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Haynes A, Pearce S, Kirby K, Moritz D, West K, Green S, McCoombes C, Sherrington C. True inclusion: evaluation protocol for an approach to increase meaningful participation of children with disability in athletics. Front Public Health 2024; 12:1403866. [PMID: 38841685 PMCID: PMC11150812 DOI: 10.3389/fpubh.2024.1403866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2024] [Accepted: 05/08/2024] [Indexed: 06/07/2024] Open
Abstract
Children with disability face many barriers to participating in community sports. Little Athletics Australia aims to increase fair and meaningful inclusion via a new structure which will enable all children to take part in the same contest by competing for their 'personal best' score. Named the True Inclusion Method (TIM), this new structure will be piloted in 13 sites across six states. Formative evaluation of this pilot will critique TIM and its implementation using observations of events, and interviews and surveys with child athletes with and without disability, their parents/carers and Little Athletics volunteers. Implementation outcomes are acceptability, appropriateness, adoption, feasibility and fidelity. Qualitative data will be analysed thematically. TIM is designed to encourage inclusive participation by children with disability in sporting events, and to improve the competitive experience for all children by celebrating personal achievement and fostering fun.
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Affiliation(s)
- Abby Haynes
- Sydney Musculoskeletal Health, Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, NSW, Australia
| | - Simone Pearce
- School of Law and Society, Sunshine Coast Mail Centre, University of the Sunshine Coast, Sippy Downs, QLD, Australia
| | - Kate Kirby
- School of Law and Society, Sunshine Coast Mail Centre, University of the Sunshine Coast, Sippy Downs, QLD, Australia
| | - Dominique Moritz
- School of Law and Society, Sunshine Coast Mail Centre, University of the Sunshine Coast, Sippy Downs, QLD, Australia
| | - Kerry West
- Sydney Musculoskeletal Health, Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, NSW, Australia
- Physiotherapy Department, The Children’s Hospital at Westmead, Sydney Children’s Hospitals Network, Sydney, NSW, Australia
| | - Suzy Green
- Little Athletics Australia, Inclusion project, Albert Park, VIC, Australia
| | | | - Catherine Sherrington
- Sydney Musculoskeletal Health, Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, NSW, Australia
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Aim M, Rousseau M, Hamouda I, Anzola AB, de Villemeur TB, Milh M, Maincent K, Lind K, Auquier P, Baumstarck K, Dany L. Parents' experiences of parenting a child with profound intellectual and multiple disabilities in France: A qualitative study. Health Expect 2024; 27:e13910. [PMID: 37932892 PMCID: PMC10757136 DOI: 10.1111/hex.13910] [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: 03/14/2023] [Revised: 10/25/2023] [Accepted: 10/26/2023] [Indexed: 11/08/2023] Open
Abstract
INTRODUCTION Parents of persons with profound intellectual and multiple disabilities (PIMD) play a major and often lifelong role in the care and support of their child. A better understanding of parents' perspectives regarding their experiences of parenting their child with PIMD is essential to support them more effectively. Although this topic has been explored extensively in Anglo-Saxon and Northern European countries, little is known about the experience of these parents in a highly institutionalized context such as that in France. OBJECTIVE We explored parents' experiences of the activities they performed to care for their child with PIMD (namely, the 'parenting work') in the French context. METHOD Qualitative semistructured interviews were conducted by telephone with 34 parents of persons with PIMD aged 8-35. The resulting data were analyzed using thematic analysis. RESULTS The analysis highlighted the diversity of activities performed by parents as well as the influence of context on the forms of this parenting work. Five themes were developed: (1) navigating the challenges of obtaining medical recognition; (2) negotiating a concealed domain and becoming an expert; (3) unfolding medical and medicosocial care management; (4) navigating the challenges of daily living and (5) shaping one's child's possibilities. CONCLUSION This study offers a better understanding of the challenges, levers and expectations of parents of children with PIMD in France. Contextual factors such as the lack of knowledge of PIMD among health professionals, access to knowledge and know-how associated with care management, the administrative complexity of access to care and equipment, institutional issues (e.g., professional turnover) and societal ableism (e.g., access to infrastructures, interpersonal discrimination) shape the work parents perform to support their child's needs. It is necessary to consider contextual aspects to better support these parents and their children. Suggestions for applications are provided in the discussion. PATIENT OR PUBLIC CONTRIBUTION One of the researchers, a parent of a child with PIMD, supported the research design and provided feedback on the study's procedures and manuscript.
