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Cegarra B, Cattaneo G, Ribes A, Solana-Sánchez J, Saurí J. Independent living, emotional well-being, and quality of life in people with disabilities: the mediator role of self-determination and satisfaction with participation. Front Psychol 2023; 14:1279014. [PMID: 38187437 PMCID: PMC10768016 DOI: 10.3389/fpsyg.2023.1279014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Accepted: 11/29/2023] [Indexed: 01/09/2024] Open
Abstract
Background In the field of disability and rehabilitation, participation in society has become an important therapeutic objective due to its potential impact on rehabilitation, prognosis, and patient's mid and long-term well-being. However, only a few studies have explored this issue in relation with the subjective perspective of individuals with disabilities about their decision-making capacity and satisfaction with the activities in which they participate. Objective Our aim is to analyze the relationship between participation in society of people with disabilities and both emotional well-being and quality of life, including variables about subjective perspective of participation (satisfaction) and the ability to decide and pursue their own preferences. Method The cross-sectional study presented here includes 424 participants with disabilities over 18-years-old from Spain. This research is part of a larger ongoing longitudinal cohort study called Participa (https://participa.guttmann.com/en/). Participants were asked to complete several on-line surveys to explore quality of life, emotional well-being, participation in society, self-determination, and independent living. Results The results revealed an association between the dimensions of participation satisfaction, self-determination, and levels of independent living with both quality of life and emotional well-being. Mediation models indicated that satisfaction and self-determination partially mediated the relationship between independent living and both quality of life and emotional well-being. Conclusion The level of independent living, self-determination, and satisfaction with participation are fundamental aspects for promoting a high quality of life and emotional well-being in people with disabilities. These findings carry significant implications for health and social services, as well as policies guidelines, highlighting the need to prioritize empowerment and self-determination in all interventions designed for people with disabilities.
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Affiliation(s)
- Blanca Cegarra
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Barcelona, Spain
- Departament de Teoria i Història de l’Educació, Facultat d’Educació, Universitat de Barcelona, Barcelona, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Barcelona, Spain
| | - Gabriele Cattaneo
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Barcelona, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Barcelona, Spain
- Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - Alina Ribes
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Barcelona, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Barcelona, Spain
- Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - Javier Solana-Sánchez
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Barcelona, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Barcelona, Spain
- Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - Joan Saurí
- Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Barcelona, Spain
- Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol, Barcelona, Spain
- Departament de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain
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Bagatell N, Chan DV, Syu YC, Lamarche EM, Klinger LG. Sensory Processing and Community Participation in Autistic Adults. Front Psychol 2022; 13:876127. [PMID: 35719479 PMCID: PMC9201716 DOI: 10.3389/fpsyg.2022.876127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Accepted: 05/17/2022] [Indexed: 11/28/2022] Open
Abstract
Background Sensory processing differences have been shown to impact involvement in community activities. However, relatively little is known about how these differences affect community participation in autistic adults. Objective The objective of this study was to explore how sensory processing patterns of autistic adults impact community participation, including where people go, what they do, the amount of time in the community, and preferred locations. Methods We used data gathered from six autistic adults and their caregivers who participated in two studies. From Study 1, we reviewed results of the Adolescent and Adult Sensory Profile (AASP) and transcripts from interviews with caregivers. From Study 2, we reviewed GPS tracking data and transcripts from structured interviews with autistic adults focused on community participation. We read transcript data, identified quotes related to sensory processing and community participation and constructed individual participant narratives which linked findings from interviews, AASP, and GPS tracking. Results Participants included three males and three females ranging in age from 29 to 51. Each participant had a unique sensory processing profile that influenced where they went, the activities in which they engaged, how much time they spent in the community, and their preferred locations. Those whose sensory processing patterns indicated sensory sensitivity and sensory avoiding described the experience of certain environments as overwhelming and fatiguing and thus spent less time in the community and visited fewer places than those with other sensory processing patterns. Conclusion Results highlight the importance of sensory processing, especially as it impacts participation in the community. Sensory processing patterns should be considered along with other personal and contextual factors when assessing community participation and personal sensory processing patterns should be matched with activities and environmental demands.
