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Kodate N, Maeda Y, Hauray B, Tsujimura M, Chan WCH, Mannan H, Yu W, Dalgalarrondo S, Cheung MC, Yumoto A, Suwa S, Donnelly S, Sakata N, O’Shea D, Obayashi K, Masuyama S. Hopes and fears regarding care robots: Content analysis of newspapers in East Asia and Western Europe, 2001-2020. Front Rehabil Sci 2022; 3:1019089. [PMID: 36569638 PMCID: PMC9773842 DOI: 10.3389/fresc.2022.1019089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/14/2022] [Accepted: 11/08/2022] [Indexed: 12/14/2022]
Abstract
Background As a type of welfare technology, care robotics is now widely seen as a potential aide to rehabilitation, increasing independence and enhancing the wellbeing of people with disabilities and older adults. Research into and development of care robots have both been vigorously promoted in North America, Europe and Asia, and the competition for technological advancement in robotics is becoming fierce. AI ethics and policy guidelines are being established. However, there are still differences in attitudes and perceptions, as well as national policies regarding this type of welfare technology. Moreover, despite the anticipated usefulness, it is believed that progress has been slow in the diffusion of care robots. Purpose In order to explore how public discourses support technological innovation, such as care robots, while preparing society for potential risks and impact, we sought to ascertain whether public discourse on care robots varies from region to region. For example, what are the hopes and promises associated with care robots and what are the concerns? Methods To address these questions, this article explored how care robots have been portrayed in five major broadsheet newspapers in five jurisdictions in Asia and Europe (France, Great Britain, Hong Kong SAR, Ireland and Japan). We obtained 545 articles for the period between January 2001 and September 2020, more than half of which originated in Japan. A thematic analysis was conducted of these articles written in four languages (Chinese, English, French and Japanese). Results Positive and negative narratives were teased out, alongside other key prominent themes identified, such as Japan as the land of robots, the pandemic, and the impact of robots on the economy. As the number of robot-related articles grew from the year 2012 onwards, narratives became more nuanced in European newspapers, but not in Asian ones. Furthermore, recent articles began to address the social and relational impact of care robots, while providing concrete examples of improvements in the quality of life for users. Further careful examination will be necessary in the future in order to establish the impact of robotics use in rehabilitation for people with disabilities, older adults, their carers and society at large.
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Affiliation(s)
- N. Kodate
- School of Social Policy, Social Work and Social Justice, University College Dublin, Dublin, Ireland,Public Policy Research Center, Hokkaido University, Sapporo, Japan,La Fondation France-Japon, School for Advanced Studies in the Social Sciences (EHESS), Paris, France,Institute for Future Initiatives, University of Tokyo, Tokyo, Japan,Universal Accessibility and Ageing Research Centre, Nishitokyo, Japan,Correspondence: N. Kodate
| | - Y. Maeda
- Faculty of Business, Technological University DublinDublin, Ireland
| | - B. Hauray
- Institut de recherche interdisciplinaire sur les enjeux sociaux, School for Advanced Studies in the Social Sciences (EHESS), Paris, France,French National Institute of Health and Medical Research (INSERM), Paris, France
| | - M. Tsujimura
- School of Nursing, Shiga University of Medical Science, Otsu, Japan
| | - W. C. H. Chan
- Department of Social Work, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - H. Mannan