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Affiliation(s)
- Marie‐Anastasie Aim
- LPS, Social Psychology LaboratoryAix‐Marseille UniversityAix‐en‐ProvenceFrance
- Department of Epidemiology and Health EconomicsAP‐HMMarseilleFrance
| | - Marie‐Christine Rousseau
- CEReSS, Research Centre on Health Services and Quality of LifeAix‐Marseille UniversityMarseilleFrance
- Polyhandicap FederationSan Salvadour APHP HospitalHyèresFrance
| | - Ilyes Hamouda
- CEReSS, Research Centre on Health Services and Quality of LifeAix‐Marseille UniversityMarseilleFrance
- Methodological Support Unit for Clinical, Epidemiological and Economic ResearchAP‐HMMarseilleFrance
| | - Any Beltran Anzola
- Department of Epidemiology and Health EconomicsAP‐HMMarseilleFrance
- CEReSS, Research Centre on Health Services and Quality of LifeAix‐Marseille UniversityMarseilleFrance
| | | | - Mathieu Milh
- Department of Pediatric NeurologyAP‐HM, TimoneMarseilleFrance
| | - Kim Maincent
- Committee for StudiesEducation and Care for People with Polyhandicap (CESAP)ParisFrance
| | - Katia Lind
- Alice Blum‐Ribes Pediatric SpaceEstablishment of the Unions for the Management of Health Insurance Fund Establishments (UGECAM) Ile de France GroupMontreuilFrance
| | - Pascal Auquier
- CEReSS, Research Centre on Health Services and Quality of LifeAix‐Marseille UniversityMarseilleFrance
| | - Karine Baumstarck
- CEReSS, Research Centre on Health Services and Quality of LifeAix‐Marseille UniversityMarseilleFrance
- Methodological Support Unit for Clinical, Epidemiological and Economic ResearchAP‐HMMarseilleFrance
| | - Lionel Dany
- LPS, Social Psychology LaboratoryAix‐Marseille UniversityAix‐en‐ProvenceFrance
- Department of Medical OncologyAP‐HM, TimoneMarseilleFrance
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Chu SY, Rafi ABM, Lee J, Fierro V, Gan CH, Joginder Singh S, Hersh D, Lin LY. The relationship between affiliate stigma, stress, and quality of life for parents of individuals with cerebral palsy in Malaysia. Disabil Rehabil 2023; 45:4035-4047. [PMID: 36541160 DOI: 10.1080/09638288.2022.2153304] [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: 03/18/2022] [Accepted: 11/25/2022] [Indexed: 12/24/2022]
Abstract
OBJECTIVE To examine the relationship between affiliate stigma, stress, and perceived quality of life among parents of children with cerebral palsy (CP). METHOD Surveys (Study 1) and semi-structured interviews (Study 2) were used to collect data. Thirty-eight respondents completed the Affiliate Stigma Scale (ASS), Caregiver Burden Inventory (CBI), and Care-related Quality of Life (CarerQol) scales (GMFCS). Eleven respondents took part in semi-structured interviews, which were then thematically evaluated. RESULTS Parents did not feel stigmatized because they had a child with CP. However, parents needed some form of short-term relief from caregiving. After controlling for demographics, high stress respondents experienced high affiliate stigma whereas low stress respondents had better quality of life. Although the respondents with less stigma had a better quality of life, this effect was moderate. Three major themes emerged from the interviews. CONCLUSION Counseling, support groups, and helper services should be offered to parents. Also, healthcare professionals participating in CP rehabilitation, community-based rehabilitation, and health institutions should be educated on how to better help parents of children with CP.
