates that personal assets negatively moderate the relationship between employment and quality of life for people with disabilities. This research is aimed at presenting policy implications for the welfare of people with disabilities.
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Affiliation(s)
- Kyung-A Sun
- Department of Tourism Management, Gachon University, Seongnam 13120, Republic of Korea;
| | - Joonho Moon
- Department of Tourism Administration, Kangwon National University, Chuncheon 24341, Republic of Korea
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3
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Fellinger M, Holzinger D, Fogler J, Fellinger J. Exploring spirituality and quality of life in individuals who are deaf and have intellectual disabilities. Soc Psychiatry Psychiatr Epidemiol 2023; 58:1709-1718. [PMID: 36894659 PMCID: PMC10562275 DOI: 10.1007/s00127-023-02451-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Accepted: 02/27/2023] [Indexed: 03/11/2023]
Abstract
PURPOSE While positive contributions of religion and spirituality (R/S) to quality of life (QOL) are confirmed by a growing body of evidence, only limited research has involved people with intellectual disabilities and so far, no studies included prelingually deaf individuals with intellectual disabilities. This study explores the role of R/S in people with intellectual disabilities and deafness living in three therapeutic living communities specifically adapted to their needs. METHODS Forty-one individuals (mean age: 46.93 years, 43.9% female) with prelingual deafness and mild to moderate intellectual disability participated in structured sign language interviews adapted to their cognitive-developmental level, regarding their QOL, individual spirituality and participation in spiritual practices in the community. Participants' QOL was assessed with an established short measure for QOL (EUROHIS-QOL) adapted to easy-to-understand sign language. With 21 participants, qualitative interviews were conducted. In addition, proxy ratings from caregivers were obtained. RESULTS The participants' ratings of their individual spirituality (r = 0.334; p = 0.03) and spiritual practices-in-community (r = 0.514; p = 0.00) correlated positively with their self-reported QOL. Qualitative findings illustrate the importance of R/S and give insights into R/S concepts and practices. CONCLUSIONS Personal spirituality and participating in spiritual practices are positively related to self-reported quality of life in deaf individuals with intellectual disability (ID). As a consequence, access to spiritual and religious services should be included in comprehensive programs and society at large.
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Affiliation(s)
- Maria Fellinger
- Research Institute for Developmental Medicine, Johannes Kepler University, 4020 Linz, Austria
| | - Daniel Holzinger
- Research Institute for Developmental Medicine, Johannes Kepler University, 4020 Linz, Austria
- Institute of Neurology of Senses and Language, Hospital of St. John of God, 4020 Linz, Austria
- Institute of Linguistics, University of Graz, 8010 Graz, Austria
| | - Jason Fogler
- Research Institute for Developmental Medicine, Johannes Kepler University, 4020 Linz, Austria
- Division of Developmental Medicine, Boston Children’s Hospital and Departments of Pediatrics and Psychiatry, Harvard Medical School, Boston, MA 02115 USA
- Leadership Education in Neurodevelopmental and Related Disabilities/Institute for Community Inclusion (LEND/ICI), Boston Children’s Hospital, Boston, MA 02115 USA
| | - Johannes Fellinger
- Research Institute for Developmental Medicine, Johannes Kepler University, 4020 Linz, Austria
- Institute of Neurology of Senses and Language, Hospital of St. John of God, 4020 Linz, Austria
- Division of Social Psychiatry, University Clinic for Psychiatry and Psychotherapy, Medical University of Vienna, 1090 Vienna, Austria
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Franco E, Ocete C, Pérez-Calzado E, Berástegui A. Physical Activity and Quality of Life among People with Intellectual Disabilities: The Role of Gender and the Practice Characteristics. Behav Sci (Basel) 2023; 13:773. [PMID: 37754051 PMCID: PMC10525751 DOI: 10.3390/bs13090773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 09/08/2023] [Accepted: 09/14/2023] [Indexed: 09/28/2023] Open
Abstract
Staying physically active is synonymous with good health and well-being, and its benefits on the health of people with intellectual disabilities (PWIDs) have been studied. However, there is a lack of information on how it can influence their quality of life (QoL). This study aimed to analyze the relationship between QoL and physical activity in PWIDs according to gender and the characteristics of the practiced activity. A questionnaire was administered to 380 PWIDs (mean age of 28.23 ± 12.53), 54.21% of which were men. The QoL dimensions and second-order factors were studied in relation to practicing physical activity, the practice type, the context, and gender. The results indicate that people who practiced any activity showed better QoL values. Those who engaged in a nonregulated physical activity had better values in self-determination, emotional well-being, social inclusion, and personal development, while those who did sports presented higher scores in interpersonal relationships and physical well-being. In addition, it also appears that the association between physical activity and the QoL dimensions is distinct in inclusive and specific contexts. In conclusion, physical activity is related to a better QoL, although the impact of the practice type and context differs for each QoL dimension.
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Affiliation(s)
- Evelia Franco
- Communication and Education Department, Loyola Andalucía University, Av. de las Universidades, 2, 41704 Dos Hermanas, Spain;
| | - Carmen Ocete
- Education, Research Methods and Evaluation Department, Comillas Pontifical University, C/Universidad de Comillas 3, 28049 Madrid, Spain;
| | - Elena Pérez-Calzado
- Education, Research Methods and Evaluation Department, Comillas Pontifical University, C/Universidad de Comillas 3, 28049 Madrid, Spain;
| | - Ana Berástegui
- University Family Institute, Comillas Pontifical University, C/Universidad de Comillas 3, 28049 Madrid, Spain;
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Tatsuta M, Kawai N, Ushiyama M. The quality of life of individuals with intellectual disability: Differences between Denmark and Japan. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2023; 27:573-597. [PMID: 35506908 DOI: 10.1177/17446295221088706] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Despite recent developments in measurement tools to assess the quality of life of individuals with intellectual disability, little is known about the cultural aspects that affect their quality of life. This study examined the universal and cultural characteristics of the quality of life of individuals with intellectual disability in Denmark and Japan through a factor analysis of the Personal Outcomes Scale and analysing qualitative comments in both self-report and report-of-others components of the scale. Factor analysis and qualitative comments in self-report showed that personal development and self-determination, as well as well-being and social participation, were experienced as important components of quality of life in Denmark. Conversely, personal development and self-determination were less frequently mentioned in Japan. The findings reflect the general characteristics of quality of life in each culture and the current conditions of independence and available support for individuals with intellectual disability in Denmark and Japan.
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Affiliation(s)
- Mizuho Tatsuta
- Department of Sociology, Ryukoku University, Shiga, Japan
| | - Norimune Kawai
- Graduate School of Humanities and Social Sciences, Hiroshima University, Higashi-Hiroshima, Japan
| | - Michio Ushiyama
- Department of Special Needs Education, Kyoto University of Education, Kyoto, Japan
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Jacinto M, Rodrigues F, Monteiro D, Antunes R, Ferreira JP, Matos R, Campos MJ. Quality of Life in Individuals with Intellectual and Developmental Disabilities: The Congruency Effect between Reports. Healthcare (Basel) 2023; 11:1748. [PMID: 37372866 DOI: 10.3390/healthcare11121748] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Revised: 06/09/2023] [Accepted: 06/13/2023] [Indexed: 06/29/2023] Open
Abstract
Assessing quality of life (QoL) is important to provide personalized and individualized support plans with the purpose of improving personal outcomes. Based on the conceptual model of QoL, the aim of this study was to assess the congruence between the perceptions of institutionalized individuals with intellectual and developmental disabilities (IDD) and the perception of a third party, regarding QoL. Forty-two individuals participated in this study, including twenty-one with mild to severe IDD and their family members/caregiver/reference technician, who responded to the Personal Outcomes Scale (Portuguese version). Significant differences (p < 0.05) were found between reports in the personal development (t = -2.26; p = 0.024), emotional well-being (t = -2.263; p = 0.024), physical well-being (t = -2.491; p = 0.013) and total QoL (t = -2.331; p = 0.02). The results further show that most third-party reports tend to undervalue the QoL of the individual with IDD, and that there is no congruence in any of the QoL domains. The inclusion of self-reports in the QoL assessment is important. In addition to the assessment of third-party reports, the process of making decisions appropriate to the context and individual characteristics is equally important. On the other hand, the inclusion of third-party reports is an opportunity to promote communication among all stakeholders, recognize and discuss differences, and promote QoL, not only of individuals with IDD, but also of families.
