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Badia M, Pérez B, Orgaz BM, Gómez-Vela M. Leisure education in youth with developmental disabilities: Effects on individual quality of life, adaptive behavior, and family quality of life. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2024; 28:326-342. [PMID: 37036782 DOI: 10.1177/17446295231168442] [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: 06/19/2023]
Abstract
Leisure participation enhances the learning of adaptive skills and the quality of life in youth with developmental disabilities. The goal of this study was to evaluate the effects of a leisure education program in individuals with developmental disabilities in terms of adaptive behavior and quality of life. Nine participants divided into two small groups and their families were included. A quasi-experimental design was employed to determine whether there was a program effect. The Adaptive Behavior Assessment System, the KIDSCREEN-27, and the Family Quality of Life Scale were administered before and after the intervention. There was a significant increase in social, home, and school skills as well as a better perception of quality of life in relationships with parents, social support, and school. In addition, the program affected the family's perception of practical and emotional support. Findings provide support for the application of this leisure program to enhance quality of life outcomes.
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Affiliation(s)
- Marta Badia
- INICO, Department of Personality, Assessment and Psychological Treatments, Faculty of Psychology, University of Salamanca, Salamanca, Salamanca, Spain
| | | | - Begoña M Orgaz
- INICO, Department of Personality, Assessment and Psychological Treatments, Faculty of Psychology, University of Salamanca, Salamanca, Salamanca, Spain
| | - María Gómez-Vela
- INICO, Department of Personality, Assessment and Psychological Treatments, Faculty of Psychology, University of Salamanca, Salamanca, Salamanca, Spain
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Cheng S, Li J, Li Q, Li X, Luo Y. Family quality of life of parents of children with intellectual disability: Do psychological stress and parental involvement matter? JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2024:17446295241254624. [PMID: 38772005 DOI: 10.1177/17446295241254624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2024]
Abstract
Background: The psychological stress of parents and improving family quality of life (FQoL) are continuing concerns for families of children with intellectual disability. We need to identify further ways to reduce their stress and improve their FQoL in China. Method: Examine the interrelations between psychological stress, parental involvement, and FQoL for parents with intellectual disability in mainland China. 467 parents of children with intellectual disability completed instruments measuring variables. Structural equation modelling (SEM) was employed to examine the interrelations. Results: Psychological stress, directly and indirectly, influenced parental involvement in FQoL. Physical and mental response (PMR) and risk awareness (RA) had a positive direct effect on FQoL, and optimistic hope (OH) had a negative effect on FQoL. Conclusions: Psychological stress affects FQoL of parents with children with intellectual disability in complex ways. Policies should be developed to help parents with children with disability decrease stress and develop scientific parental involvement.
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Affiliation(s)
- Sanyin Cheng
- School of Philosophy and Social Development, Shandong University, China
| | - Jiaqi Li
- School of Philosophy and Social Development, Shandong University, China
| | - Qiaoqiao Li
- School of Philosophy and Social Development, Shandong University, China
| | - Xuxu Li
- School of Philosophy and Social Development, Shandong University, China
| | - Yan Luo
- School of Philosophy and Social Development, Shandong University, China
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Scheibner M, Scheibner C, Hornemann F, Arélin M, Hennig YD, Kiep H, Wurst U, Merkenschlager A, Gburek-Augustat J. The Impact of Demographic Characteristics on Parenting Stress among Parents of Children with Disabilities: A Cross-Sectional Study. CHILDREN (BASEL, SWITZERLAND) 2024; 11:239. [PMID: 38397351 PMCID: PMC10887938 DOI: 10.3390/children11020239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Revised: 02/07/2024] [Accepted: 02/10/2024] [Indexed: 02/25/2024]
Abstract
Even though it is already known that parents of children with developmental delays or disabilities experience higher parenting stress than families of typically developing children, the contributing factors need to be analyzed in more detail. The aim of this cross-sectional study was to examine the influence of demographic characteristics on parenting stress from caring for a disabled child and to identify possible protective or additional stressful social factors. A total of 611 mothers and fathers of children with developmental delays, chronic diseases, or disabilities completed two questionnaires during their medical appointments at the Children's Development Center (CDC) of Leipzig University Hospital between June 2020 and February 2021. These consisted of the German versions of the Parenting Stress Index (PSI) and the Impact on Family Scale (IOFS). To determine differences between the various groups, we used parametric and non-parametric tests. Mothers and single parents are significantly more strained than fathers and non-single parents. Parents with vocational training, those who graduated with a higher-level diploma, and those within employment report a higher financial burden. While unemployed and full-time workers experience the lowest stress, parents who work part-time or exclusively take care of their child show higher levels of stress. Looking at the age of the child, parents of children of young primary school age are the most stressed, and those of infants are the least stressed. These findings suggest that mothers and single parents especially should receive more support, and parents need to be provided with more attention during their child's entry into school. Possible limitations and the influence of the COVID-19 pandemic are discussed.