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Affiliation(s)
- Nancy Bagatell
- Division of Occupational Science and Occupational Therapy, Department of Allied Health Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Dara V. Chan
- Division of Clinical Rehabilitation and Mental Health Counseling, Department of Allied Health Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Ya-Cing Syu
- Division of Occupational Science and Occupational Therapy, Department of Allied Health Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Elena M. Lamarche
- TEACCH® Autism Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
| | - Laura G. Klinger
- TEACCH® Autism Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
- Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
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Oldford L, Hanson N, Ross I, Croken E, Bleau L. Exploring the psychosocial impact of simple robotic assistive technology on adolescents with neuromuscular disease. J Rehabil Assist Technol Eng 2022; 9:20556683221087522. [PMID: 35386488 PMCID: PMC8977698 DOI: 10.1177/20556683221087522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Introduction Adolescents with neuromuscular disease face significant challenges accessing social leisure activities. Assistive technology has provided new opportunities for those with neuromuscular disease to augment their social lives and leisure pursuits. However, there is limited research evaluating the impact of these technologies. Methods This study employed mixed methods to evaluate the potential impact of simple robotics on psychosocial factors and quality of life for those adolescents living with neuromuscular diseases. Semi-structured qualitative interviews were performed, as well as the adult Psychosocial Impact of Assistive Technology Device (PIADS) with 9 adolescents, ranging in age from 13 to 19 years old. Results Thematic analysis of the qualitative data resulted in five major themes: everyday lives and seasonality; socialization; leisure activities; robotics as a leisure activity; and ease of use of robotics. The PIADS found the individual scores demonstrated a range from very little yet positive perceived impact to maximum positive impact in each subscale (competence, adaptability, and self-esteem). Conclusions Simple mainstream robotics, paired with personalized access methods to control them, offer potential leisure and social integration opportunities to adolescents with neuromuscular diseases in a variety of settings, indoors and outdoors. The findings of this study suggest there are opportunities for this type of mainstream technology to be applied not just to adolescents, but potentially children of all ages with neuromuscular disease, across a variety of environments.
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Affiliation(s)
- Laura Oldford
- Stan Cassidy Centre for Rehabilitation, Horizon Health Network, Fredericton, Canada
| | - Natasha Hanson
- Qualitative Methodologist, Research Services, Horizon Health Network, Saint John, Canada
| | - Isabelle Ross
- Stan Cassidy Centre for Rehabilitation, Horizon Health Network, Fredericton, Canada
| | - Emma Croken
- Stan Cassidy Centre for Rehabilitation, Horizon Health Network, Fredericton, Canada
| | - Lise Bleau
- Stan Cassidy Centre for Rehabilitation, Horizon Health Network, Fredericton, Canada
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4
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Loveall SJ, Channell MM, Burke MM, Rodgers DB. Post-High School Transition Outcomes for Young Adults With Down Syndrome. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2022; 127:135-148. [PMID: 35180778 DOI: 10.1352/1944-7558-127.2.135] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 06/01/2021] [Indexed: 06/14/2023]
Abstract
There is limited available research on the post-high school outcomes of young adults with Down syndrome (DS). The purpose of this study, therefore, was to characterize employment, community-based living, and community engagement outcomes and their correlates among young adults with DS who recently transitioned out of high school. Caregivers (n = 100) of young adults with DS who exited high school within the past 5 years completed an online survey. Approximately half of the individuals with DS were working in some capacity; almost all were living with caregivers. Individuals with DS were engaging in a variety of community activities each week. Adaptive functioning was related to both employment and community engagement. Parent involvement in transition planning was also related to community engagement.
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Affiliation(s)
| | - Marie Moore Channell
- Marie Moore Channell and Meghan M. Burke, University of Illinois at Urbana-Champaign
| | - Meghan M Burke
- Marie Moore Channell and Meghan M. Burke, University of Illinois at Urbana-Champaign
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Wu Y, Sun J, Fan F, Wang X, Peng Y. The Influence of Motivation, Attitudes and Obstacles for Middle School Students' Participation in Leisure Activities on Their Leisure Satisfaction in Southwest China. Front Psychol 2021; 12:758858. [PMID: 34955977 PMCID: PMC8695895 DOI: 10.3389/fpsyg.2021.758858] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2021] [Accepted: 11/08/2021] [Indexed: 11/30/2022] Open
Abstract
Purpose: To explore the relationship among leisure motivation, barriers, attitude and satisfaction of middle school students in Chengdu, Sichuan, to help students establish a positive leisure attitude and provide a reference for youth leisure counseling. Methods: Based on consulting research literature, this paper designs a survey volume of teenagers’ leisure motivation, barriers, attitude, and satisfaction; 2249 valid questionnaires of middle school students in Chengdu were obtained by stratified random sampling. The data were statistically processed by the combination of exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Results: (1) There are significant positive correlation effects between leisure motivation and leisure attitude, leisure attitude and leisure satisfaction, and leisure motivation and leisure satisfaction; (2) There is a low degree of positive correlation effect (r = 0.35 *) between leisure barriers and leisure motivation, which is contrary to common sense and needs to be further studied in the follow-up; (3) Leisure barriers has no significant direct impact on leisure satisfaction, but it can have a significant negative impact on leisure satisfaction with the intermediary variable of leisure attitude; (4) Leisure motivation is the most important variable in the whole leisure model structure. It not only has the greatest direct impact on leisure satisfaction but also has a great positive impact on leisure satisfaction through the intermediary of leisure attitude. Conclusion: Adolescent leisure motivation, barriers, attitude, and satisfaction are complementary and interdependent. Among them, leisure motivation is the core variable and leisure attitude is the dual intermediary variable. Through the initiation of leisure motivation, helping adolescents establish a positive leisure attitude may be the key to ensure their leisure satisfaction.