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Affiliation(s)
- Miguel Jacinto
- Faculty of Sport Sciences and Physical Education, University of Coimbra, 3040-248 Coimbra, Portugal
- ESECS, Polytechnic of Leiria, 2411-901 Leiria, Portugal
- Life Quality Research Centre (CIEQV), 2040-413 Rio Maior, Portugal
| | - Filipe Rodrigues
- ESECS, Polytechnic of Leiria, 2411-901 Leiria, Portugal
- Life Quality Research Centre (CIEQV), 2040-413 Rio Maior, Portugal
| | - Diogo Monteiro
- ESECS, Polytechnic of Leiria, 2411-901 Leiria, Portugal
- Life Quality Research Centre (CIEQV), 2040-413 Rio Maior, Portugal
- Research Center in Sport Sciences, Health Sciences and Human Development (CIDESD), 5001-801 Vila Real, Portugal
| | - Raul Antunes
- ESECS, Polytechnic of Leiria, 2411-901 Leiria, Portugal
- Life Quality Research Centre (CIEQV), 2040-413 Rio Maior, Portugal
- Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, 2411-901 Leiria, Portugal
| | - José Pedro Ferreira
- Faculty of Sport Sciences and Physical Education, University of Coimbra, 3040-248 Coimbra, Portugal
- Research Center for Sport and Physical Activity (CIDAF), 3040-248 Coimbra, Portugal
| | - Rui Matos
- ESECS, Polytechnic of Leiria, 2411-901 Leiria, Portugal
- Life Quality Research Centre (CIEQV), 2040-413 Rio Maior, Portugal
| | - Maria João Campos
- Faculty of Sport Sciences and Physical Education, University of Coimbra, 3040-248 Coimbra, Portugal
- Research Center for Sport and Physical Activity (CIDAF), 3040-248 Coimbra, Portugal
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Madhesh A. Quality of life of higher education students with disabilities at Shaqra University. RESEARCH IN DEVELOPMENTAL DISABILITIES 2023; 138:104520. [PMID: 37196435 DOI: 10.1016/j.ridd.2023.104520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Revised: 04/10/2023] [Accepted: 04/28/2023] [Indexed: 05/19/2023]
Abstract
Saudi Arabia, through its Vision 2030, seeks to enhance the Quality of Life (QoL) of all individuals who live there. Therefore, this study aimed to examine the of QoL of students with disabilities in a Saudi university (Shaqra University) as a case study. Although this study was conducted in one university, many students with disabilities around the world are facing the same systematic practices in many universities (Carballo et al., 2021; Khayatzadeh-Mahani et al., 2020). Therefore, this study used qualitative research by interviewing all students with disabilities who are registered at the university for the academic year 2022-2023. In addition to these 11 students with disabilities, 2 senior university administrators who have a direct relationship with the services provided to these students were also interviewed. The overall outcomes confirm that the QoL for these students is very low due to multiple factors that were discussed in detail.
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Affiliation(s)
- Abdullah Madhesh
- Special Education Department, Shaqra University, Shaqra, Saudi Arabia.
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Morán L, Gómez LE, Verdugo MÁ, Schalock RL. The Quality of Life Supports Model as a Vehicle for Implementing Rights. Behav Sci (Basel) 2023; 13:bs13050365. [PMID: 37232602 DOI: 10.3390/bs13050365] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 04/19/2023] [Accepted: 04/26/2023] [Indexed: 05/27/2023] Open
Abstract
The Quality of Life Supports Model (QOLSM) is emerging as a new framework that is applicable to people with disabilities in general, but specially to people with intellectual and developmental disabilities (IDD). The aim of this conceptual paper is twofold. Firstly, it aims to show the overlap between the QOLSM and the Convention on the Rights of People with Disabilities (CRPD), highlighting how the former can be used to address many of the goals and rights embedded in the latter. Secondly, the article seeks to illustrate the connection between these two frameworks and highlight the importance of acknowledging and measuring the rights of people with IDD. Therefore, we posit that the new #Rights4MeToo scale is ideal for: (a) providing accessible means and opportunities for people with IDD to identify and communicate their needs regarding their rights; (b) enhancing the supports and services that families and professionals provide to them; and (c) guiding organizations and policies to identify strengths and needs in relation to rights and quality of life. We also discuss future research needs and summarize the main findings of this article, highlighting its implications for practice and research.
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Affiliation(s)
- Lucía Morán
- Department of Psychology, University of Oviedo, 33003 Oviedo, Spain
| | - Laura E Gómez
- Department of Psychology, University of Oviedo, 33003 Oviedo, Spain
| | - Miguel Ángel Verdugo
- Institute on Community Integration (INICO) and Department of Personality, Assessment and Psychological Treatments, University of Salamanca, 37005 Salamanca, Spain
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Randall KN, Bernard G, Durah L. Association between employment status and quality of life for individuals with intellectual or developmental disability. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2023; 36:270-280. [PMID: 36398731 PMCID: PMC9918662 DOI: 10.1111/jar.13053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 10/21/2022] [Accepted: 10/31/2022] [Indexed: 11/19/2022]
Abstract
The current study examined how employment conditions (competitive employment, work center employment, unemployment) are associated with the quality of life (QoL) for individuals with intellectual or developmental disabilities. Using the Comprehensive Quality of Life Scale - Intellectual/Cognitive Disability (5th Edition; ComQoL-I5; Cummins, 1997a) to measure objective QoL factors, and the PWI-ID (Personal Wellbeing Index - Intellectual Disability, 3rd Edition; Cummins & Lau, 2005b) to measure subjective well-being, participants answered self-reporting questions regarding the seven QoL domains. Kruskal-Wallis H for Oneway Analysis of Variance was used to determine statistical significance between comparison work conditions. Results indicate significant findings in the objective QoL domains of Material Well-Being, Productivity, and Safety between the work conditions for individuals with intellectual and developmental disabilities, with participants in the competitive-employment group reporting the highest QoL objective scores in these areas. Implications of these findings for practice and research are discussed.
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10
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Roberts MA, Abery BH. A person-centered approach to home and community-based services outcome measurement. FRONTIERS IN REHABILITATION SCIENCES 2023; 4:1056530. [PMID: 36817716 PMCID: PMC9929050 DOI: 10.3389/fresc.2023.1056530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Accepted: 01/10/2023] [Indexed: 02/04/2023]
Abstract
In the United States, over 2.5 million people with disabilities are recipients of supports through the Center for Medicare and Medicaid Services (CMS) Home and Community-Based Services (HCBS) program. Recent decades have seen a growing focus on providing HCBS in a person-centered manner thereby supporting outcomes that are both important for and to the person. HCBS outcome measurement, however, has not kept pace with advancements in person-centered thinking as it relates to providing supports to people with disabilities. The concept of person-centered outcome measurement has been inadequately defined and is frequently misunderstood including by those in the measurement field. The authors first operationally define person-centered measurement and establish its importance within the context of HCBS and the recent CMS's Final Settings Rule. The important role that person-centered measurement has to play in quality improvement efforts in this area is then explored. A discussion is subsequently provided as to the challenges that are faced in person-centered measurement specific to the disability field. In addition to further conceptualizing and defining this form of measurement, recommendations are provided for moving the field forward.
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Pérez-Curiel P, Vicente E, Morán ML, Gómez LE. The Right to Sexuality, Reproductive Health, and Found a Family for People with Intellectual Disability: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20021587. [PMID: 36674341 PMCID: PMC9864803 DOI: 10.3390/ijerph20021587] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 01/08/2023] [Accepted: 01/12/2023] [Indexed: 05/31/2023]
Abstract
Although sexuality, reproductive health, and starting a family are human rights that should be guaranteed for all citizens, they are still taboo issues for people with intellectual disability (ID), and even more so for women with ID. This paper systematically reviews the current qualitative and quantitative evidence on the rights of people with ID in regard to Articles 23 (right to home and family) and 25 (health, specifically sexual and reproductive health) of the Convention on the Rights of Persons with Disabilities (CRPD). A systematic review of the current literature, following PRISMA 2020, was carried out in ERIC, PsychInfo, Scopus, PubMed, ProQuest, and Web of Science. In all, 151 articles were included for review. The studies were categorized into six themes: attitudes, intimate relationships, sexual and reproductive health, sexuality and sex education, pregnancy, and parenthood. There are still many barriers that prevent people with ID from fully exercising their right to sexuality, reproductive health, and parenthood, most notably communicative and attitudinal barriers. These findings underline the need to continue advancing the rights of people with ID, relying on Schalock and Verdurgo's eight-dimensional quality of life model as the ideal conceptual framework for translating such abstract concepts into practice and policy.
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Affiliation(s)
- Patricia Pérez-Curiel
- Department of Psychology and Sociology, University of Zaragoza, C./Pedro Cerbuna, 12, 50009 Zaragoza, Spain
| | - Eva Vicente
- Department of Psychology and Sociology, University of Zaragoza, C./Pedro Cerbuna, 12, 50009 Zaragoza, Spain
| | - M. Lucía Morán
- Department of Education, University of Cantabria, Av./de los Castros, 52, 39005 Santander, Spain
| | - Laura E. Gómez
- Department of Psychology, University of Oviedo, 33003 Oviedo, Spain
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12
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Jacob US, Pillay J, Adeoye OE, Oni TK. Barriers to employment of people with intellectual disability. Work 2023; 74:207-218. [PMID: 36214017 DOI: 10.3233/wor-211097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND People with intellectual disability are likely to face long-standing employment barriers in finding and keeping jobs, for a variety of reasons. This study, therefore, investigated barriers to employment of people with intellectual disability. The participants in this study were made up of sixty-five stakeholders who were recruited from six different categories. OBJECTIVE The objective of the study was to determine barriers to employment of people with intellectual disability. METHODS A qualitative and quantitative research design was used in the study. The qualitative method was used to systematically identify barriers to employment for people with intellectual disability while the quantitative method was used to rank the barriers. RESULTS Findings indicate that barriers to employment for people with developmental disabilities are discrimination, stigma, employers' attitude, and management style, feeling unappreciated, and working environment such as culture to accommodation, understanding and strengths. Moreover, results shows that discrimination was ranked the highest while feeling unappreciated was ranked the least of the barriers to employment of people with intellectual disability. CONCLUSION The paper provides information about barriers to employment of people with intellectual disability in Nigeria that is required to initiate change in policy development.