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Affiliation(s)
- Shin Ying Chu
- Universiti Kebangsaan Malaysia, Faculty of Health Sciences, Centre for Healthy Ageing and Wellness (H-CARE), Speech Sciences Programme Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia
| | - Adlina Binti Mohamed Rafi
- Universiti Kebangsaan Malaysia, Faculty of Health Sciences, Centre for Healthy Ageing and Wellness (H-CARE), Speech Sciences Programme Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia
| | - Jaehoon Lee
- Department of Educational Psychology, Leadership, and Counseling, Texas Tech University, Lubbock, TX, USA
| | - Veronica Fierro
- Department of Speech-Language Pathology, Delaware Valley University, Doylestown, PA, USA
| | - Chun Hong Gan
- Universiti Kebangsaan Malaysia, Faculty of Health Sciences, Centre for Rehabilitation and Special Needs Studies (iCaRehab), Programme of Clinical Psychology and Behavioural Health, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia
| | - Susheel Joginder Singh
- Universiti Kebangsaan Malaysia, Faculty of Health Sciences, Centre for Rehabilitation and Special Needs Studies (iCaRehab), Speech Sciences Programme, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia
| | - Deborah Hersh
- Speech Pathology, Curtin School of Allied Health, Curtin University, Perth, Australia
| | - Ling-Yi Lin
- Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan
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Dlamini MD, Chang YJ, Nguyen TTB. Caregivers' experiences of having a child with cerebral palsy. A meta-synthesis. J Pediatr Nurs 2023; 73:157-168. [PMID: 37690430 DOI: 10.1016/j.pedn.2023.08.026] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 08/27/2023] [Accepted: 08/27/2023] [Indexed: 09/12/2023]
Abstract
AIM To synthesize qualitative research findings of caregiver experiences and challenges in caring for and raising a child with cerebral palsy. DESIGN A systematic review and meta-synthesis. METHODS Four electronic databases: CINAHL, Embase, OVID Medline, and Cochrane, were systematically searched for qualitative research papers published before December 2022. Two independent reviewers assessed eligibility and further appraised the quality of methodology using the Critical Appraisal Skills Program (CASP) tool for qualitative research. A content thematic analysis approach was used to synthesize the qualitative research findings, construct core subthemes, and synthesize themes. RESULTS Sixty-seven findings were extracted from the 12 included studies. The findings were grouped into eleven sub-themes and then into five synthesized themes. The synthesized themes are 1. Need for convenient healthcare facilities, therapeutic services, and accessible public places, 2. Need for healthcare information and financial aid, 3. Psychological, and physical constraints, 4. Societal rejection and stigma, and 5. Overwhelming caring burden. CONCLUSION Caregivers face many challenges in adjusting their lifestyles to meet the needs of the child with cerebral palsy. Some adjustments reported included giving up full-time jobs and businesses to be full-time caregivers, giving up leisure activities, and confinement to one place.
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Affiliation(s)
- Maggie Dumsile Dlamini
- Department of Nursing, College of Medicine, National Cheng Kung University, No1 University Road, Tainan 70101, Taiwan; Department of Nursing, Eswatini Christian Medical University, Lomkiri Portion 69 of Farm 73, Zone 4, Mbabane, Hhohho, Swaziland
| | - Ying-Ju Chang
- Professor, Institute of Allied Health Sciences & Department of Nursing, College of Medicine, National Cheng Kung University, No 1 University Road, Tainan 70101, Taiwan; Director, Department of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
| | - Tram Thi Bich Nguyen
- Department of Nursing, College of Medicine, National Cheng Kung University, No1 University Road, Tainan 70101, Taiwan; Medical Simultaion Center, Duy Tan University, 254 Nguyen Van Linh, Da Nang, Viet Nam.
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Van Riper M, Cosgrove B, Fleming L. Adaptation at the Family Level in Families of Individuals With Down Syndrome: A Scoping Review. JOURNAL OF FAMILY NURSING 2023; 29:324-347. [PMID: 37066798 PMCID: PMC10629249 DOI: 10.1177/10748407231163236] [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
Down syndrome (DS) is a chromosomal disorder associated with intellectual and physical disabilities and has historically been viewed by health care providers through a negative lens when considering the effect the condition has on the individual, family, and community. The purpose of this scoping review was to provide an overview of recent research concerning adaptation in families of individuals with DS with a focus on family adaptation rather than individual or dyadic adaptation. Three literature indexes were searched from 2017 to 2022, with 41 articles included. Foci of the studies included strength/resilience, stress/coping, and negative/challenge. Thirteen studies reported using a family framework. Multiple methodological approaches and family measures were used in the studies and are outlined. Findings from this review show there has been a shift in focus when researching families of individuals with DS from a negative and challenging experience to one of strength and resilience.
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Duong A, Roberts L, Cramm H, Evans MB, Mayhew E, Latimer-Cheung AE, Aiken A, Shirazipour CH. I AM FAMILY: Understanding the adapted sport experiences of family members of military personnel with physical and psychological illnesses and injuries through the lens of the Invictus Games. PSYCHOLOGY OF SPORT AND EXERCISE 2023; 68:102457. [PMID: 37665901 DOI: 10.1016/j.psychsport.2023.102457] [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: 06/22/2022] [Revised: 04/28/2023] [Accepted: 05/03/2023] [Indexed: 09/06/2023]
Abstract
Family are influential actors in adapted sport participation. However, little is known about their experiences with adapted sport. The current study sought to explore the experiences of families in adapted sport through the context of the Invictus Games, an international adapted sport competition for military personnel with physical and psychological illnesses and injuries that is unique in its inclusion of family programming. Family members (n = 21; partners, parents, siblings, and children) of Invictus Games Toronto 2017 competitors participated in semi-structured interviews. Data were analyzed using reflexive thematic analysis. Three themes were identified: recognition of family experiences during service and after onset of disability; creating a sense of belonging; and improving family knowledge and perceptions. This study provides insight regarding how adapted sport events can support the well-being of both individuals with illnesses and injuries and their families.
