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Ogedengbe TO, Kreidy C, Gürke N, Twahirwa BN, Boateng MA, Eslahi M, Khodayari F, Nemargut JP, Martiniello N, Wittich W. Feasibility of telerehabilitation to address the orientation and mobility needs of individuals with visual impairment: perspectives of current guide dog users. Disabil Rehabil 2024:1-11. [PMID: 38907578 DOI: 10.1080/09638288.2024.2368058] [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: 03/08/2024] [Accepted: 06/11/2024] [Indexed: 06/24/2024]
Abstract
OBJECTIVE To assess guide dog users' perspectives on the feasibility of telerehabilitation for their O&M needs. METHOD An online survey gathered insights from 56 guide dog (GD) users (Mean age = 59, Mean GD used = 4, Mean duration of use = 22 years). Thirteen GD users further participated in interviews or focus groups to explore survey responses. Data were analyzed using content analysis. FINDINGS Most (40) were blind, and 16 had low vision, with intermediate (25) and advanced (25) communication technology proficiency. Most GD users (46) underwent residential training, and 10 received one-on-one visits. Qualitative analysis revealed acceptance of telerehabilitation services, citing accessibility as an advantage. However, GD users expressed concerns about safety, potential loss of behavioral observation, and social contact loss. Success depended on the type of technology, service type, and personal attributes. CONCLUSION While feasible, telerehabilitation services may not be universally suitable for all training stages. Flexibility and applicability in service design are necessary to accommodate individual preferences and experience levels.
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Affiliation(s)
- Tosin Omonye Ogedengbe
- School of Optometry, Université de Montréal, Montréal, Québec, Canada
- Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain, Montréal, Québec, Canada
| | - Chantal Kreidy
- School of Optometry, Université de Montréal, Montréal, Québec, Canada
- Institut Nazareth et Louis-Braille du CISSS de la Montérégie-Centre, Montréal, Québec, Canada
| | - Nora Gürke
- Vrije Universiteit Amsterdam, Faculty of Behavioural and Movement Sciences, Amsterdam, Noord-Holland, Netherlands
| | | | - Mark A Boateng
- School of Optometry, Université de Montréal, Montréal, Québec, Canada
| | - Mina Eslahi
- School of Optometry, Université de Montréal, Montréal, Québec, Canada
| | | | - Joseph P Nemargut
- School of Optometry, Université de Montréal, Montréal, Québec, Canada
- Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain, Montréal, Québec, Canada
- Institut Nazareth et Louis-Braille du CISSS de la Montérégie-Centre, Montréal, Québec, Canada
- Centre de Réadaptation Lethbridge-Layton-Mackay du CIUSSS du Centre-Ouest-de-l'Île-de-Montréal, Montréal, Québec, Canada
| | - Natalina Martiniello
- School of Optometry, Université de Montréal, Montréal, Québec, Canada
- Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain, Montréal, Québec, Canada
- Institut Nazareth et Louis-Braille du CISSS de la Montérégie-Centre, Montréal, Québec, Canada
- Centre de Réadaptation Lethbridge-Layton-Mackay du CIUSSS du Centre-Ouest-de-l'Île-de-Montréal, Montréal, Québec, Canada
| | - Walter Wittich
- School of Optometry, Université de Montréal, Montréal, Québec, Canada
- Centre de Recherche Interdisciplinaire en Réadaptation du Montréal Métropolitain, Montréal, Québec, Canada
- Institut Nazareth et Louis-Braille du CISSS de la Montérégie-Centre, Montréal, Québec, Canada
- Centre de Réadaptation Lethbridge-Layton-Mackay du CIUSSS du Centre-Ouest-de-l'Île-de-Montréal, Montréal, Québec, Canada
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Alves JP, Eusébio C, Carneiro MJ, Teixeira L, Mesquita S. Living in an untouchable world: Barriers to recreation and tourism for Portuguese blind people during the COVID-19 pandemic. JOURNAL OF OUTDOOR RECREATION AND TOURISM 2023; 42:100637. [PMID: 37273514 PMCID: PMC10027949 DOI: 10.1016/j.jort.2023.100637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 03/15/2023] [Accepted: 03/17/2023] [Indexed: 06/06/2023]
Abstract
Despite the COVID-19 pandemic having affected the lives of all citizens, some groups, as people with disabilities (PwD), have felt its effects more intensely, specifically due to social distancing measures adopted. However, PwD are a heterogeneous group and the impacts of COVID-19 are, therefore, experienced differently. Blind people (BP) face considerable challenges during the COVID-19 pandemic, since they "access the world" through touch, something strongly discouraged in order to control the spread of the virus. Nevertheless, no studies are known which analyze the constraints experienced by BP during COVID-19 on participating in recreation and tourism activities. To extend knowledge in this field, the intention of this study is to examine the constraints faced by BP during COVID-19 on participation in outdoor recreation and tourism activities and the strategies used to overcome these constraints. A qualitative methodology (in-depth interviews with BP) was used. The results reveal that during the COVID-19 pandemic, BP faced several constraints that made their participation in outdoor recreation and tourism activities difficult. The paper ends with a discussion of the strategies used by BP to overcome these constraints. Management implications Understanding the impact of COVID-19 on the recreation and tourism practices of blind people, and the constraints that they face as a consequence of this pandemic, this study provides relevant implications managers for public and private tourism supply agents. Therefore, managers and planners can use the findings of this study to design strategies to overcome the strong constraints faced by blind people due to the COVID-19 pandemic, to minimize risk exposure and to increase their quality of life. Thus, the type of activities offered and the marketing strategy should be rethought to increase the engagement of blind people in recreation and tourism experiences in an "untouchable world."