- School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland,Flame University, Pune, India
| | - W. Yu
- Center for Frontier Medical Engineering, Chiba University, Chiba, Japan
| | - S. Dalgalarrondo
- Institut de recherche interdisciplinaire sur les enjeux sociaux, School for Advanced Studies in the Social Sciences (EHESS), Paris, France,French National Centre for Scientific Research (CNRS), Paris, France
| | - M. C. Cheung
- Department of Social Work, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - A. Yumoto
- Graduate School of Nursing, Chiba University, Chiba, Japan
| | - S. Suwa
- Graduate School of Nursing, Chiba University, Chiba, Japan
| | - S. Donnelly
- School of Social Policy, Social Work and Social Justice, University College Dublin, Dublin, Ireland
| | - N. Sakata
- Center for Information and Communication Technology, Dokkyo Medical University, Mibu, Japan
| | - D. O’Shea
- St Vincent’s University Hospital, Dublin, Ireland,Royal College of Physicians of Ireland, Dublin, Ireland
| | - K. Obayashi
- Universal Accessibility and Ageing Research Centre, Nishitokyo, Japan,Faculty of Healthcare Management, Nihon Fukushi University, Mihama, Japan,Social Welfare Corporation Tokyo Seishin-kai, Nishitokyo, Japan
| | - S. Masuyama
- Universal Accessibility and Ageing Research Centre, Nishitokyo, Japan,Traveler’s Medical Center, Tokyo Medical University, Tokyo, Japan
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Kodate N, Kohli P, McGinn C, Scott R, Ross E, Treusch P, Maeda Y, Donnelly S, Leonard C, Cogan L, Mannan H, O’Shea D, Obayashi K, Masuyama S. 43 EXPLORING STAFF PERCEPTIONS AND ATTITUDES TO CARE AND CAREBOTS: THE CASE OF AN ORIGINAL AIR-DISINFECTION ROBOT IN IRELAND. Age Ageing 2022. [DOI: 10.1093/ageing/afac218.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The pandemic heightened the sense of security and safety in care settings, with cleanliness and infection control becoming an even more important aspect of care delivery. Although the impact of new welfare technology on health and social care has been discussed in recent years, few studies have reported the implementation processes or human-robot interactions in care facilities in different cultural settings. The aims of this interdisciplinary research therefore were to understand needs and aspects that have to be considered for implementing an assistive robot, and to explore user perceptions, and the process by which the robots are adopted in Ireland and Japan.
Methods
An original air-disinfection robot (V-Air) was developed by Akara Robotics, as part of research project “Harmonisation towards the establishment of Person-centred, Robotics-aided Care System” (Toyota Foundation, D18-ST-0005). Prior to its instalment in a rehabilitation centre in Dublin, semi-structured interviews were conducted, and observations carried out with seven care professionals, as they interacted with V-Air. The robot was then trialled for eight weeks (March-May 2022) in selected areas of the facility. After four weeks, the users filled out the System Usability Score and were asked questions at the end of the trial. Their scores and answers to the questions revealed staff perceptions and attitudes to care robots.
Results
Overall, the users had positive perceptions of V-Air and its usability. Initial differences existed in staff’s confidence levels, depending on prior experiences with technologies. Collective sensemaking was observed, particularly, around care delivery processes and robot functionalities. The adoption process was facilitated by several factors such as the timing of introduction, user-centred design, concept of care and organisational support.
Conclusion
The findings suggest that the introduction of care robots in care settings can offer an additional layer of organisational safety, while highlighting the significance of the iterative process in adopting assistive technologies.