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Affiliation(s)
- Amber Duong
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, USA; School of Medicine, University of California Irvine, Irvine, USA
| | - Lauren Roberts
- School of Rehabilitation Therapy, Queen's University, Kingston, Canada
| | - Heidi Cramm
- School of Rehabilitation Therapy, Queen's University, Kingston, Canada
| | - M Blair Evans
- Department of Psychology, Western University, London, Canada
| | - Emily Mayhew
- Department of Bioengineering, Imperial College London, London, UK
| | | | - Alice Aiken
- School of Physiotherapy, Dalhousie University, Halifax, Canada
| | - Celina H Shirazipour
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, USA; David Geffen School of Medicine, University of California Los Angeles, Los Angeles, USA.
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Holmberg Bergman T, Renhorn E, Berg B, Lappalainen P, Ghaderi A, Hirvikoski T. Acceptance and Commitment Therapy Group Intervention for Parents of Children with Disabilities (Navigator ACT): An Open Feasibility Trial. J Autism Dev Disord 2022; 53:1834-1849. [PMID: 35239083 PMCID: PMC10123046 DOI: 10.1007/s10803-022-05490-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/14/2022] [Indexed: 10/19/2022]
Abstract
Parents of children with autism spectrum disorder and other disabilities report high levels of distress, but systematically evaluated interventions are few. This study aimed to evaluate the feasibility of a novel, manualized Acceptance and Commitment Therapy group intervention (Navigator ACT) in a sample of 94 parents of children with disabilities. Feasibility was measured by treatment completion, credibility, and satisfaction, and preliminary outcomes by using self-rating scales administered at the baseline, post-intervention, and follow-up. The results imply the intervention is feasible in the context of Swedish outpatient habilitation services. A preliminary analysis of the outcome measures suggests that parents experienced significant improvements in well-being. The results indicate that the treatment is feasible and should be evaluated in a randomized controlled trial.
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Affiliation(s)
- T Holmberg Bergman
- Department of Women's and Children's Health, Pediatric Neuropsychiatry Unit, Center for Neurodevelopmental Disorders at Karolinska Institutet (KIND), Gävlegatan 22B, 11330, Stockholm, Sweden. .,Habilitation and Health, Region Stockholm, Stockholm, Sweden. .,Center for Psychiatry Research, Stockholm, Sweden.
| | - E Renhorn
- Department of Women's and Children's Health, Pediatric Neuropsychiatry Unit, Center for Neurodevelopmental Disorders at Karolinska Institutet (KIND), Gävlegatan 22B, 11330, Stockholm, Sweden.,Habilitation and Health, Region Stockholm, Stockholm, Sweden.,Center for Psychiatry Research, Stockholm, Sweden
| | - B Berg
- Habilitation and Health, Region Stockholm, Stockholm, Sweden
| | - P Lappalainen
- Department of Psychology, University of Jyväskylä, PO Box 35, 40014, Jyväskylä, Finland
| | - A Ghaderi
- Department of Clinical Neuroscience, Karolinska Institutet, Nobels väg 9, 17165, Stockholm, Sweden
| | - T Hirvikoski
- Department of Women's and Children's Health, Pediatric Neuropsychiatry Unit, Center for Neurodevelopmental Disorders at Karolinska Institutet (KIND), Gävlegatan 22B, 11330, Stockholm, Sweden.,Habilitation and Health, Region Stockholm, Stockholm, Sweden.,Center for Psychiatry Research, Stockholm, Sweden
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Van Riper M, Knafl GJ, Barbieri-Figueiredo MDC, Caples M, Choi H, de Graaf G, Duarte ED, Honda J, Marta E, Phetrasuwan S, Alfieri S, Angelo M, Deoisres W, Fleming L, dos Santos AS, Rocha da Silva MJ, Skelton B, van der Veek S, Knafl KA. Measurement of Family Management in Families of Individuals With Down Syndrome: A Cross-Cultural Investigation. JOURNAL OF FAMILY NURSING 2021; 27:8-22. [PMID: 33272069 PMCID: PMC7897787 DOI: 10.1177/1074840720975167] [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: 05/10/2023]
Abstract
Down syndrome (DS) is the most common genetic cause of intellectual disability worldwide. The purpose of this analysis was to determine the internal consistency reliability of eight language versions of the Family Management Measure (FaMM) and compare family management of DS across cultures. A total of 2,740 parents of individuals with DS from 11 countries completed the FaMM. The analysis provided evidence of internal consistency reliability exceeding .70 for four of six FaMM scales for the entire sample. Across countries, there was a pattern of positive family management. Cross-cultural comparisons revealed parents from Brazil, Spain, and the United States had the most positive family management and respondents from Ireland, Italy, Japan, and Korea had the least positive. The rankings were mixed for the four remaining countries. These findings provide evidence of overall strong internal consistency reliability of the FaMM. More cross-cultural research is needed to understand how social determinants of health influence family management in families of individuals with DS.