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Affiliation(s)
- Maxi Scheibner
- Division of Neuropediatrics, Hospital for Children and Adolescents, University Hospital Leipzig, 04103 Leipzig, Germany; (C.S.); (A.M.); (J.G.-A.)
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Francisco Mora CT, Ibáñez-García A, Balcells-Balcells A. Participants' Bias in Disability Research on Family Quality of Life during the 0-6 Years Stage. Behav Sci (Basel) 2023; 13:753. [PMID: 37754031 PMCID: PMC10525128 DOI: 10.3390/bs13090753] [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: 07/27/2023] [Revised: 08/28/2023] [Accepted: 09/07/2023] [Indexed: 09/28/2023] Open
Abstract
BACKGROUND Over the past two decades, various research teams have designed and applied instruments to measure the quality of life of families with a member who has a disability. A recent systematic review on the state of the Family Quality of Life in early care identified that many of these studies collected data only from the mothers. The present study aimed to investigate whether there is a bias in participant selection in these types of studies. METHOD A systematic review of the scientific literature was conducted in three databases-Scopus, Web of Science, Eric-from 2000 to 2022. A total of 72 empirical studies were identified. RESULTS The findings indicate that most studies examining the Family Quality of Life were based on the information of a single informant per family unit. The profiles of participants according to the research objective are quite similar. In one-third of studies, the authors reported that family members who participate cannot be represented by only mothers or one participant per household. CONCLUSIONS Given the dynamic and collective nature of the construct, the application of a systemic approach is necessary.
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Affiliation(s)
- Carmen T. Francisco Mora
- Faculty of Psychology, Education and Sports Sciences, Ramon Llull University, 08022 Barcelona, Spain; (C.T.F.M.); (A.B.-B.)
| | - Alba Ibáñez-García
- Faculty of Education, Group of Research on Quality of Life, Health and Supports in Socioeducative Contexts (EDU-QoL), Universidad de Cantabria, 39005 Santander, Spain
| | - Anna Balcells-Balcells
- Faculty of Psychology, Education and Sports Sciences, Ramon Llull University, 08022 Barcelona, Spain; (C.T.F.M.); (A.B.-B.)
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Múries‐Cantán O, Giné C, Brown RI, Aguiar NB, Schippers AP. Siblings of children with intellectual and developmental disabilities: Quality of life perceptions from Catalonia. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2023. [DOI: 10.1111/jppi.12451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Affiliation(s)
- Olga Múries‐Cantán
- Blanquerna Faculty of Psychology, Education and Sport Sciences Ramon Llull University Barcelona Spain
- Department of Ethics, Law and Humanities Amsterdam UMC, Location VUmc Amsterdam The Netherlands
| | - Climent Giné
- Blanquerna Faculty of Psychology, Education and Sport Sciences Ramon Llull University Barcelona Spain
| | - Roy I. Brown
- Educational Psychology University of Calgary Calgary Canada
- College of Education Flinders University Adelaide Australia
- School of Child and Youth Care University of Victoria Victoria Canada
| | - Natasha Baqués Aguiar
- Blanquerna Faculty of Psychology, Education and Sport Sciences Ramon Llull University Barcelona Spain
| | - Alice P. Schippers
- Care Ethics, Disability Studies University of Humanistic Studies Utrecht The Netherlands
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Ferrer Vidal F, Vilaseca Momplet R, Bersabé RM. Relationship between parental perceptions, family income and support received with family quality of life in families with a child with an intellectual disability. SIGLO CERO REVISTA ESPAÑOLA SOBRE DISCAPACIDAD INTELECTUAL 2022. [DOI: 10.14201/scero202253489108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Research has shown that families raising a child with intellectual disability (ID) face many challenges and need to implement adaptation strategies. Some authors suggest that positive parental perceptions and perceived control could reduce emotional impact and promote family wellbeing. Nevertheless, there are few studies about the relationship between parental perceptions and family quality of life (FQoL) in those families. In this study, we used data from a sample of 251 Spanish parents whose children have ID. Positive perceptions scale and control perceptions scale, Spanish FQoL scale under 18 years-old and a sociodemographic questionnaire were administered to those families. The results of bivariate analysis showed that some dimensions of positive perceptions were related to different areas of FQoL, for example, social inclusion and family accommodation. FQoL was associated with family income and support received. To predict the FQoL level, a multivariate linear regression analysis was conducted. Results indicated that FQoL scores can be predicted by a linear combination of positive perceptions and family income. Practical implications for promoting FQoL in these families are discussed.
