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Puig Llobet M, Roca Roger M, Nicolàs Silva T, Pérez Gimenez G, Agüera Z, Lluch Canut MT, Roldan Merino JF, Moreno Arroyo C, Prats Arimon M, Sánchez Ortega MA, Domènech Mascaró X, Hidalgo Blanco MA, Moreno Poyato A. The experiences of family members of persons with intellectual disabilities who used residential care homes during the COVID-19 pandemic. Int J Qual Stud Health Well-being 2024; 19:2288100. [PMID: 38055791 DOI: 10.1080/17482631.2023.2288100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Accepted: 11/22/2023] [Indexed: 12/08/2023] Open
Abstract
BACKGROUND The global COVID-19 pandemic has shown the vulnerability of some population groups, including persons with intellectual and developmental disabilities (IDD). AIM The present paper will provide more clarity and understanding of the experiences of family members of persons with IDD housed in residential facilities in Catalonia within the period of maximum restrictions during the COVID-19 pandemic. METHODS AND PROCEDURES Semi-structured interviews were conducted using an interpretive phenomenological qualitative approach. Study participants consisted of 14 relatives of IDD individuals who were institutionalized in residence facilities or homes. The guiding questions emerged from group discussions with relatives of those with IDD who did not participate in the subsequent interviews. Drawing from this group, the factors that were identified to have had the greatest impact on their lives were later used to guide the interviews. Data collection was carried out in face-to-face individual interviews that were recorded together with the observations of two researchers between February and October 2022. RESULTS Our analysis identified 4 main themes that developed into additional factors: the decision to stay at home or in the residence, fear, illness, and protocol. Individuals with IDD lost their daily routines, suffered from social isolation, and did not understand the situation. CONCLUSION The results of this study allow for a better understanding of the experiences of families of persons with IDD in residential centres during the lockdown by identifying their needs and how to better support them in the future. OUTCOMES AND RESULTS Knowledge and understanding of these events should allow for better management of similar situations in the future.
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Affiliation(s)
- Montserrat Puig Llobet
- Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Montserrat Roca Roger
- Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain
| | | | - Gemma Pérez Gimenez
- Head of Sick Medical Nursing Area and alternatives to hospitalization, Granollers General Hospital, Granollers, Barcelona, Spain
| | - Zaida Agüera
- Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Maria-Teresa Lluch Canut
- Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Juan Francisco Roldan Merino
- Department of Mental Health, Campus Docent Sant Joan de Déu-Fundació Privada, University of Barcelona, Barcelona, Spain
| | - Carmen Moreno Arroyo
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona (UB), L'Hospitalet de Llobregat, Spain
| | - Marta Prats Arimon
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona (UB), L'Hospitalet de Llobregat, Spain
| | | | - Xavier Domènech Mascaró
- Personal attention to citizens. Upper Penedès Territorial Pediatric Care Team Upper Penedès-Garraf-Baix Llobregat Nord Primary Care Service. Vilafranca del Penedès, Barcelona, Spain
| | - Miguel Angel Hidalgo Blanco
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona (UB), L'Hospitalet de Llobregat, Spain
| | - Antonio Moreno Poyato
- Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain
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Bösebeck F, Worthmann H, Möller C, Konrad C. The social, psychological, and physical impact of COVID-19 restrictions for institutionalized adults with intellectual and developmental disabilities. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2024; 28:567-577. [PMID: 36999659 PMCID: PMC10067708 DOI: 10.1177/17446295231168293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/19/2023]
Abstract
During the COVID-19 pandemic, drastic measures to interrupt SARS-CoV-2 infection chains were implemented. In our study we investigated the consequences of pandemic related restrictions on the social, psychological, and physical well-being of institutionalized adults with intellectual and developmental disabilities. Methods: Online survey among professional caregivers in 71 residential groups, caring for 848 residents. Findings: (i.) A lack of participation concerning infection protection measures of the residents, their relatives, and their caregivers; (ii.) A 20% increase in doctor contacts during the pandemic; (iii.) A considerable deterioration in at least one item of the subdomains mood (49%), everyday skills (51%), social interaction (29%), exercise and coordination skills (12%), behavior (11%) and cognition and communication (7%); (iv.) A deterioration of the overall condition in 41%; Summery: Intensive attempts should be made to find individual and less categorical contra-infectious measures without questioning the basic everyday needs of people with intellectual and developmental disabilities.
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Affiliation(s)
- F Bösebeck
- Medical Centre for Adults with Disabilities, Agaplesion Diakonieklinikum Rotenburg, Rotenburg, Germany
| | - H Worthmann
- Psychological Service, Rotenburger Werke, Rotenburg, Germany
| | - C Möller
- Department for Research, Development and Innovation Management, Agaplesion gAG, Frankfurt, Germany
| | - C Konrad
- Medical Centre for Adults with Disabilities, Agaplesion Diakonieklinikum Rotenburg, Rotenburg, Germany
- Psychiatric Department, Agaplesion Diakonieklinikum Rotenburg, Rotenburg, Germany
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Koks-Leensen MC, Menko A, Raaijmakers F, Fransen-Kuppens GA, Bevelander KE. An Accessible Web-Based Survey to Monitor the Mental Health of People With Mild Intellectual Disability or Low Literacy Skills During the COVID-19 Pandemic: Comparative Data Analysis. JMIR Public Health Surveill 2024; 10:e44827. [PMID: 38607229 PMCID: PMC11176870 DOI: 10.2196/44827] [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: 12/23/2022] [Revised: 01/30/2024] [Accepted: 03/20/2024] [Indexed: 04/13/2024] Open
Abstract
BACKGROUND The COVID-19 pandemic and related control measures affected the mental health of all populations. Particular subgroups are underrepresented in mainstream surveys because they are hard to reach, and study measurements are not adapted to their skills. These subgroups include people with lower cognitive and literacy skills, such as people with mild intellectual disability (MID), who were considered vulnerable during the COVID-19 pandemic given their low socioeconomic status, small social networks, increased risks of health problems, and difficulties understanding health-related information. OBJECTIVE This study examines the impact of the COVID-19 pandemic on mental health among people with MID or low literacy skills compared with those predominantly represented in national surveys. METHODS A repeated cross-sectional study of people with MID or low literacy skills and a general population sample was conducted in the Netherlands. An easy-read web-based survey was co-designed with, and tested among, people with MID or low literacy skills and conducted in 3 rounds within 1 year of the COVID-19 pandemic (T1: November to December 2020, T2: March to April 2021, and T3: September to October 2021). The survey contained questions about demographics and 6 aspects of mental health: feeling happy, feeling energized, feeling stressed, worry, feeling lonely, and sleeping problems. RESULTS Our adapted survey and recruitment procedure enabled 1059 persons with MID or low literacy skills to participate (T1: n=412, 38.9%; T2: n=351, 33.1%; and T3: n=296, 28%). They were significantly younger, had a lower level of education, and more often than not were born outside the Netherlands compared to the general population sample (P<.001). Approximately half of them (604/1059, 57.03%) received professional care. They displayed poorer mental health scores than the general population sample. The percentages of people with MID or low literacy skills who reported more negative feelings in T1 ranged from 20.6% (85/412) reporting feeling lonely often or almost always to 57.8% (238/412) reporting feeling happy almost never or sometimes. The general population sample's percentages were 5.4% (160/2930) and 32.2% (941/2918), respectively. Although scores improved over time in both populations, the disproportional effects remained. CONCLUSIONS General COVID-19-related restrictions for the entire Dutch population affected people with MID or low literacy skills more negatively than the general population. Our study underscores the relevance of including these subpopulations in public health research because they are often overlooked in regular health data. An accessible web-based survey particularly targeted at this population enabled us to do so, and we reached a group of respondents significantly different from regular survey participants. This survey's results provided insights into the health of people with MID or low literacy skills and gained knowledge to be used by care organizations and policy makers to reduce health disparities during a pandemic and in general.
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Affiliation(s)
- Monique Cj Koks-Leensen
- Department of Primary and Community Care, Radboud university medical center, Nijmegen, Netherlands
- Academic Collaborative Intellectual Disability and Health - Sterker op Eigen Benen (SOEB), Nijmegen, Netherlands
| | - Anouk Menko
- Department of Primary and Community Care, Radboud university medical center, Nijmegen, Netherlands
- Academic Collaborative AMPHI - Integrated Health Policy, Nijmegen, Netherlands
| | - Fieke Raaijmakers
- Department of Primary and Community Care, Radboud university medical center, Nijmegen, Netherlands
- Academic Collaborative AMPHI - Integrated Health Policy, Nijmegen, Netherlands
- Safety and Health Region Gelderland-Midden, Arnhem, Netherlands
| | - Gerdine Aj Fransen-Kuppens
- Department of Primary and Community Care, Radboud university medical center, Nijmegen, Netherlands
- Academic Collaborative AMPHI - Integrated Health Policy, Nijmegen, Netherlands
- Municipal Health Service Gelderland Zuid, Nijmegen, Netherlands
| | - Kirsten E Bevelander
- Department of Primary and Community Care, Radboud university medical center, Nijmegen, Netherlands
- Academic Collaborative Intellectual Disability and Health - Sterker op Eigen Benen (SOEB), Nijmegen, Netherlands
- Academic Collaborative AMPHI - Integrated Health Policy, Nijmegen, Netherlands
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Caton S, Hatton C, Gillooly A, Oloidi E, Clarke L, Bradshaw J, Flynn S, Taggart L, Mulhall P, Jahoda A, Maguire R, Marriott A, Todd S, Abbott D, Beyer S, Gore N, Heslop P, Scior K, Hastings RP. Online social connections and Internet use among people with intellectual disabilities in the United Kingdom during the COVID-19 pandemic. NEW MEDIA & SOCIETY 2024; 26:2804-2828. [PMID: 38706952 PMCID: PMC11068496 DOI: 10.1177/14614448221093762] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 05/07/2024]
Abstract
Having a disability, in particular, an intellectual disability, is associated with Internet non-use. This article explores how people with intellectual disabilities used the Internet across the United Kingdom during the COVID-19 pandemic. In April to May 2021, 571 adults with intellectual disabilities were interviewed. Participants most commonly used the Internet for being with family and friends, social media or doing online activities with other people. People who lived with family were the most likely to use social media; people who lived with other people with intellectual disabilities were the least likely. People who self-reported as not lonely were more likely to use the Internet for online activities with others and play video games with others. Social connections were identified as the best thing about the Internet. Many participants chose not to identify a worst thing about Internet use, while others reported issues with technology, online harm and threats to well-being.
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Affiliation(s)
- Sue Caton
- Sue Caton, Department of Social Care & Social Work, Faculty of Health & Education, Manchester Metropolitan University, Brooks Building, 53 Bonsall Street, Manchester M15 6GX, UK.
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Shpigelman CN, Araten-Bergman T. Adults With IDD in Supported Accommodation During COVID-19 Lockdown: The Families' Perspective. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2024; 129:215-230. [PMID: 38657961 DOI: 10.1352/1944-7558-129.3.215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 11/21/2023] [Indexed: 04/26/2024]
Abstract
The present study aims to understand and describe family caregivers' perceptions and experiences regarding contact and relationships with their adult relatives with intellectual and developmental disabilities (IDD) living in supported accommodation during the COVID-19 lockdown. A qualitative phenomenological approach was applied in which 19 Israeli family caregivers (parents and siblings) were interviewed. Inductive thematic analysis revealed themes at the microsystem level (the resident, the caregiver, and their relationship), and at the mesosystem level (the caregivers' interactions with service providers and other residents' families). The findings highlight the pivotal role of family caregivers in times of uncertainty and the need to develop explicit policies and mechanisms to facilitate family engagement in the residents' lives.
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Affiliation(s)
- Carmit-Noa Shpigelman
- Carmit-Noa Shpigelman, Department of Community Mental Health, University of Haifa, Israel
| | - Tal Araten-Bergman
- Tal Araten-Bergman, Social Work and Social Policy, School of Allied Health, Human Services and Sport, and Living with Disability Research Centre, La Trobe University, Melbourne, Australia
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Furukawa S, Nawa N, Yamaoka Y, Fujiwara T. Concerns and needs of people with intellectual disabilities and their caregivers during the COVID-19 pandemic in Japan. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2024; 28:137-156. [PMID: 36286242 PMCID: PMC9606640 DOI: 10.1177/17446295221135274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 09/27/2022] [Indexed: 06/16/2023]
Abstract
Background: People with intellectual disabilities (IDs) and their caregivers face difficulties during the COVID-19 pandemic. However, limited studies have comprehensively investigated their challenges, especially in Japan. We aimed to clarify the concerns and needs of people with IDs and their caregivers during the COVID-19 pandemic in Japan. Method: From March to August 2021, 27 in-depth interviews were conducted with principal caregivers of people with moderate to profound IDs in Japan. We then transcribed the interviews and conducted deductive coding using predetermined codes focused on their daily life difficulties. Inductive coding was used to ensure that no important themes were overlooked. Results: We found four concerns and four needs among people with IDs and their caregivers as significant themes. Conclusions: Our results provide useful information for supporting people with IDs and their caregivers, especially among those who need medical or social care in accordance with the infection control and social-distancing policies.