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Affiliation(s)
- Udeme Samuel Jacob
- Faculty of Education, University of Johannesburg, Johannesburg, South Africa.,Department of Special Education, Faculty of Education, University of Ibadan, Ibadan, Nigeria
| | - Jace Pillay
- Faculty of Education, University of Johannesburg, Johannesburg, South Africa
| | - Olukemi Esther Adeoye
- Department of Special Needs Education, Emmanuel Alayande College of Education, Oyo, Nigeria
| | - Temiloluwa Kehinde Oni
- Department of Special Education, Faculty of Education, University of Ibadan, Ibadan, Nigeria
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Laermans P, Morisse F, Lombardi M, Gérard S, Vandevelde S, de Kuijper G, Audenaert K, Claes C. Aligning quality of life and guidelines for off-label psychotropic drugs in adults with intellectual disabilities and challenging behaviour. INTERNATIONAL JOURNAL OF DEVELOPMENTAL DISABILITIES 2023; 69:398-413. [PMID: 37213586 PMCID: PMC10197992 DOI: 10.1080/20473869.2023.2195721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Revised: 03/21/2023] [Accepted: 03/22/2023] [Indexed: 05/23/2023]
Abstract
Introduction Adults with intellectual disabilities have an increased vulnerability to mental health problems and challenging behaviour. In addition to psychotherapeutic or psychoeducational methods, off-label pharmacotherapy, is a commonly used treatment modality. Objective The aim of this study was to establish evidence-based guideline recommendations for the responsible prescription of off-label psychotropic drugs, in relation to Quality of Life (QoL). Method A list of guidelines was selected, and principles were established based on international literature, guideline review and expert evaluation. The Delphi method was used to achieve consensus about guideline recommendations among a 58-member international multidisciplinary expert Delphi panel. Thirty-three statements were rated on a 5-point Likert-scale, ranging from totally disagree to totally agree, in consecutive Delphi rounds. When at least 70% of the participants agreed (score equal or higher than 4), a statement was accepted . Statements without a consensus were adjusted between consecutive Delphi rounds based on feedback from the Delphi panel. Results Consensus was reached on 4 general:the importance of non-pharmaceutical treatments, comprehensive diagnostics and multidisciplinary treatment. Consensus was reached in 4 rounds on 29 statements. No consensus was reached on 4 statements concerning: freedom-restricting measures, the treatment plan, the evaluation of the treatment plan, and the informed consent. Conclusion The study led to recommendations and principles for the responsible prescription - aligned with the QoL perspective - of off-label psychotropic drugs for adults with intellectual disabilities and challenging behaviour. Extensive discussion is needed regarding the issues on which there was no consensus to furthering the ongoing development of this guideline.
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Affiliation(s)
- P. Laermans
- EQUALITY//ResearchCollective, University College Ghent, Ghent, Belgium
- Correspondence to: Pauline Laermans, EQUALITY//ResearchCollective, University College Ghent.
| | - F. Morisse
- Department of Special Needs Education, Ghent University, Ghent, Belgium
| | - M. Lombardi
- EQUALITY//ResearchCollective, University College Ghent, Ghent, Belgium
| | - S. Gérard
- Superior Health Council, Brussels, Belgium
| | - S. Vandevelde
- Department of Special Needs Education, Ghent University, Ghent, Belgium
| | - G. de Kuijper
- Centre for Intellectual Disabilities & Mental Health, Mental Healthcare Drenthe, the Netherlands
| | - K. Audenaert
- Department of Psychiatry, Ghent University, Ghent, Belgium
| | - C. Claes
- EQUALITY//ResearchCollective, University College Ghent, Ghent, Belgium
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Jeoung B. Quality of life and health-promoting lifestyles for parents of children with intellectual and developmental disabilities. J Exerc Rehabil 2022; 18:361-368. [PMID: 36684527 PMCID: PMC9816611 DOI: 10.12965/jer.2244450.225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Accepted: 10/31/2022] [Indexed: 12/29/2022] Open
Abstract
The purpose of this study was to examine the relationship between a health-promoting lifestyle and quality of life in parents of children with intellectual and developmental disabilities. Participants were 254 South Korean parents of children with intellectual and developmental disabilities. We assessed participants using a quality of life scale and the Korean version of the Health-Promoting Lifestyle Profile-II (HPLP-II). The data were analysed using Pearson and Spearman rank correlation analysis, and linear regression was conducted using SPSS ver. 25.0. The results indicated statistically significant associations between health-promoting lifestyles and quality of life in parents of children with intellectual and developmental disabilities. Analysis showed that the HPLP-II subfactors of spiritual growth, health responsibility, exercise, nutrition, interpersonal relations, and stress management could significantly predict quality of life in parents of children with intellectual and developmental disabilities. Healthcare providers should help to improve the quality of life of parents of children with intellectual and developmental disabilities by facilitating health-promoting lifestyle behaviours through interventions designed to increase physical activity, nutrition, stress management, interpersonal relations, health responsibility, and spiritual growth.
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Affiliation(s)
- Bogja Jeoung
- Corresponding author: Bogja Jeoung, Department of Exercise Rehabilitation & Welfare, College of Health Science, Gachon University, 191 Hambangmoe-ro, Yeonsu-gu, Incheon 21936, Korea,
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Tomaszewski B, Savage MN, Hume K. Examining physical activity and quality of life in adults with autism spectrum disorder and intellectual disability. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2022; 26:1075-1088. [PMID: 34514893 PMCID: PMC8918041 DOI: 10.1177/17446295211033467] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/25/2021] [Indexed: 06/01/2023]
Abstract
Adults with autism and co-occurring intellectual disability engage in low levels of physical activity and are at increased risk of developing secondary health conditions attributed to physical inactivity compared to adults in the general population. Few studies have examined the use of objective measures to characterize physical activity levels for adults with autism and intellectual disability. The current study aimed to examine the relationship between physical activity, using an activity tracker, and quality of life in adults with autism and intellectual disability. In the current study, 38 adults with autism and intellectual disability, ages 18-55, wore a Fitbit Flex 2® activity tracker for 1 week, and completed the Quality of Life Questionnaire. The relationship between average daily step count quality of life was examined. Most adults in the sample were overweight and taking fewer daily steps than recommended guidelines. Increased average daily step count was significantly associated with quality of life.
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Affiliation(s)
- Brianne Tomaszewski
- Brianne Tomaszewski, TEACCH Autism Program, Department of Psychiatry, University of North Carolina at Chapel Hill, 100 Renee Lynn Court, Carrboro, NC 27510, USA. Emails: ;
| | - Melissa N Savage
- The Department of Educational Psychology, University of North Texas, USA
| | - Kara Hume
- School of Education, University of North Carolina at Chapel Hill, USA
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Jevne KW, Kollstad M, Dolva AS. The perspective of emerging adults with Down syndrome - On quality of life and well-being. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2022; 26:839-852. [PMID: 34448428 DOI: 10.1177/17446295211030097] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
This study explored the thoughts of emerging adults with Down syndrome on quality of life and subjective well-being. Eight 22-year-olds participated in interviews. Data was analysed with content analysis. Four themes were revealed: Work based on interest and capability, having an active and social leisure life, a safe place to live and the use of information and communication technology. Two context related patterns were identified showing that quality of life and subjective well-being were related to individualised support to enhance independency in work, social leisure and place of living. Knowledge of their perception of independency and their awareness of needing customised help and support is valuable. This study supports the proposed emerging Quality of Life Supports Paradigm in the field of intellectual disabilities, which integrates key concepts of quality of life and supports.
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Grabowska I, Antczak R, Zwierzchowski J, Panek T. How to measure multidimensional quality of life of persons with disabilities in public policies - a case of Poland. Arch Public Health 2022; 80:230. [DOI: 10.1186/s13690-022-00981-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Accepted: 10/10/2022] [Indexed: 11/11/2022] Open
Abstract
Abstract
Background
The aim of this paper is to construct a tool that can be used to measure multidimensional quality of life of persons with disabilities in comparison with population without disabilities for the purpose of monitoring of the UN Convention on the Rights of Persons with Disabilities (UNCRPD) in Poland.
Methods
The Sen’s capability approach was applied to conceptualize the quality of life in various life domains. We followed guidelines of The Quality of Life Framework developed within the European Statistical System on choosing the life domains in which the QoL should be measured. The QoL scores in each domain (covered by the UNCRPD) were constructed using multiply indicators and multiple causes model (MIMIC). All analysis were based on 2018 EU-SILC data for Poland. We constructed quality of life indicators for population with and without disabilities and compared the differences.
Results
Persons without disability experienced higher QoL as compared to population with disabilities, overall and in various domains. Lower average QoL of persons with disabilities is a result of a lower share of those who experience high QoL. The biggest difference is observed for health and for productive and main activity domains. For material conditions and economic security and physical safety there was a moderate difference recorded. For the leisure and social relations domain there is almost no difference observed. Additionally, we identified diversified associations between such factors as age, gender, household situation, education, partner status, urbanization, health on the QoL across domains and analysed populations.
Conclusions
A tool developed in this paper can be calibrated to enable cross-country and in time comparisons between different populations and support evidenced-based social policy.
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Gómez LE. Quality of life in people with intellectual and developmental disabilities. Dev Med Child Neurol 2022; 64:1056-1057. [PMID: 35304746 PMCID: PMC9540622 DOI: 10.1111/dmcn.15209] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Revised: 02/25/2022] [Accepted: 02/28/2022] [Indexed: 11/27/2022]
Abstract
This commentary is on the original article by Jacoby et al. on pages 1145–1155 of this issue.