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Affiliation(s)
- Joana Pimentel Alves
- Department of Economics, Management, Industrial Engineering and Tourism (DEGEIT), University of Aveiro, Campus Universitário de Santiago, 3810 -193, Aveiro, Portugal
| | - Celeste Eusébio
- Department of Economics, Management, Industrial Engineering and Tourism (DEGEIT), University of Aveiro, Campus Universitário de Santiago, 3810 -193, Aveiro, Portugal
- Governance, Competitiveness and Public Policies (GOVCOPP), University of Aveiro, Portugal
| | - Maria João Carneiro
- Department of Economics, Management, Industrial Engineering and Tourism (DEGEIT), University of Aveiro, Campus Universitário de Santiago, 3810 -193, Aveiro, Portugal
- Governance, Competitiveness and Public Policies (GOVCOPP), University of Aveiro, Portugal
| | - Leonor Teixeira
- Department of Economics, Management, Industrial Engineering and Tourism (DEGEIT), University of Aveiro, Campus Universitário de Santiago, 3810 -193, Aveiro, Portugal
- Electronics and Informatics Engineering of Aveiro (IEETA) / Intelligent Systems Associate Laboratory (LASI), University of Aveiro, Portugal
| | - Susana Mesquita
- ISAG - European Business School (ISAG-EBS) and Research Center in Business Sciences and Tourism (CICET- FCVC), Portugal
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Khan HM, Abbas K, Khan HN. Investigating the impact of COVID-19 on individuals with visual impairment. BRITISH JOURNAL OF VISUAL IMPAIRMENT 2023. [DOI: 10.1177/02646196231158919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/13/2023]
Abstract
We present a comprehensive review of the various challenges that individuals with visual impairment (VI) face during the COVID-19 pandemic. A structured review was done using online databases PubMed, EMBASE, and grey literature databases between 19 April 2021 and 4 August 2021, using search terms ‘COVID-19’, ‘SARS-CoV-2’, ‘Coronavirus’, or ‘pandemic’ combined with ‘visually impaired’, ‘visual impairment’, or ‘Blind’. Studies included were written in English, published after the World Health Organization (WHO) declaration of the COVID-19 Pandemic (11 March 2020), and focused on the VI population during the pandemic. The initial search yielded 702 publications, of which 20 met our inclusion criteria and were included in analysis. Emotional distress from deteriorating mental health and social isolation were considerably higher in the VI population. For a community that relies on spatial awareness and touch, regulations related to social distancing and avoiding contact were considerable barriers. Further challenges were noted in accessing healthcare, care, receiving timely health information and changes in regulations, adequately sanitizing, using technology, and completing activities of daily living. In the unprecedented times of the COVID-19 pandemic, the VI community has faced unique challenges. A more holistic and inclusive approach needs to be adopted to ensure that more vulnerable populations are adequately cared for.