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Affiliation(s)
- N Kodate
- University College Dublin School of Social Policy, Social Work and Social Justice, , Dublin, Ireland
- Universal Accessibility & Ageing Research Centre , Nishitokyo, Japan
- Hokkaido University Public Policy Research Center, , Sapporo, Japan
- L’École des Hautes Etudes En Sciences Sociales, Fondation France Japon , Paris, France
- University of Tokyo Institute for Future Initiatives, , Tokyo, Japan
| | - P Kohli
- Maynooth University Department of Sociology, , Maynooth, Ireland
| | - C McGinn
- Trinity College Dublin Department of Mechanical, Manufacturing & Biomedical Engineering, , Dublin, Ireland
- Akara Robotics , Dublin, Ireland
| | - R Scott
- Akara Robotics , Dublin, Ireland
| | - E Ross
- Royal Hospital Donnybrook , Dublin, Ireland
| | - P Treusch
- Trinity College Dublin Trinity Long Room Hub, , Dublin, Ireland
| | - Y Maeda
- Technological University Dublin , Dublin, Ireland
| | - S Donnelly
- University College Dublin School of Social Policy, Social Work and Social Justice, , Dublin, Ireland
| | - C Leonard
- Royal Hospital Donnybrook , Dublin, Ireland
| | - L Cogan
- Royal Hospital Donnybrook , Dublin, Ireland
| | - H Mannan
- University College Dublin School of Nursing, Midwifery and Health System, , Dublin, Ireland
| | - D O’Shea
- St. Vincent’s University Hospital , Dublin, Ireland
| | - K Obayashi
- Nihon Fukushi University Faculty of Healthcare Management, , Mihama, Japan
- Social Welfare Corporation Tokyo Seishin-kai , Nishitokyo, Japan
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Kodate N, Donnelly S, Cheung MC, Maeda Y, Mannan H, Chan WCH, O'Shea D. 39 CAN CARE ROBOTS ASSIST OLDER PEOPLE AND LONG-TERM CARE SYSTEMS? KEY STAKEHOLDERS’ PERCEPTIONS IN HONG KONG SAR, CHINA AND IRELAND. Age Ageing 2021. [DOI: 10.1093/ageing/afab219.39] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
Abstract
Background
Robotics is now seen as part of the solution to the ageing population internationally, and is deployed in care settings. Care robots are designed to enable active ageing as well as ageing in place, with support to older persons, their families, and care professionals. The aim of this study was to understand the perceptions of stakeholders in Hong Kong and Ireland regarding the current state of affairs surrounding the use of care robots in their jurisdictions.
Methods
Semi-structured, in-depth interviews were conducted with 30 experts (15 from each jurisdiction). The participants included care professionals, service providers, researchers, and advocacy group representatives and policymakers. The questions explored their knowledge of and perceptions regarding the current use of assistive technologies, long-term care systems, and their own future vision of care provision for old age.
Results
In both jurisdictions, the use of care robots is relatively new, although many respondents were familiar with the seal robot PARO and the humanoid robot Pepper. In Hong Kong, a gerontechnology-specific exposition has become an annual feature in recent years, and the government’s investment has stepped up. In Ireland, a more general ehealth agenda has been adopted within the government’s planned care reform (Sláintecare). Older people in Hong Kong and Ireland are believed to fall through the cracks in their respective two-tier care systems, and many respondents stated that care robots are most needed in order to fill the gaps (e.g. safety monitoring, mobility support). Concerns regarding the impact of using robots included a possible reduction in human-to-human contact and deskilling of older people themselves.
Conclusion
There was a sense of urgency in both jurisdictions that more smart and digital technologies should be utilised to ease the pressures on care professionals and systems. However, a degree of optimism was noted for technological leapfrogging after the pandemic.
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Affiliation(s)
- N Kodate
- School of Social Policy , Social Work and Social Justice, , Dublin, Ireland
- University College Dublin , Social Work and Social Justice, , Dublin, Ireland
- UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems , Dublin, Ireland
- UCD Centre for Japanese Studies , Dublin, Ireland
- Universal Accessibility & Ageing Research Centre , Nishitokyo, Japan
- La Fondation France-Japon, School for Advanced Studies in the Social Sciences (EHESS) , Paris, France
- Public Policy Research Center, Hokkaido University , Sapporo, Japan
- Institute for Future Initiatives, University of Tokyo , Tokyo, Japan
| | - S Donnelly
- School of Social Policy , Social Work and Social Justice, , Dublin, Ireland
- University College Dublin , Social Work and Social Justice, , Dublin, Ireland
- UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems , Dublin, Ireland
| | - M-c Cheung
- Department of Social Work, The Chinese University of Hong Kong , Hong Kong SAR, China
| | - Y Maeda