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Burke T, Deffew A, Stafford O, Docherty C, Burke S, Mostert R, van Loon J, Lombardi M, Vaughan M, Brickell R, Keogh M, Mahon W, O'Halloran D. Quality of Life Outcomes in a Community Cohort of Adults With an Intellectual Disability Using the Personal Outcome Scale. FRONTIERS IN REHABILITATION SCIENCES 2022; 3:848492. [PMID: 36188891 PMCID: PMC9397816 DOI: 10.3389/fresc.2022.848492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 02/22/2022] [Indexed: 11/19/2022]
Abstract
Objectives Quality of life (QoL) is a multi-dimensional phenomenon composed of core domains that are influenced by personal characteristics, values, and environmental contributions. There are eight core domains of QoL aligned with both the United Nations and the International Association for the Scientific Study of Intellectual and Developmental Disabilities (IASSIDD). The Personal Outcome Scale (POS), is a semi-structured self and proxy instrument that specifically measures these aspects of QoL for people with an intellectual disability. Methods A total of 85 people with an intellectual disability and their primary keyworker (n = 85) took part in this study. A convenience sample recruitment strategy was employed to recruit participants during the calendar year from January–December 2020. Participants completed the self-report and proxy POS, and clinic-demographic data was also considered. Results QoL is higher in those who have a dedicated service planner and also for those with a less severe to profound disability. People who were in gainful employment reported significantly higher QoL as did those availing of outreach and residential services, over and above local services. Conclusions This research shows that there are distinct and specific factors that relate to QoL for people with an intellectual disability community-based services in Ireland. Future research could aim to investigate these longitudinally, and specifically how QoL relates to cognitive and functional outcomes.
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Affiliation(s)
- Tom Burke
- KARE Services, Kilcullen, Ireland
- School of Psychology, John Henry Newman Building, University College Dublin, Dublin, Ireland
- School of Psychology, National University of Ireland Galway, Galway, Ireland
- *Correspondence: Tom Burke
| | - Andrew Deffew
- KARE Services, Kilcullen, Ireland
- School of Psychology, University of Limerick, Limerick, Ireland
| | - Owen Stafford
- KARE Services, Kilcullen, Ireland
- School of Psychology, John Henry Newman Building, University College Dublin, Dublin, Ireland
| | - Caroline Docherty
- School of Psychology, National University of Ireland Galway, Galway, Ireland
| | | | | | | | | | | | | | | | | | - David O'Halloran
- KARE Services, Kilcullen, Ireland
- School of Psychology, John Henry Newman Building, University College Dublin, Dublin, Ireland
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Heras I, Amor AM, Verdugo MÁ, Calvo MI. Operationalisation of quality of life for students with intellectual and developmental disabilities to improve their inclusion. RESEARCH IN DEVELOPMENTAL DISABILITIES 2021; 119:104093. [PMID: 34678708 DOI: 10.1016/j.ridd.2021.104093] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Revised: 09/06/2021] [Accepted: 09/26/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Quality of life (QoL) is regarded as a framework to enhance inclusive education outcomes in different domains for all students, especially for those with intellectual and developmental disabilities (IDD). Assessment tools are needed to implement this framework. Although there is a long trajectory of QoL assessment in people with IDD, we identify a lack of instruments for students with IDD who attend to general education contexts. AIMS The goal of this study is to produce a pool of items in order to develop a field-test version of a QoL instrument for this target group. METHODS 14 educational professionals participated in a four-round Delphi study, assessing the content of the items proposed according to four criteria (suitability, importance, observability and sensitivity). RESULTS The results of this study provided evidence of content validity regarding the pool of items that will be included in a field-test version. CONCLUSIONS The results obtained are important for the development of a QoL assessment tool to improve the inclusion of students with IDD in general education settings.
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Affiliation(s)
- Inés Heras
- Institute for Community Inclusion (INICO), Department of Personality, Assessment, and Psychological Treatments, University of Salamanca, Spain
| | - Antonio M Amor
- Institute for Community Inclusion (INICO), Department of Personality, Assessment, and Psychological Treatments, University of Salamanca, Spain.
| | - Miguel Ángel Verdugo
- Institute for Community Inclusion (INICO), Department of Personality, Assessment, and Psychological Treatments, University of Salamanca, Spain
| | - M Isabel Calvo
- Institute for Community Inclusion (INICO), Department of Didactics, Organization, and Research Methods, University of Salamanca, Spain
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21
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Gómez LE, Schalock RL, Verdugo MÁ. A quality of life supports model: Six research-focused steps to evaluate the model and enhance research practices in the field of IDD. RESEARCH IN DEVELOPMENTAL DISABILITIES 2021; 119:104112. [PMID: 34655955 DOI: 10.1016/j.ridd.2021.104112] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Revised: 10/03/2021] [Accepted: 10/08/2021] [Indexed: 06/13/2023]
Abstract
In the field of intellectual and developmental disabilities (IDD) the constructs of quality of life and supports have been combined into a Quality of Life Supports Model (QOLSM) that is currently used internationally for supports provision, organization transformation, and systems change. With the model's increasing and widespan use in research and practice, there is a need to evaluate the model's impact at the individual, organization, and systems levels. The purpose of this article is to outline six specific research-focused evaluation steps that allow researchers to evaluate the model and thereby enhance research practices is the field of IDD. These steps involve: (1) operationalizing components of the QOLSM; (2) relating QOLSM components to the type of research planned and intended outcome indicators; (3) gathering evidence and establishing its credibility; (4) interpreting and communicating the results; (5) implementing research outcomes at the level of the microsystem, mesosystem and macrosystem; and (6) judging the impact of the model. These steps delineate a research framework that is based on a systematic approach to evidence-based practices and enhanced research practices in the field of IDD.
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Affiliation(s)
- Laura E Gómez
- Departamento de Psicología. Universidad de Oviedo, Spain.
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Verdugo Alonso MÁ, Schalock RL, Gómez Sánchez LE. El modelo de calidad de vida y apoyos: la unión tras veinticinco años de caminos paralelos. ACTA ACUST UNITED AC 2021. [DOI: 10.14201/scero2021523928] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
El artículo presenta la integración operativa de los paradigmas de calidad de vida y apoyos en un modelo conjunto denominado Modelo de Calidad de Vida y Apoyos (MOCA) que integra características significativas de la transformación actual en el campo de las discapacidades intelectuales y del desarrollo. Estas características abarcan un enfoque holístico e integrado, centrado en los derechos humanos y legales, que sirve de base para tomar las decisiones sobre servicios y apoyos en las limitaciones significativas de las principales áreas de actividad de la vida, con un énfasis en los apoyos individualizados proporcionados dentro de ambientes inclusivos de la comunidad y que promueva la evaluación de resultados. Los contenidos de este artículo incluyen: (a) los cuatro elementos del MOCA: valores fundamentales, dimensiones de calidad de vida individual y familiar, sistemas de apoyo y condiciones facilitadoras; (b) cómo se puede utilizar el MOCA como marco para la provisión de apoyos, la evaluación de resultados centrada en la persona, la transformación de la organización y el cambio de sistemas; y (c) cómo el MOCA es esencial para el cambio de paradigma actual en el campo de las discapacidades intelectuales y del desarrollo.
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Berástegui A, Santos A, Suárez G. The reporters' agreement in assessing the quality of life of young people with intellectual disabilities. RESEARCH IN DEVELOPMENTAL DISABILITIES 2021; 116:104026. [PMID: 34303278 DOI: 10.1016/j.ridd.2021.104026] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 06/11/2021] [Accepted: 07/01/2021] [Indexed: 06/13/2023]
Abstract
A good evaluation of the quality of life (QoL) of young people with disability is essential to detect, monitor and report their support needs in research, and individual, institutional and policy planning. The aim of this study is to evaluate the reporters' agreement in the assessment of the QoL of young people with Intellectual Disabilities in transition to adulthood. Self and proxy-report version of INICO-FEAPS quality of life scale was used to assess 119 students of a post-compulsory educational program, being the proxy-report informed by one of their relatives. Results show poor intraclass correlations between informants. No discrepancies were found in the global QoL. However, small discrepancies were found for some dimensions. Young people's reports were higher for self-determination, personal development and interpersonal relationships. On the contrary, relatives' reports were higher for rights, material and physical wellbeing. The discrepancies in global QoL assessment were not related to student's severity, IQ, diagnosis or parent's gender. These findings underline the importance of young people's participation in the assessment of their QoL as well as the convenience of using both kind of informants when taking appropriate decisions in educational contexts during transition to adulthood.
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Affiliation(s)
- Ana Berástegui
- Cátedra de Familia y Discapacidad: Fundación Repsol-Down Madrid, Instituto Universitario de la Familia, Universidad Pontificia Comillas, Universdiad de Comillas, 3, 28049, Madrid, Spain.
| | - Angela Santos
- Cátedra de Familia y Discapacidad: Fundación Repsol-Down Madrid, Instituto Universitario de la Familia, Universidad Pontificia Comillas, Universdiad de Comillas, 3, 28049, Madrid, Spain.
| | - Graciela Suárez
- Cátedra de Familia y Discapacidad: Fundación Repsol-Down Madrid, Instituto Universitario de la Familia, Universidad Pontificia Comillas, Universdiad de Comillas, 3, 28049, Madrid, Spain.