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Sarica AD, Ulu-Ercan E, Coşkun UH. COVID-19 and Turkish University Students With Visual Impairments: An In-Depth Inquiry. JOURNAL OF VISUAL IMPAIRMENT & BLINDNESS 2022; 116:817-829. [PMID: 36620333 PMCID: PMC9806195 DOI: 10.1177/0145482x221144054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Introduction: The purpose of this study was to investigate the effect of COVID-19 on the academic life, psychological well-being, social relations, and physical health of university students with visual impairments via their personal judgments. Methods: A qualitative research design was utilized with 19 participants studying at 10 Turkish universities located across seven cities. Personal online semi-structured interviews were held in January 2021. The audio-taped qualitative data were analyzed deductively in light of four predetermined themes: academic life, physical health, psychological well-being, and social relations. Results: Findings revealed the negative effects of the lockdown on daily and, specifically, campus life. Most participants claimed their preference for traditional over online education due to certain academic, psychological, and social difficulties, stating also that campus life had many academic and social advantages compared to online education. Physical health issues including access to medical treatments and lack of activity/mobility were also stressed. Discussion: It was interesting to observe that despite the interviews' focus on daily life, students provided views on the benefits of traditional education and how and why their individual needs should be met by universities, much more than expected. Implications for Practitioners: It may be concluded that several developmental domains of students with visual impairments are affected by attendance at a university and that offices of disability services of higher education institutions and university counseling centers should take thoughtful actions to meet the specific needs of this student population tailored to both online and traditional education.
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Affiliation(s)
- Ayşe Dolunay Sarica
- Department of Special Education, Buca Faculty of Education, Dokuz Eylül University, Ïzmir, Türkiye
| | - Elif Ulu-Ercan
- Department of Counselling and Guidance, Faculty of Education, Ege University, Ïzmir, Türkiye,Elif Ulu-Ercan, Department of Counselling and Guidance, Faculty of Education, Ege University, Bornova, Ïzmir 35040, Türkiye.
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Kreidy C, Martiniello N, Nemargut JP, Wittich W. How Face Masks Affect the Use of Echolocation by Individuals With Visual Impairments During COVID-19: International Cross-sectional Online Survey. Interact J Med Res 2022; 11:e39366. [PMID: 36223434 PMCID: PMC9604170 DOI: 10.2196/39366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 09/26/2022] [Accepted: 10/12/2022] [Indexed: 11/13/2022] Open
Abstract
Background Although a critical safety measure, preliminary studies have suggested that the use of a face mask may pose a problem for some users with disabilities. To date, little is known about how the wearing of a traditional face mask may pose a barrier to individuals with visual impairments who draw on auditory cues and echolocation techniques during independent travel. Objective The goal of this study was to document the difficulties, if any, encountered during orientation and mobility due to the use of a face mask during the COVID-19 pandemic and the strategies used to address these barriers. Methods In total, 135 individuals aged 18 years and older who self-identified as being blind, being deafblind, or having low vision and who could communicate in either English or French completed an anonymous cross-sectional online survey between March 29 and August 23, 2021. Results In total, 135 respondents (n=52, 38.5%, men; n=83, 61.5%, women) between the ages of 18 and 79 (mean 48.22, SD 14.48) years participated. Overall, 78 (57.7%) self-identified as blind and 57 (42.3%) as having low vision. In addition, 13 (9.6%) identified as having a combined vision and hearing loss and 3 (2.2%) as deafblind. The most common face coverings used were cloth (n=119, 88.1%) and surgical masks (n=74, 54.8%). Among the barriers raised, participants highlighted that face masks made it more difficult to locate people (n=86, 63.7%), communicate with others (n=101, 74.8%), and locate landmarks (n=82, 60.7%). Although the percentage of those who used a white cane before the pandemic did not substantially change, 6 (14.6%) of the 41 participants who were guide dog users prior to the pandemic reported no longer working with a guide dog at the time of the survey. Moreover, although guide dog users reported the highest level of confidence with independent travel before the pandemic, they indicated the lowest level of confidence a year after the pandemic began. Conclusions These results suggest that participants were less able to draw on nonvisual cues during independent travel and social interactions due to the use of a facemask, contributing to a reduction in perceived self-confidence and independence. Findings inform the development of evidence-based recommendations to address identified barriers.