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Affiliation(s)
- Yunlan Wu
- School of Leisure Sport, Chengdu Sport University, Chengdu, China
| | - Jianan Sun
- School of Physical Education, University for Science and Technology Sichuan, Chengdu, China
| | - Falu Fan
- The Department of Sport and Outward bound, SiChuan Technology and Business College, Chengdu, China
| | - Xia Wang
- Chengdu Shuangshui Primary School, Chengdu, China
| | - Yuanqiu Peng
- School of Physical Education, Southwest Medical University, Luzhou, China
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6
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Examining Environmental Predictors of Community Participation for Adults with Autism Spectrum Disorder Using Geographic Information Systems (GIS). J Autism Dev Disord 2021; 51:2531-2537. [PMID: 32939608 PMCID: PMC8167888 DOI: 10.1007/s10803-020-04660-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
A geographic information system (GIS) approach systematically assessed whether population density and distribution of community resources contributed to caregiver reported community participation outcomes for 124 adults with autism spectrum disorder (ASD). Regression analyses examined whether GIS measures predicted community participation in areas of social activities and use of services, while also accounting for adult age, conversation ability, and daily living skills (DLS). Results indicated that in addition to person factors of greater DLS and better conversation ability, access to specific community features, such as bus stops, contributed to improved participation. Unexpectedly, population density where one lived made minimal contribution to participation outcomes, except in getting together with friends outside of organized activities.
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7
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Active Parents-Active Children-A Study among Families with Children and Adolescents with Down Syndrome. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18020660. [PMID: 33466714 PMCID: PMC7828765 DOI: 10.3390/ijerph18020660] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 01/08/2021] [Accepted: 01/09/2021] [Indexed: 11/16/2022]
Abstract
From a public health perspective, it is important that children with Down syndrome (DS) lay the foundations of physical activity (PA) early in life to keep active in school, as teenagers and as adults. The aims were to investigate PA patterns in children and adolescents with DS, as well as their parents’ and siblings’ PA patterns. Methods: A survey was performed among 310 families with children with DS (54% boys and 46% girls) aged 8–18 years (mean 14.04, SD 3.18) in Sweden. Chi-squared tests and multiple logistic regression were carried out. Results: Nineteen percent of children and adolescents with DS and 34% of the parents were active three or more times per week. The child’s PA level was significantly associated with parents’ PA (OR = 5.5), siblings’ PA (OR = 5.1) and the child’s locomotion ability (OR = 3.5). Physically active parents had active children to a greater extent than inactive parents (59% vs. 29%; p < 0.001). Conclusions: Physically active parents have active children. To promote PA among children and adolescents with DS, it is important to promote and pay attention to the parents’ and siblings’ PA behavior, as children with DS are dependent on support from the family.
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Towards an Inclusive Museum Management Strategy. An Exploratory Study of Consumption Experience in Visitors with Disabilities. The Case of the CosmoCaixa Science Museum. SUSTAINABILITY 2021. [DOI: 10.3390/su13020660] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
In the field of cultural tourism, museums have been pioneers in focusing on visitors with disabilities. They have used inclusive orientation to offer the kind of memorable and satisfying experiences that are so beneficial to a group at constant risk of social exclusion. Their task is made more difficult, however, by visitors’ perception of barriers to inclusion, and identification therefore becomes a priority at the strategic level. Based on this idea, the present study analyzes experiences from two tours of the CosmoCaixa Barcelona museum by 32 people with disabilities (PwD). The use of ethnographic techniques and post-experience interviews shows how, despite the legal framework in relation to people with disabilities, hospitality managers find it difficult to put this framework into practice and cater to the needs of this segment of the population. Two factors become particularly clear: the difficulties experienced by museum staff in identifying people with disability, and museum managers’ lack of training and knowledge of the wants and needs of people with disabilities. Academic and strategic recommendations for museum managers are provided at the end of the article.
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9
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Mihaila I, Handen BL, Christian BT, Hartley SL. Leisure activity in middle-aged adults with Down syndrome: Initiators, social partners, settings and barriers. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2020; 33:865-875. [PMID: 31994249 DOI: 10.1111/jar.12706] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2019] [Revised: 12/06/2019] [Accepted: 01/15/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND Leisure activity has been linked to optimal ageing outcomes, yet little is known about the type and level of leisure activity adults with Down syndrome currently engage in, and the factors that promote and hinder their leisure activities. MATERIALS AND METHODS A daily diary was utilized to provide an in-depth description of the average daily leisure activity of 44 adults with Down syndrome (aged 25-56 years) across a typical 7-day period. Factors related to participation, including initiators, social partners, settings and barriers, were examined. RESULTS Findings indicated that the majority of adults with Down syndrome did not meet established physical leisure activity intensity recommendations (i.e., 150 min/week moderately active activity) and did not exceed levels of passive leisure (e.g., watching television) found in the general population (i.e., 2-3 hr/day). Adults with Down syndrome self-initiated and self-engaged in the majority of their leisure activity. Family members and paid staff allocated resources towards initiating and engaging as social partners in social and physical leisure, respectively. CONCLUSIONS Interventions and support services should partner with family members and paid staff to foster participation in adaptive leisure activity, perhaps through the establishment of leisure activity as part of daily routines.