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Affiliation(s)
- Marcia Van Riper
- University of North Carolina at Chapel Hill, USA
- Marcia Van Riper, School of Nursing, University of North Carolina at Chapel Hill, Carrington Hall, Room 433, Campus Box 7460, 120 N. Medical Drive, Chapel Hill, NC 27599, USA.
| | | | | | | | | | - Gert de Graaf
- Dutch Down Syndrome Foundation, Meppel, The Netherlands
| | | | | | - Elena Marta
- Università Cattolica del Sacro Cuore, Milan, Italy
| | | | - Sara Alfieri
- Università Cattolica del Sacro Cuore, Milan, Italy
| | | | | | | | | | | | - Beth Skelton
- University of North Carolina at Chapel Hill, USA
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Marquis S, Hayes MV, McGrail K. Factors that May Affect the Health of Siblings of Children Who Have an Intellectual/Developmental Disability. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2019. [DOI: 10.1111/jppi.12309] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Sandra Marquis
- Social Dimensions of HealthUniversity of Victoria Victoria BC Canada
| | - Michael V. Hayes
- School of Public Health and Social Policy University of VictoriaUniversity of Victoria Victoria BC Canada
| | - Kimberlyn McGrail
- Centre for Health Services and Policy ResearchUniversity of British Columbia Vancouver BC Canada
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Krueger K, Cless JD, Dyster M, Reves M, Steele R, Nelson Goff BS. Understanding the Systems, Contexts, Behaviors, and Strategies of Parents Advocating for Their Children With Down Syndrome. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2019; 57:146-157. [PMID: 30920907 DOI: 10.1352/1934-9556-57.2.146] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
In the current qualitative research study, we focused on understanding the ecological systems, contexts, behaviors, and strategies of parents ( N = 435) advocating for their children with an intellectual and developmental disability diagnosis, specifically Down syndrome (DS). Based on the data analysis, parents of children with DS advocate for their children frequently, in a variety of settings, with different actions, attitudes, motivations, and outcomes. The most common settings where advocacy occurred were primarily school and healthcare systems. The goals of parents often included inclusiveness, equality, and acceptance, whereas a few parents reported advocating due to discrimination and judgment. Implications for further research and professional practice also are described.
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Affiliation(s)
- Kristen Krueger
- Kristen Krueger, Kansas State University; Jessica D. Cless, Washburn University; and Meghan Dyster, Mollie Reves, Robert Steele, and Briana S. Nelson Goff, Kansas State University
| | - Jessica D Cless
- Kristen Krueger, Kansas State University; Jessica D. Cless, Washburn University; and Meghan Dyster, Mollie Reves, Robert Steele, and Briana S. Nelson Goff, Kansas State University
| | - Meghan Dyster
- Kristen Krueger, Kansas State University; Jessica D. Cless, Washburn University; and Meghan Dyster, Mollie Reves, Robert Steele, and Briana S. Nelson Goff, Kansas State University
| | - Mollie Reves
- Kristen Krueger, Kansas State University; Jessica D. Cless, Washburn University; and Meghan Dyster, Mollie Reves, Robert Steele, and Briana S. Nelson Goff, Kansas State University
| | - Robert Steele
- Kristen Krueger, Kansas State University; Jessica D. Cless, Washburn University; and Meghan Dyster, Mollie Reves, Robert Steele, and Briana S. Nelson Goff, Kansas State University
| | - Briana S Nelson Goff
- Kristen Krueger, Kansas State University; Jessica D. Cless, Washburn University; and Meghan Dyster, Mollie Reves, Robert Steele, and Briana S. Nelson Goff, Kansas State University
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Ashcraft LE, Asato M, Houtrow AJ, Kavalieratos D, Miller E, Ray KN. Parent Empowerment in Pediatric Healthcare Settings: A Systematic Review of Observational Studies. THE PATIENT 2019; 12:199-212. [PMID: 30328069 PMCID: PMC6397702 DOI: 10.1007/s40271-018-0336-2] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
BACKGROUND Parent empowerment is often an expressed goal in clinical pediatrics and in pediatric research, but the antecedents and consequences of parent empowerment are not well established. OBJECTIVE The objective of this systematic review was to synthesize potential antecedents and consequences of parent empowerment in healthcare settings. ELIGIBILITY CRITERIA The inclusion criteria were (1) studies with results about parent empowerment in the context of children's healthcare or healthcare providers; and (2) qualitative studies, observational studies, and systematic reviews of such studies. INFORMATION SOURCES We searched the databases of PubMed, Web of Science, and Google Scholar (2006-2017) and reference lists. INCLUDED STUDIES Forty-four articles met the inclusion criteria. SYNTHESIS OF RESULTS We identified six themes within consequences of empowerment: increased parent involvement in daily care, improved symptom management, enhanced informational needs and tools, increased involvement in care decisions, increased advocacy for child, and engagement in empowering others. Six themes summarizing antecedents of empowerment also emerged: parent-provider relationships, processes of care, experiences with medical care, experiences with community services, receiving informational/emotional support, and building personal capacity and narrative. We synthesized these findings into a conceptual model to guide future intervention development and evaluation. STRENGTHS AND LIMITATIONS OF EVIDENCE Non-English articles were excluded. INTERPRETATION Parent empowerment may enhance parent involvement in daily care and care decisions, improve child symptoms, enhance informational needs and skills, and increase advocacy and altruistic behaviors. Parent empowerment may be promoted by the parent-provider relationship and care processes, finding the right fit of medical and community services, and attention to the cognitive and emotional needs of parents. CLINICAL REGISTRATION NO PROSPERO 2017:CRD42017059478.