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Pett MA, Guo JW, Cardell B, Johnson EP, Guerra N, Clark L. Psychometric properties of a brief self-reported health-related quality of life measure (HRQoL-IDD) for persons with intellectual and developmental disabilities. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2021; 34:877-890. [PMID: 33522020 PMCID: PMC8247975 DOI: 10.1111/jar.12831] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2020] [Revised: 09/29/2020] [Accepted: 10/29/2020] [Indexed: 12/02/2022]
Abstract
Background To encourage self‐determination and address health disparities among persons with intellectual and developmental disabilities, clinicians and researchers rely on self‐reported measures like health‐related quality of life (HRQoL). This study evaluated the psychometric properties of a theory‐driven self‐reported HRQoL measure for adults requiring mild to moderate support related to intellectual and developmental disabilities. Method 224 volunteers completed 42 quality of life items developed with extensive input from persons with intellectual and developmental disabilities, family members/caregivers, and providers. The 5‐point Likert scale format with visual images of fluid‐filled cups represented the range of responses. Results Exploratory and Unrestricted Factor Analyses yielded 16 HRQoL items with 4 subscales: Functional Well‐Being, Emotional Well‐Being, Social Well‐Being, and Healthy Decision‐making. The HRQoL‐IDD explained 62.8% of variance, had satisfactory internal consistency (0.73–0.83), stability of reponses, and reading level (2nd grade, ages 7‐8). Conclusions The HRQoL‐IDD is a promising measure of self‐reported HRQoL for use in community‐based settings for persons requiring mild to moderate support related to intellectual and developmental disabilities.
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Affiliation(s)
- Marjorie A Pett
- University of Utah College of Nursing, Salt Lake City, UT, USA
| | - Jia-Wen Guo
- University of Utah College of Nursing, Salt Lake City, UT, USA
| | - Beth Cardell
- Department of Occupational and Recreational Therapies, College of Health, University of Utah, Salt Lake City, UT, USA
| | - Erin P Johnson
- Department of Obstetrics and Gynecology, School of Medicine, University of Utah, Salt Lake City, UT, USA
| | | | - Lauren Clark
- School of Nursing, University of California Los Angeles (UCLA), Los Angeles, CA, USA
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Fellinger J, Dall M, Gerich J, Fellinger M, Schossleitner K, Barbaresi WJ, Holzinger D. Is it feasible to assess self-reported quality of life in individuals who are deaf and have intellectual disabilities? Soc Psychiatry Psychiatr Epidemiol 2021; 56:1881-1890. [PMID: 32926181 PMCID: PMC8429394 DOI: 10.1007/s00127-020-01957-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Accepted: 09/01/2020] [Indexed: 12/26/2022]
Abstract
PURPOSE There is consensus that Quality of Life (QOL) should be obtained through self-reports from people with intellectual Disability (ID). Thus far, there have been no attempts to collect self-reported QOL from people who are deaf and have ID. METHODS Based on an established short measure for QOL (EUROHIS-QOL), an adapted easy-to-understand sign language interview was developed and applied in a population (n = 61) with severe-to-profound hearing loss and mild-to-profound ID. Self-reports were conducted at two time points (t1 and t2), 6 months apart. The Stark QOL, an established picture-based questionnaire, was also obtained at t2 and three Proxy ratings of QOL (from caregivers) were conducted for each participant at t1. RESULTS Self-reported QOL was successfully administered at both time points for 44 individuals with mild and moderate ID (IQ reference age between 3.3 and 11.8 years). The self-reports showed sufficient test-retest reliability and significant correlations with the Stark QOL. As anticipated, self-reported QOL was higher than proxy-reported QOL. Test-retest reliability and internal consistency were good for self-reported QOL. CONCLUSION Reliable and valid self-reports of QOL can be obtained from deaf adults with mild-moderate ID using standard inventories adapted to the linguistic and cognitive level of these individuals.
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Affiliation(s)
- Johannes Fellinger
- Research Institute for Developmental Medicine, Johannes Kepler University Linz, Linz, Austria. .,Konventhospital Barmherzige Brüder, Institut für Sinnes- und Sprachneurologie, Linz, Austria. .,Division of Social Psychiatry, Medical University of Vienna, Vienna, Austria.
| | - Magdalena Dall
- Research Institute for Developmental Medicine, Johannes Kepler University Linz, Linz, Austria ,Konventhospital Barmherzige Brüder, Institut für Sinnes- und Sprachneurologie, Linz, Austria
| | - Joachim Gerich
- Department of Sociology, Johannes Kepler University Linz, Linz, Austria
| | - Maria Fellinger
- Konventhospital Barmherzige Brüder, Institut für Sinnes- und Sprachneurologie, Linz, Austria
| | - Katharina Schossleitner
- Research Institute for Developmental Medicine, Johannes Kepler University Linz, Linz, Austria ,Konventhospital Barmherzige Brüder, Institut für Sinnes- und Sprachneurologie, Linz, Austria
| | - William Joseph Barbaresi
- Division of Developmental Medicine, Department of Pediatrics, Boston Children’s Hospital, Harvard Medical School, Boston, MA USA
| | - Daniel Holzinger
- Research Institute for Developmental Medicine, Johannes Kepler University Linz, Linz, Austria ,Konventhospital Barmherzige Brüder, Institut für Sinnes- und Sprachneurologie, Linz, Austria ,Institute of Linguistics, Karl-Franzens University Graz, Graz, Austria
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26
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Rand S, Towers A, Caiels J. Letter to the Editor re: McEwan et al (2019) Moving on from Quality Assurance: Exploring Systems — Outcomes in Disability Services. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2020. [DOI: 10.1111/jppi.12365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Stacey Rand
- Personal Social Services Research Unit (PSSRU) University of Kent Canterbury UK
| | - Ann‐Marie Towers
- Centre for Health Services Studies (CHSS) University of Kent Canterbury UK
| | - James Caiels
- Personal Social Services Research Unit (PSSRU) University of Kent Canterbury UK
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27
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Arcangeli L, Bacherini A, Gaggioli C, Sannipoli M, Balboni G. Attitudes of Mainstream and Special-Education Teachers toward Intellectual Disability in Italy: The Relevance of Being Teachers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17197325. [PMID: 33036458 PMCID: PMC7579515 DOI: 10.3390/ijerph17197325] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/29/2020] [Revised: 09/23/2020] [Accepted: 10/05/2020] [Indexed: 11/18/2022]
Abstract
The attitudes of teachers toward intellectual disability (ID) contribute to an effective school inclusion of students with ID, thereby enhancing their quality of life. The present study was aimed at investigating the attitude differences toward ID of mainstream and special-education teachers in Italy and the general and specific teachers’ characteristics most related to these attitudes. An online version of the Attitudes toward Intellectual Disability (ATTID) questionnaire was filled by 307 mainstream teachers and 237 special-education teachers. The findings show that special-education teachers held more positive attitudes. Specific ATTID dimensions were positively affected for both types of teachers by previous training in special education/ID, perceived support, and promotion of positive attitudes toward ID, in addition to the quality of relationships with individuals with ID, while they were positively affected for special-education teachers by perceived efficacy of ID knowledge. No or very limited effects were observed for previous experience in teaching students with typical development or ID (even with severe/profound ID). Fostering resources to provide teachers with high-quality training, support, and resources and strategies to promote positive attitudes toward ID seems a relevant approach leading to favorable attitudes, thereby improving the quality of life of students with ID.
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Kim J, Kim H, Park S, Yoo J, Gelegjamts D. Mediating effects of family functioning on the relationship between care burden and family quality of life of caregivers of children with intellectual disabilities in Mongolia. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2020; 34:507-515. [PMID: 32954571 PMCID: PMC7891464 DOI: 10.1111/jar.12814] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Revised: 08/10/2020] [Accepted: 09/01/2020] [Indexed: 11/27/2022]
Abstract
Background Intellectual disabilities are characterized by constant and complex needs for care that place a heavy burden on the families of affected individuals and affect their overall quality of life. We evaluated the mediating effects of family functioning on the relationship between care burden and the family quality of life of caregivers of children with intellectual disabilities in Mongolia. Methods Data were collected from a sample of 150 caregivers of children with intellectual disabilities from October 2017 to November 2017. Multiple linear regression analyses were performed to examine the mediating effects of family functioning. Results Family functioning had a partial mediating effect (β = .702, p < .001) on the relationship between care burden and family quality of life. Conclusion Family functioning should be considered when developing a social support intervention to improve family quality of life among caregivers of children with intellectual disabilities.