- School of Business, Technological University Dublin , Dublin, Ireland
- UCD Centre for Japanese Studies , Dublin, Ireland
| | - H Mannan
- School of Nursing , Midwifery and Health Systems, , Dublin, Ireland
- University College Dublin , Midwifery and Health Systems, , Dublin, Ireland
- Flame University , Pune, India
- UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems , Dublin, Ireland
- UCD Centre for Japanese Studies , Dublin, Ireland
| | - WC-h Chan
- Department of Social Work, The Chinese University of Hong Kong , Hong Kong SAR, China
| | - D O'Shea
- St Vincent’s University Hospital , Dublin, Ireland
- Royal College of Physicians of Ireland , Dublin, Ireland
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Donnelly S, Kroll T, Mannan H, DIX C, Wilson AG. PARE0033 I’M HERE BUT I’M NOT: A PHOTOVOICE STUDY OF THE LIVED EXPERIENCE OF SELF-MANAGING RHEUMATOID ARTHRITIS. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.4198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Rheumatoid arthritis (RA) is a widespread chronic disease affecting about 1% of the population in the West. It is characterised by pain, fatigue and inflammation that can flare-up without warning. This makes the condition difficult to predict and manage. Bury (1982) introduced the concept of chronic illness as a disruptive experience to one’s self-identity. This is often an invisible part of managing the illness and taken for granted by others, such as family members, friends and health care professionals. Thus, there is a need to raise awareness of the patients’ lived experiences of self-managing this long-term chronic illness.Objectives:We aimed to collaborate with people with RA to (i) record and reflect the community’s strengths and concerns; (ii) raise awareness of the lived experience of self-managing RA (iii) spark a dialogue among key stakeholders around the self-management of RA.Methods:A purposeful sample of people with RA (n=12) was recruited. An innovative qualitative methodology, Photovoice, was used (Wang & Burris, 1997). A series of small group workshops took place. Participants were provided with cameras and appropriate training. They were asked to take photographs of the“challenges and solutions to living with RA” over approximately two weeks. Semi-structured interviews were conducted incorporating photo elicitation. As a group, the participants, a visual artist and researcher co-created a photo exhibition for the public.Results:Participants selected 32 photographs for the exhibition. They carried out a thematic analysis of the photos identifying four themes:•I’m Here but I’m Not– this theme reflected feelings of alienation and social isolation.•Medicine in all its forms –this theme captured attitudes towards medication and devices, as well as the creative ways people coped with RA.•Visible illness– this concerned the recognition of RA. It captures the experience of RA as a “contested illness” and the challenge of gaining medical and cultural legitimacy.•Mind yourself –this theme highlighted the value of self-care, often closely connected with the natural world and engagement with social activities.Exhibitions were held at a community arts centre and a large central hospital in Dublin city. A plain language report was also collaboratively produced.Conclusion:This study shows how participatory methods can be used to explore the hidden experience of living with an invisible illness. This research design enabled participants to use photographs to reflect on their experiences and the meaning they intended to convey, thereby increasing trustworthiness of the findings through individual and group member checking. This approach extends beyond traditional written and verbal responses to share the worldview of participants. It demonstrates how to work with patients to create opportunities to improve awareness and spark dialogue among those who play a role in supporting the self-management of chronic illness. The integration of creative arts and participatory methods can have a positive impact for those involved in research and can enhance public engagement with research.References:[1]Bury, Michael (1982) Chronic Illness as Biographical Disruption. Sociology of Health & Illness. 4. 167-82.[2]Wang, C., & Burris, M. A. (1997). Photovoice: Concept, Methodology, and Use for Participatory Needs Assessment.Health Education & Behavior,24(3), 369–387.Acknowledgments:Funding is awarded from the UCD Wellcome Trust Institutional Strategic Support Fund as part of a Medical Humanities and Social Science Collaboration Scheme (ref 204844/Z/16/Z).As part of a Patient and Public Involvement (PPI) strand, a Research Advisory Group composed of people living with RA was supported the design and execution of this project.Disclosure of Interests:None declared