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Affiliation(s)
- Iulia Mihaila
- Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL, USA
| | - Benjamin L Handen
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA
| | - Bradley T Christian
- University of Wisconsin-Madison Waisman Center, Madison, WI, USA.,Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, USA
| | - Sigan L Hartley
- University of Wisconsin-Madison Waisman Center, Madison, WI, USA.,Department of Human Development and Family Studies, University of Wisconsin-Madison, Madison, WI, USA
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Steinhardt F, Ullenhag A, Jahnsen R, Dolva AS. Perceived facilitators and barriers for participation in leisure activities in children with disabilities: Perspectives of children, parents and professionals. Scand J Occup Ther 2019; 28:121-135. [PMID: 31852318 DOI: 10.1080/11038128.2019.1703037] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
BACKGROUND There is limited knowledge about facilitators and barriers to leisure activity participation for children with disabilities in Norway, which is needed to improve rehabilitation interventions. AIM This study aims to explore the main facilitators and barriers for participation in leisure activities for children and youth with disabilities in Norway. METHODS Semi-structured group interviews with 31 parents, 20 healthcare professionals, and nine children with disabilities were conducted. Qualitative content analysis with thematic coding was used, and the model of factors affecting the participation of children with disabilities developed by King et al. was applied for further deductive analysis. RESULTS Child factors, as viewed by parents and professionals, worked primarily as barriers and tended to increase with the child's age. The children themselves focussed on their own preferences, friendship and enjoyment as their main facilitators for participation. Most environmental and family factors worked both as facilitators and as barriers, with parental support as the most important facilitator. Differences between urban and rural areas in the availability and accessibility of activities were reported. CONCLUSION AND SIGNIFICANCE Knowledge from this study is important for the improvement of rehabilitation interventions that aim to increase participation in leisure activities for children and youth with disabilities.
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Affiliation(s)
- Friedolin Steinhardt
- Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, Lillehammer, Norway
| | - Anna Ullenhag
- Department of Health, Care and Social Welfare, Mälardalens University, Västerås, Sweden.,Beitostølen Healthsports Centre, Beitostølen, Norway
| | - Reidun Jahnsen
- Beitostølen Healthsports Centre, Beitostølen, Norway.,Department of Neurosciences for Children, Oslo University Hospital, Oslo, Norway.,Institute of Health and Society, CHARM, University of Oslo, Oslo, Norway
| | - Anne-Stine Dolva
- Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, Lillehammer, Norway
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Bates L, Kearns R, Witten K, Carroll P. ‘A level playing field’: Young people's experiences of wheelchair basketball as an enabling place. Health Place 2019; 60:102192. [DOI: 10.1016/j.healthplace.2019.102192] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2019] [Revised: 06/23/2019] [Accepted: 08/16/2019] [Indexed: 11/28/2022]
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12
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DuBois D, Renwick R, Chowdhury M, Eisen S, Cameron D. Engagement in community life: perspectives of youths with intellectual and developmental disabilities on families’ roles. Disabil Rehabil 2019; 42:2923-2934. [DOI: 10.1080/09638288.2019.1576781] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Denise DuBois
- Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Rebecca Renwick
- Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Mushfika Chowdhury
- Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Shauna Eisen
- Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Debra Cameron
- Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
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13
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Giraldo-Rodríguez L, Mino-León D, Murillo-González JC, Agudelo-Botero M. Factors associated with environmental barriers of people with disabilities in Mexico. Rev Saude Publica 2019; 53:27. [PMID: 30942269 PMCID: PMC6474753 DOI: 10.11606/s1518-8787.2019053000556] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2017] [Accepted: 04/18/2018] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE: To examine the associations between sociodemographic, health and disability-related factors and the perception of environmental barriers outside the home environment by individuals with permanent disabilities in Mexico. METHODS: In this cross-sectional, population-based study, we used data from the 2010 National Survey of Perceptions of Disability in the Mexican Population of 2,041 participants older than 18 with permanent disability. The perceptions of barriers take into consideration the challenges of getting around and using transportation outside the home environment. The covariates consisted of sociodemographic, health-related and disability-related factors. Multivariate logistic regression was used. RESULTS: The perception of environmental barriers outside the home environment was associated with being a woman, living in an urban area, speaking an indigenous language, experiencing emotional symptoms, having walking/movement, visual or self-care disabilities, having severe/extreme disability, having disability caused by illness, using physical devices, and receiving assistance and care in the home environment. CONCLUSIONS: This information is valuable for the design of public policies and programs that promote the participation of individuals with permanent disabilities, a high-priority issue in low- and middle-income countries.