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Affiliation(s)
- Jinhee Kim
- Department of Nursing, College of Medicine, Chosun University, Gwangju, South Korea
| | - Hyunlye Kim
- Department of Nursing, College of Medicine, Chosun University, Gwangju, South Korea
| | - Seojin Park
- Department of Nursing, Donggang University, Gwangju, South Korea
| | - Jaeyong Yoo
- Department of Nursing, College of Medicine, Chosun University, Gwangju, South Korea
| | - Delgersuren Gelegjamts
- Department of Nursing, College of Medicine, Chosun University, Gwangju, South Korea.,Department of Nursing, College of Medicine, Mongolian National University, Ulaanbaatar, Mongolia
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Voermans MAC, Taminiau EF, Giesbers SAH, Embregts PJCM. The value of competitive employment: In-depth accounts of people with intellectual disabilities. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2020; 34:239-249. [PMID: 32945056 PMCID: PMC7821262 DOI: 10.1111/jar.12802] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2019] [Revised: 08/07/2020] [Accepted: 08/30/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND Increasing the societal participation of people with intellectual disabilities via competitive employment requires a full understanding of what this means to them. This paper aims to provide an in-depth examination of the lived experiences of people with intellectual disabilities in competitive employment. METHOD Interviews were conducted with six participants with mild intellectual disability or borderline functioning and good verbal communication skills. Interviews were analysed according to the guidelines of interpretative phenomenological analysis (IPA). Member checks were conducted. RESULTS Analysis yielded three main themes: (a) Building on my life experiences, (b) My place at work and (c) Being a valuable member of society, like everyone else. CONCLUSIONS Competitive employment could make a substantial contribution to the sense of belonging to society and quality of life of people with intellectual disabilities. Nevertheless, they must cope with stigma-related obstacles and feelings of being dependent on others in the work environment.
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Affiliation(s)
- Moniek A C Voermans
- Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands.,Amarant, Healthcare Organisation for People with Intellectual Disabilities, Tilburg, The Netherlands
| | - Elsbeth F Taminiau
- Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands
| | - Sanne A H Giesbers
- Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands
| | - Petri J C M Embregts
- Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands
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Pérez-Ros P, Vila-Candel R, Martin-Utrilla S, Martínez-Arnau FM. Health-Related Quality of Life in Community-Dwelling Older People with Cognitive Impairment: EQ-5D-3L Measurement Properties. J Alzheimers Dis 2020; 77:1523-1532. [PMID: 32925071 DOI: 10.3233/jad-200806] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
BACKGROUND Assessing quality of life (QoL) in older people with cognitive impairment is a challenge. There is no consensus on the best tool, but a short, user-friendly scale is advised. OBJECTIVE This study aimed to assess the psychometric properties of the self-reported and generic EQ-5D (including the EQ index and EQ visual analog scale [VAS]) in community-dwelling older adults with cognitive impairment. METHODS Cross-sectional study analyzing the feasibility, acceptability, reliability, and validity of the EQ-5D based on 188 self-administered questionnaires in a sample of community-dwelling older adults with Mini-Mental State Examination (MMSE) scores of 10 to 24 points. RESULTS The EQ index was 0.69 (±0.27) and the EQ VAS was 63.8 (±28.54). Adequate measurement properties were found in acceptability and feasibility. Cronbach's alpha was 0.69. Good validity was observed in the correlation of each dimension of the EQ-5D with geriatric assessment scales. Higher validity was observed for the EQ index compared to the EQ VAS. CONCLUSION The EQ-5D scale could be a good tool for assessing health-related QoL in community-dwelling older adults with cognitive impairment, though it is necessary to assess the dimensions and the EQ index.
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Affiliation(s)
- Pilar Pérez-Ros
- Department of Nursing, Universidad Católica de Valencia San Vicente Mártir, Valencia, Spain.,GRICPAL Research Group, Universidad Católica de Valencia San Vicente Mártir, Valencia, Spain.,Frailty and Cognitive Impairment Research Group (FROG), Universitat de València, Valencia, Spain
| | - Rafael Vila-Candel
- Department of Nursing, Universidad Católica de Valencia San Vicente Mártir, Valencia, Spain.,Department of Obstetrics and Gynecology, Hospital Universitario de la Ribera, FISABIO, Valencia, Spain.,Department of Nursing, Faculty of Nursing and Podiatry, Universitat de València, Valencia, Spain
| | - Salvador Martin-Utrilla
- Department of Nursing, Universidad Católica de Valencia San Vicente Mártir, Valencia, Spain.,GRICPAL Research Group, Universidad Católica de Valencia San Vicente Mártir, Valencia, Spain.,Palliative Care Unit, Valencia Institute of Oncology, Valencia, Spain
| | - Francisco M Martínez-Arnau
- Frailty and Cognitive Impairment Research Group (FROG), Universitat de València, Valencia, Spain.,Department of Physiotherapy, Universitat de València, Valencia, Spain
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Gómez LE, Monsalve A, Morán ML, Alcedo MÁ, Lombardi M, Schalock RL. Measurable Indicators of CRPD for People with Intellectual and Developmental Disabilities within the Quality of Life Framework. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E5123. [PMID: 32679924 PMCID: PMC7400318 DOI: 10.3390/ijerph17145123] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Revised: 07/02/2020] [Accepted: 07/10/2020] [Indexed: 11/17/2022]
Abstract
This article proposes the quality of life (QOL) construct as a framework from which to develop useful indicators to operationalize, measure, and implement the Articles of the Convention on the Rights of Persons with Disabilities (CRPD). A systematic review of the scientific literature on people with intellectual and developmental disabilities (IDD) was carried out, with the aim of identifying personal outcomes that can be translated into specific and measurable items for each of the CRPD Articles aligned to the eight QOL domains. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, the systematic review was conducted across the Web of Science Core Collection, Current Contents Connect (CCC), MEDLINE, KCI-Korean Journal Database, Russian Science Citation Index and SciELO Citation Index, for articles published between 2008 and 2020. A total of 65 articles focusing on people with IDD were selected. The results were grouped into four broad categories: conceptual frameworks used to monitor the CRPD; instruments used to assess the rights set out in the CRPD; recommendations on the use of inclusive research; and indicators or personal outcomes associated with specific rights contained in the CRPD.
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Affiliation(s)
- Laura E. Gómez
- Department of Psychology, Universidad de Oviedo, 33003 Oviedo, Spain; (A.M.); (M.L.M.); (M.Á.A.)
| | - Asunción Monsalve
- Department of Psychology, Universidad de Oviedo, 33003 Oviedo, Spain; (A.M.); (M.L.M.); (M.Á.A.)
| | - Mª Lucía Morán
- Department of Psychology, Universidad de Oviedo, 33003 Oviedo, Spain; (A.M.); (M.L.M.); (M.Á.A.)
| | - Mª Ángeles Alcedo
- Department of Psychology, Universidad de Oviedo, 33003 Oviedo, Spain; (A.M.); (M.L.M.); (M.Á.A.)
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Perryman T, Ricks L, Cash-Baskett L. Meaningful Transitions: Enhancing Clinician Roles in Transition Planning for Adolescents With Autism Spectrum Disorders. Lang Speech Hear Serv Sch 2020; 51:899-913. [PMID: 32585119 DOI: 10.1044/2020_lshss-19-00048] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Purpose The purpose of this tutorial is to provide speech-language pathologists (SLPs) with foundational information that will assist them in transition planning for students with autism spectrum disorder (ASD) based on a review of current literature. SLPs must be knowledgeable of transition planning in order to assist students with ASD and their families with preparing for their future. An appreciation and awareness of pertinent assessments, functional goals, and factors associated with successful postsecondary outcomes are essential competencies that SLPs need when planning for the transition process. SLPs are ideal workforce development partners. They facilitate independence, communication, and interaction skills necessary for postsecondary and workplace success. Speech-language services are one of the most common special education services received by high school students with Individualized Education Programs. However, SLPs receive little preparation on the specifics or nuances of transition planning prior to working in the educational settings, despite the high incidence of speech-language services in secondary education. Method This tutorial reviews and synthesizes research findings related to assessment planning, goal-setting, and Individualized Education Program implementation for achieving meaningful postsecondary transitions for students with ASD. Additionally, it highlights some of the key postsecondary skillsets related to speech-language therapy services, including the development of self-determination, self-advocacy, social competence, and adaptive behaviors. Conclusion Greater focus on higher quality transition planning requires SLPs to develop high levels of knowledge and competencies in the transition planning process. This tutorial educates clinicians on the unique challenges faced by individuals with ASD and provides evidence-based strategies to help students and families successfully plan for and navigate postsecondary transitions.
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Affiliation(s)
- Twyla Perryman
- Department of Communication Sciences and Professional Counseling, University of West Georgia, Carrollton
| | - Lacey Ricks
- Department for Counselor Education and Family Studies, Liberty University, Lynchburg, VA
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Thompson T, Talapatra D, Hazel CE, Coleman J, Cutforth N. Thriving with Down syndrome: A qualitative multiple case study. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2020; 33:1390-1404. [PMID: 32538538 DOI: 10.1111/jar.12767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2020] [Revised: 05/05/2020] [Accepted: 05/17/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND Down syndrome (DS) is the most common genetic cause of intellectual disability. Prior research has primarily focused on associated medical problems and skill deficits. This study takes a novel positive psychology approach by examining critical individual characteristics and environmental factors that facilitate exceptional quality of life for people with DS. METHOD A qualitative multiple case study design was used to document the lives of four adults thriving with DS. Thriving was defined as high subjective well-being coupled with continued personal development. RESULTS Descriptive contexts were provided for each case along with four overarching themes: a supportive social ecology, high expectations for independence, advocacy, and strengths facilitating happiness. A new conceptual framework for understanding thriving with DS was proposed. CONCLUSIONS These findings provide insight as to what is possible for people with DS, including ideas for future research and practice to promote thriving in the DS population.
