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Cooper C, Linden M, Kerr C. Social participation in adults with cerebral palsy: a systematic review of the evidence-base. Disabil Rehabil 2024; 46:2720-2733. [PMID: 37497638 DOI: 10.1080/09638288.2023.2236026] [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: 06/28/2022] [Revised: 07/06/2023] [Accepted: 07/07/2023] [Indexed: 07/28/2023]
Abstract
PURPOSE To identify and synthesise the current evidence on social participation in adults with cerebral palsy (CP). METHODS Four databases (PubMed, CINAHL Plus, PsycINFO, Web of Science) were systematically searched between December 2021 and February 2022. Pre-specified eligibility criteria were applied to all identified studies resulting in the inclusion of 16 articles. Data extraction was performed using a standardised tool and quality appraisal was assessed using the Mixed Methods Appraisal Tool. A narrative synthesis approach was taken for data analysis. RESULTS The 16 included studies were rated as high (n = 11) and medium quality (n = 5). Numbers of participants included in the studies ranged from 7 to 335. Definitions of social participation were discussed. Common themes were identified: the impact of home and work environments on social participation, the importance of age-appropriate support and interventions, and the impact of limited autonomy on social participation. CONCLUSIONS Adults with CP experience limited social participation due to lack of appropriate support in childhood, issues across the lifespan including physical limitations when ageing, and factors such as societal expectations and inaccessible environments which limit opportunities for autonomy. Social participation may be improved by supporting families to provide opportunities in childhood, providing timely interventions, and by enhancing autonomy.
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Affiliation(s)
- Claire Cooper
- School of Nursing & Midwifery, Queen's University Belfast, Belfast, United Kingdom of Great Britain and Northern Ireland
| | - Mark Linden
- School of Nursing & Midwifery, Queen's University Belfast, Belfast, United Kingdom of Great Britain and Northern Ireland
| | - Claire Kerr
- School of Nursing & Midwifery, Queen's University Belfast, Belfast, United Kingdom of Great Britain and Northern Ireland
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Sargazi S, Yamani N, Najimi A. Voices unheard, insights into the lives of people with disabilities: A needs assessment study. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2024; 13:157. [PMID: 38784267 PMCID: PMC11114580 DOI: 10.4103/jehp.jehp_914_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 01/04/2024] [Indexed: 05/25/2024]
Abstract
BACKGROUND The phenomenon of disability in society is as ancient as human history itself. Approximately one billion people worldwide experience some form of disability, with a fifth of these individuals facing significant disabilities. Disability affects various life dimensions, including access to health services. This study aimed to identify the needs and challenges encountered by people with disabilities and to propose solutions for these issues. MATERIALS AND METHODS This qualitative content analysis research was conducted at Isfahan University of Medical Sciences in 2019. Participants included faculty members from the rehabilitation school, senior students, therapists, disabled individuals, and their families (23 interviews in total). These participants were chosen for their extensive knowledge of the challenges faced by people with disabilities. Semi-structured interviews were conducted, with informed consent obtained before each interview. The interviews were analyzed using the Graneheim and Lundman content analysis method and MAXQDA software. To ensure data accuracy, the criteria of conformability, credibility, dependability, and transferability were applied. RESULTS The analysis of the interviews yielded two main categories and 10 subcategories. In the category of disability-related problems, family problems, therapeutic problems, psychological problems, academic problems, and social problems were identified as the most significant. As for solutions, educational solutions, therapeutic solutions, social solutions, research solutions, and solutions for reintegrating patients into normal life were proposed to address the problems faced by disabled individuals. CONCLUSION People with disabilities are an integral part of any country's society. To adequately address their therapeutic needs, it is essential to equip our health workers with the knowledge and skills tailored to the specific needs and challenges of disabled individuals.