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Affiliation(s)
- Liliana Giraldo-Rodríguez
- Instituto Nacional de Geriatría, Subdirección de Investigación Epidemiológica Geriátrica. Departamento de Epidemiología Demográfica y Determinantes Sociales. Ciudad de México, México
| | - Dolores Mino-León
- Instituto Mexicano del Seguro Social. Unidad de Investigación en Epidemiología Clínica. Hospital de Especialidades. Coordinación de Investigación en Salud. Ciudad de México, México
| | | | - Marcela Agudelo-Botero
- Universidad Nacional Autónoma de México. Facultad de Medicina. Centro de Investigación en Políticas, Población y Salud. Ciudad de México, México
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Lancioni GE, Singh NN, O’Reilly MF, Sigafoos J, Alberti G, Perilli V, Zimbaro C, Chiariello V, Campodonico F. Supporting leisure and functional activity engagement in people with multiple disabilities via a technology-aided program. ACTA ACUST UNITED AC 2018. [DOI: 10.3233/tad-170182] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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15
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Mahmud I, Clarke L, Ploubidis GB. Developing the content of a locomotor disability scale for adults in Bangladesh: a qualitative study. Arch Physiother 2018; 7:7. [PMID: 29340201 PMCID: PMC5759907 DOI: 10.1186/s40945-017-0035-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2017] [Accepted: 05/18/2017] [Indexed: 11/10/2022] Open
Abstract
Background Bangladesh has an estimated 17 million adults with disabilities. A significant proportion of them are believed to have locomotor disabilities. There are over 300 non-governmental organizations providing different types of rehabilitation services to them. However, there is no locally developed and validated locomotor disability measurement scale in Bangladesh. The purpose of this study was to develop a locomotor disability scale with disability indicators suitable for adults in Bangladesh. Methods Semi-structured interviews were conducted with 25 purposively selected adults with locomotor disabilities to generate scale items. At the second stage, cognitive interviews were conducted with 12 purposively selected adults with locomotor disabilities in order to refine the measurement questions and response categories. Data were analysed using the framework technique- identifying, abstracting, charting and matching themes across the interviews. Results For a locomotor disability scale, 70 activities (disability indicators) were identified: 37 mobility activities, 9 activities of daily living, 17 work/productivity activities and 7 leisure activities. Cognitive interviews revealed that when asking the respondents to rate their difficulty in performing the activities, instead of just mentioning the activity name, such as taking a bath or shower, a detailed description of the activity and response options were necessary to ensure consistent interpretation of the disability indicators and response options across all respondents. Conclusions Identifying suitable disability indicators was the first step in developing a locomotor disability scale for adults in Bangladesh. Interviewing adults with locomotor disabilities in Bangladesh ensured that the locomotor disability scale is of relevance to them and consequently it has excellent content validity. Further research is needed to evaluate the psychometric properties of this scale.
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Affiliation(s)
- Ilias Mahmud
- James P Grant School of Public Health, BRAC University, 5th Floor, icddr, b, Mohakhali, Dhaka Bangladesh.,College of Public Health and Health Informatics, Qassim University, Al Bukayriah, Al Qassim Saudi Arabia
| | - Lynda Clarke
- Department of Population Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT UK
| | - George B Ploubidis
- Department of Social Science, Centre for Longitudinal Studies, University College London, 55-59 Gordon Square, London, WC1H 0NU UK
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16
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Longo E, Badia M, Begoña Orgaz M, Gómez-Vela M. Comparing parent and child reports of health-related quality of life and their relationship with leisure participation in children and adolescents with Cerebral Palsy. RESEARCH IN DEVELOPMENTAL DISABILITIES 2017; 71:214-222. [PMID: 29055241 DOI: 10.1016/j.ridd.2017.09.020] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/17/2016] [Revised: 08/10/2017] [Accepted: 09/28/2017] [Indexed: 06/07/2023]
Abstract
The aim of this study was to examine the level of agreement between reports of health-related quality of life (HR-QoL) obtained from children and adolescents with cerebral palsy (CP) and their parents. We also examined the relationships between child and parent perception of the different domains of HR-QoL and participation dimensions. Sixty-nine children and adolescents with CP and their parents separately completed parallel forms of the KIDSCREEN questionnaire. The Spanish version of the Children's Assessment of Participation and Enjoyment (CAPE) was completed by the child/adolescent. Concordance between the children's and the parents' HR-QoL scores was analyzed via Pearson and intraclass correlations. Differences in means were tested using paired Student's t-tests. Chi-square tests were using to assess the incidence of personal variables in the agreement and disagreement of children-parents' responses. The relationships between HR-QoL and leisure participation was confirmed with Pearson's correlation coefficients. Correlations between child and parent HR-QoL scores were small in 7 domains, medium in 2 and large in the Social Support & Peers domain. Children reported significantly better HR-QoL than their parents did. Participation was positively associated with specific domains of HR-QoL, but only weakly, and there were discrepancies between parent and child reports of HR-QoL. These findings provide interesting information about the importance of hearing the voices of children and adolescents with CP to promote HR-QoL and leisure participation.