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Alnahdi GH, Alwadei A, Woltran F, Schwab S. Measuring Family Quality of Life: Scoping Review of the Available Scales and Future Directions. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15473. [PMID: 36497550 PMCID: PMC9738839 DOI: 10.3390/ijerph192315473] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 11/18/2022] [Accepted: 11/19/2022] [Indexed: 06/17/2023]
Abstract
UNLABELLED The lack of quality of life is a key issue for families with children with an intellectual disability. While the quality of life for people with disabilities has previously been researched as an individual variable, this has now shifted to include family members. The purpose of this study was to conduct a review of the studies measuring the quality of life of families with an intellectually disabled member, in order to identify the most commonly used scales and their psychometric properties. METHOD Data were collected from six databases (ERIC, Web of Science, Scopus, CINAHL, MedLine, and Google Scholar), and this search yielded 3948 studies. One hundred and twenty studies that met the inclusion criteria were included in this study. RESULTS Nine scales were used in the last years to measure the quality of life for families with individuals with an intellectual disability. The Beach Center scale was the most common scale, followed by the Family Quality of Life Survey and the World Health Organization's quality of life assessment (WHOQoL-BREF). The results showed that the included studies in the review lack the consideration of a broader population representing the different types of cultures with different socioeconomic backgrounds. Key aspects used to assess the FQoL are environmental factors (proximal and distal factors), as well as economic factors. CONCLUSION Although the operationalization of the FQoL often incudes several subthemes, a general agreement regarding which domains of the FQoL need to be included in the measurements, and these do not exist right now. Moreover, multidimensional scales are still rare.
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Affiliation(s)
- Ghaleb H. Alnahdi
- Special Education Department, College of Education, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia
| | - Arwa Alwadei
- Special Education Department, College of Education, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia
| | - Flora Woltran
- Centre for Teacher Education, Department of Education, University of Vienna, 1010 Vienna, Austria
| | - Susanne Schwab
- Centre for Teacher Education, Department of Education, University of Vienna, 1010 Vienna, Austria
- Optentia Research Focus Area, North-West University Vanderbijlpark, 1174 Hendrick Van Eck Boulevard, Vanderbijlpark 1900, South Africa
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Bagur S, Paz‐Lourido B, Mut‐Amengual B, Verger S. Relationship between parental mental health and developmental disorders in early childhood. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e4840-e4849. [PMID: 35762200 PMCID: PMC10084383 DOI: 10.1111/hsc.13891] [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: 10/21/2021] [Revised: 05/07/2022] [Accepted: 05/28/2022] [Indexed: 06/15/2023]
Abstract
Social intervention with children with disabilities and their families should be understood through the principles of family-centred practice. In Spain, early intervention is understood as interventions aimed at children from 0 to 6 years old and their families. Professionals carry out the reception, assessment and intervention. This study aims to analyse the relationship between mental and physical health, caregivers' levels of anxiety and depression and the child's development during the fostering and assessment phase. The sample is made up of 135 families using child development centres in the Balearic Islands. Four questionnaires were completed: Health-Related Quality of Life SF-12, Anxiety and Depression Scale, Child Behaviour Checklist (CBCL 1½-5) and socio-demographic questionnaire. The results show that parents of children with disabilities have higher levels of mental health impairment than physical health impairment. They also score higher on anxiety than on depression. It is worth noting that professional discipline is a variable to be taken into account in relation to parents' perception of their child's developmental improvement. In addition, the association between the developmental subscales, where the more the child is affected, the more the parents' mental health is affected. The same pattern occurs with caregivers' levels of anxiety and depression. In short, we propose a reflection on the application of family-centred practices during interventions, understanding the lack of professional training as a predictor of the quality of early intervention.