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Affiliation(s)
- Sawako Furukawa
- Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan
| | - Nobutoshi Nawa
- Department of Medical Education Research and Development, Tokyo Medical and Dental University, Tokyo, Japan
| | - Yui Yamaoka
- Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan
| | - Takeo Fujiwara
- Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan
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Yi J, Kim MA, Sang J, Gonzalez-Pons KM. Caregiving Stress Experienced by Parents of Adult Children with Intellectual Disabilities During COVID-19 in Korea. SOCIAL WORK IN PUBLIC HEALTH 2024; 39:105-117. [PMID: 38373006 DOI: 10.1080/19371918.2024.2319856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/20/2024]
Abstract
Many of community supports and resources were shattered in the COVID-19 pandemic, leaving parents to navigate caring for their adult child with intellectual disabilities with little support. This study explored caregiving stress experienced by parents of adult children with intellectual disabilities during the COVID-19 pandemic in Korea. In-depth interviews were conducted with 19 parents of an adult child with intellectual disabilities. Thematic analysis yielded two themes: caregiving burden and deteriorating health. Parents bore the brunt of the caregiving burden, spending much of their time helping their adult child with daily activities and managing their challenging behaviors, leaving the caregivers struggling physically and mentally. The heightened caregiver burden and associated deteriorating health among these parents raise serious concerns, indicating a need for immediate support to alleviate these issues and help parents navigate caring for their adult child with intellectual disabilities during the COVID-19 pandemic.
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Affiliation(s)
- Jaehee Yi
- School of Social Work, University of Victoria, British Columbia, Canada
| | - Min Ah Kim
- Department of Social Welfare, Sungkyunkwan University, Seoul, Republic of Korea
| | - Jina Sang
- School of Social Work and Family Sciences, The University of Akron, Akron, Ohio, USA
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8
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Gur A, Soffer M, Blanck PD, Quinn G, Rimmerman A. Pre- and Post-COVID-19 Outcomes for Israelis With Intellectual and Developmental Disabilities in the Community. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2023; 61:454-467. [PMID: 38011742 DOI: 10.1352/1934-9556-61.6.454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Accepted: 03/27/2022] [Indexed: 11/29/2023]
Abstract
This study is among the first pre-post examinations to explore differences in subjective well-being, adaptive and maladaptive behavior, close relationships, community integration, family members' satisfaction with residential and community living settings, and family contact before and after the COVID-19 outbreak. Participants demonstrated better life satisfaction and adaptive behavior before COVID-19 than after COVID-19. Participants reported closer relationships with family members and peers before COVID-19 and closer relationships with staff members after COVID-19. The findings reveal mixed, although mostly negative, effects of the pandemic on people with intellectual and developmental disabilities in the community in Israel, in accord with extant comparative research.
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Houben F, Heijer CDD, Dukers-Muijrers NH, Smeets-Peels C, Hoebe CJ. Psychosocial determinants associated with healthcare workers' self-reported compliance with infection prevention and control during the COVID-19 pandemic: a cross-sectional study in Dutch residential care facilities for people with intellectual and developmental disabilities. BMC Public Health 2023; 23:2052. [PMID: 37858182 PMCID: PMC10588203 DOI: 10.1186/s12889-023-16912-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Accepted: 10/05/2023] [Indexed: 10/21/2023] Open
Abstract
BACKGROUND Healthcare workers' (HCWs) compliance with infection prevention and control (IPC) is crucial to reduce the infection transmission risk. However, HCWs' compliance with IPC in residential care facilities (RCFs) for people with intellectual and developmental disabilities (IDDs) is known to be suboptimal. Therefore, this study examined sociodemographic and psychosocial determinants associated with IPC non-compliance in this setting, to inform IPC policy and promotion programmes for adequate IPC behaviour. METHODS An online questionnaire was administered to 285 HCWs from 16 RCFs between March 2021 and March 2022. Determinants associated with IPC non-compliance were assessed using logistic regression analyses. RESULTS Being a woman (OR: 3.57; 1.73-7.37), and being a non-medical professional were associated with increased odds of non-compliance (social workers, OR: 2.83; 1.65-4.85; behavioural specialists, OR: 6.09; 1.98-18.72). Perceived inadequate education/training (aOR: 1.62; 1.15-2.27) and perceived time constraints/competing priorities (aOR: 1.43; 1.03-1.98) were also associated with increased odds of non-compliance, independent of sociodemographic variables. In contrast, the belief that the supervisor complies with IPC (descriptive norm supervisor) was associated with decreased odds of non-compliance (aOR: 0.60; 0.41-0.88). CONCLUSIONS To improve IPC in disability care settings, the implementation of tailored and structural IPC education and training programmes (e.g., on-the-job training) is recommended to increase HCWs' capabilities and bridge the IPC compliance gap between medical and non-medical professionals. In addition, role models, particularly supervisors, are crucial for promoting IPC behaviour. Facilities should create a culture of IPC compliance by norm setting, acting on, and modelling IPC behaviours at all levels of the organisation (management, medical, and non-medical staff).
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Affiliation(s)
- Famke Houben
- Department of Social Medicine, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands.
- Department of Sexual Health, Infectious Diseases and Environmental Health, Living Lab Public Health, South Limburg Public Health Service, P.O. Box 33, Heerlen, 6400 AA, The Netherlands.
| | - Casper Dj den Heijer
- Department of Social Medicine, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands
- Department of Sexual Health, Infectious Diseases and Environmental Health, Living Lab Public Health, South Limburg Public Health Service, P.O. Box 33, Heerlen, 6400 AA, The Netherlands
- Department of Medical Microbiology, Infectious Diseases and Infection Prevention, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University Medical Centre (MUMC+), P.O. Box 5800, Maastricht, 6202 AZ, The Netherlands
| | - Nicole Htm Dukers-Muijrers
- Department of Sexual Health, Infectious Diseases and Environmental Health, Living Lab Public Health, South Limburg Public Health Service, P.O. Box 33, Heerlen, 6400 AA, The Netherlands
- Department of Health Promotion, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands
| | | | - Christian Jpa Hoebe
- Department of Social Medicine, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands
- Department of Sexual Health, Infectious Diseases and Environmental Health, Living Lab Public Health, South Limburg Public Health Service, P.O. Box 33, Heerlen, 6400 AA, The Netherlands
- Department of Medical Microbiology, Infectious Diseases and Infection Prevention, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University Medical Centre (MUMC+), P.O. Box 5800, Maastricht, 6202 AZ, The Netherlands
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Gil-Llario MD, Díaz-Rodríguez I, Fernández-García O, Estruch-García V, Bisquert-Bover M, Ballester-Arnal R. Mental Health of People with Intellectual Disabilities Living in Residential Care before, during, and after Lockdown. Behav Sci (Basel) 2023; 13:695. [PMID: 37622835 PMCID: PMC10451193 DOI: 10.3390/bs13080695] [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: 06/09/2023] [Revised: 08/14/2023] [Accepted: 08/19/2023] [Indexed: 08/26/2023] Open
Abstract
BACKGROUND The impact of the COVID-19 on the well-being of people with intellectual disabilities (PID) has been little studied. METHODS We analyzed its impact with a cohort study quantitatively analyzing anxiety, depression, organic symptoms, quality of life, and support needs in 24 PID, aged 19-74 years (x¯ 40, σ = 13.09), living in a residential center, before, during, and after the pandemic. RESULTS Their mental health improved unexpectedly at the onset of the lockdown although there was an increase in organic symptoms. But, with the progress of the lockdown, their mental health deteriorated drastically. On the contrary, as expected, their quality of life and support needs worsened from the beginning of the lockdown until the country returned to normality, a time when there was a general recovery, without reaching pre-pandemic levels. These results show that the mental health of PID was affected differently to that of people without intellectual disabilities.
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Affiliation(s)
- María Dolores Gil-Llario
- Department of Developmental and Educational Psychology, Faculty of Psychology, University of Valencia, 46010 Valencia, Spain; (M.D.G.-L.); (I.D.-R.); (O.F.-G.); (M.B.-B.)
| | - Irene Díaz-Rodríguez
- Department of Developmental and Educational Psychology, Faculty of Psychology, University of Valencia, 46010 Valencia, Spain; (M.D.G.-L.); (I.D.-R.); (O.F.-G.); (M.B.-B.)
| | - Olga Fernández-García
- Department of Developmental and Educational Psychology, Faculty of Psychology, University of Valencia, 46010 Valencia, Spain; (M.D.G.-L.); (I.D.-R.); (O.F.-G.); (M.B.-B.)
| | - Verónica Estruch-García
- Department of Developmental and Educational Psychology, Faculty of Psychology, University of Valencia, 46010 Valencia, Spain; (M.D.G.-L.); (I.D.-R.); (O.F.-G.); (M.B.-B.)
| | - Mar Bisquert-Bover
- Department of Developmental and Educational Psychology, Faculty of Psychology, University of Valencia, 46010 Valencia, Spain; (M.D.G.-L.); (I.D.-R.); (O.F.-G.); (M.B.-B.)
| | - Rafael Ballester-Arnal
- Department of Basic and Clinical Psychology and Psychobiology, Faculty of Health Sciences, Jaume I University, 12006 Castellón, Spain;
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11
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Kusumi Y. One School's Management of Students With Intellectual Disabilities During the COVID-19 Outbreak in Japan: A Study Based on Interviews With Teachers. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2023; 27:354-369. [PMID: 35414275 PMCID: PMC9014334 DOI: 10.1177/17446295221082731] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
This study aimed to elucidate how school employees caring for students with intellectual disabilities managed emergencies caused by the COVID-19 pandemic. It attended to decision-making by school managers as well as the engagement of local teachers in the outcome resolution process. A total of 10 teachers employed in different positions were purposefully selected from a school for students with intellectual disabilities in Osaka, Japan, and interviews were conducted with them via Zoom. The thematic analysis identified six significant premises: sensemaking, emergency responsive organization, high morale, planning through prioritization, risk management, and recovery from adverse incidents. The findings suggest distributed leadership functions to successfully sustain security in educational practices. Additionally, the empirical study consisting of interviews with staff in multiple positions reveals that all of the staff's proactive participation in decision-making and the communication process enabled the school to cope with the pandemic crisis as a united organization.
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Affiliation(s)
- Yusuke Kusumi
- Yusuke Kusumi, 3-34-1 Nishiikebukuro,
Rikkyo University, Toshima-ku, Tokyo, 171-8501, Japan.
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Morris S, Farran EK, Gilligan-Lee KA. Examining the prevalence and type of technology-use in people with Down syndrome: Perspectives from parents and caregivers. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2023:17446295231176121. [PMID: 37201287 DOI: 10.1177/17446295231176121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
Familiarity with technology has become a requirement for independent living, however there is limited information on technology access and use for people with Down syndrome (DS). The aim of this study is to describe technology, gaming, and social-media use in people with DS. Parents/caregivers (N = 220) of individuals with DS aged 5-35 years (49% female) completed an online questionnaire. They felt that technology and social media use, and to a lesser extent gaming, played an important role in their son/daughter's life. However, many had concerns about their son/daughter's safety online, and identified challenges they faced with using technology, such as using a mouse and speech recognition. We also found substantial parental interest in learning more about technology-use in DS, particularly the impact of using social media. This paper summarises important details about technology-use in people with DS, providing foundational information for the design of effective technology-based activities and support.