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Affiliation(s)
- Egmar Longo
- Federal University of Rio Grande do Norte/FACISA, Brazil.
| | - Marta Badia
- Institute on Community Integration (INICO), Faculty of Psychology, University of Salamanca, Salamanca, Spain
| | - M Begoña Orgaz
- Faculty of Psychology, University of Salamanca, Salamanca, Spain
| | - María Gómez-Vela
- Institute on Community Integration (INICO), Faculty of Psychology, University of Salamanca, Salamanca, Spain
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Mihaila I, Hartley SL, Handen BL, Bulova PD, Tumuluru RV, Devenny DA, Johnson SC, Lao PJ, Christian BT. Leisure Activity and Caregiver Involvement in Middle-Aged and Older Adults With Down Syndrome. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2017; 55:97-109. [PMID: 28375797 PMCID: PMC5580086 DOI: 10.1352/1934-9556-55.2.97] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
The present study examined leisure activity and its association with caregiver involvement (i.e., residence and time spent with primary caregiver) in 62 middle-aged and older adults with Down syndrome (aged 30-53 years). Findings indicated that middle-aged and older adults with Down syndrome frequently participated in social and passive leisure activities, with low participation in physical and mentally stimulating leisure activities. Residence and time spent with primary caregiver were associated with participation in physical leisure activity. The findings suggest a need for support services aimed at increasing opportunities for participating in physical and mentally stimulating leisure activity by middle-aged and older adults with Down syndrome. These support services should partner with primary caregivers in order to best foster participation in physical leisure activity.
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Affiliation(s)
- Iulia Mihaila
- Iulia Mihaila and Sigan L. Hartley, University of Wisconsin - Madison
| | - Sigan L Hartley
- Iulia Mihaila and Sigan L. Hartley, University of Wisconsin - Madison
| | - Benjamin L Handen
- Benjamin L. Handen, Peter D. Bulova, and Rameshwari V. Tumuluru, University of Pittsburgh
| | - Peter D Bulova
- Benjamin L. Handen, Peter D. Bulova, and Rameshwari V. Tumuluru, University of Pittsburgh
| | - Rameshwari V Tumuluru
- Benjamin L. Handen, Peter D. Bulova, and Rameshwari V. Tumuluru, University of Pittsburgh
| | - Darlynne A Devenny
- Darlynne A. Devenny, New York State Institute for Basic Research in Developmental Disabilities; and
| | - Sterling C Johnson
- Sterling C. Johnson, Patrick J. Lao, and Bradley T. Christian, University of Wisconsin - Madison
| | - Patrick J Lao
- Sterling C. Johnson, Patrick J. Lao, and Bradley T. Christian, University of Wisconsin - Madison
| | - Bradley T Christian
- Sterling C. Johnson, Patrick J. Lao, and Bradley T. Christian, University of Wisconsin - Madison
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18
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Steinert C, Steinert T, Flammer E, Jaeger S. Impact of the UN convention on the rights of persons with disabilities (UN-CRPD) on mental health care research - a systematic review. BMC Psychiatry 2016; 16:166. [PMID: 27387916 PMCID: PMC4937523 DOI: 10.1186/s12888-016-0862-1] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2015] [Accepted: 05/12/2016] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND The United Nations Convention on the Rights of Persons with Disabilities (UN-CRPD) aims at stimulating profound changes and social development in many areas of the society. We wanted to examine the impact of the convention on mental health care research up to now by a systematic review. METHODS We searched relevant electronic databases for empirical studies from the area of mental health which focused directly on the content of the UN-CRPD. RESULTS One thousand six hundred ten articles were screened, 36 of which fulfilled the inclusion criteria and came from 22 different countries. 25 studies (69 %) are related to persons with intellectual disabilities, only 11 to other mental disorders. Study designs were quantitative and qualitative as well. Issues were realisation of the UN-CRPD, implementation and financing, development of instruments, and attitudes towards the UN-CRPD. CONCLUSIONS In contrast to possible wide-reaching consequences for the organisation of mental health care, theoretical debates prevail as of yet and empirical research is still scarce. Research on the UN-CRPD is more advanced for intellectual disabilities and provides good suggestions for relevant research aspects in major mental disorders.