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Affiliation(s)
- Samaneh Sargazi
- Medical Education, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Nikoo Yamani
- Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Arash Najimi
- Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
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Milot É, Couvrette R, Marthouret B, Caouette M, Beauchamp J. [Points de vue d'adultes vieillissants ayant une déficience intellectuelle à l'égard de leur participation sociale]. Can J Aging 2024:1-9. [PMID: 38602185 DOI: 10.1017/s0714980824000138] [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] [Indexed: 04/12/2024] Open
Abstract
Au cours du vieillissement, les adultes ayant une déficience intellectuelle (DI) vivent de nombreux changements susceptibles d'influencer leurs possibilités d'exercer leurs activités quotidiennes et leurs rôles sociaux. Une bonne connaissance de leurs points de vue sur le sujet apparaît cruciale pour mieux adapter l'offre de services à leurs besoins. Cette recherche a pour but de mieux comprendre les points de vue des personnes ayant une DI à l'égard de leurs possibilités de participation sociale à travers l'avancée en âge. Des entrevues individuelles et un atelier participatif ont été réalisés avec des adultes âgés de 40 à 75 ans dans la ville de Québec. L'analyse de leurs propos a permis d'identifier leurs points de vue relatifs à trois thèmes, soit leurs capacités, les possibilités d'exercer leur participation sociale et les soutiens reçus. Pour conclure, des recommandations sont proposées afin que les pratiques soutiennent réellement leur participation sociale à travers l'avancée en âge.
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Affiliation(s)
- Élise Milot
- Professeure titulaire à l'École de travail social et de criminologie de l'Université Laval, chercheure régulière au Centre interdisciplinaire de recherche en réadaptation et intégration sociale (CIRRIS), au Centre de recherche et d'expertise en gérontologie sociale (CREGÉS) et à l'Institut universitaire en déficience intellectuelle et trouble du spectre de l'autisme (IU-DI-TSA), Université Laval, École de travail social et de criminologie. Pavillon Charles-De Koninck, bureau 5444, 1030, av. des Sciences-Humaines, Québec G1V 0A6
| | - Romane Couvrette
- Maîtrise en Travail Social, étudiante au doctorat en travail social, Université Laval, École de travail social et de criminologie. Pavillon Charles-De Koninck, bureau 5444, 1030, av. des Sciences-Humaines, Québec G1V 0A6
| | - Bertille Marthouret
- Étudiante à la maîtrise en travail social, Université Laval, École de travail social et de criminologie. Pavillon Charles-De Koninck, bureau 5444, 1030, av. des Sciences-Humaines, Québec G1V 0A6
| | - Martin Caouette
- Professeur au département de psychoéducation et de travail social de l'Université du Québec à Trois-Rivières et chercheur régulier au CIRRIS et à l'IU-DI-TSA, Université du Québec à Trois-Rivières, Département de psychoéducation et travail social. 3351, boul. des Forges, (Local 1024 M-S) C.P. 500, Trois-Rivières (Qc), G8Z 4M3
| | - Julie Beauchamp
- Professeure au département de psychiatrie et de neurosciences, Université Laval et chercheure régulière à Vitam - Centre de recherche en santé durable et au CREGÉS, Université Laval, Faculté de médecine, Pavillon Ferdinand-Vandry, 1050 avenue de la Médecine, Québec, G1V 0A6
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Holmgren M, Ahlström G. Good life in old age: Qualitative interviews about ageing with older adults with mild intellectual disability, prior to an educational intervention. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2023:17446295231213689. [PMID: 37950579 DOI: 10.1177/17446295231213689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2023]
Abstract
Background: Knowledge about ageing from the perspective of people with intellectual disability is extremely scarce, which means a lack of evidence-based interventions for healthy ageing adjusted to their needs. Aim: To investigate how people with intellectual disability experience ageing, prior to an educational intervention. Methods: Twenty-six persons with mild intellectual disability, age 42-74 (mean 61.3) were interviewed and the text was analyzed qualitatively. Results: The main findings are reflected in the themes Live for today - tomorrow you are old and Need of support to enable a meaningful ageing. The participants avoided thinking about ageing, which they associated with retirement, loneliness and social isolation, increased need for help in everyday life, worsening health and death. Meaningful ageing meant continuance of leisure activities and working as long as possible. Conclusions: Interventions to prepare people with mild intellectual disability for healthy ageing must take into account these people's loneliness.