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Affiliation(s)
- Su Morris
- School of Psychology, University of Surrey, Guildford, UK; School of Psychology, University of Sussex, Falmer, UK
| | - Emily K Farran
- School of Psychology, University of Surrey, Guildford, UK; Centre for Educational Neuroscience, Birkbeck University of London, London, UK
| | - Katie A Gilligan-Lee
- School of Psychology, University of Surrey, Guildford, UK; Centre for Educational Neuroscience, Birkbeck University of London, London, UK; School of Psychology, University College Dublin, Dublin, Ireland
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MacHale R, Ffrench C, McGuire B. The experiences and views of adults with intellectual disabilities accessing digital mental health interventions: A qualitative systematic review and thematic synthesis. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2023; 36:448-457. [PMID: 36781378 DOI: 10.1111/jar.13082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2022] [Revised: 01/24/2023] [Accepted: 01/26/2023] [Indexed: 02/15/2023]
Abstract
BACKGROUND Technology is ubiquitous in all aspects of daily life and research interest in the topic of digital mental health interventions (DMHI) for people with intellectual disabilities is growing. In addition, the COVID-19 pandemic has accelerated technology use in delivering mental health supports. METHOD This review used a qualitative systematic literature review methodology with the aim of collating the views and experiences of adults with intellectual disabilities accessing DMHI. The electronic databases MEDLINE, PsycINFO, CINAHL and SCOPUS were searched in March 2022. RESULTS Five studies were selected in this review, and three major narrative themes were generated, each with sub-themes: (1) User experience with DMHI (personal experience, digital experience); (2) Relationships fostered through technology (interpersonal support, relating to virtual characters, computer as skilled helper); (3) Psychological benefits (new skills development, personal autonomy development). CONCLUSION This review highlights that, although there is a diversity of views and experiences of people with intellectual disabilities, the evidence suggests that DMHI has potential to support this population given the right opportunities. Findings also point to the benefit of technology as a complement to therapy, but not necessarily as a replacement to in-person therapeutic encounters.
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Affiliation(s)
| | - Cathal Ffrench
- School of Psychology, University of Galway, Galway, Ireland
| | - Brian McGuire
- School of Psychology, University of Galway, Galway, Ireland
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14
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Tarzi G, Mendoza O, Lunsky Y, St John L. The experiences and attitudes of family caregivers of adults with intellectual and developmental disabilities at different timepoints in the COVID-19 pandemic. Disabil Health J 2023:101472. [PMID: 37120390 PMCID: PMC10077762 DOI: 10.1016/j.dhjo.2023.101472] [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: 10/24/2022] [Revised: 03/28/2023] [Accepted: 03/31/2023] [Indexed: 05/01/2023]
Abstract
BACKGROUND The COVID-19 pandemic has resulted in increased pressures for family caregivers of adults with intellectual and developmental disabilities (IDD). However, little is known about how their attitudes and perceptions have changed over the course of the pandemic. OBJECTIVE To compare the COVID-19 experiences and attitudes of two groups of family caregivers, reported at different timepoints in the pandemic: prior to vaccine availability and after. METHODS As part of a larger research study, family caregivers of adults with IDD from across Canada completed surveys on their COVID-19 experiences. Survey questions included responses about access to supports, stressors, self-efficacy, mental wellbeing, and pandemic impacts on their family member with IDD. Respondents were assigned to either of two groups based on the time of questionnaire completion: late 2020/early 2021 for Group 1 and mid 2022 for Group 2. Descriptive statistics and analysis between groups were reported. RESULTS Despite being surveyed at different timepoints in the pandemic, both groups indicated concerns regarding lack of professional support and resources, lack of programming, and experiences of loneliness for their family members. However, Group 2 reported greater self-efficacy dealing with COVID-19 related challenges and greater overall mental wellbeing, compared to Group 1. Group 2 caregivers, after which vaccines were widely available in Canada, were largely vaccinated (96.4%). CONCLUSIONS Despite the COVID-19 pandemic persisting for over two years, family caregivers of adults with IDD reported facing the same challenges as families who reported on their experiences a year prior. Notwithstanding, family caregivers surveyed later in the pandemic described a greater sense of self-efficacy and mental wellbeing.
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Affiliation(s)
- Gabriel Tarzi
- Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, 1001 Queen St W, M6J 1H4, Toronto, ON, Canada
| | - Olivia Mendoza
- Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, 1001 Queen St W, M6J 1H4, Toronto, ON, Canada
| | - Yona Lunsky
- Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, 1001 Queen St W, M6J 1H4, Toronto, ON, Canada; Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
| | - Laura St John
- Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, 1001 Queen St W, M6J 1H4, Toronto, ON, Canada
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15
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Martínez-Castilla, P, Campos, R, Samson, AC, Van Herwegen, J, Dukes, D. Perceived Anxiety in Family Caregivers of Individuals with Autism Spectrum Disorder, Down Syndrome and Williams Syndrome during the Lockdown of the First COVID-19 Wave in Spain. ACTAS ESPANOLAS DE PSIQUIATRIA 2023; 51:56-64. [PMID: 37218100 PMCID: PMC10803872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 03/01/2023] [Indexed: 05/24/2023]
Abstract
The lockdown during the first wave of COV- ID-19 in Spain has been related to higher levels of anxiety in the general population. However, the emotional impact on Spanish caregivers of individuals with neurodevelopmental disorders (NDD) has not been studied so far.
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Affiliation(s)
| | - R Campos,
- Faculty of Psychology, Universidad Autónoma de Madrid, Madrid, Spain
| | - A. C Samson,
- Institute of Special Education, University of Fribourg, Switzerland
- UCL Institute of Education, United Kingdom
| | - J Van Herwegen,
- Faculty of Psychology, Universidad Autónoma de Madrid, Madrid, Spain
| | - D Dukes,
- UCL Institute of Education, United Kingdom
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16
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Gómez LE, Morán ML, Solís P, Pérez‐Curiel P, Monsalve A, Navas P. Health care for people with intellectual disability in Spain. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2023. [DOI: 10.1111/jppi.12455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
Affiliation(s)
- L. E. Gómez
- Department of Psychology University of Oviedo Oviedo Spain
| | - M. L. Morán
- Department of Psychology University of Oviedo Oviedo Spain
| | - P. Solís
- Department of Psychology University of Oviedo Oviedo Spain
| | - P. Pérez‐Curiel
- Department of Psychology and Sociology University of Zaragoza Zaragoza Spain
| | - A. Monsalve
- Department of Psychology University of Oviedo Oviedo Spain
| | - P. Navas
- INICO, Department of Personality, Assessment & Psychological Treatments University of Salamanca Salamanca Spain
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17
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Muñoz-López S, Molina-Garcia P, Gutiérrez-Cruz C, Ubago-Díaz R, Romero-Ayuso D, Ariza-Vega P. The influence of meaningful activities in the quality of life and functional autonomy of adults with intellectual disability: A prospective study during the COVID-19 pandemic. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2023; 36:538-546. [PMID: 36754365 DOI: 10.1111/jar.13077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 10/03/2022] [Accepted: 01/16/2023] [Indexed: 02/10/2023]
Abstract
BACKGROUND The COVID-19 pandemic might negatively impact the quality of life and functional autonomy of Spanish adults with intellectual disability, and meaningful activities could prevent this negative progression. METHODS This is a prospective cohort study in Spanish adults with intellectual disability during the COVID-19 pandemic. Quality of life, functional autonomy and functional independence were measured. The meaningful activities studied were structured-leisure, community self-management, and occupational and physical activities. RESULTS Seventy-three participants were included in the study. Quality of life and functional autonomy significantly deteriorated during the COVID-19 pandemic (all p > .001). Greater participation in community self-management activities before COVID-19 was associated with less detriment to quality of life (ß = -.312; p = .008), while greater participation in occupational and physical activities was associated with less detriment to the performance of instrumental activities (ß = -.317; p = .016; and ß = -.285; p = .030, respectively). CONCLUSION People with intellectual disability living in residential homes experienced a decrease in their quality of life and functional autonomy during the COVID-19 pandemic. Their involvement in community self-management activities and physical and occupational activities before the pandemic had preventive effects on the detriment to the quality of life and functional autonomy.
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Affiliation(s)
| | - Pablo Molina-Garcia
- Physical Medicine and Rehabilitation Service, Virgen de las Nieves University Hospital, Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.,PROFITH (PROmoting FITness and Health through physical activity) Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain
| | | | | | - Dulce Romero-Ayuso
- Department of Physiotherapy, Faculty of Health Science, University of Granada, Granada, Spain.,Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Patrocinio Ariza-Vega
- Physical Medicine and Rehabilitation Service, Virgen de las Nieves University Hospital, Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.,Department of Physiotherapy, Faculty of Health Science, University of Granada, Granada, Spain.,PA-HELP "Physical Activity for HEaLth Promotion" Research Group, University of Granada, Granada, Spain
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18
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Friedman C. A Report on the Increased Payment Rates for HCBS for People with Intellectual and Developmental Disabilities During the COVID-19 Pandemic. JOURNAL OF DEVELOPMENTAL AND PHYSICAL DISABILITIES 2022; 35:1-20. [PMID: 36593982 PMCID: PMC9797883 DOI: 10.1007/s10882-022-09886-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 12/15/2022] [Indexed: 06/17/2023]
Abstract
Recognizing the crisis the COVID-19 pandemic represents to the Home- and Community-Based Services (HCBS) service system and the health, safety, and quality of life of people with intellectual and developmental disabilities (IDD), states temporarily amended their HCBS programs to strengthen service delivery. States are able to temporarily amend their HCBS 1915(c) waiver programs by submitting Appendix K: Emergency Preparedness and Response Waivers to the Centers for Medicare and Medicaid Services (CMS). The aim of this study was to examine if, and how, states increased their reimbursement rates for HCBS IDD waiver services during the COVID-19 pandemic. To do so, we analyzed 294 Appendix Ks which amended HCBS 1915(c) waivers for people with IDD between the start of the pandemic and April 2022. During the pandemic, 34 states and the District of Columbia increased reimbursement rates for 2,435 services provided by 82 HCBS waivers for people with IDD. Increase in reimbursement rates ranged from 3.5% to 160.7%, with an average increase of 23.3%. States most frequently increased reimbursement for supports to live in one's own home, residential habilitation, and health and professional services. In addition, 12 states and the District of Columbia offered one-time supplemental payments through 25 HCBS waivers for people with IDD. While increasing payments during the pandemic likely helped stabilize the HCBS service system during this period of crisis, what remains to be seen is how the IDD service system will function when this additional funding is discontinued.
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Affiliation(s)
- Carli Friedman
- The Council On Quality and Leadership, 100 West Road Suite 300, Towson, MD 21204 USA
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19
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Vaccarino F, Vaccarino Z, Armstrong D, Borkin E, Hewitt A, Oswin A, Quick C, Smith E, Glew A. Self-advocates with Down syndrome research the lived experiences of COVID-19 lockdowns in Aotearoa New Zealand. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2022; 36:300-309. [PMID: 36458448 PMCID: PMC9877824 DOI: 10.1111/jar.13059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 09/25/2022] [Accepted: 11/14/2022] [Indexed: 12/03/2022]
Abstract
BACKGROUND Individuals with Down syndrome are particularly vulnerable to COVID-19 because they are recognised as significantly immunocompromised. Yet their voices regarding their lived experiences of pandemic lockdowns have not been sought or heard. AIM This study aims to describe the lived experiences of people with Down syndrome during the pandemic lockdowns in Aotearoa New Zealand to add evidence in order to inform systemic advocacy. METHOD A mixed-methods approach positioned within an inclusive research paradigm was used, in which a group of self-advocates with Down syndrome co-designed a structured interview schedule and conducted 40 face-to-face interviews. Key themes were identified by using content analysis. RESULTS Despite the difficulties associated with lockdowns and participants not receiving their usual supports and having to make significant adjustments, they remained positive, adapted well, and demonstrated a high level of resilience and adaptability. CONCLUSIONS The findings add to the limited research on the lived experiences of people with Down syndrome during pandemic lockdowns. This research has given them a voice to contribute to policy, government initiatives, and service providers; particularly on issues around support during lockdown and staying connected with others.
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Affiliation(s)
- Franco Vaccarino
- School of Communication, Journalism and Marketing, Massey University, Manawatū campusPalmerston NorthAotearoaNew Zealand
| | - Zandra Vaccarino
- New Zealand Down Syndrome AssociationAucklandAotearoaNew Zealand
| | - Duncan Armstrong
- New Zealand Down Syndrome AssociationAucklandAotearoaNew Zealand
| | - Edward Borkin
- New Zealand Down Syndrome AssociationAucklandAotearoaNew Zealand
| | - Alexandra Hewitt
- New Zealand Down Syndrome AssociationAucklandAotearoaNew Zealand
| | - Andrew Oswin
- New Zealand Down Syndrome AssociationAucklandAotearoaNew Zealand
| | - Caroline Quick
- New Zealand Down Syndrome AssociationAucklandAotearoaNew Zealand
| | - Erin Smith
- New Zealand Down Syndrome AssociationAucklandAotearoaNew Zealand
| | - Averill Glew
- New Zealand Down Syndrome AssociationAucklandAotearoaNew Zealand
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20
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Turcheti N, Laurent AA, Delgado C, Sainati K, Johnson K, Wong EY. Social, Economic and Overall Health Impacts of COVID-19 on People Living with Disabilities in King County, WA. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10520. [PMID: 36078235 PMCID: PMC9517928 DOI: 10.3390/ijerph191710520] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 08/13/2022] [Accepted: 08/18/2022] [Indexed: 06/15/2023]
Abstract
The COVID-19 pandemic and the associated mitigation measures to reduce the spread of disease affected the social, economic, and overall health of individuals. Quantitative administrative datasets typically did not contain demographic information that allowed for reporting or analysis of the impacts of COVID-19 on people living with disabilities. Understanding the experiences of this population during the pandemic can inform the design of public health responses that are more robust and better connected to community. This paper describes a qualitative participatory study with a diverse sample of people living with disabilities in King County, WA. Through 2 listening sessions and 35 semi-structured interviews, it examines what impacts COVID-19 brought for people living with disabilities; elucidates the supports that were helpful in addressing COVID-19 impacts; examines inequities faced by the disability community; and sheds light on how to engage with this community to inform the public health emergency response. The process, protocols, findings, and lessons learned are replicable by other local health departments and could be incorporated as part of routine data collection and considered for future public health emergencies.