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Affiliation(s)
- Chantal Kreidy
- School of Optometry, University of Montreal, Montréal, QC, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
| | - Natalina Martiniello
- School of Optometry, University of Montreal, Montréal, QC, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
- Centre de Réadaptation Lethbridge-Layton-Mackay du Centres Intégrés Universitaires de Santé et de Services Sociaux du Centre-Ouest-de-l'Île-de-Montréal, Montreal, QC, Canada
| | - Joseph Paul Nemargut
- School of Optometry, University of Montreal, Montréal, QC, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
| | - Walter Wittich
- School of Optometry, University of Montreal, Montréal, QC, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
- Centre de Réadaptation Lethbridge-Layton-Mackay du Centres Intégrés Universitaires de Santé et de Services Sociaux du Centre-Ouest-de-l'Île-de-Montréal, Montreal, QC, Canada
- Institut Nazareth et Louis-Braille du Centres Intégrés de Santé et de Services Sociaux de la Montérégie-Centre, Longueuil, QC, Canada
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Wong J, Ezeife N, Kudla A, Crown D, Trierweiler R, Capraro P, Tomazin S, Su H, Pham T, Heinemann AW. Employment Consequences of COVID-19 for People with Disabilities and Employers. JOURNAL OF OCCUPATIONAL REHABILITATION 2022; 32:464-472. [PMID: 35037157 PMCID: PMC8761523 DOI: 10.1007/s10926-021-10012-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/03/2021] [Indexed: 06/01/2023]
Abstract
Purpose The COVID-19 pandemic has disproportionately affected the lives of people with disabilities (PWD). How the pandemic affects the employment of PWD and employers has yet to be determined. We aimed to investigate the employment consequences of the pandemic as experienced by PWD and employers. The research questions were: (1) What employment effects do PWD experience, and what business changes do employers encounter as a result of the COVID-19 pandemic? (2) What challenges have PWD encountered during the pandemic? Methods Cross-sectional online surveys of 733 PWD and 67 employers in the Midwestern United States. Results Compared to non-disabled peers, PWD encountered more challenges in employment during the pandemic. We found high percentages of both employers and PWD experiencing employment changes and business shutdown during the pandemic. For PWD whose employment was not affected, 14.6% of the participants (n = 107) expected a loss of income and worried about the economic uncertainty of the pandemic. Unemployment for PWD is high due to illness or disability, being laid-off or furloughed, business reductions, and not feeling safe to work. However, only about 18.6% of unemployed PWD (n = 16) received pay or benefits for the time they were not working even though more than half filed for unemployment benefits. Conclusions The pandemic adversely affected employment of PWD as reported by workers and employers. Findings parallel the experience of the non-disabled workforce, but reveal vulnerabilities that reflect disability consequences and the need for job accommodations. Results reveal emergent needs for policy supports to reduce the disparities experienced by PWD in the workplace.
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Affiliation(s)
- Jasin Wong
- Department of Special Education, National Tsing Hua University, No. 521, Nanda Rd. East Dist., Hsinchu, Taiwan.
| | - Nnaemezie Ezeife
- Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, 355 East Erie St., Chicago, IL, 60611, USA
| | - Angelika Kudla
- Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, 355 East Erie St., Chicago, IL, 60611, USA
| | - Deborah Crown
- Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, 355 East Erie St., Chicago, IL, 60611, USA
| | - Robert Trierweiler
- Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, 355 East Erie St., Chicago, IL, 60611, USA
| | - Pamela Capraro
- Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, 355 East Erie St., Chicago, IL, 60611, USA
| | - Stephanie Tomazin
- Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, 355 East Erie St., Chicago, IL, 60611, USA
| | - Han Su
- Center for Health Services and Outcomes Research, Feinberg School of Medicine at Northwestern University, 633 N. St. Clair St., Suite 2000, Chicago, IL, 60611, USA
| | - Tri Pham
- University of Texas Southwestern Medical School, 5323 Harry Hines Blvd, Dallas, TX, 75390, USA
| | - Allen W Heinemann
- Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, 355 East Erie St., Chicago, IL, 60611, USA
- Department of Physical Medicine & Rehabilitation, Feinberg School of Medicine at Northwestern University, 710 N. Lake Shore Dr., Chicago, IL, 60611, USA
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Heinze N, Hussain SF, Castle CL, Godier-McBard LR, Kempapidis T, Gomes RSM. The Long-Term Impact of the COVID-19 Pandemic on Loneliness in People Living With Disability and Visual Impairment. Front Public Health 2021; 9:738304. [PMID: 34568266 PMCID: PMC8458570 DOI: 10.3389/fpubh.2021.738304] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Accepted: 07/30/2021] [Indexed: 12/28/2022] Open