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Affiliation(s)
- Sara Bagur
- Department of Applied Pedagogy and Educational PsychologyUniversity of the Balearic IslandsPalma de MallorcaSpain
- Institute of Research and Innovation in Education (IRIE)University of the Balearic IslandsPalma de MallorcaSpain
| | - Berta Paz‐Lourido
- Institute of Research and Innovation in Education (IRIE)University of the Balearic IslandsPalma de MallorcaSpain
- Department of Nursing and PhysiotherapyUniversity of the Balearic IslandsPalma de MallorcaSpain
| | - Bartomeu Mut‐Amengual
- Department of Applied Pedagogy and Educational PsychologyUniversity of the Balearic IslandsPalma de MallorcaSpain
- Institute of Research and Innovation in Education (IRIE)University of the Balearic IslandsPalma de MallorcaSpain
| | - Sebastià Verger
- Department of Applied Pedagogy and Educational PsychologyUniversity of the Balearic IslandsPalma de MallorcaSpain
- Institute of Research and Innovation in Education (IRIE)University of the Balearic IslandsPalma de MallorcaSpain
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Codina M, Pereda N, Guilera G. Lifetime Victimization and Poly-Victimization in a Sample of Adults With Intellectual Disabilities. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:2062-2082. [PMID: 32627719 DOI: 10.1177/0886260520936372] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
People with intellectual disabilities appear to be more vulnerable to victimization. However, few studies have assessed victimization in these groups and those that do exist are highly heterogeneous and tend to focus only on specific forms of violence. This study attempts to shed light on the phenomenon of victimization among adults with intellectual disabilities by assessing victimization and poly-victimization throughout their life course. The sample consisted of 260 adults (154 men and 106 women) with an intellectual disability diagnosis, recruited from the Catalan Federation for People with Intellectual Disabilities (DINCAT) in Spain. They ranged in age from 20 to 71 years (M = 41.69, SD = 12.05). Victimization experiences were assessed by means of an adaptation of the retrospective version of the Juvenile Victimization Questionnaire (JVQ). The results showed that 96.9% of the participants had suffered some kind of victimization throughout their lives. With respect to the types of victimization, the most frequent were common victimization (87.7%), witnessing and indirect victimization (67.3%), victimization by caregivers (59.2%), sexual victimization (35%), and electronic victimization (23.5%). Women and early adults tended to experience higher rates of victimization. The poly-victimized group experienced 13 or more incidents of victimization throughout their lives. This study highlights the elevated rates of lifetime victimization among people with intellectual disabilities. It adds to previous evidence that special protection programs are required to address this issue and emphasizes the need for prevention and intervention measures in this particularly vulnerable group.
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Badia M, Orgaz MB, Vicario-Molina I, González-Ortega E, Gómez-Vela M, Aza A, Martín-Delgado MA. Transcultural adaptation and psychometric properties of Family Quality of Life Survey for caregivers of people with neurodegenerative disease: a study of Spanish families who live in the rural Spain-Portugal cross-border. Health Qual Life Outcomes 2021; 19:172. [PMID: 34193154 PMCID: PMC8242286 DOI: 10.1186/s12955-021-01809-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 06/19/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Neurodegenerative diseases (NDs) are one of the main causes of disability and dependence that have a great impact both on the quality of life of people with disabilities and their families. A majority of people with NDs receive care and support from the family, but there is no tool in Spain with which to measure whole-family QOL. The aim of this study was the translation, cultural adaptation, and validation of the FQOLS-Dementia into Spanish to assess FQOL among family members of individuals with NDs who live in the Spain-Portugal cross-border area. METHOD The Spanish version was translated and adapted following the international guidelines for cross-cultural adaptation tests. A sample of 300 family caregivers was interviewed, applying an adapted version of the Family Quality Survey (FQOLS-Dementia). Confirmatory factor analysis was performed to validate the factor structure, and convergent validity was examined with Pearson's correlation coefficients of the global FQOL with the domains. Internal consistency reliability was determined using Cronbach's alpha. RESULTS The domain structure of the FQOLS-ND showed a good fit. In the convergent validity, it was found that the total score and the subscale domain scores were associated with the global FQOL score, except for the Values domain. Internal consistency of nine domain subscales was strong (α = 0.80 to 0.91), and excellent for the total FQOL (α = 0.85) and the global FQOL (α = 0.87). CONCLUSION The FQOLS-ND presented good validity and reliability in caregiver families with individuals with ND, so its application shows its usefulness in detecting areas of improvement and intervention strategies for FQOL in the Spain-Portugal cross-border area.