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Affiliation(s)
- Nicole Turcheti
- Public Health—Seattle & King County, 401 5th Ave, Seattle, WA 98104, USA
| | - Amy A. Laurent
- Public Health—Seattle & King County, 401 5th Ave, Seattle, WA 98104, USA
| | - Christina Delgado
- Public Health—Seattle & King County, 401 5th Ave, Seattle, WA 98104, USA
| | - Kayla Sainati
- Disability Empowerment Center, 1401 E Jefferson St, Seattle, WA 98122, USA
| | - Kris Johnson
- Public Health—Seattle & King County, 401 5th Ave, Seattle, WA 98104, USA
| | - Eva Y. Wong
- Public Health—Seattle & King County, 401 5th Ave, Seattle, WA 98104, USA
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21
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Sharma Y, Whiting A, Dutta T. A Survey of the Challenges Faced by Individuals with Disabilities and Unpaid Caregivers during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10075. [PMID: 36011709 PMCID: PMC9408674 DOI: 10.3390/ijerph191610075] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Accepted: 08/08/2022] [Indexed: 06/15/2023]
Abstract
The COVID-19 pandemic negatively affected many individuals. In particular, it is likely that individuals with disabilities and unpaid caregivers were disproportionately affected, however, its exact impact is largely unknown. The primary objective of this work was to identify challenges faced by individuals with disabilities and unpaid caregivers. A secondary objective was to identify potential solutions to the major challenges experienced by both populations. Two surveys were administered online to individuals with disabilities and unpaid caregivers, respectively between September 2020 and January 2021. We used an inductive thematic analysis within an interpretivist paradigm to analyze survey responses. A total of 111 survey responses were collected amongst both surveys. Separate thematic maps were created for individuals with disabilities and unpaid caregivers, and maps were drawn to compare challenges. Potential solutions to mitigate the challenges experienced by both populations include revising financial assistance programs and improving awareness of support programs that are available.
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Affiliation(s)
- Yashoda Sharma
- KITE Research Institute, Toronto Rehabilitation Institute—University Health Network, Toronto, ON M5G 2A2, Canada
| | - Alison Whiting
- KITE Research Institute, Toronto Rehabilitation Institute—University Health Network, Toronto, ON M5G 2A2, Canada
| | - Tilak Dutta
- KITE Research Institute, Toronto Rehabilitation Institute—University Health Network, Toronto, ON M5G 2A2, Canada
- Institute of Biomedical Engineering, University of Toronto, Toronto, ON M5S 3G9, Canada
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22
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Forslund T, Fernqvist S, Tegler H. Parents with intellectual disability reporting on factors affecting their caregiving in the wake of the COVID‐19 pandemic: A qualitative study. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2022; 35:1380-1389. [PMID: 36207144 PMCID: PMC9537890 DOI: 10.1111/jar.13026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 06/30/2022] [Accepted: 07/11/2022] [Indexed: 11/29/2022]
Abstract
Background Parents with intellectual disability are vulnerable to parenting stress and overwhelming life events. The COVID‐19 pandemic constitutes a potentially overwhelming event, but there is little knowledge concerning the effects on parents' caregiving. The present study aimed to fill this gap. Method Semi‐structured interviews with 10 Swedish parents with intellectual disability were analysed using thematic analysis. Results One broad caregiving‐related theme: increased caregiving demands and reduced resources for coping resulting in strained parent–child interactions and relationships. Four subthemes highlighted influential factors: pandemic information, professional support, social relationships and informal support, and children's school activities. Strained parent–child interactions were particularly common in the absence of adapted pandemic information, if professional and informal support were compromised, and if the parents had dealt with school‐related changes. Conclusions Findings support contextual models of caregiving and a stress‐resources perspective, and emphasise the importance of adapted information and support to parents with intellectual disability during crises.
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Affiliation(s)
- Tommie Forslund
- SUF‐Resource Center, Region Uppsala Uppsala Sweden
- Department of Psychology Stockholm University Stockholm Sweden
| | - Stina Fernqvist
- Centre for Social Work (CESAR), Department of Sociology Uppsala University Uppsala Sweden
| | - Helena Tegler
- Centre for Social Work (CESAR), Department of Sociology Uppsala University Uppsala Sweden
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23
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Mikulak M, Ryan S, Russell S, Caton S, Keagan‐Bull R, Spalding R, Ribenfors F, Hatton C. 'Internet is easy if you know how to use it': Doing online research with people with learning disabilities during the COVID-19 pandemic. BRITISH JOURNAL OF LEARNING DISABILITIES 2022; 51:BLD12495. [PMID: 36247097 PMCID: PMC9538067 DOI: 10.1111/bld.12495] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 07/06/2022] [Accepted: 07/11/2022] [Indexed: 06/16/2023]
Abstract
Background The coronavirus disease 2019 pandemic changed the way we live, work, interact and do research. Many activities moved online, and digital inclusion became an urgent issue for researchers working with people with learning disabilities and other groups at risk of exclusion. This has generated new questions about how we conduct research and what it means to go into 'the field'. Methods We discuss our experience working across four qualitative research projects involving 867 participants with learning disabilities, conducted during the coronavirus disease 2019 pandemic. Findings Moving research online resulted in often-swift adaptations to research designs and practice, bringing new insights and benefits to our studies. The changing circumstances fostered innovation and greater flexibility and contributed to research becoming more accessible to many. However, doing research online also posed new challenges as well as amplified existing ones. Conclusions The pandemic has made it easier for some people with learning disabilities to participate in research, but more needs to be done to improve the reach and quality of that participation. Researchers should make the process of participation as accessible as possible. It is also their job to question and challenge the conditions that create barriers to participation in research and to look for ways to change these. We make some recommendations on how this can be achieved.
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Affiliation(s)
- Magdalena Mikulak
- Department of Social Care and Social WorkManchester Metropolitan University, Brooks BuildingManchesterUK
| | - Sara Ryan
- Department of Social Care and Social WorkManchester Metropolitan University, Brooks BuildingManchesterUK
| | - Siabhainn Russell
- Department of Social Care and Social WorkManchester Metropolitan University, Brooks BuildingManchesterUK
| | - Sue Caton
- Department of Social Care and Social WorkManchester Metropolitan University, Brooks BuildingManchesterUK
| | - Richard Keagan‐Bull
- Learning Disability EnglandBirminghamUK
- Kingston UniversityLondonUK
- Faculty of Health, Social Care and EducationSt George's University of LondonLondonUK
| | | | - Francesca Ribenfors
- Department of Social Care and Social WorkManchester Metropolitan University, Brooks BuildingManchesterUK
| | - Christopher Hatton
- Department of Social Care and Social WorkManchester Metropolitan University, Brooks BuildingManchesterUK
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24
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Letts E, Freeman M, Gambino C, Di Rezze B. A scoping review of measures examining the environments of persons with neurodevelopmental disorders in a supported housing setting. INTERNATIONAL JOURNAL OF DEVELOPMENTAL DISABILITIES 2022; 70:559-570. [PMID: 38983484 PMCID: PMC11229748 DOI: 10.1080/20473869.2022.2099508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Accepted: 07/05/2022] [Indexed: 07/11/2024]
Abstract
Introduction: Having a neurodevelopmental disorder (NDD) can impact the abilities of an individual in many areas of life, including the ability to live independently. The environment of an individual impacts their day-to-day life throughout their lifespan. To improve supported housing experiences, it is important to map the evidence, especially relating to quality and satisfaction with the environment (as defined by the International Classification of Functioning, Disability and Health (ICF) framework). This has been exacerbated by COVID-19 pandemic restrictions, therefore more insight is needed in measuring this. Objective and methods: This scoping review searched 5 health and social science databases with the objective to identify and examine the outcome measures that integrate aspects of the environment that examine supported housing in individuals with NDD. Results and discussion: Fifteen studies met the inclusion criteria. We found that most measures targeted the satisfaction of individuals about their environment, with the ICF Support and Relationships factor of the environment assessed most. Measures were most often completed by a proxy through an interview. This work enhances our understanding of aspects of the environments of supported housing that are currently measured, laying an essential base for future research to improve the lives of individuals with NDDs.
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Affiliation(s)
- Elyse Letts
- Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
| | - Matt Freeman
- Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
| | - Caterina Gambino
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, Canada
| | - Briano Di Rezze
- Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
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25
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Bartlett T, Charlesworth P, Choksi A, Christian P, Gentry S, Green V, Grove N, Hart C, Kwiatkowska G, Ledger S, Murphy S, Tilley L, Tokley K. Surviving through story: Experiences of people with learning disabilities in the covid19 pandemic 2020-2021. BRITISH JOURNAL OF LEARNING DISABILITIES 2022; 50:270-286. [PMID: 35601924 PMCID: PMC9111797 DOI: 10.1111/bld.12463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Revised: 12/28/2021] [Accepted: 02/03/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND History starts from where we are now - it is not just things that happened a long time ago. The global pandemic began in 2019. It has changed the lives of people with learning disabilities. We began our project during the first lockdown in April 2020. We came together to set up a website to collect stories and support and learn from each other about how to survive and keep strong. Storytelling is very important because it helps us understand what is going on. It is also a way to capture the history of people with learning disabilities at a very difficult time. We know that thousands of people with learning disabilities became ill and died in the flu epidemic of 1918. But nobody recorded their stories in their own words. We want to make sure this does not happen again, so we created an archive to help us remember. METHODS The project was managed with an advisory group of people with and without learning disabilities who met monthly to monitor the collection and analysis of stories on the site. A site audit was performed regularly to determine the themes in the stories and who had submitted. The article describes the progress of the project, the stories we have shared, and the challenges we have faced. CONCLUSIONS We discuss how people with learning disabilities have been presented in the media and our views about the way we are not heard, or always shown as vulnerable victims. We have found many sad stories, but also positive ones about people being creative and supportive. We look forward to the future and share our ideas about how society could be different and more inclusive. Being part of this project has given us confidence to know we are not alone, and shown us how we can help with the recovery.
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Affiliation(s)
| | - Pat Charlesworth
- Foundation for People with Learning DisabilitiesLondon South Bank UniversityLondonUK
| | - Ajay Choksi
- Research Innovation Enterprise/RIX Research & Media, Docklands CampusUniversity of East LondonLondonUK
| | | | | | | | - Nicola Grove
- Tizard Centre, Cornwallis North EastUniversity of KentCanterburyUK
| | - Craig Hart
- Social History of Learning Disability Research Group, Faculty of Wellbeing, Education and Language StudiesThe Open University, Walton HallMilton KeynesUK
| | - Gosia Kwiatkowska
- Research Innovation Enterprise/RIX Research & Media, Docklands CampusUniversity of East LondonLondonUK
| | - Sue Ledger
- Social History of Learning Disability Research Group, Faculty of Wellbeing, Education and Language StudiesThe Open University, Walton HallMilton KeynesUK
| | | | - Liz Tilley
- Social History of Learning Disability Research Group, Faculty of Wellbeing, Education and Language StudiesThe Open University, Walton HallMilton KeynesUK
| | - Kate Tokley
- Inclusion and Engagement Manager GenerateLondonUK
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26
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Dimitriou D, Esposito G. Management and support of individuals with developmental disabilities during the COVID-19 pandemic. RESEARCH IN DEVELOPMENTAL DISABILITIES 2022; 125:104228. [PMID: 35358826 PMCID: PMC8942653 DOI: 10.1016/j.ridd.2022.104228] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- Dagmara Dimitriou
- Sleep Research and Education Laboratory, UCL Institute of Education, London, United Kingdom.
| | - Gianluca Esposito
- Department of Psychology and Cognitive Science, University of Trento, Rovereto, Italy.