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Vergunst R, Swartz L, Hem KG, Eide AH, Mannan H, MacLachlan M, Mji G, Braathen SH, Schneider M. Access to health care for persons with disabilities in rural South Africa. BMC Health Serv Res 2017; 17:741. [PMID: 29149852 PMCID: PMC5693516 DOI: 10.1186/s12913-017-2674-5] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2017] [Accepted: 11/03/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Global research suggests that persons with disabilities face barriers when accessing health care services. Yet, information regarding the nature of these barriers, especially in low-income and middle-income countries is sparse. Rural contexts in these countries may present greater barriers than urban contexts, but little is known about access issues in such contexts. There is a paucity of research in South Africa looking at "triple vulnerability" - poverty, disability and rurality. This study explored issues of access to health care for persons with disabilities in an impoverished rural area in South Africa. METHODS The study includes a quantitative survey with interviews with 773 participants in 527 households. Comparisons in terms of access to health care between persons with disabilities and persons with no disabilities were explored. The approach to data analysis included quantitative data analysis using descriptive and inferential statistics. Frequency and cross tabulation, comparing and contrasting the frequency of different phenomena between persons with disabilities and persons with no disabilities, were used. Chi-square tests and Analysis of Variance tests were then incorporated into the analysis. RESULTS Persons with disabilities have a higher rate of unmet health needs as compared to non-disabled. In rural Madwaleni in South Africa, persons with disabilities faced significantly more barriers to accessing health care compared to persons without disabilities. Barriers increased with disability severity and was reduced with increasing level of education, living in a household without disabled members and with age. CONCLUSIONS This study has shown that access to health care in a rural area in South Africa for persons with disabilities is more of an issue than for persons without disabilities in that they face more barriers. Implications are that we need to look beyond the medical issues of disability and address social and inclusion issues as well.
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Affiliation(s)
- R Vergunst
- Alan J Flisher Centre for Public Mental Health, Department of Psychology, Stellenbosch University, PO Box X1, Stellenbosch, Matieland, 7602, South Africa.
| | - L Swartz
- Alan J Flisher Centre for Public Mental Health, Department of Psychology, Stellenbosch University, PO Box X1, Stellenbosch, Matieland, 7602, South Africa
| | - K-G Hem
- SINTEF Technology and Society, Department of Health Research, PB 124 Blindern, 0314, Oslo, Norway
| | - A H Eide
- SINTEF Technology and Society, Department of Health Research, PB 124 Blindern, 0314, Oslo, Norway.,Centre for Rehabilitation Studies, Stellenbosch University, Stellenbosch, South Africa
| | - H Mannan
- School of Nursing, Midwifery & Health Systems, Health Sciences Centre, University College Dublin, Dublin, Ireland
| | - M MacLachlan
- Centre for Rehabilitation Studies, Stellenbosch University, Stellenbosch, South Africa.,ALL Institute and Department of Psychology, Maynooth University, Maynooth, Ireland.,Olomouc University Social Health Institute, Palacký University Olomouc, Olomouc, Czech Republic
| | - G Mji
- Centre for Rehabilitation Studies, Stellenbosch University, Stellenbosch, South Africa
| | - S H Braathen
- Alan J Flisher Centre for Public Mental Health, Department of Psychology, Stellenbosch University, PO Box X1, Stellenbosch, Matieland, 7602, South Africa.,SINTEF Technology and Society, Department of Health Research, PB 124 Blindern, 0314, Oslo, Norway
| | - M Schneider
- Alan J Flisher Centre for Public Mental Health Department of Psychiatry & Mental Health, University of Cape Town, Cape Town, South Africa
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Luong SN, Thakkar V, Hassett G, Mannan H, Pile K. THU0535 Quality of Life in Patients with Gout in South Western Sydney. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.1931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Khan F, Amatya B, Mannan H, Burkle F, Galea M. Rehabilitation in Madagascar: Challenges in implementing the World Health Organization Disability Action Plan. J Rehabil Med 2015; 47:688-96. [DOI: 10.2340/16501977-1995] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Munthali AC, Mannan H, MacLachlan M, Swartz L, Makupe CM, Chilimampunga C. Non-use of Formal Health Services in Malawi: Perceptions from Non-users. Malawi Med J 2014; 26:126-132. [PMID: 26167263 PMCID: PMC4325348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023] Open
Abstract