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Affiliation(s)
- Talia Thompson
- Department of Teaching and Learning Sciences, Morgridge College of Education, University of Denver, Denver, CO, USA.,Developmental Pediatrics, School of Medicine, University of Colorado, Aurora, CO, USA
| | - Devadrita Talapatra
- Department of Teaching and Learning Sciences, Morgridge College of Education, University of Denver, Denver, CO, USA
| | - Cynthia E Hazel
- Department of Teaching and Learning Sciences, Morgridge College of Education, University of Denver, Denver, CO, USA
| | - Jeanine Coleman
- Department of Teaching and Learning Sciences, Morgridge College of Education, University of Denver, Denver, CO, USA
| | - Nicholas Cutforth
- Department of Research Methods and Information Science, Morgridge College of Education, University of Denver, Denver, CO, USA
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Dizdarevic A, Memisevic H, Osmanovic A, Mujezinovic A. Family quality of life: perceptions of parents of children with developmental disabilities in Bosnia and Herzegovina. INTERNATIONAL JOURNAL OF DEVELOPMENTAL DISABILITIES 2020; 68:274-280. [PMID: 35602994 PMCID: PMC9122371 DOI: 10.1080/20473869.2020.1756114] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2020] [Revised: 03/20/2020] [Accepted: 04/10/2020] [Indexed: 06/15/2023]
Abstract
The goal of the present study was to assess the family quality of life (FQOL) in families with children with developmental disabilities in Bosnia and Herzegovina. We examined the FQOL in relation to parents' demographic variables (gender, age, employment status), children's gender and age, type of children's disability (mild and moderate intellectual disability, autism spectrum disorder) and parent's depression, anxiety, and stress levels. The sample consisted of 270 parents of children with disabilities; 90 parents of children with autism spectrum disorder, 90 parents of children with mild intellectual disability, and 90 parents of children with moderate intellectual disability. We also included a control group of 90 parents of typically developing children. The results of this study showed that parents of children with autism spectrum disorder and parents of children with moderate intellectual disability had statistically significantly lower FQOL than parents of children with mild intellectual disability and parents of typically developing children. Child's gender had a significant effect on FQOL. Also, depression, anxiety and stress levels significantly affected FQOL, while the parents' gender, age, and employment status did not have a significant effect. Implications of these findings are discussed and some measures on supporting parents are proposed.
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Affiliation(s)
- Alma Dizdarevic
- Faculty of Special Education and Rehabilitation, University of Tuzla, Tuzla, Bosnia and Herzegovina
| | - Haris Memisevic
- Faculty of Educational Sciences, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Armin Osmanovic
- Faculty of Educational Sciences, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Amila Mujezinovic
- Faculty of Special Education and Rehabilitation, University of Tuzla, Tuzla, Bosnia and Herzegovina
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Schalock RL, Luckasson R, Shogren KA. Going beyond Environment to Context: Leveraging the Power of Context to Produce Change. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17061885. [PMID: 32183245 PMCID: PMC7143902 DOI: 10.3390/ijerph17061885] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2020] [Revised: 03/11/2020] [Accepted: 03/11/2020] [Indexed: 01/29/2023]
Abstract
This article discusses the processes and implications of going beyond environment to context. The article (a) provides an operational definition of context; (b) describes a multidimensional model of context that views context as being multilevel, multifactorial, and interactive; (c) describes how conceptual models of quality of life, human rights, and human functioning can be used in conjunction with the multidimensional model of context to identify opportunities and develop context-based change strategies that improve quality of life, human rights, and human functioning outcomes; and (d) describes a four-step approach to leveraging an understanding of context to produce change. The article concludes with a discussion of the advantages of and barriers to moving beyond environment to context.
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Affiliation(s)
| | - Ruth Luckasson
- Department of Special Education, University of New Mexico, Albuquerque, NM 87106, USA;
| | - Karrie A. Shogren
- Kansas University Center on Developmental Disabilities, University of Kansas, Lawrence, KS 69703, USA;
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Johnson KR, Bagatell N. "No! You can't have it": Problematizing choice in institutionalized adults with intellectual disabilities. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2020; 24:69-84. [PMID: 29621910 DOI: 10.1177/1744629518766121] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Institutionalized adults with profound intellectual disabilities (ID) face significant challenges to having their choice-making cultivated and supported. Based on observational and interview data from an institutional ethnographic study, this article explores how choice-making during mealtimes is acknowledged and problematized by staff. First, we suggest that Foucauldian problematization offers a lens through which to better understand how mealtime intervention plans passed down over time become embodied restrictive practices. Second, we provide examples and analyses of mealtime negotiations between staff and residents. Analyses revealed staff infantilize and misrepresent residents' choice-making during meals as manipulation; additionally, analyses suggest that past experiences of staff with residents and historical meal plans color how they acknowledge and interpret residents' choices. Our argument is an attempt to move forward discussions concerning the implementation of quality habilitation services by highlighting the ways contemporary institutional systems perpetuate misrepresentations of nonverbal behaviors in adults with profound ID.
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van Herwaarden A, Rommes EWM, Peters-Scheffer NC. Providers' perspectives on factors complicating the culturally sensitive care of individuals with intellectual disabilities. RESEARCH IN DEVELOPMENTAL DISABILITIES 2020; 96:103543. [PMID: 31794907 DOI: 10.1016/j.ridd.2019.103543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2019] [Revised: 08/21/2019] [Accepted: 11/13/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Culturally sensitive care is essential for improving healthcare for ethnic minorities with intellectual disabilities (ID), who require intensive, sometimes lifelong, care and support. AIMS The present study aimed to uncover factors that may complicate the delivery of culturally sensitive care for ethnic minorities with ID, which have not previously been studied for this group. METHODS AND PROCEDURES By means of in-depth interviews with care professionals we identified these factors at the care receiver, professional, and institutional levels. OUTCOMES AND RESULTS Eight factors were found to complicate the delivery of culturally sensitive care: abilities of the individuals with ID, communication with the family of the care receiver, cultural competency of the professional, personal attitude and experience of the professional, job position and responsibilities of the professional, resources, legislation and protocols, and the team of colleagues. The factors at the care receiver level were specific for the delivery of culturally sensitive care to individuals with ID. CONCLUSIONS AND IMPLICATIONS In addition to the complicating factors previously identified for other forms of culturally sensitive healthcare, we identified novel complicating factors for the care of individuals with ID. Future research should investigate how these complicating factors could be overcome.
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Affiliation(s)
- Aniek van Herwaarden
- Behavioural Science Institute, Department of Learning and Plasticity, Radboud University Nijmegen, the Netherlands; Driestroom, Elst, the Netherlands.
| | - Els W M Rommes
- Gender and Diversity Studies, Radboud University Nijmegen, the Netherlands
| | - Nienke C Peters-Scheffer
- Behavioural Science Institute, Department of Learning and Plasticity, Radboud University Nijmegen, the Netherlands; Driestroom, Elst, the Netherlands
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Van der Meulen APS, Taminiau EF, Hertogh CMPM, Embregts PJCM. Perspective of relatives on restrictions applied to their family members with moderate intellectual disability. INTERNATIONAL JOURNAL OF DEVELOPMENTAL DISABILITIES 2019; 68:56-63. [PMID: 35173964 PMCID: PMC8843310 DOI: 10.1080/20473869.2019.1699754] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 10/30/2019] [Accepted: 11/27/2019] [Indexed: 06/14/2023]
Abstract
The application of restrictions plays a great part in daily support of people with moderate intellectual disability (ID). In this study we examine the evaluation of relatives of restrictions applied to their family members with moderate ID. Relatives are key and permanent figures in the lives of people with moderate intellectual disability. Moreover, relatives in their role as representatives are authorized to make decisions in case people with moderate ID are not able to oversee the consequences of their actions. To explore relatives' evaluation of restrictions, we conducted semi-structured interviews with 10 relatives. Qualitative analysis was carried out using a thematic approach. We found that respondents consider restrictions necessary when they promote physical well-being, safety and indistinctive, 'normal', appearance of their family members with ID. In applying these restrictions a 'rules are rules' and a 'tailor-made rules' approach can be discerned. The 'tailor-made approach' provides space for dialogue with people with moderate ID. In this dialogue the criteria of proportionality, effectiveness, and subsidiarity are helpful. In using these criteria, the application of a restriction has to be in proportion, has to lead to the desired effect, and, finally, should be as unintrusive as possible for the person concerned. As such, it is recommended that, in dialogue, support staff, people with moderate ID themselves, and their relatives seek ways to examine what kinds of restrictions are justified for people with moderate ID.
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Affiliation(s)
| | | | - Cees M. P. M. Hertogh
- Department of General Practice & Eldery Care Medicine, Amsterdam UMC, Amsterdam, Netherlands
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McClimens A, Brewster J. Intellectual disability, hate crime and other social constructions: A view from South Yorkshire. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2019; 23:486-497. [PMID: 28901202 DOI: 10.1177/1744629517730181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The category of hate crime is a recent legislative response to the increasing levels of antisocial, criminal and discriminatory behaviours and practices that target a wide spectrum of individuals on the basis of their identification within certain minority sociological subcultures. People with intellectual disability are often targeted for this kind of behaviour. Here, we report on an evaluation of one English city's efforts to instigate a street-based scheme to offer some security and protection to its intellectually disabled citizens. The physical location of the premises and the engagement of the staff employed therein have some bearing on their potential to be effective in offering shelter and support to distressed individuals. But even where premises are well situated with positive staffing, the absence of local records to list the uptake of the scheme leaves room for doubt about its overall effectiveness.