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Affiliation(s)
- Christoph Steinert
- University of Mannheim, Chair for Political Science IV, Mannheim, Germany
| | - Tilman Steinert
- Department of Psychiatry and Psychotherapy I, Centres for Psychiatry Suedwuerttemberg, Ulm University, Versorgungsforschung Weissenau, Ravensburg, Germany
| | - Erich Flammer
- Department of Psychiatry and Psychotherapy I, Centres for Psychiatry Suedwuerttemberg, Ulm University, Versorgungsforschung Weissenau, Ravensburg, Germany.
| | - Susanne Jaeger
- Department of Psychiatry and Psychotherapy I, Centres for Psychiatry Suedwuerttemberg, Ulm University, Versorgungsforschung Weissenau, Ravensburg, Germany
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Alesi M, Pepi A. Physical Activity Engagement in Young People with Down Syndrome: Investigating Parental Beliefs. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2015; 30:71-83. [DOI: 10.1111/jar.12220] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Marianna Alesi
- Dipartimento di Scienze Psicologiche; Pedagogiche e della Formazione; Università degli Studi di Palermo; Palermo Italy
| | - Annamaria Pepi
- Dipartimento di Scienze Psicologiche; Pedagogiche e della Formazione; Università degli Studi di Palermo; Palermo Italy
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20
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Dolva AS, Kleiven J, Kollstad M. Actual leisure participation of Norwegian adolescents with Down syndrome. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2014; 18:159-175. [PMID: 24515503 DOI: 10.1177/1744629514523158] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
This article reports the actual participation in leisure activities by a sample of Norwegian adolescents with Down syndrome aged 14. Representing a first generation to grow up in a relatively inclusive context, they live with their families, attend mainstream schools, and are part of common community life. Leisure information was obtained in individual, structured parent interviews, and added to existing longitudinal data from a project following the sample. Generally, the leisure activity may be viewed as varying along a continuum-reaching from formal, organized, and assisted activity participation outside home, to informal, self-organized, and independent participation at home. Formal leisure activities were either organized "for all" or "adapted for disabled." The adolescents' leisure appears as active and social. However, social participation largely involved parents and family, while socializing with other adolescents mainly took place within formal activities adapted for disabled. Clearly, formal and informal activities provide rather different opportunities for social encounters and assistance.
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Longo E, Badia M, Orgaz B, Verdugo MA. Cross-cultural validation of the Children's Assessment of Participation and Enjoyment (CAPE) in Spain. Child Care Health Dev 2014; 40:231-41. [PMID: 23210505 DOI: 10.1111/cch.12012] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/07/2012] [Indexed: 11/28/2022]
Abstract
BACKGROUND Despite growing interest in the topic of participation, the construct has not yet been assessed in children and adolescents with and without cerebral palsy (CP) in Spain. As there are no available instruments to measure participation in leisure activities which have been adapted in this country, the goal of this study was to validate a Spanish version of the Children's Assessment of Participation and Enjoyment (CAPE). METHOD The sample comprised 199 children and adolescents with CP and 199 without CP, between 8 and 18 years of age, from seven regions in Spain. The adaptation of the original version of CAPE was carried out through translation and backward translation, and the validity of the instrument was analysed. Construct validity was assessed through the correlation of the diverse CAPE domains and the quality of life domains (KIDSCREEN questionnaire). Discriminant validity was established by comparing children and adolescents with CP and typically developing children and adolescents. For test-retest reliability, the children and adolescents with and without CP completed the CAPE questionnaire twice within 4 weeks. RESULTS The correlations found between the CAPE domains and the quality of life domains show that the CAPE presents construct validity. The CAPE discriminated children and adolescents with CP from those without any disability in the results of participation. According to most CAPE domains, typically developing children and adolescents engage in a greater number of activities than children and adolescents with CP. Test-retest reliability for the Spanish version of CAPE was adequate. CONCLUSION The study provides a valid instrument to assess the participation of children and adolescents with and without CP who live in Spain.