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Affiliation(s)
- Laura Ellen Ashcraft
- Department of Critical Care Medicine, University of Pittsburgh School of Medicine, 4200 Fifth Avenue, Pittsburgh, PA, 15260, USA.
- University of Pittsburgh School of Social Work, Pittsburgh, PA, USA.
| | - Miya Asato
- Department of Pediatrics, University of Pittsburgh, School of Medicine and Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA
| | - Amy J Houtrow
- Department of Pediatrics, University of Pittsburgh, School of Medicine and Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA
- Department of Physical Medicine and Rehabilitation, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Dio Kavalieratos
- Section of Palliative Care and Medical Ethics, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Elizabeth Miller
- Department of Pediatrics, University of Pittsburgh, School of Medicine and Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA
| | - Kristin N Ray
- Department of Pediatrics, University of Pittsburgh, School of Medicine and Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA
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Marquis S, Hayes MV, McGrail K. Factors Affecting the Health of Caregivers of Children Who Have an Intellectual/Developmental Disability. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2019. [DOI: 10.1111/jppi.12283] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Sandra Marquis
- School of Public Health and Social PolicyUniversity of Victoria Victoria BC Canada
| | - Michael V. Hayes
- School of Public Health and Social PolicyUniversity of Victoria Victoria BC Canada
| | - Kimberlyn McGrail
- Centre for Health Services and Policy ResearchUniversity of British Columbia Vancouver BC Canada
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13
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Geuze L, Goossensen A. Parents caring for children with normal life span threatening disabilities: a narrative review of literature. Scand J Caring Sci 2018; 33:279-297. [PMID: 30575077 DOI: 10.1111/scs.12643] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Accepted: 11/27/2018] [Indexed: 11/30/2022]
Abstract
BACKGROUND Parents caring for children with normal life span threatening disabilities are exposed to numerous and accumulated stressors. In alignment with current approaches of evidence and value based care, it is essential to integrate knowledge of what encourages parents to hold or recover well-being in care planning and delivery. An omission in knowledge was identified concerning the outline of parents' challenges and ambitions understood from their perspective. AIM The aim of this study was to explore the insiders perspective of parents caring for children with profound disabilities. METHOD The electronic databases CINAHL, PsycINFO, Psychology and Behavioral Sciences Collection and PubMed/MEDLINE were searched to identify relevant research knowledge (≥2005; peer-reviewed publications in English language). The PRISMA framework was used for structuring literature screening. Criteria for screening and assessing eligibility led to inclusion of 26 studies. Studies were checked for methodological quality according to the critical appraisal tool developed by Hawker. Literature was reviewed following guidelines for narrative synthesis. RESULTS AND CONCLUSION The majority of included studies presented similar, consistent findings though highlighted different aspects of the researched experiences by using specific scopes to understand and interpret the field of knowledge around the meaning of parenting a child with profound disabilities. The process of reviewing led to the overarching theme of keeping balance. Within this overarching theme, six dimensions were elaborated: rediscovering and maintaining family life, delicate inclusion in society, balancing within care triads, integration in service systems, financial consequences and nourishing personal resources to maintain or recover balance. Policymakers, community stakeholders and professional care deliverers should use extracted evidence in order to facilitate debated humanisation of care processes.