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Ayuningtyas D, Ardi NS, Barinda S, Larasanti A, Napitupulu T, Margaretha C, Hasibuan SU. Inclusivity of Persons With Disabilities in the Work Sector During the Covid-19 Pandemic in Indonesia. Front Public Health 2022; 10:835552. [PMID: 35425733 PMCID: PMC9001974 DOI: 10.3389/fpubh.2022.835552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 03/04/2022] [Indexed: 11/13/2022] Open
Abstract
Introduction The COVID-19 pandemic has had a significant impact on all levels of society, including people with disabilities, who in the pre-pandemic period faced obstacles in various sectors of life that affected efforts to fulfill basic living needs due to difficulties in accessing employment. Objective The objective of this study was to identify various factors and causal interaction patterns that affect the inclusiveness of workers with disabilities in pandemic situations, a dynamic system is needed to capture causal interaction patterns related to the inclusiveness of workers with disabilities in pandemic situations. Method This study used a causal loop diagram approach, which is part of a dynamic system that begins with determining the interaction of causal variables. The process of identifying and extracting data was carried out through a literature review and in-depth interviews with informants who met the principles of appropriateness and adequacy criteria. Result The interaction pattern between the factors that influence the inclusiveness of disabled workers was depicted in three causal loop diagrams covering three major domains, namely social, educational, and economic aspects. The three causal loop diagrams showed an increasingly dynamic interaction pattern during the COVID-19 pandemic, considering that workers with disabilities have greater vulnerability, which impacts their level of acceptance and inclusiveness at work. Recommendation There needs to be a specific policy to expand the acceptance of workers with disabilities by strengthening cross-sectoral collaboration and company commitments. The existence of a policy that prioritizes education, increases the budget, and procures adequate infrastructure for people with disabilities is a government commitment that is demanded to be fulfilled during the COVID-19 pandemic.
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Affiliation(s)
- Dumilah Ayuningtyas
- Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
| | - Niken Sasanti Ardi
- Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
| | - Sandra Barinda
- Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
| | - Ayudina Larasanti
- Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
| | - Theresa Napitupulu
- Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
| | - Cindy Margaretha
- Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
| | - Sahfira Ulfa Hasibuan
- Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia
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Linehan C, Birkbeck G, Araten-Bergman T, Baumbusch J, Beadle-Brown J, Bigby C, Bradley V, Brown M, Bredewold F, Chirwa M, Cui J, Godoy Gimenez M, Gomeiro T, Kanova Š, Kroll T, Li H, MacLachlan M, Narayan J, Nearchou F, Nolan A, O'Donovan MA, Santos FH, Šiška J, Stainton T, Tideman M, Tossebro J. COVID-19 IDD: Findings from a global survey exploring family members’ and paid staff’s perceptions of the impact of COVID-19 on individuals with intellectual and developmental disabilities (IDD) and their caregivers. HRB Open Res 2022; 5:27. [PMID: 35615436 PMCID: PMC9111363 DOI: 10.12688/hrbopenres.13497.1] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/16/2022] [Indexed: 12/23/2022] Open
Abstract
Background: A growing body of evidence attests to the disproportionate impact of COVID-19 on persons with intellectual and developmental disabilities (IDD) during the pandemic. This study asked caregivers about their perceptions of how COVID-19 impacted them and the people they support. Method: An online survey was conducted in 12 countries during August-September 2020 and sought information on demographics, support practices, information and training, experiences of COVID-19, social distancing, and wellbeing, as measured by the DASS12. This study reports on 3,754 family members, direct support professionals, and managers who participated in the survey. Results: Caregivers observed increases in depression/anxiety, stereotyped behaviours, aggression towards others and weight gain in the person(s) they supported. They also reported difficulties supporting the person(s) to access healthcare. Families reported reducing or ceasing employment and absorbed additional costs when supporting their family member. Direct support professionals experienced changes in staff shifts, staff absences, increased workload and hiring of casual staff. Caregivers’ wellbeing revealed high levels of stress, depression, and less so anxiety. The strongest predictor of wellbeing among families was observation of changes in mood in the person(s) they supported, while for direct support professionals, the strongest predictors of wellbeing were reorganisation of staff shifts and increases in new direct support staff. Discussion: Findings support the contention of this population experiencing a disproportionate burden during the COVID-19 pandemic, reflecting historical inequities in access to healthcare and other human rights violations which are now protected under the United Nations Convention on the Rights of Persons with Disabilities.
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Affiliation(s)
- Christine Linehan
- UCD Centre for Disability Studies, University College Dublin, Belfield, Dublin 4, Ireland
| | - Gail Birkbeck
- UCD Centre for Disability Studies, University College Dublin, Belfield, Dublin 4, Ireland
- Business Information Systems, O'Rahilly Building, University College Cork, Cork, Ireland
| | - Tal Araten-Bergman
- Living with Disability Research Centre, School of Allied Health, Human Services & Sport,, La Trobe University, Bundoora Vic 3086, Australia
| | - Jennifer Baumbusch
- Canadian Institute for Inclusion and Citizenship, University of British Columbia, 2080 West Mall, Vancouver, BC Canada V6T 1Z2, Canada
| | | | - Christine Bigby
- Living with Disability Research Centre, School of Allied Health, Human Services & Sport,, La Trobe University, Bundoora Vic 3086, Australia
| | - Valerie Bradley
- Human Services Research Institute, 2336 Massachusetts Ave,, Cambridge, MA, MA 02140, USA
| | - Michael Brown
- School of Nursing and Midwifery, Queen's University, Belfast, BT9 7BL, UK
| | - Femmianne Bredewold
- University of Humanistic Studies, Kromme Nieuwegracht 29, Utrecht, 3512 HD, The Netherlands
| | - Masauso Chirwa
- School of Humanities and Social Sciences, Department of Social Work & Sociology, University of Zambia, Great East Road Campus, P.O.Box 32379, Lusaka, 10101, Zambia
| | - Jialiang Cui
- Department of Social Work, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, China
| | - Marta Godoy Gimenez
- Department of Psychology, University of Almeria, La Canada de San Urbano, Almeria, 04120, Spain
| | - Tiziano Gomeiro
- ANFFAS Trentino Onlus DAD© project group, Trento, Trentino, 38121, Italy
| | - Šárka Kanova
- Department of Education, University of West Bohemia, Plzeň 3, 301 00, Czech Republic
| | - Thilo Kroll
- UCD School of Nursing, Midwifery, and Health Systems, University College Dublin, Belfield, Dublin 4, Ireland
| | - Henan Li
- Human Services Research Institute, 2336 Massachusetts Ave,, Cambridge, MA, MA 02140, USA
| | - Mac MacLachlan
- School of Psychology, Maynooth University, Maynooth, Ireland
| | - Jayanthi Narayan
- Inclusive Education at Faculty of Health, Education and Society, University of Northampton, Northampton, UK
| | - Finiki Nearchou
- UCD School of Psychology, University College Dublin, Belfield, Dublin, Ireland
| | - Adam Nolan
- UCD Centre for Disability Studies, University College Dublin, Belfield, Dublin 4, Ireland
| | - Mary-Ann O'Donovan
- Centre for Disability Studies, Sydney Medical School, Faculty of Medicine and Health,, University of Sydney, Sydney, Camperdown NSW 2050, Australia
| | - Flavia H Santos
- UCD School of Psychology, University College Dublin, Belfield, Dublin, Ireland
| | - Jan Šiška
- Department of Special Education,, Charles University, Praha 1, 116 39, Czech Republic
| | - Tim Stainton
- Canadian Institute for Inclusion and Citizenship, University of British Columbia, 2080 West Mall, Vancouver, BC Canada V6T 1Z2, Canada
| | - Magnus Tideman
- Department of Social Sciences, Ersta Sköndal Bräcke University, Sköndal, Sweden
- School of Health and Welfare, Halmstad University, Halmstad, Sweden
| | - Jan Tossebro
- Department of Social Work, Norwegian University of Science and Technology, Trondheim, Norway
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Chicas VE, Steinway C, Chen J, Schwartz MC, Wright C, Cornacchia M, Davis TW, Berens JC, Riddle I, Woodward JF, Jan S. Identifying key components of a web‐based long term care planning intervention for family caregivers of individuals with intellectual/developmental disabilities. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2022; 35:867-877. [PMID: 35277898 PMCID: PMC9313859 DOI: 10.1111/jar.12991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2021] [Revised: 02/14/2022] [Accepted: 02/16/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Vanessa E. Chicas
- Alan and Marlene Norton College of Medicine at Upstate Medical University Syracuse New York USA
| | - Caren Steinway
- Division of General Pediatrics Steven & Alexandra Cohen Children's Medical Center of Northwell Health New Hyde Park New York USA
- Department of Pediatrics Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Hempstead New York USA
| | - Jack Chen
- Division of General Pediatrics Steven & Alexandra Cohen Children's Medical Center of Northwell Health New Hyde Park New York USA
| | - Matthew C. Schwartz
- Lewis Katz School of Medicine of Temple University Philadelphia Pennsylvania USA
| | - Charmaine Wright
- Departments of Pediatrics and Medicine ChristianaCare Health System Newark Delaware USA
| | | | - Thomas W. Davis
- Department of Medicine Geisinger Health System Danville Pennsylvania USA
| | - John C. Berens
- Department of Medicine Baylor College of Medicine Houston Texas USA
| | - Ilka Riddle
- Department of Pediatrics Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA
| | - Jason F. Woodward
- Department of Pediatrics Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA
| | - Sophia Jan
- Division of General Pediatrics Steven & Alexandra Cohen Children's Medical Center of Northwell Health New Hyde Park New York USA
- Department of Pediatrics Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Hempstead New York USA
- Feinstein Institutes for Medical Research Northwell Health Manhasset New York USA
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Lunsky Y, Jahoda A, Navas P, Campanella S, Havercamp SM. The mental health and well-being of adults with intellectual disability during the COVID-19 pandemic: A narrative review. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2022; 19:35-47. [PMID: 35601014 PMCID: PMC9115206 DOI: 10.1111/jppi.12412] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 01/27/2022] [Accepted: 01/27/2022] [Indexed: 12/31/2022]
Abstract
Prior to the start of the pandemic, adults with intellectual disability (ID) were more likely to experience mental health difficulties and face barriers obtaining mental health care. COVID-related public health restrictions, combined with heightened challenges to obtain timely mental health care, have served to worsen this situation internationally, with a combination of new onset conditions and worsening mental health for those already struggling. In this narrative review, we summarize literature on the mental health of adults with ID during the COVID-19 pandemic to describe what is known based on clinician perceptions, existing administrative health data, family and staff perceptions, and self-report. In addition to noting similarities and differences in findings based on the source of information, we also explored how experiences differed depending on where and when the research was conducted. Based primarily on research conducted during the first six months of the pandemic, there is a consistent finding across sources of increased anxiety, stress, and isolation. This review also explored the delivery of virtual mental health care and the impact of pandemic-based mental health interventions. There have been very few research studies evaluating clinical care during this time but clinicians have managed to provide supports virtually, which has been evaluated positively by some individuals. This narrative review concludes by identifying gaps in the literature and suggests key directions for future mental health research, policy, and practice efforts. Any mental health efforts now and during pandemic recovery need to have an understanding of how the mental health needs and services for adults with ID have evolved over the course of the pandemic. Further research is needed on the impact of both clinical interventions and other nonclinical efforts on the mental health of people with ID.
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Affiliation(s)
- Yona Lunsky
- Centre for Addiction and Mental HealthUniversity of TorontoTorontoOntarioCanada
| | | | | | - Sabrina Campanella
- Centre for Addiction and Mental HealthUniversity of TorontoTorontoOntarioCanada
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The General Public's Perceptions of How the COVID-19 Pandemic Has Impacted the Elderly and Individuals with Intellectual Disabilities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19052855. [PMID: 35270547 PMCID: PMC8910675 DOI: 10.3390/ijerph19052855] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 02/25/2022] [Accepted: 02/28/2022] [Indexed: 02/04/2023]
Abstract
This study examined the general public’s perceptions of how the COVID-19 pandemic has impacted the elderly and people with intellectual disabilities as well how these perceptions relate to people’s level of familiarity and contact quality with these groups. A cross-sectional survey was administered to a sample of the Dutch population (n = 1458 and n = 1761, comprising questions related to the elderly and people with intellectual disabilities, respectively). The general public was found to be generally aware of the deleterious impact of the pandemic upon the elderly and people with intellectual disabilities. Specifically, the respondents reported that both groups’ quality of life, physical and mental health, and quality and frequency of social contact was lower than it was prior to COVID-19, in addition to perceiving them as lonelier and less self-reliant. Notably, the impact on the elderly was considered to be greater than that on people with intellectual disabilities. Furthermore, those who had no familiarity with people with intellectual disabilities in real life perceived the impact to be lower than those who had a greater degree of familiarity. These findings have important implications, both for increasing awareness of the pandemic’s negative impact on these vulnerable groups and in terms of sufficiently addressing their specific needs and concerns. The findings also underscore that, particularly during the COVID-19 pandemic, it is important to increase the visibility of groups who already relied more on help and support from others in society prior to the pandemic, such as the elderly and people with intellectual disabilities, via, among other things, self-advocacy, education, and enhanced intergroup contact, in order to be able to sufficiently address their needs during these challenging times.