BACKGROUND The study upon which this paper is based was undertaken to understand users' and non-users' perceptions concerning facilitators and barriers to equitable and universal access to health care in resource-poor countries such as Malawi. In this study, non-users of health services were defined as people who were not in need of health services or those who had stopped using them due to significant barriers. METHODS A total of 80 interviews with non-users of health services were conducted in Rumphi, Ntchisi, Phalombe and Blantyre Districts of Malawi. Interviews focused on why informants were not using formal health services at the time of data collection. In order to identify non-users, snowballing was used health surveillance assistants, village headmen and community members also helped. One focus group discussion was also conducted with non-users of health services who were members of the Zion Church. RESULTS Informants described themselves as non-users of health services due to several reasons: cost of health services; long distances to health facilities; poor attitude of health workers; belief in the effectiveness of traditional medicines; old age and their failure to walk. Others were non-users due to their disability; hence they could not walk over long distances or could not communicate effectively with health providers. Some of these non-users were complete non-users, namely members of the Zion Church and those who believed in traditional medicine, and they stated that nothing could be done to transform them into users of health services. Other non-users stated that they could become users if their challenges were addressed e.g. for those who were non-users of health services due to poor attitudes of health workers, they stated that if these health workers were transferred they would be able to access health services. CONCLUSIONS Public health education targeting both health workers and non-users, ensuring a functional outreach program and addressing other health system challenges such as shortage of drugs and human resources would assist in transforming non-users into users of health services.
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Affiliation(s)
- A C Munthali
- Centre for Social Research, Chancellor College, University of Malawi, Zomba, Malawi
| | - H Mannan
- Nossal Institute for Global Health, University of Melbourne, Victoria, Australia ; Centre for Global Health & School of Psychology, Trinity College Dublin, Dublin, Ireland
| | - M MacLachlan
- Centre for Global Health & School of Psychology, Trinity College Dublin, Dublin, Ireland ; Centre for Rehabilitation Studies, Stellenbosch University, Stellenbosch, South Africa
| | - L Swartz
- Department of Psychology, Stellenbosch University, Stellenbosch, South Africa
| | - C M Makupe
- Department of Population Studies, Chancellor College, University of Malawi, Zomba, Malawi
| | - C Chilimampunga
- Department of Sociology, Chancellor College, University of Malawi, Zomba. Malawi
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McConkey R, Kelly F, Craig S, Mannan H. A longitudinal study of the intra-country variations in the provision of residential care for adult persons with an intellectual disability. J Intellect Disabil Res 2013; 57:969-979. [PMID: 22775226 DOI: 10.1111/j.1365-2788.2012.01592.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
BACKGROUND Small-scale community accommodation is the preferred alternative internationally to the institutional and congregated services that previously dominated residential care for persons with intellectual disability. The strategies required for changing to new service models are not well researched. METHOD The National Intellectual Disability Database in Ireland provided the data to explore the changes in provision that occurred over a 10-year period and the extent of the intra-country variation across eight administrative areas for health services. Data were extracted for 2 years, 1999 and 2009, for over 7000 adult persons resident in either congregated or community-based accommodation. Comparative indicators were calculated for the eight areas as well as nationally. In addition, over 4000 persons living in congregated settings were tracked over the 10 years to ascertain relocations as well as gathering information on the numbers of people newly admitted to each type of accommodation. RESULTS Marked variations across the eight areas were found in the overall numbers of people in residential accommodation, the proportion of persons living in congregated settings and the extent of changes in the numbers of people in each type of accommodation. Moreover, fewer than 15% of people had relocated nationally from congregated settings over the 10-year period and the number of new admissions to this form of provision remained high in certain areas. CONCLUSIONS The implementation of new forms of provision was not uniform across Ireland and possible reasons are proposed. Among the wider lessons internationally is the need for robust systems to monitor service provision nationally and locally if equity of access is to be achieved.
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Affiliation(s)
- R McConkey
- Institute of Nursing Research, University of Ulster, Newtownabbey, UK.