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Affiliation(s)
- Liesbeth Geuze
- The Hague University of Applied Sciences, The Hague, The Netherlands
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14
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Finkelstein A, Bachner YG, Greenberger C, Brooks R, Tenenbaum A. Correlates of burnout among professionals working with people with intellectual and developmental disabilities. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2018; 62:864-874. [PMID: 30141530 DOI: 10.1111/jir.12542] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Revised: 04/27/2018] [Accepted: 07/19/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND Although burnout has been recognised as an important stress-related problem among staff working with people with intellectual and developmental disabilities (IDD), literature on the subject is limited yet emerging. The aim of this study is twofold: (1) to evaluate the level of burnout within different professions working with IDD; (2) to examine the association between socio-demographic, professional and organisational characteristics and burnout. METHOD One hundred ninety-nine professionals working with people with IDD were enrolled in the study (66% response rate). Participants were recruited from several facilities that provide care for people with IDD of all ages, in the Jerusalem area and in other cities in central Israel. The anonymous questionnaires included valid and reliable measures of burnout, socio-demographic variables, professional variables and organisational variables. RESULTS Participants' mean age was 38.3 years, and most were women. There were no significant differences in burnout levels among the different professionals. Role ambiguity, perceived overload, care-recipient group and job involvement were significant predictors of burnout. The model explained a high percentage (46.8%) of the observed variance. CONCLUSIONS Most of these predictors are organisational measures. These findings demonstrate that organisational variables are more significantly associated with burnout of staff working with people with IDD than the socio-demographic factors or professional characteristics. Identifying and better understanding the specific factors associated with burnout among professionals working with IDD could facilitate unique intervention programs to reduce burnout levels in staff.
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Affiliation(s)
- A Finkelstein
- Department of Nursing, Faculty of Life and Health Sciences, Jerusalem College of Technology, Jerusalem, Israel
| | - Y G Bachner
- Department of Public Health, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel
| | - C Greenberger
- Department of Nursing, Faculty of Life and Health Sciences, Jerusalem College of Technology, Jerusalem, Israel
| | - R Brooks
- Department of Pediatrics, Hadassah Medical Center Mt. Scopus, Jerusalem, Israel
| | - A Tenenbaum
- Department of Pediatrics, Hadassah Medical Center Mt. Scopus, Jerusalem, Israel
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15
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Friedman C. Siblings of People with Disabilities' Explicit and Implicit Disability Attitude Divergence. JOURNAL OF SOCIAL WORK IN DISABILITY & REHABILITATION 2017; 16:74-92. [PMID: 28187699 DOI: 10.1080/1536710x.2017.1260519] [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: 06/06/2023]
Abstract
Siblings of people with disabilities have more exposure to people with disabilities than most nondisabled people, uniquely positioning them toward disability, yet less is known about how this might impact their attitudes. This study examined siblings' disability attitudes by determining siblings' explicit and implicit disability bias, mapping their 2-dimensional prejudice, and examining theoretical variables that might be relevant to their attitudes. To do so, the Disability Attitudes Implicit Association Test, the Symbolic Ableism Scale, and survey questions were administered to 48 siblings. Findings revealed the majority of the siblings implicitly preferred nondisabled people, despite reporting low levels of explicit attitudes.
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Affiliation(s)
- Carli Friedman
- a The Council on Quality and Leadership , Towson , Maryland , USA
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16
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Struggles and Joys: A Review of Research on the Social Experience of Parenting Disabled Children. ACTA ACUST UNITED AC 2016. [DOI: 10.1108/s1479-354720160000009013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register]
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17
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Brown SE, Weisberg DF, Sledge WH. Family caregiving for adults with sickle cell disease and extremely high hospital use. J Health Psychol 2015; 21:2893-2902. [PMID: 26078296 DOI: 10.1177/1359105315588215] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This study investigated coping with chronic illness in the adult patient-caregiver relationship for sickle cell disease, marked by debilitating acute and chronic pain. One-on-one interviews (N = 16) were conducted with eight primary caregivers of eight adults with extremely high hospital use, severe sickle cell disease with hospital admissions several times monthly over successive years. Caregivers were predominantly parents; two were romantic partners. Caregivers attributed disruptions to the disease's variability, tensions in how much support to give, and adults' inability to fulfill parental obligations. Both groups expressed fears of patients' increasing age, declining health, and early death. Targeted counseling and resilience training is recommended.