Abstract
Background: There has been growing concern about the impact of restrictions put in place to contain the coronavirus pandemic on loneliness, particularly in individuals with disabilities. This study explored the longitudinal impact of the pandemic on loneliness in these individuals, with a focus on those living with visual impairment (VI). Methods: An online survey was conducted in April-2020 and repeated in March 2021 to explore current life circumstances, health-related behaviours, sleep (Pittsburgh Sleep Quality Index) and social well-being, including state anxiety (State-Trait Anxiety Index) and loneliness (UCLA Loneliness scale). A convenience sample of 602 participants completed the first survey. Participants who agreed to be re-contacted were invited to take part in the follow-up survey. Results: Data is presented for the 160 participants who completed both timepoints. At both timepoints, median loneliness was significantly higher in participants with disabilities and those with VI than in participants with no disabilities. While there was no significant change in loneliness in any of the three subgroups, participants with VI experienced the largest increase in median loneliness. Loneliness was associated with having a mental health condition and higher levels of state anxiety at both timepoints. Conclusions: Individuals with disabilities such as VI experienced consistently higher levels of loneliness than those with no disabilities throughout the pandemic. While loneliness remained relatively stable in individuals with no disabilities, it increased, albeit to a non-significant level, in those with disabilities and particularly those with VI. Interventions designed to alleviate loneliness may benefit from addressing state anxiety.
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Affiliation(s)
- Nikki Heinze
- Research and Innovation, Blind Veterans UK, London, United Kingdom
- BRAVO VICTOR, Research, London, United Kingdom
| | - Syeda F. Hussain
- Research and Innovation, Blind Veterans UK, London, United Kingdom
- BRAVO VICTOR, Research, London, United Kingdom
| | - Claire L. Castle
- Research and Innovation, Blind Veterans UK, London, United Kingdom
- BRAVO VICTOR, Research, London, United Kingdom
| | - Lauren R. Godier-McBard
- Veterans and Families Institute for Military Social Research, Anglia Ruskin University, Chelmsford, United Kingdom
| | - Theofilos Kempapidis
- Research and Innovation, Blind Veterans UK, London, United Kingdom
- BRAVO VICTOR, Research, London, United Kingdom
| | - Renata S. M. Gomes
- Research and Innovation, Blind Veterans UK, London, United Kingdom
- BRAVO VICTOR, Research, London, United Kingdom
- Northern Hub for Veterans and Military Families Research, Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, United Kingdom
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Kim HN, Sutharson S. Concerns and needs of research participants with visual disabilities amid the COVID-19 pandemic. THEORETICAL ISSUES IN ERGONOMICS SCIENCE 2021. [DOI: 10.1080/1463922x.2021.1940351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Hyung Nam Kim
- Department of Industrial and Systems Engineering, North Carolina A&T State University, Greensboro, NC, USA
| | - Sam Sutharson
- Department of Industrial and Systems Engineering, North Carolina A&T State University, Greensboro, NC, USA
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Gombas J, Csakvari J. Experiences of individuals with blindness or visual impairment during the COVID-19 pandemic lockdown in Hungary. BRITISH JOURNAL OF VISUAL IMPAIRMENT 2021. [DOI: 10.1177/0264619621990695] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The Coronavirus Disease 2019 (COVID-19) pandemic and the measures of social distancing and national lockdown had a significant impact on everyday life. Individuals with BVI (blindness and visual impairment) are assumed to face increased barriers in numerous domains of their lives. This online survey research investigates, among Hungarian adults with BVI ( N = 132), the impact of the lockdown on their access to shopping, daily support needs, access to remote studies of higher education or work, and leisure habits. Respondents accounted for negative impacts of the lockdown on their participation and independence in all research topics. Issues of accessibility were common both concerning shopping for essential goods and access to remote study and work.
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Affiliation(s)
- Judit Gombas
- Barczi Gusztav Faculty of Special Needs Education, Eotvos Lorand University, Hungary
| | - Judit Csakvari
- Barczi Gusztav Faculty of Special Needs Education, Eotvos Lorand University, Hungary
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Assessing the impact of COVID-19 on persons with disabilities: development of a novel survey. Int J Public Health 2020; 65:755-757. [PMID: 32705300 PMCID: PMC7377305 DOI: 10.1007/s00038-020-01433-z] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Revised: 07/05/2020] [Accepted: 07/09/2020] [Indexed: 11/11/2022] Open
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