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Affiliation(s)
- Marta Badia
- Institute on Community Integration (INICO), Faculty of Psychology, University of Salamanca, Avda. de la Merced, 109-131, 37005 Salamanca, Spain
| | - M. Begoña Orgaz
- Institute on Community Integration (INICO), Faculty of Psychology, University of Salamanca, Avda. de la Merced, 109-131, 37005 Salamanca, Spain
| | - Isabel Vicario-Molina
- Teacher Training College of Zamora, University of Salamanca, Avda. Príncipe de Asturias s/n, 49029 Zamora, Spain
| | - Eva González-Ortega
- Teacher Training College of Zamora, University of Salamanca, Avda. Príncipe de Asturias s/n, 49029 Zamora, Spain
| | - María Gómez-Vela
- Institute on Community Integration (INICO), Faculty of Psychology, University of Salamanca, Avda. de la Merced, 109-131, 37005 Salamanca, Spain
| | - Alba Aza
- Institute on Community Integration (INICO), Faculty of Psychology, University of Salamanca, Avda. de la Merced, 109-131, 37005 Salamanca, Spain
| | - M. Antonia Martín-Delgado
- Regional Health Management (RHM) of Castille and Leon (Spain), Paseo de Zorrilla, 1, 47007 Valladolid, Spain
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Droogmans G, Vergaelen E, Van Buggenhout G, Swillen A. Stressed parents, happy parents. An assessment of parenting stress and family quality of life in families with a child with Phelan-McDermid syndrome. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2021; 34:1076-1088. [PMID: 33525061 DOI: 10.1111/jar.12858] [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: 02/13/2020] [Revised: 01/07/2021] [Accepted: 01/12/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Individuals with Phelan-McDermid syndrome (PMS) are characterised by phenotypical traits that can be experienced as challenging by their environment. This study assessed parenting stress and Family Quality of Life (FQOL) in parents of individuals with PMS and identified potential contributing variables. METHOD Mothers (n = 14) and fathers (n = 13) of individuals with PMS (n = 14; 6 females, 8 males; age 2-37, M = 20, SD = 11.92) completed questionnaires on parenting stress, FQOL, adaptive behaviour and background characteristics. RESULTS Mothers and fathers experienced high, similar and related levels of parenting stress and FQOL satisfaction. Parenting stress and FQOL satisfaction were inversely related. High and low ratings were retrieved for subscales measuring feelings of parental role restriction and emotional well-being, respectively. The adaptive skills of the individuals with PMS were related to fathers' parenting stress and FQOL satisfaction. CONCLUSIONS Clinical practice is encouraged to be attentive to family dynamics and grasp opportunities to interact with these dynamics.
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Affiliation(s)
| | - Elfi Vergaelen
- Department of Human Genetics, KU Leuven, Leuven, Belgium.,University Psychiatric Center, KU Leuven, Leuven, Belgium
| | - Griet Van Buggenhout
- Department of Human Genetics, KU Leuven, Leuven, Belgium.,Center for Human Genetics, University Hospitals Leuven, Leuven, Belgium
| | - Ann Swillen
- Department of Human Genetics, KU Leuven, Leuven, Belgium.,Center for Human Genetics, University Hospitals Leuven, Leuven, Belgium
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Parental Stress and Family Quality of Life: Surveying Family Members of Persons with Intellectual Disabilities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17239007. [PMID: 33287284 PMCID: PMC7731363 DOI: 10.3390/ijerph17239007] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 11/27/2020] [Accepted: 11/28/2020] [Indexed: 11/17/2022]
Abstract
(1) Background. This study assesses the quality of life in families with a member with an intellectual disability using the Family Adjustment and Adaptation Response framework. (2) Methods. The study included 515 Spanish participants whose family members with disabilities range in age from infancy to adulthood. We hypothesized that it is possible to predict parenting stress by paying attention to the meaning families give to themselves and their circumstances while controlling for the impact of other variables such as family capabilities and characteristics of the family member with disabilities. We used the Beach Center Family Quality of Life Scale and the section on Exceptional needs of medical and behavioral support from the Supports Intensity Scale, together with other potential predictors. The subscale on parental stress from the Parenting Stress Index–Short Form was utilized as a criterion measure. (3) Results. Hierarchical multiple regression analysis revealed that 49% of parental stress was predicted by dysfunctional interaction, difficult behaviors, low emotional wellbeing, poor family interaction, as well as kinship as parents, and the severity of both the medical needs and intellectual disability. (4) Conclusions. The stress experienced by those families is mostly predicted by the meaning they give to themselves and their circumstances. Implications of these findings for service delivery are discussed.