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Affiliation(s)
- Marianne Holmgren
- Department of Health Sciences, Faculty of Medicine, Lund University, Sweden
| | - Gerd Ahlström
- Department of Health Sciences, Faculty of Medicine, Lund University, Sweden
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Tilley E, Jordan J, Larkin M, Vseteckova J, Ryan S, Wallace L. Transitions for older people with intellectual disabilities and behaviours that challenge others: A rapid scoping review. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2023; 36:207-229. [PMID: 36433739 PMCID: PMC10098666 DOI: 10.1111/jar.13054] [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: 10/25/2021] [Revised: 09/09/2022] [Accepted: 10/31/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND People with intellectual disabilities and behaviours that challenge others are living longer. This review aimed to explore what is known about the health and social care needs, experiences, service interventions and resources of and for this population as they transition to different care contexts in the UK. METHOD A rapid scoping review of published and unpublished literature was conducted based on collaborative working with key stakeholders and using systematic methods of data searching, extraction and analysis. RESULTS Consistent social work support, skilled staff, suitable accommodation, creative engagement with individuals and families to plan ahead, and timely access to quality healthcare are all required to promote successful transitions as people age, and to avoid unwanted/inappropriate transitions at points of crisis. CONCLUSIONS More research is needed to assess the types of services that this population can and do access as they age, the quality of those services, and the extent to which local commissioners are planning ahead for people with intellectual disabilities and behaviours that challenge others.
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Affiliation(s)
- Elizabeth Tilley
- Faculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, UK
| | - Joanne Jordan
- Faculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, UK
| | - Mary Larkin
- Faculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, UK
| | - Jitka Vseteckova
- Faculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, UK
| | - Sara Ryan
- Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, Manchester, UK
| | - Louise Wallace
- Faculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, UK
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Wille C, De Clerck I, Van Hove G, Van Loon J, Van de Velde D, De Vriendt P. Supporting direct support professionals in enabling people with intellectual disabilities to engage in meaningful activities: protocol for the Meaningful Activities 4 All (MA4A) study based on the human-centred design process. BMJ Open 2022; 12:e061736. [PMID: 35977773 PMCID: PMC9389101 DOI: 10.1136/bmjopen-2022-061736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION Meaningful activities (MA) have a positive impact on identity, well-being, participation and inclusion. Although people with intellectual disabilities (PID) depend on their direct support professionals (DSPs) to engage in MA, the DSPs need support which could enable them to offer more qualitative care and support. METHODS AND ANALYSIS To identify DSPs' needs, and to develop a tool/service, an innovative and iterative approach is developed, based on the human-centred design (HCD) process, combined with traditional qualitative and quantitative research methods. In the inspiration phase (needs analysis), in-depth interviews will be conducted in two day care centres in Flanders using an interpretative phenomenological analyses, one with a supply-driven approach and the other with a demand-driven approach, followed by a survey sent to all Flemish day care centres. In the ideation phase, the insights of phase 1 will guide a cocreation process (comprising a World Cafe, brainstorm and prototype sessions) with the DSPs, PID and other stakeholders. In the implementation phase, the solution will be tested in the two day care centres from phase 1 by means of living labs and a realist evaluation. By adopting this protocol, the functionality, quality, usability and acceptance are expected to increase. This protocol adopts all phases of the HCD process and shows the complementarity of HCD with traditional research methods. PID and the DSPs will benefit as the end result is truly grounded in their specific needs and wishes. ETHICS AND DISSEMINATION Ethical approval by the Ethics Committee of the University Hospital Ghent, Belgium (reference numbers: B670202042983 and PA2021-091). All participants will sign informed consent forms. Results of this study will be submitted for publication in relevant peer-reviewed journals and will be presented at relevant conferences.
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Affiliation(s)
- Christophe Wille
- Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
- Health and Care, Artevelde University College, Ghent, Belgium
| | - Ine De Clerck
- Health and Care, Artevelde University College, Ghent, Belgium
| | - Geert Van Hove
- Special Needs Education, Ghent University, Ghent, Belgium
| | - Jos Van Loon
- Special Needs Education, Ghent University, Ghent, Belgium
| | - Dominique Van de Velde
- Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium
- Special Needs Education, Ghent University, Ghent, Belgium
| | - Patricia De Vriendt
- Health and Care, Artevelde University College, Ghent, Belgium
- Department of Gerontology and Frailty in Ageing Research Group, Vrije Universiteit Brussel, Brussels, Belgium
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