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Affiliation(s)
- E Longo
- INICO, Faculty of Psychology, University of Salamanca, Spanish Agency of International Cooperation - MAEC - AECID, Salamanca, Spain
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Badia M, Longo E, Orgaz MB, Gómez-Vela M. The influence of participation in leisure activities on quality of life in Spanish children and adolescents with Cerebral Palsy. RESEARCH IN DEVELOPMENTAL DISABILITIES 2013; 34:2864-2871. [PMID: 23810927 DOI: 10.1016/j.ridd.2013.06.017] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2013] [Revised: 06/13/2013] [Accepted: 06/13/2013] [Indexed: 06/02/2023]
Abstract
Participation is an important modifiable quality of life (QOL) determinant and a key outcome measure. The aim of this study was to confirm if participation in leisure activities affects the QOL domains in children and adolescents with Cerebral Palsy (CP) in Spain. A total of 206 children and adolescents with CP (and their parents), 115 boys and 91 girls, mean age of 11.96 years (SD=3.00; range 8-18 years) participated in the study. Distribution according to the Gross Motor Function Classification System (GMFCS) was 24.3% Level I, 18% Level II, 18% Level III, 12.6% Level IV, and 27.2% Level V. Participation in leisure activities was assessed using the Spanish version of Children's Assessment of Participation and Enjoyment (CAPE) and QOL using the KIDSCREEN parents' version. Diversity, intensity and enjoyment of participation explained the levels of QOL in the Physical well-being, Psychological well-being, Autonomy, Parent relation & home life and Social support & peers domains, independently of gender, age and level of impairment (motor and intellectual). We also found that intensity and enjoyment of participation in informal activities had more influence on the different QOL domains. The most influenced domain by the enjoyment of participation in all domains and types of CAPE activities was Psychological well-being. The participation in leisure activities had a positive effect on the QOL of the Spanish children and adolescents with CP.
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Affiliation(s)
- Marta Badia
- Institute on Community Integration (INICO), Faculty of Psychology, University of Salamanca, Avda. de la Merced, 109-131, 37005 Salamanca, Spain.
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Shikako-Thomas K, Shevell M, Schmitz N, Lach L, Law M, Poulin C, Majnemer A. Determinants of participation in leisure activities among adolescents with cerebral palsy. RESEARCH IN DEVELOPMENTAL DISABILITIES 2013; 34:2621-2634. [PMID: 23751302 DOI: 10.1016/j.ridd.2013.05.013] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2013] [Revised: 05/06/2013] [Accepted: 05/07/2013] [Indexed: 06/02/2023]
Abstract
Studies have identified restrictions in engagement in leisure activities for adolescents with disabilities. Participation is a complex construct and likely influenced by a variety of factors. These potential determinants have not yet been sufficiently explored in the population of adolescents with cerebral palsy (CP). The objective of this study is to estimate the potential influence of adolescent characteristics and environmental factors as determinants of participation in leisure activities for adolescents with CP. A cross-sectional design was used. Participants were adolescents (12-19 years old) with cerebral palsy. Participants were assessed with the Vineland Adaptive Behavior Scale - II, Gross Motor Function Measure, Gross Motor Function Classification System, Manual Ability Classification System and completed the Self-Perception Profile for Adolescents, Dimensions of Mastery Questionnaire, Strengths and Difficulties Questionnaire, Family Environment Scale, the European Child Environment Questionnaire and the Preferences for Activities of Children. The main outcome measure was the Children's Assessment of Participation and Enjoyment. 187 adolescents (age M=15.4; SD=2.2) completed the study. Multivariate models of participation in leisure revealed associations with factors related to the adolescents' functional characteristics and attitudes, the family environment, socioeconomic status, and contextual factors such as school type, and collectively explained from 28% (diversity of skill-based activities) up to 48% (intensity and diversity of self-improvement activities) of the variance in intensity and diversity in five leisure participation domains (diversity: r(2)=.33 recreational; r(2)=.39 active-physical; r(2)=.33 social activities). Adolescent's mastery motivation, self-perception and behavior were individually associated with participation in different activity domains, but did not strongly predict participation within multivariate models, while preferences for activities were strong predictors of participation in all domains, except for skill-based activities. Engagement in different types of leisure activities is important for adolescents' development and well-being. Health care professionals should consider adolescents' and families' characteristics to promote participation in leisure activities.
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Badia M, Orgaz MB, Verdugo MÁ, Ullán AM, Martínez M. Relationships between leisure participation and quality of life of people with developmental disabilities. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2013; 26:533-45. [PMID: 23613480 DOI: 10.1111/jar.12052] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/02/2012] [Indexed: 12/01/2022]
Abstract
BACKGROUND Studies of people with developmental disabilities suggest that participation in leisure activities might be a key factor for good quality of life. This study explores the relationships between objective and subjective quality of life and leisure participation of adults with developmental disabilities. MATERIALS AND METHODS A cross-sectional design was used with a convenience sample of 125 people, aged 17-65, living in the community. Participants completed the subjective scale of Integral Quality Scale and the Leisure Assessment Inventory in the form of an individual interview. Staff completed the GENCAT Scale. RESULTS No relationship was found between objective quality of life and leisure participation. However, correlations between some leisure participation dimensions and specific subjective quality of life domains were observed. The results establish a predictive relationship between leisure participation and material, emotional, and physical well-being. Personal and environmental variables analyzed were not found to have a moderating effect on the relationship between leisure participation and quality of life. CONCLUSIONS These findings indicate that some aspects of leisure participation may significantly contribute to enhancing the quality of life of young people and adults with developmental disabilities living in the community.
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Affiliation(s)
- Marta Badia
- INICO, Faculty of Psychology, University of Salamanca, Salamanca, Spain
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