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32
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Trip H, Northway R, Perkins E, Mirfin‐Veitch B, Adams R. COVID
‐19: Evolving challenges and opportunities for residential and vocational intellectual disability service providers. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2022; 19:102-115. [PMID: 35601012 PMCID: PMC9115148 DOI: 10.1111/jppi.12414] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 02/04/2022] [Accepted: 02/06/2022] [Indexed: 12/23/2022]
Abstract
The sustainability of service provision continues to be a challenge in the field of intellectual disability due to changes in delivery as part of intermittent or ongoing lockdown requirements during the COVID‐19 global pandemic. There are many facets to this that may have temporary or permanent impacts not only on the sector, but ultimately for service access and outcomes for people with intellectual disability themselves. This narrative literature review identifies both opportunities for, and impacts on, service providers across jurisdictions. These are explored in terms of the effects that suspension, adaptation, continuity or the cessation of service delivery have had, and those that are projected. Such impacts include, but are not limited to, changes in service access and delivery, employment roles and responsibilities, financial sustainability and the need to diversify the services and supports provided and how they are delivered. The relevance of these impacts for family carers and people with intellectual disability is also discussed. Nonetheless, there have also been opportunities which inform the shape of service delivery and pandemic planning into the future.
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Affiliation(s)
- Henrietta Trip
- Centre for Postgraduate Nursing Studies University of Otago Christchurch New Zealand
| | - Ruth Northway
- Faculty of Life Sciences and Education University of South Wales Pontypridd UK
| | - Elizabeth Perkins
- Department of Child and Family Studies University of South Florida Tampa Florida USA
| | - Brigit Mirfin‐Veitch
- Centre for Postgraduate Nursing Studies University of Otago Christchurch New Zealand
- Donald Beasley Institute Dunedin New Zealand
| | - Reece Adams
- Centre for Developmental Disability Health Monash Health Melbourne Victoria Australia
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33
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Desroches ML, Fisher K, Ailey S, Stych J, McMillan S, Horan P, Marsden D, Trip H, Wilson N. Supporting the needs of people with intellectual and developmental disabilities 1 year into the
COVID
‐19 pandemic: An international, mixed methods study of nurses' perspectives. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2022; 19:48-63. [PMID: 35601011 PMCID: PMC9115226 DOI: 10.1111/jppi.12411] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Revised: 11/30/2021] [Accepted: 01/02/2022] [Indexed: 12/23/2022]
Abstract
As the largest public health crisis within a century, the COVID‐19 pandemic has caused long‐term disruption in the support systems of people with intellectual and developmental disabilities (IDD) across the globe. The purpose of this study was to investigate challenges and ameliorative strategies to supporting the basic care needs of people with IDD 1 year into the pandemic, as experienced by nurses who specialize in IDD nursing. We surveyed a convenience sample of 369 nurses from across North America, Europe, and Australasia using a 52‐item online questionnaire. Descriptive statistics were used to rank the greatest challenges and the degree of support available to nurses, and manifest content analysis was used to analyze open‐ended responses related to ongoing challenges and ameliorative strategies. Results of descriptive analyses revealed consistent findings across global regions in terms of the challenges faced by nurses; the greatest challenges related to supporting or enabling socialization with family/friends, ensuring adequate day programming or educational services, identifying/planning alternative entertainment activities, ensuring adequate staffing of familiar support workers and caregivers, and managing challenging behaviors related to change in daily routine and activities. Nurses described a considerable degree of support offered by their organizations in terms of flexibility in scheduling related to family obligations and paid time off for COVID‐19‐related isolation and quarantine. Content analysis of open‐ended survey responses revealed numerous challenges related to: (1) client socialization, meaningful activity, and mental/behavioral health; (2) interpreting, keeping up with, and helping others to understand COVID‐19 guidelines; (3) access to, quality of, and continuity of care; and (4) COVID‐19 fatigue and the influence of time. Overall, our study highlights ongoing issues with access to care and support, exacerbated by the pandemic, and the importance of having meaningful activity and socialization for overall well‐being of people with IDD during a long‐term public health crisis.
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Affiliation(s)
- Melissa L. Desroches
- College of Nursing and Health Sciences University of Massachusetts Dartmouth Dartmouth Massachusetts USA
| | - Kathleen Fisher
- College of Nursing and Health Professions Drexel University Philadelphia Pennsylvania USA
| | - Sarah Ailey
- College of Nursing Rush University Chicago Illinois USA
| | - Judith Stych
- Wisconsin Department of Health Services Madison Wisconsin USA
| | | | - Paul Horan
- School of Nursing & Midwifery Trinity College Dublin Ireland
| | - Daniel Marsden
- Kingston University London, St. George's University of London London UK
| | - Henrietta Trip
- Centre for Postgraduate Nursing Studies University of Otago Christchurch New Zealand
| | - Nathan Wilson
- School of Nursing and Midwifery Western Sydney University Richmond NSW Australia
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Gorgels KMF, Dingemans J, van der Veer BMJW, Hackert V, Hensels AYJ, den Heijer CDJ, van Alphen LB, Savelkoul PHM, Hoebe CJPA. Linked nosocomial COVID-19 outbreak in three facilities for people with intellectual and developmental disabilities due to SARS-CoV-2 variant B.1.1.519 with spike mutation T478K in the Netherlands. BMC Infect Dis 2022; 22:139. [PMID: 35139811 PMCID: PMC8830120 DOI: 10.1186/s12879-022-07121-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Accepted: 02/02/2022] [Indexed: 12/27/2022] Open
Abstract
Background Individuals with intellectual and developmental disabilities (IDD) living in congregated settings have increased risk of COVID-19 infection and mortality. Little is known about variant B.1.1.519 with spike mutation T478K, dominant in Mexico. We describe a linked SARS-CoV-2 B.1.1.519 outbreak in three IDD facilities in the Netherlands. Methods Following notification of the index, subsequent cases were identified through serial PCR group testing. Positive specimens were submitted for whole-genome-sequencing. Clinical information was gathered through interviews with staff members of the three facilities. Results Attack rate (AR) in clients of the index facility was 92% (23/25), total AR in clients 45% (33/73) and in staff members 24% (8/34). 55% (18/33) of client cases were asymptomatic, versus 25% (2/8) of staff members. Five client cases (15%) were hospitalized, two died (6%). Sequencing yielded the same specific B.1.1.519 genotype in all three facilities. No significant difference in median viral load was established comparing the B.1.1.519 variant with other circulating variants. The index of the linked outbreak reported no travel history or link to suspected or confirmed cases suggesting regional surveillance. Observed peak regional prevalence of B.1.1.519 during the outbreak supports this. Conclusion AR, morbidity and mortality prior to control measures taking effect were high, probably related to the specific characteristics of the IDD setting and its clients. We assessed no evidence for intrinsic contributing properties of variant B.1.1.519. Our study argues for enhanced infection prevention protocols in the IDD setting, and prioritization of this group for vaccination against COVID-19. Supplementary Information The online version contains supplementary material available at 10.1186/s12879-022-07121-y.
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Affiliation(s)
- Koen M F Gorgels
- Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Service, PO Box 33, 6400 AA, Heerlen, The Netherlands.
| | - Jozef Dingemans
- Department of Medical Microbiology, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University Medical Centre (MUMC+), PO Box 5800, 6202 AZ, Maastricht, The Netherlands
| | - Brian M J W van der Veer
- Department of Medical Microbiology, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University Medical Centre (MUMC+), PO Box 5800, 6202 AZ, Maastricht, The Netherlands
| | - Volker Hackert
- Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Service, PO Box 33, 6400 AA, Heerlen, The Netherlands
| | - Audrey Y J Hensels
- Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Service, PO Box 33, 6400 AA, Heerlen, The Netherlands
| | - Casper D J den Heijer
- Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Service, PO Box 33, 6400 AA, Heerlen, The Netherlands.,Department of Social Medicine, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands
| | - Lieke B van Alphen
- Department of Medical Microbiology, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University Medical Centre (MUMC+), PO Box 5800, 6202 AZ, Maastricht, The Netherlands
| | - Paul H M Savelkoul
- Department of Medical Microbiology, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University Medical Centre (MUMC+), PO Box 5800, 6202 AZ, Maastricht, The Netherlands
| | - Christian J P A Hoebe
- Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Service, PO Box 33, 6400 AA, Heerlen, The Netherlands.,Department of Medical Microbiology, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University Medical Centre (MUMC+), PO Box 5800, 6202 AZ, Maastricht, The Netherlands.,Department of Social Medicine, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands
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COVID-19 Pandemic and Individuals With Intellectual Disability: Special Olympics as an Example of Organizational Responses and Challenges. Adapt Phys Activ Q 2022; 39:285-302. [PMID: 35051902 DOI: 10.1123/apaq.2021-0137] [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: 07/27/2021] [Revised: 11/15/2021] [Accepted: 12/20/2021] [Indexed: 11/18/2022] Open
Abstract
The COVID-19 pandemic is a worldwide crisis. It has been, and is, an extreme challenge for our health care and prevention systems, and for society as a whole. Among many facets of life, physical activity and sport has been heavily impacted. The aim of this viewpoint article is to highlight the effect of the COVID-19 pandemic on individuals with an intellectual disability, with a particular focus on physical activity and Special Olympics. Specific objectives are (a) to share what the literature reveals about the impact of COVID-19 on the health and well-being of individuals with an intellectual disability, (b) to examine what is known about the impact of the pandemic on physical activity of individuals with an intellectual disability, (c) to describe Special Olympics program responses during the pandemic, and (d) to recommend areas for future research.
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Chadwick D, Ågren KA, Caton S, Chiner E, Danker J, Gómez‐Puerta M, Heitplatz V, Johansson S, Normand CL, Murphy E, Plichta P, Strnadová I, Wallén EF. Digital inclusion and participation of people with intellectual disabilities during
COVID
‐19: A rapid review and international bricolage. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2022. [DOI: 10.1111/jppi.12410] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- Darren Chadwick
- School of Psychology, Faculty of Education, Health and Wellbeing The University of Wolverhampton Wolverhampton UK
| | | | - Sue Caton
- Faculty of Health, Psychology and Social Care Manchester Metropolitan University Manchester UK
| | - Esther Chiner
- Health Psychology, Faculty of Education University of Alicante Alicante Spain
| | - Joanne Danker
- School of Education University of New South Wales Sydney Australia
| | - Marcos Gómez‐Puerta
- Health Psychology, Faculty of Education University of Alicante Alicante Spain
| | | | - Stefan Johansson
- Division of Media Technology and Interaction design KTH Royal Institute of Technology Stockholm Sweden
| | - Claude L. Normand
- Department of Psychoeducation Université du Québec en Outaouais Gatineau Canada
| | - Esther Murphy
- Trinity Centre for Ageing and Intellectual Disability Trinity College Dublin Dublin Ireland
| | - Piotr Plichta
- Institute of Pedagogy The University of Wrocław Wrocław Poland
| | - Iva Strnadová
- School of Education University of New South Wales Sydney Australia
| | - Eva Flygare Wallén
- Department of Neurobiology, Care Sciences and Society Karolinska Institutet Solna Sweden
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Melbøe L, Hirsti SR, Gjærum RG, Kane AA. Selvstendig liv og smittevern – rettigheter i krysspress under covid-19-restriksjoner for personer med utviklingshemming. TIDSSKRIFT FOR OMSORGSFORSKNING 2022. [DOI: 10.18261/issn.2387-5984-2021-01-07] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Ying J, Tan GMY, Zhang MW. Intellectual disability and COVID-19: A bibliometric review. Front Psychiatry 2022; 13:1052929. [PMID: 36440400 PMCID: PMC9681827 DOI: 10.3389/fpsyt.2022.1052929] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Accepted: 10/28/2022] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND During the COVID-19 pandemic, the vulnerabilities of certain groups of people have been highlighted, such as people with intellectual disability (ID). Although related research on ID has developed rapidly during the COVID-19 pandemic, the quantitative analysis of those research results has not been systematically performed through bibliometric analysis. Bibliometric analysis is a useful and rigorous method to explore large volumes of research data, and it allows researchers to extract quantitative information on distribution by author, time, country, and journal. AIM The aim of the present study is to comprehensively analyze the current status and developing trends in publications on ID research related to and conducted during the COVID-19 pandemic. METHODS A bibliometric analysis was performed using the Web of Science database. Biblioshiny software was used to analyze and visualize the following information: main information of dataset, annual scientific production, journals which published the most relevant sources, most-cited authors, most-cited countries, most-cited global documents, word-cloud of keywords authors have used, and both the co-occurrence and co-citation networks. RESULTS A total of 450 publications were included. The average number of citations per document was 5.104. Among the top three journals, Journal of Applied Research in Intellectual Disabilities published 32 articles, Journal of Intellectual Disability Research published 29 articles, and British Journal of Learning Disabilities published 17 articles. The article with the title COVID-19 and People with Intellectual Disability: Impact of a Pandemic was the most cited with total 144 citations The United Kingdom had the most publications and had strong cooperative relationships with the United States, Canada, and Australia. The most popular keywords included mental health, autism, developmental disability, and lockdown. Thematic map analysis identified several possible clusters, including telemedicine, physical activities, and mental health. CONCLUSION The present study provides a better understanding in this research field and may help clinicians, researchers and stakeholders to obtain more comprehensive view of ID and COVID-19. The insights gained from this analysis could inform future research.