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Balcells-Balcells A, Mas JM, Baqués N, Simón C, García-Ventura S. The Spanish Family Quality of Life Scales under and over 18 Years Old: Psychometric Properties and Families' Perceptions. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17217808. [PMID: 33113820 PMCID: PMC7662605 DOI: 10.3390/ijerph17217808] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 10/21/2020] [Accepted: 10/22/2020] [Indexed: 11/16/2022]
Abstract
BACKGROUND Family quality of life (FQoL), just like individual quality of life, has become a priority outcome in the policies and services received by persons with intellectual and developmental disabilities (IDD) and their families. Conceptualizing, measuring, and theorizing FQoL has been the object of investigation in recent decades. The goal of this paper is to present a revision of the Spanish Family Quality of Life Scales, the CdVF-E < 18 and the CdVF-E >18, and describe the FQoL of Spanish families with a member with IDD. METHODS The sample included a total of 548 families with a member under 18 years old and 657 families with a member over 18. Based on an Exploratory Factor Analysis (EFA) firstly and a Confirmatory Factor Analysis (CFA) secondly, the two scales' psychometric properties were explored. RESULTS The CdVF-ER < 18 and the CdVF-ER > 18 comprise 5 dimensions, containing 35 and 32 items, respectively, and they show good validity and reliability. The families obtained a high FQoL score, although some differences exist between the dimensions on which families with children under and over 18 score highest and lowest. CONCLUSION The characteristics of the revised scales facilitate their use by professionals, administrations, and services.
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Affiliation(s)
- Anna Balcells-Balcells
- School of Psychology, Education and Sport Sciences Blanquerna, Ramon Llull University, 08022 Barcelona, Spain; (J.M.M.); (N.B.); (S.G.-V.)
- Correspondence:
| | - Joana M. Mas
- School of Psychology, Education and Sport Sciences Blanquerna, Ramon Llull University, 08022 Barcelona, Spain; (J.M.M.); (N.B.); (S.G.-V.)
| | - Natasha Baqués
- School of Psychology, Education and Sport Sciences Blanquerna, Ramon Llull University, 08022 Barcelona, Spain; (J.M.M.); (N.B.); (S.G.-V.)
| | - Cecilia Simón
- School of Psychology, Autonomous University of Madrid, 28049 Madrid, Spain;
| | - Simón García-Ventura
- School of Psychology, Education and Sport Sciences Blanquerna, Ramon Llull University, 08022 Barcelona, Spain; (J.M.M.); (N.B.); (S.G.-V.)
- School of Psychology, Abat Oliba CEU University, 08022 Barcelona, Spain
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State of the Art of Family Quality of Life in Early Care and Disability: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17197220. [PMID: 33023172 PMCID: PMC7578947 DOI: 10.3390/ijerph17197220] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 09/19/2020] [Accepted: 09/27/2020] [Indexed: 12/14/2022]
Abstract
Background: In recent years, there has been a growing international interest in family quality of life The objective of this systematic review is to understand and analyze the conceptualization of the quality of life of families with children with disabilities between 0 and 6 years of age, the instruments for their measurement and the most relevant research results. Method: A bibliographic search was conducted in the Web of Science, Scopus and Eric databases of studies published in English and Spanish from 2000 to July 2019 focused on "family quality of life" or "quality of family life" in the disability field. A total of 63 studies were selected from a total of 1119 and analyzed for their theoretical and applied contributions to the field of early care. Results: The functional conceptualization of family quality of life predominates in this area, and a nascent and enriching holistic conceptualization is appreciated. There are three instruments that measure family quality of life in early care, although none of them is based on unified theory of FQoL; none of them focus exclusively on the age range 0-6 nor do they cover all disabilities. Conclusions: The need to deepen the dynamic interaction of family relationships and to understand the ethical requirement that the methods used to approach family quality of life respect the holistic nature of the research is noted.