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Braathen SH, Vergunst R, Mji G, Mannan H, Swartz L. Understanding the local context for the application of global mental health: a rural South African experience. Int Health 2013; 5:38-42. [DOI: 10.1093/inthealth/ihs016] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Wong E, Backholer K, Pasupathi K, Stevenson C, Mannan H, Freak-Poli R, Hodge A, Peeters A. Anthropometric measures as predictors of long term physical disability. Obes Res Clin Pract 2011. [DOI: 10.1016/j.orcp.2011.08.146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Mannan H, Stevenson C, Peeters A, Walls H, McNeil J. Framingham Risk Prediction Equations for Incidence of Cardiovascular Disease Using Detailed Measures for Smoking. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Wang M, Summers JA, Little T, Turnbull A, Poston D, Mannan H. Perspectives of fathers and mothers of children in early intervention programmes in assessing family quality of life. J Intellect Disabil Res 2006; 50:977-88. [PMID: 17100958 DOI: 10.1111/j.1365-2788.2006.00932.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
BACKGROUND Family quality of life (FQOL), as a family outcome measure of early intervention and other services, has increasingly drawn attention of researchers, policymakers and service providers. Developing an index of family QOL requires a measure suitable for use with multiple family members. The purpose of this study was to test whether mothers and fathers similarly view the conceptual model of FQOL embodied in one measure. METHOD This study involved fathers and mothers of 107 families who have a young child (birth to five) with a disability enrolled in an early intervention programme. Data from couples completing the Beach Center FQOL measure were analysed using structural equation modelling (SEM) to determine similarities or differences between fathers and mothers with respect to their assessment of FQOL. RESULTS The analysis of measurement invariance of the FQOL construct across the father and mother groups indicates that the Beach Center FQOL Scale measures equally the underlying FQOL construct across fathers and mothers in this sample. Fathers do not differ from mothers in perceived importance of factors related to FQOL items, nor did they differ in their overall satisfaction with FQOL. CONCLUSION These results suggest that fathers and mothers respond similarly to the latent constructs within the Beach Center FQOL Scale; therefore, it holds promise for use with both fathers and mothers in assessing FQOL across multiple family members. Further implications for research and practice are discussed.
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Affiliation(s)
- M Wang
- Department of Special Education, Rowan University, Glassboro, NJ, USA
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Abstract
BACKGROUND Increasing emphasis on family-centred approaches to services and supports for families of children with disabilities has surfaced the issue of accountability for family outcomes. We present a review of literature about the impacts of children with disabilities on families as a backdrop to proposing family quality of life as a concept that encompasses impacts of disability and one that can be used to assess the impact of supports and services on families. METHOD We briefly introduce the Beach Center Family Quality of Life Scale, providing information about its factor structure, reliability and convergent validity. RESULTS The Beach Center Family Quality of Life Scale contains 25 items assessing family ratings of importance and satisfaction with five domains: Family interaction, Parenting, Emotional well-being, Physical/material well-being and Disability-related supports. CONCLUSION We present a framework for utilizing a measure of family quality of life as a long-term outcome in concert with other short-term measures of service outcomes for families.
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Affiliation(s)
- J A Summers
- University of Kansas, Lawrence, KS 66045, USA.
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Park J, Hoffman L, Marquis J, Turnbull AP, Poston D, Mannan H, Wang M, Nelson LL. Toward assessing family outcomes of service delivery: validation of a family quality of life survey. J Intellect Disabil Res 2003; 47:367-384. [PMID: 12787167 DOI: 10.1046/j.1365-2788.2003.00497.x] [Citation(s) in RCA: 115] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
BACKGROUND The concept of family quality of life (QoL) has emerged as an important outcome of service delivery for individuals with disabilities and their families. The present study describes the process of developing a tool to measure family QoL. METHODS AND RESULTS A total of 1197 respondents participated in a national field test. Through factor analysis, the survey was refined in several ways: (1) the preliminary 10-domain structure was reduced to a five-domain structure; (2) a total of 41 items were selected for the revised survey; and (3) wordings were clarified. CONCLUSIONS The implications for future research and practice are discussed.
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Affiliation(s)
- J Park
- Department of Special Education, Ewha University, Seoul, Korea.
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