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Affiliation(s)
- Jiangbo Ying
- East Region, Institute of Mental Health, Singapore, Singapore
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Liu S, Lombardi J, Fisher PA. The COVID-19 Pandemic Impact on Households of Young Children With Special Healthcare Needs. J Pediatr Psychol 2021; 47:158-170. [PMID: 34957525 PMCID: PMC8755305 DOI: 10.1093/jpepsy/jsab135] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 12/08/2021] [Accepted: 12/11/2021] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVE This study examined how the COVID-19 pandemic differently affected households of children with versus without special healthcare needs. We compared caregivers' and children's emotional well-being (Aim 1), the utilization of preventive healthcare services for young children (Aim 2), and the promotive effects of social support on well-being outcomes (Aim 3) during the pandemic between the two groups. METHODS Data were drawn from an ongoing, large, longitudinal, and national survey that assessed the pandemic impact on households of young children (0-5). Analyses for Aims 1 and 2 were based on 10,572 households, among which 10.96% had children with special healthcare needs. Analyses for Aim 3 were based on a subsample of 821 families, among which 12.54% had children with special healthcare needs. RESULTS Caregivers of children with special healthcare needs exhibited more emotional distress and reported higher levels of household children's behavioral problems during the pandemic. The percentages of missed preventive healthcare visits and vaccinations were also higher in families of children with special healthcare needs due to structural barriers. Lastly, emotional social support was indirectly related to children's decreased behavioral problems through caregivers' reduced emotional distress, only among households of children without special healthcare needs. In other words, social support alone was not sufficient in promoting caregivers' and children's better well-being outcomes among households of children with special healthcare needs. CONCLUSIONS The pandemic has caused extensive burdens on families of children with special healthcare needs. Actions from policymakers and early intervention service providers are urgently needed to mitigate these impacts.
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Affiliation(s)
- Sihong Liu
- Center for Translational Neuroscience, Department of Psychology, University of Oregon, USA
| | | | - Philip A Fisher
- Center for Translational Neuroscience, Department of Psychology, University of Oregon, USA
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Heras I, Amor AM, Verdugo MÁ, Calvo MI. Operationalisation of quality of life for students with intellectual and developmental disabilities to improve their inclusion. RESEARCH IN DEVELOPMENTAL DISABILITIES 2021; 119:104093. [PMID: 34678708 DOI: 10.1016/j.ridd.2021.104093] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Revised: 09/06/2021] [Accepted: 09/26/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Quality of life (QoL) is regarded as a framework to enhance inclusive education outcomes in different domains for all students, especially for those with intellectual and developmental disabilities (IDD). Assessment tools are needed to implement this framework. Although there is a long trajectory of QoL assessment in people with IDD, we identify a lack of instruments for students with IDD who attend to general education contexts. AIMS The goal of this study is to produce a pool of items in order to develop a field-test version of a QoL instrument for this target group. METHODS 14 educational professionals participated in a four-round Delphi study, assessing the content of the items proposed according to four criteria (suitability, importance, observability and sensitivity). RESULTS The results of this study provided evidence of content validity regarding the pool of items that will be included in a field-test version. CONCLUSIONS The results obtained are important for the development of a QoL assessment tool to improve the inclusion of students with IDD in general education settings.
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Affiliation(s)
- Inés Heras
- Institute for Community Inclusion (INICO), Department of Personality, Assessment, and Psychological Treatments, University of Salamanca, Spain
| | - Antonio M Amor
- Institute for Community Inclusion (INICO), Department of Personality, Assessment, and Psychological Treatments, University of Salamanca, Spain.
| | - Miguel Ángel Verdugo
- Institute for Community Inclusion (INICO), Department of Personality, Assessment, and Psychological Treatments, University of Salamanca, Spain
| | - M Isabel Calvo
- Institute for Community Inclusion (INICO), Department of Didactics, Organization, and Research Methods, University of Salamanca, Spain
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Mintz KT, Magnus DC. Disability, Aging, and the Importance of Recognizing Social Supports in Medical Decision Making. THE AMERICAN JOURNAL OF BIOETHICS : AJOB 2021; 21:1-3. [PMID: 34710015 PMCID: PMC10871739 DOI: 10.1080/15265161.2021.1984749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
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McCarron M, Allen A, McCausland D, Haigh M, Luus R, Bavussantakath FR, Sheerin F, Mulryan N, Burke E, McGlinchey E, Flannery F, McCallion P. The impact of COVID-19 on people ageing with an intellectual disability in Ireland: Protocol for a follow-up survey. HRB Open Res 2021; 4:95. [PMID: 34622141 PMCID: PMC8456373 DOI: 10.12688/hrbopenres.13340.2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/07/2021] [Indexed: 12/24/2022] Open
Abstract
Background: The COVID-19 pandemic and associated lockdowns have had a dramatic impact on many people, but individuals with an intellectual disability, given the prevalence of congregate living and high levels of co-morbid conditions, may be particularly vulnerable at this time. A prior initial survey of participants of the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA) found that, despite a majority of participants being tested, only a small proportion had tested positive for COVID-19. Furthermore, despite some reporting positive aspects to the lockdown, a similar proportion were experiencing stress or anxiety during the pandemic. The pandemic and lockdowns have continued, and it is possible that experiences and consequences have changed over time. Aim: To explore over time and in greater depth the impact of COVID-19 and associated lockdowns and to further establish rates of infection, rates of vaccination and participants' experiences. Methods: A structured questionnaire for people with intellectual disability participating in the IDS-TILDA longitudinal study, to be administered by telephone/video in summer 2021. Where participants are unable to respond independently, a proxy respondent will be invited to either assist the participant or answer questions on their behalf. This questionnaire will include questions from the first COVID-19 questionnaire, with extra questions assessing "long COVID" (i.e. COVID-19 lasting for 12 weeks or longer), infection control behaviours, changes in mental health, social contacts and loneliness, frailty, healthcare, and incidence of vaccination. Impact: The results of this survey will be used to inform healthcare provision for people with intellectual disability during the latter stages of the lockdown and into the future.
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Affiliation(s)
- Mary McCarron
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Andrew Allen
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Darren McCausland
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Margaret Haigh
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Retha Luus
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | | | - Fintan Sheerin
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Niamh Mulryan
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Eilish Burke
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Eimear McGlinchey
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Fidelma Flannery
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Philip McCallion
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
- School of Social Work, Temple University, Philadelphia, Pennsylvania, PA 19122, USA
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Chen RX, Ge ZM, Hu SL, Tang WZ. Supportive or Confining? The Impact of War Metaphors From the COVID-19 Pandemic on Persons With Disabilities in Mainland China. Front Public Health 2021; 9:720512. [PMID: 34616706 PMCID: PMC8488130 DOI: 10.3389/fpubh.2021.720512] [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: 06/04/2021] [Accepted: 08/25/2021] [Indexed: 11/13/2022] Open
Abstract
Ensuring the well-being of persons with disabilities (PWDs) is a priority in the public sector during the coronavirus disease 2019 (COVID-19) pandemic. To contain this unprecedented public crisis in China, a set of nationwide anti-epidemic discourse systems centered on war metaphors has guided the epidemic's prevention and control. While the public is immersed in the joy brought by the stage victory, most ignore the situation of the disadvantaged PWDs. Accordingly, this study adopts and presents a qualitative research method to explore the impact of war metaphors on PWDs. The results showed that while there was some formal and informal support for PWDs during this period, they were increasingly marginalized. Owing to the lack of a disability lens and institutional exclusion, PWDs were placed on the margins of the epidemic prevention and control system like outsiders. Affected by pragmatism under war metaphors, PWDs are regarded as non-contributory or inefficient persons; therefore, they are not prioritized and are thus placed into a state of being voiceless and invisible. This research can provide inspiration for improving public services for PWDs in the context of COVID-19.
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Affiliation(s)
- Ren-Xing Chen
- Department of Social Security, School of Labor and Human Resources, Renmin University of China, Beijing, China
| | - Zhong-Ming Ge
- Department of Social Work, School of Philosophy and Social Development, Shandong University, Jinan, China
| | - Shu-Ling Hu
- Department of Social Work, School of Philosophy and Social Development, Shandong University, Jinan, China
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Verdugo Alonso MÁ, Schalock RL, Gómez Sánchez LE. El modelo de calidad de vida y apoyos: la unión tras veinticinco años de caminos paralelos. ACTA ACUST UNITED AC 2021. [DOI: 10.14201/scero2021523928] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
El artículo presenta la integración operativa de los paradigmas de calidad de vida y apoyos en un modelo conjunto denominado Modelo de Calidad de Vida y Apoyos (MOCA) que integra características significativas de la transformación actual en el campo de las discapacidades intelectuales y del desarrollo. Estas características abarcan un enfoque holístico e integrado, centrado en los derechos humanos y legales, que sirve de base para tomar las decisiones sobre servicios y apoyos en las limitaciones significativas de las principales áreas de actividad de la vida, con un énfasis en los apoyos individualizados proporcionados dentro de ambientes inclusivos de la comunidad y que promueva la evaluación de resultados. Los contenidos de este artículo incluyen: (a) los cuatro elementos del MOCA: valores fundamentales, dimensiones de calidad de vida individual y familiar, sistemas de apoyo y condiciones facilitadoras; (b) cómo se puede utilizar el MOCA como marco para la provisión de apoyos, la evaluación de resultados centrada en la persona, la transformación de la organización y el cambio de sistemas; y (c) cómo el MOCA es esencial para el cambio de paradigma actual en el campo de las discapacidades intelectuales y del desarrollo.
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McCarron M, Allen A, McCausland D, Haigh M, Luus R, Bavussantakath FR, Sheerin F, Mulryan N, Burke E, McGlinchey E, Flannery F, McCallion P. The impact of COVID-19 on people ageing with an intellectual disability in Ireland: Protocol for a follow-up survey. HRB Open Res 2021; 4:95. [PMID: 34622141 PMCID: PMC8456373 DOI: 10.12688/hrbopenres.13340.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/19/2021] [Indexed: 04/04/2024] Open
Abstract
Background: The COVID-19 pandemic and associated lockdowns have had a dramatic impact on many people, but individuals with an intellectual disability, given the prevalence of congregate living and high levels of co-morbid conditions, may be particularly vulnerable at this time. A prior initial survey of participants of the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA) found that, despite a majority of participants being tested, only a small proportion had tested positive for COVID-19. Furthermore, despite some reporting positive aspects to the lockdown, a similar proportion were experiencing stress or anxiety during the pandemic. The pandemic and lockdowns have continued, and it is possible that experiences and consequences have changed over time. Aim: To explore over time and in greater depth the impact of COVID-19 and associated lockdowns and to further establish rates of infection, rates of vaccination and participants' experiences. Methods: A structured questionnaire for people with intellectual disability participating in the IDS-TILDA longitudinal study, to be administered by telephone/video in summer 2021. Where participants are unable to respond independently, a proxy respondent will be invited to either assist the participant or answer questions on their behalf. This questionnaire will include questions from the first COVID-19 questionnaire, with extra questions assessing "long COVID" (i.e. COVID-19 lasting for 12 weeks or longer), infection control behaviours, changes in mental health, social contacts and loneliness, frailty, healthcare, and incidence of vaccination. Impact: The results of this survey will be used to inform healthcare provision for people with intellectual disability during the latter stages of the lockdown and into the future.