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Chiu SJ, Lin IF, Chou YT, Chien LY. Family quality of life among Taiwanese children with developmental delay before and after early intervention. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2020; 64:589-601. [PMID: 32567788 DOI: 10.1111/jir.12754] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Revised: 05/13/2020] [Accepted: 05/14/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Although early intervention (EI) practitioners emphasise the importance of individualised family-centred services for families of children with developmental delay (DD), few empirical studies have evaluated whether EI can improve family quality of life (FQOL). This study aimed to investigate the trajectory of FQOL and its predictors among families of children with DD during the first 12 months of EI. METHODS This study employed a prospective cohort design. Data were collected using structured questionnaires at the placement meeting before the commencement of EI, as well as 3, 6 and 12 months later. We recruited 142 primary caregivers of children with DD in northern Taiwan from March 2015 to August 2016. FQOL was measured using the Mandarin Chinese version of the Beach Centre FQOL Scale. Family resilience (FR) was measured using the Mandarin Chinese version of the FR Assessment Scale. Other independent variables included socio-demographics, type of DD and EI services. Generalised estimating equations were used to perform multivariate analysis. RESULTS Family quality of life exhibited a significant quadratic trend in the 12 months surrounding EI. The score was the lowest before EI started (89.85), then increased to peak (94.87) at 6 months and then decreased slightly to 92.34 at 12 months. FR followed a significantly increased linear trend during the period. There were significant and positive correlations between FQOL and FR across all time points. Multivariate analysis showed that employed caregivers, FR, sufficient caregiving manpower and satisfaction with marital quality were positively associated with FQOL. Receiving more types of EI services and having fathers who were not Taiwanese nationals were negatively associated with FQOL. CONCLUSIONS Family quality of life and FR increased significantly after receiving EI, revealing the latter's effectiveness. Unemployment, poor marital quality, father being an immigrant, low FR and insufficient family caregiving manpower were associated with lower FQOL, suggesting that these families require more assistance.
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Affiliation(s)
- S-J Chiu
- Department of Nursing, Cardinal Tien Junior College of Healthcare and Management, New Taipei City, Taiwan
| | - I-F Lin
- Institute of Public Health, School of Medicine, National Yang-Ming University, Taipei, Taiwan
| | - Y-T Chou
- Department of Paediatrics, Yonghe Cardinal Tien Hospital, New Taipei City, Taiwan
| | - L-Y Chien
- Institute of Community Health Care, School of Nursing, National Yang-Ming University, Taipei, Taiwan
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Vanderkerken L, Heyvaert M, Onghena P, Maes B. The Relation Between Family Quality of Life and the Family‐Centered Approach in Families With Children With an Intellectual Disability. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2019. [DOI: 10.1111/jppi.12317] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- Lien Vanderkerken
- Faculty of Psychology and Educational SciencesParenting and Special Education Research Unit, KU Leuven Leuven Belgium
| | - Mieke Heyvaert
- Humanities and Social Sciences Research CoordinationKU Leuven Leuven Belgium
| | - Patrick Onghena
- Faculty of Psychology and Educational SciencesMethodology of Educational Sciences Research Unit, KU Leuven Leuven Belgium
| | - Bea Maes
- Faculty of Psychology and Educational SciencesParenting and Special Education Research Unit, KU Leuven Leuven Belgium
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Boehm TL, Carter EW. Family Quality of Life and Its Correlates Among Parents of Children and Adults With Intellectual Disability. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2019; 124:99-115. [PMID: 30835525 DOI: 10.1352/1944-7558-124.2.99] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
All families, including those impacted by disability, desire and deserve opportunities for high quality of life. This study focused on family quality of life (FQOL) among 529 parents with children or adults with intellectual disability (ID). Parents reported moderate to high levels of FQOL satisfaction, with some variability across domains. We conducted hierarchical linear regression analyses to examine associations among FQOL and: (1) individual and family demographic factors, (2) religiosity/spirituality factors, and (3) relationship factors. Findings highlighted the significance of both informal (i.e., family, friends) and formal (i.e., professional) social relationships, as well as the relevance of spirituality/religiosity, as factors contributing to FQOL. We offer recommendations for research and practice aimed at enhancing FQOL of parents with children and adults who have ID.
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Affiliation(s)
- Thomas L Boehm
- Thomas L. Boehm, Wheaton College; and Erik W. Carter, Vanderbilt University
| | - Erik W Carter
- Thomas L. Boehm, Wheaton College; and Erik W. Carter, Vanderbilt University
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Family Quality of Life of South African Families Raising Children with Autism Spectrum Disorder. J Autism Dev Disord 2017; 47:1966-1977. [DOI: 10.1007/s10803-017-3102-8] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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