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Jade M, Christine B, Jacinta D. Moving on from Quality Assurance: Exploring Systems that Measure both Process and Personal Outcomes in Disability Services. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2019. [DOI: 10.1111/jppi.12295] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- McEwen Jade
- Living with Disability Research Centre La trobe University, School of Allied Health Melbourne Australia
| | - Bigby Christine
- Living with Disability Research Centre La trobe University, School of Allied Health Melbourne Australia
| | - Douglas Jacinta
- Living with Disability Research Centre La trobe University, School of Allied Health Melbourne Australia
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Lombardi M, Vandenbussche H, Claes C, Schalock RL, De Maeyer J, Vandevelde S. The Concept of Quality of Life as Framework for Implementing the UNCRPD. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2019. [DOI: 10.1111/jppi.12279] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- Marco Lombardi
- E‐QUAL (Expertise Centre on Quality of Life), Department of Special Needs EducationUniversity College Ghent Ghent Belgium
- Department of Special Needs EducationGhent University Ghent Belgium
| | | | - Claudia Claes
- E‐QUAL (Expertise Centre on Quality of Life), Department of Special Needs EducationUniversity College Ghent Ghent Belgium
- Department of Special Needs EducationGhent University Ghent Belgium
| | | | - Jessica De Maeyer
- E‐QUAL (Expertise Centre on Quality of Life), Department of Special Needs EducationUniversity College Ghent Ghent Belgium
| | - Stijn Vandevelde
- Department of Special Needs EducationGhent University Ghent Belgium
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Pearlman-Avnion S, Eldan A, Cohen N. Sexuality Among Females and Males with High-Functioning Autism Spectrum. AUTISM IN ADULTHOOD 2019. [DOI: 10.1007/978-3-030-28833-4_10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Davis E, Young D, Gilson KM, Swift E, Chan J, Gibbs L, Tonmukayakul U, Reddihough D, Williams K. A Rights-Based Approach for Service Providers to Measure the Quality of Life of Children with a Disability. VALUE IN HEALTH : THE JOURNAL OF THE INTERNATIONAL SOCIETY FOR PHARMACOECONOMICS AND OUTCOMES RESEARCH 2018; 21:1419-1427. [PMID: 30502786 DOI: 10.1016/j.jval.2018.05.009] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/02/2018] [Revised: 05/25/2018] [Accepted: 05/31/2018] [Indexed: 06/09/2023]
Abstract
BACKGROUND This paper identifies the best instruments for service providers to measure the quality of life (QoL) of children with a disability, with a focus on their alignment with the Convention on the Rights of Persons with a Disability (CRPD). METHODS This study reviewed systematic reviews to identify generic QoL instruments for children and adolescents, followed by an appraisal process using newly developed criteria. QoL instruments with a health status, functioning, and condition-specific focus were excluded. RESULTS Twenty generic QoL instruments for children were identified from existing systematic reviews to undergo further review. Only 2 of the 20 instruments were recommended for service providers to measure the QoL of children with a disability (KIDSCREEN and KINDL). Many pediatric QoL instruments (N = 9) focus on functioning and are not consistent with the CRPD, confounding a child's functioning with their feelings about their life. KIDSCREEN and KINDL have self-report and parent report versions, are applicable for childhood and adolescence, demonstrate adequate reliability and validity, involved children in their development, focus on wellbeing, are likely to be able to be completed by a child with a disability, and are low in cost. CONCLUSIONS Many instruments focus on functioning rather than wellbeing and thus may not capture the QoL of children with a disability. A child's functional limitations may not be consistent with their feelings about life. Two instruments that assess wellbeing and meet the criteria important for service providers now require further testing to explore their usefulness and validity for children with varying abilities.
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Affiliation(s)
- Elise Davis
- Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia
| | - Dana Young
- Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
| | - Kim-Michelle Gilson
- Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia; Neurodevelopment and Disability, The Royal Children's Hospital, Melbourne, Victoria, Australia
| | - Elena Swift
- Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia
| | | | - Lisa Gibbs
- Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia
| | | | - Dinah Reddihough
- Neurodevelopment and Disability, The Royal Children's Hospital, Melbourne, Victoria, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia; Developmental Disability and Rehabilitation Research, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
| | - Katrina Williams
- Neurodevelopment and Disability, The Royal Children's Hospital, Melbourne, Victoria, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia; Developmental Disability and Rehabilitation Research, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
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Lancioni GE, Singh NN, O’Reilly MF, Sigafoos J, Alberti G, Perilli V, Chiariello V, Grillo G, Turi C. Case series of technology-aided interventions to support leisure and communication in extensive disabilities. INTERNATIONAL JOURNAL OF DEVELOPMENTAL DISABILITIES 2018; 66:180-189. [PMID: 34141380 PMCID: PMC8115613 DOI: 10.1080/20473869.2018.1533062] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/01/2018] [Revised: 09/22/2018] [Accepted: 09/23/2018] [Indexed: 06/11/2023]
Abstract
Objectives: This study assessed a new technology-aided program to support independent leisure and communication engagement with people with intellectual and motor or sensory-motor disabilities. Methods: Six adults participated. The program relied on the use of a Samsung Galaxy Tab S2 LTE tablet with Android 6.0 Operating System, a NANO SIM card, and the WhatsApp Messenger and MacroDroid applications. The participants were presented with leisure and communication (i.e. text messaging) alternatives, and, based on their choices, with series of steps allowing them to access leisure events or send messages. Results: During baseline, the participants were unable to access leisure events or send messages. During intervention and post-intervention phases, they used the program successfully and spent large percentages of the session time independently engaged in leisure and messaging. Conclusions: A program based on readily available technology may be functional to support leisure and communication in people like the participants of this study.
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Affiliation(s)
- Giulio E. Lancioni
- Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy
| | - Nirbhay N. Singh
- Medical College of Georgia, Augusta University, Augusta, GA, USA
| | - Mark F. O’Reilly
- Department of Special Education, University of Texas at Austin, TX, USA
| | - Jeff Sigafoos
- Department of Educational Psychology, Victoria University of Wellington, Wellington, New Zealand
| | | | | | | | | | - Cosimo Turi
- OSMAIRM Rehabilitation Center, Laterza, Italy
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A new scale for measuring quality of life in acquired brain injury. Qual Life Res 2018; 28:801-814. [DOI: 10.1007/s11136-018-2047-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/08/2018] [Indexed: 10/27/2022]
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Schalock RL, Baker A, Claes C, Gonzalez J, Malatest R, van Loon J, Verdugo MA, Wesley G. The Use of Quality of Life Scores for Monitoring and Reporting, Quality Improvement, and Research. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2018. [DOI: 10.1111/jppi.12250] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
| | - A. Baker
- Quality Services Initiatives, Community Living British Columbia; Vancouver British Columbia Canada
| | - C. Claes
- Health, and Social Welfare Studies; University College Gent; Gent Belgium
| | | | - R. Malatest
- Malatest and Associates Ltd.; Victoria British Columbia Canada
| | - J. van Loon
- Arduin Foundation; Middleburgh The Netherlands
| | - M. A. Verdugo
- Institute on Community Integration (INOCO) and Professor of Psychology, University of Salamanca; Salamanca Spain
| | - G. Wesley
- Personal Outcomes Initiative, Persons with Developmental Disabilities Program, Human Services, Government of Alberta; Edmonton Alberta Canada
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Tichá R, Qian X, Stancliffe RJ, Larson SA, Bonardi A. Alignment between the Convention on the Rights of Persons with Disabilities and the National Core Indicators Adult Consumer Survey. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2018. [DOI: 10.1111/jppi.12260] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Renáta Tichá
- Research and Training Center on Community Living, University of Minnesota; Minneapolis MN USA
| | - Xueqin Qian
- Research and Training Center on Community Living, University of Minnesota; Minneapolis MN USA
| | - Roger J. Stancliffe
- Centre for Disability Research and Policy, The University of Sydney; Sydney Australia
| | - Sheryl A. Larson
- Research and Training Center on Community Living, University of Minnesota; Minneapolis MN USA
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VERDUGO ALONSO MÁ, AMOR GONZÁLEZ AM, FERNÁNDEZ SÁNCHEZ M, NAVAS MACHO P, CALVO ÁLVAREZ I. La regulación de la inclusión educativa del alumnado con discapacidad intelectual: una reforma pendiente. SIGLO CERO. REVISTA ESPAÑOLA SOBRE DISCAPACIDAD INTELECTUAL 2018. [DOI: 10.14201/scero20184922758] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Schalock RL, Verdugo MA, van Loon J. Understanding organization transformation in evaluation and program planning. EVALUATION AND PROGRAM PLANNING 2018; 67:53-60. [PMID: 29197716 DOI: 10.1016/j.evalprogplan.2017.11.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2017] [Revised: 10/17/2017] [Accepted: 11/17/2017] [Indexed: 06/07/2023]
Abstract
Organization transformation is an increasingly important concept and process in human service organizations as they adapt to rapidly changing challenges and opportunities to enhance their effectiveness, efficiency, and sustainability. This article describes a four-component organization transformation model that incorporates transformation pillars, transformation strategies, organization capacity, and organization outputs and outcomes. The article includes examples of the model's use, and concludes with a discussion of valuable lessons learned to date.
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Affiliation(s)
- Robert L Schalock
- Hastings College (Nebraska-USA), PO Box 285, Chewelah, WA 99109-0285, United States.
| | - Miguel Angel Verdugo
- Institute on Community Integration (INICO) and Professor of Psychology, University of Salamanca, Spain.
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