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Affiliation(s)
- Mary McCarron
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Andrew Allen
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Darren McCausland
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Margaret Haigh
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Retha Luus
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | | | - Fintan Sheerin
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Niamh Mulryan
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Eilish Burke
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Eimear McGlinchey
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Fidelma Flannery
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
| | - Philip McCallion
- Trinity Centre for Ageing and Intellectual Disability, Trinity College Dublin, Dublin 2, Ireland
- School of Social Work, Temple University, Philadelphia, Pennsylvania, PA 19122, USA
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Suarez-Balcazar Y, Mirza M, Errisuriz VL, Zeng W, Brown JP, Vanegas S, Heydarian N, Parra-Medina D, Morales P, Torres H, Magaña S. Impact of COVID-19 on the Mental Health and Well-Being of Latinx Caregivers of Children with Intellectual and Developmental Disabilities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:7971. [PMID: 34360263 PMCID: PMC8345447 DOI: 10.3390/ijerph18157971] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 07/17/2021] [Accepted: 07/25/2021] [Indexed: 01/20/2023]
Abstract
The COVID-19 pandemic has impacted the entire world in unprecedented ways. However, populations that have had a history of marginalization have experienced a more profound impact. One such group is Latinx families of children with intellectual and developmental disabilities (IDD) in the Unites States. In this study, we used a mixed methods approach to explore the impact of the pandemic on the mental health and well-being of Latinx caregivers of children with IDD. Specifically, we (1) identified which social determinants of health are correlated with maternal caregivers perceived general health, mental health, and well-being; (2) explored the impact of the pandemic on families' overall eating and physical activity routines; and (3) identified emergent themes from caregivers' experiences during the pandemic. Thirty-seven Latinx caregivers participated in three interviews in which several validated instruments were administered. The results indicated that perceived social support, annual family income, food security, and receipt of financial benefits were correlated with fewer depressive symptoms. Annual family income was also significantly correlated with perceived general health. Most caregivers reported that the pandemic had placed a strain on their economic situation; increased their isolation; and disrupted their child's therapeutic supports, online education, eating routines, and engagement in physical activity. Meanwhile, some caregivers reported positive changes as a result of the pandemic. Implications for future research and practice are discussed.
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Affiliation(s)
- Yolanda Suarez-Balcazar
- Department of Occupational Therapy, University of Illinois Chicago, 1919 West Taylor, Chicago, IL 60612, USA; (M.M.); (J.P.B.)
| | - Mansha Mirza
- Department of Occupational Therapy, University of Illinois Chicago, 1919 West Taylor, Chicago, IL 60612, USA; (M.M.); (J.P.B.)
| | - Vanessa L. Errisuriz
- Latino Research Institute, University of Texas at Austin, 210 W. 24th St., Austin, TX 78712, USA; (V.L.E.); (D.P.-M.)
| | - Weiwen Zeng
- Steve Hicks School of Social Work, University of Texas at Austin, 1925 San Jacinto Blvd., Austin, TX 78712, USA; (W.Z.); (N.H.); (P.M.); (H.T.); (S.M.)
| | - Jasmine P. Brown
- Department of Occupational Therapy, University of Illinois Chicago, 1919 West Taylor, Chicago, IL 60612, USA; (M.M.); (J.P.B.)
| | - Sandra Vanegas
- School of Social Work, Texas State University, Encino Hall, 712 North Commanche St., San Marcos, TX 78666, USA;
| | - Nazanin Heydarian
- Steve Hicks School of Social Work, University of Texas at Austin, 1925 San Jacinto Blvd., Austin, TX 78712, USA; (W.Z.); (N.H.); (P.M.); (H.T.); (S.M.)
| | - Deborah Parra-Medina
- Latino Research Institute, University of Texas at Austin, 210 W. 24th St., Austin, TX 78712, USA; (V.L.E.); (D.P.-M.)
| | - Paula Morales
- Steve Hicks School of Social Work, University of Texas at Austin, 1925 San Jacinto Blvd., Austin, TX 78712, USA; (W.Z.); (N.H.); (P.M.); (H.T.); (S.M.)
| | - Hilda Torres
- Steve Hicks School of Social Work, University of Texas at Austin, 1925 San Jacinto Blvd., Austin, TX 78712, USA; (W.Z.); (N.H.); (P.M.); (H.T.); (S.M.)
| | - Sandy Magaña
- Steve Hicks School of Social Work, University of Texas at Austin, 1925 San Jacinto Blvd., Austin, TX 78712, USA; (W.Z.); (N.H.); (P.M.); (H.T.); (S.M.)
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Rosencrans M, Arango P, Sabat C, Buck A, Brown C, Tenorio M, Witwer A. The impact of the COVID-19 pandemic on the health, wellbeing, and access to services of people with intellectual and developmental disabilities. RESEARCH IN DEVELOPMENTAL DISABILITIES 2021; 114:103985. [PMID: 34049229 PMCID: PMC9758885 DOI: 10.1016/j.ridd.2021.103985] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 04/29/2021] [Accepted: 04/29/2021] [Indexed: 05/07/2023]
Abstract
BACKGROUND Individuals with intellectual and developmental disabilities (IDD) may be especially vulnerable to changes associated with the COVID-19 pandemic given an increased likelihood of health concerns, low socioeconomic status, and difficulty accessing services. AIMS The purpose of this study was to explore mental health problems and services in individuals with IDD during the pandemic. We explored whether number of mental health problems differed by disability, age, gender, living situation, physical health, and access to services. METHODS AND PROCEDURES An online survey about experiences during the pandemic was administered to adults with IDD and their caregivers in the United States and in Chile. OUTCOMES AND RESULTS In both Chile and the United States, few people endorsed increased health problems. Half of the sample in Chile and 41 % of the sample in the United States endorsed increased mental health problems. Approximately 15 % of the sample in the US reported no longer receiving state developmental disability services. CONCLUSIONS AND IMPLICATIONS Healthcare and disability-specific agencies should consider strategies to tailor supports to improve mental health functioning and access to community.
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Affiliation(s)
- Margaret Rosencrans
- Ohio State University, 1581 Dodd Drive, #357, Nisonger Center, Ohio State University, Columbus, OH 43210, United States.
| | - Paulina Arango
- Universidad de los Andes, Monseñor Álvaro del Portillo 12.455, Las Condes, Santiago, Chile; Millenium Institute for Caregiving Research (MICARE), Chile.
| | - Camila Sabat
- Universidad de los Andes, Monseñor Álvaro del Portillo 12.455, Las Condes, Santiago, Chile; Millenium Institute for Caregiving Research (MICARE), Chile.
| | - Andrew Buck
- Ohio State University, 1581 Dodd Drive, #357, Nisonger Center, Ohio State University, Columbus, OH 43210, United States.
| | - Christine Brown
- Ohio State University, 1581 Dodd Drive, #357, Nisonger Center, Ohio State University, Columbus, OH 43210, United States.
| | - Marcela Tenorio
- Universidad de los Andes, Monseñor Álvaro del Portillo 12.455, Las Condes, Santiago, Chile; Millenium Institute for Caregiving Research (MICARE), Chile.
| | - Andrea Witwer
- Ohio State University, 1581 Dodd Drive, #357, Nisonger Center, Ohio State University, Columbus, OH 43210, United States.
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Wos K, Kamecka-Antczak C, Szafrański M. Remote Support for Adults with Intellectual Disability During COVID-19: From a Caregiver's Perspective. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2021; 18:279-285. [PMID: 34548876 PMCID: PMC8447416 DOI: 10.1111/jppi.12385] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Revised: 04/29/2021] [Accepted: 06/02/2021] [Indexed: 12/23/2022]
Abstract
The reality of people with ID changed during the pandemic COVID‐19. Most institutions supporting people with ID switched to remote work. This required some major adaptation to these individuals' new realities, their immediate families, and facility staff. Supporting and monitoring the quality of life of individuals with disabilities and their family members during a crisis is an essential topic of current research. This research project aimed to explore the experiences of parents of adults with ID in relation to remote support provided by public support agencies. In a qualitative study, the authors used semistructured individual interviews with caregivers of people with ID. Data analysis distinguished the following categories: parents as therapists, organization difficulties, material problems, lack of social contacts, positive solutions, and difficult behavior. The results show the difficulties of parents in balancing professional, domestic, and supporting tasks. The study was the first in Poland to report on the qualitative assessment of remote support for people with ID during COVID‐19. Further, more extensive research is needed to search for solutions that respect the rights of people with disabilities to professional support.
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Affiliation(s)
- Klaudia Wos
- Interdisciplinary Doctoral School of Social Sciences Nicolaus Copernicus University in Toruń Torun Poland
| | - Celina Kamecka-Antczak
- Faculty of Philosophy and Social Sciences Nicolaus Copernicus University in Toruń Torun Poland
| | - Mateusz Szafrański
- Faculty of Philosophy and Social Sciences Nicolaus Copernicus University in Toruń Torun Poland
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Majnemer A, McGrath PJ, Baumbusch J, Camden C, Fallon B, Lunsky Y, Miller SP, Sansone G, Stainton T, Sumarah J, Thomson D, Zwicker J. Time to be counted: COVID-19 and intellectual and developmental disabilities—an RSC Policy Briefing. Facets (Ott) 2021. [DOI: 10.1139/facets-2021-0038] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
The COVID-19 pandemic has impacted the lives and well-being of all people globally, with consequences being observed across all domains from physical and mental health, to education and employment outcomes, to access to community supports and services. However, the disproportionate impact of the COVID-19 pandemic and its associated public health restrictions on individuals with intellectual and developmental disabilities (IDD) has largely been overlooked. Not only do people with IDD have a greater risk of severe complications and death from the virus as shown in large-scale studies, but they also face significant short- and long-term consequences of COVID-related public health measures on their mental health and well-being. At a time when this vulnerable population is already feeling undervalued, ignored, and forgotten, it is imperative that the risks facing adults and children with IDD—as well as their families and caregivers—are recognized, valued, and addressed through a disability-inclusive approach to Canada’s pandemic policy response planning. This requires both a mainstreaming of disability inclusion into all COVID-19 response and recovery policies as well as disability-specific policies to address the unique barriers and challenges encountered by people with IDD during the pandemic. The recommendations in this policy briefing aim to achieve a more inclusive, accessible, and sustainable Canada for people with IDD both during and after the pandemic—an approach that will result in benefits for all of society.
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Affiliation(s)
- Annette Majnemer
- School of Physical & Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montréal, QC H3G 1Y5, Canada
- Research Institute of the McGill University Health Centre, Montréal, QC H4A 3S5, Canada
| | - Patrick J. McGrath
- Psychiatry, Dalhousie University, Halifax, NS B3H 2E2, Canada
- IWK Health Centre, Halifax, NS B3K 6R8, Canada
| | - Jennifer Baumbusch
- School of Nursing, University of British Columbia, Vancouver, BC V6T 2B5, Canada
- Canadian Institute of Health Research Chair in Sex & Gender Science, Ottawa, ON K1A 0W9, Canada
| | - Chantal Camden
- École de Réadaptation, Université de Sherbrooke, Sherbrooke, QC J1K 2R1, Canada
- CRCHUS et à l’IUPLSSS, Sherbrooke, QC J1H 5N4, Canada
| | - Barbara Fallon
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON M5S 1V4, Canada
| | - Yona Lunsky
- Azrieli Adult Neurodevelopmental Centre, Centre for Addiction and Mental Health, Toronto, ON M6J 1H4, Canada
- Psychiatry, University of Toronto, Toronto, ON M5T 1R8, Canada
| | - Steven P. Miller
- Neurology, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada
- Paediatrics, University of Toronto, Toronto, ON M5G 1X8, Canada
| | - Genevieve Sansone
- Fraser Mustard Policy Bench, University of Toronto, Toronto, ON M5S 1V4, Canada
| | - Tim Stainton
- School of Social Work, University of British Columbia, Vancouver, BC V6T 1Z2, Canada
- Canadian Institute for Inclusion and Citizenship, University of British Columbia, Vancouver, BC V6T 1Z2, Canada
| | - John Sumarah
- Counselling Psychology, Acadia University, Wolfville, NS B4P 2R6, Canada
| | | | - Jennifer Zwicker
- School of Public Policy, University of Calgary, Calgary, AB T2P 1H9, Canada
- Faculty of Kinesiology, University of Calgary, Calgary, AB T2N 1N4, Canada
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