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18
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A Qualitative Study of Psychosocial Problems among Parents of Children with Cerebral Palsy Attending Two Tertiary Care Hospitals in Western India. ISRN FAMILY MEDICINE 2014; 2014:769619. [PMID: 24967331 PMCID: PMC4041266 DOI: 10.1155/2014/769619] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/09/2013] [Accepted: 01/15/2014] [Indexed: 12/02/2022]
Abstract
Objective. To explore the psychosocial problems faced by the parents of children with cerebral palsy (CP) in rural and urban settings. Design. Qualitative research design using focus group discussions (FGDs) was used for the study. Setting. Two FGDs comprising one at a rural tertiary level care hospital and the other at an urban tertiary level care hospital were conducted. Participants. A total of thirteen parents participated in the two FGDs. Main Outcome Measured. Psychosocial problems experienced by the parents of children suffering from CP were measured. Results. The problems experienced by the mothers were associated with common themes such as disturbed social relationships, health problems, financial problems, moments of happiness, worries about future of the child, need for more support services, and lack of adequate number of trained physiotherapists. All the parents had children with problems since birth and most had approached various health care providers for a cure for their child. Conclusions. A wide range of psychosocial problems are experienced by the parents of children with CP. Studies like this can provide valuable information for designing a family centered care programme for children with CP.
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19
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Faulks D, Norderyd J, Molina G, Macgiolla Phadraig C, Scagnet G, Eschevins C, Hennequin M. Using the International Classification of Functioning, Disability and Health (ICF) to describe children referred to special care or paediatric dental services. PLoS One 2013; 8:e61993. [PMID: 23614000 PMCID: PMC3628581 DOI: 10.1371/journal.pone.0061993] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2012] [Accepted: 03/18/2013] [Indexed: 11/18/2022] Open
Abstract
Children in dentistry are traditionally described in terms of medical diagnosis and prevalence of oral disease. This approach gives little information regarding a child’s capacity to maintain oral health or regarding the social determinants of oral health. The biopsychosocial approach, embodied in the International Classification of Functioning, Disability and Health - Child and Youth version (ICF-CY) (WHO), provides a wider picture of a child’s real-life experience, but practical tools for the application of this model are lacking. This article describes the preliminary empirical study necessary for development of such a tool - an ICF-CY Core Set for Oral Health. An ICF-CY questionnaire was used to identify the medical, functional, social and environmental context of 218 children and adolescents referred to special care or paediatric dental services in France, Sweden, Argentina and Ireland (mean age 8 years ±3.6yrs). International Classification of Disease (ICD-10) diagnoses included disorders of the nervous system (26.1%), Down syndrome (22.0%), mental retardation (17.0%), autistic disorders (16.1%), and dental anxiety alone (11.0%). The most frequently impaired items in the ICF Body functions domain were ‘Intellectual functions’, ‘High-level cognitive functions’, and ‘Attention functions’. In the Activities and Participation domain, participation restriction was frequently reported for 25 items including ‘Handling stress’, ‘Caring for body parts’, ‘Looking after one’s health’ and ‘Speaking’. In the Environment domain, facilitating items included ‘Support of friends’, ‘Attitude of friends’ and ‘Support of immediate family’. One item was reported as an environmental barrier – ‘Societal attitudes’. The ICF-CY can be used to highlight common profiles of functioning, activities, participation and environment shared by children in relation to oral health, despite widely differing medical, social and geographical contexts. The results of this empirical study might be used to develop an ICF-CY Core Set for Oral Health - a holistic but practical tool for clinical and epidemiological use.
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Affiliation(s)
- Denise Faulks
- CHU Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France.
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20
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Brolan CE, Boyle FM, Dean JH, Taylor Gomez M, Ware RS, Lennox NG. Health advocacy: a vital step in attaining human rights for adults with intellectual disability. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2012; 56:1087-1097. [PMID: 23106752 DOI: 10.1111/j.1365-2788.2012.01637.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
BACKGROUND People with intellectual disability (ID) experience health inequity compared with the general population, a key contributing factor being disparities in social determinants of health. The enactment of the United Nations Convention on the Rights of Persons with Disabilities (CRPD) provides a platform for the progression and promotion of health and other interconnected rights to address barriers to the highest attainable standard of health for this populace. Rights can be brought to life through advocacy efforts. This paper explores the meaning, perceptions and experiences of advocacy by family members and paid support workers of adults with ID and locates the findings within a health and human rights discourse. METHODS As part of a larger randomised controlled trial, 113 parents and 84 support workers of adults with ID completed a telephone interview that included open-ended questions about their understanding and experiences of advocacy. Thematic analysis was used to identify relevant themes. RESULTS Five key themes were identified. The first underscored how advocacy to 'speak up' for the person with ID is integral to both parent and support worker roles. The second and third themes considered the contexts for advocacy efforts. Access to quality health care was a core concern, along with advocacy across other areas and sectors to address the person's wider psychosocial needs. The remaining themes highlighted the many dimensions to advocacy, including differences between parent and support worker views, with parental advocacy being an expression of 'caring' and support workers motivated by a 'duty of care' to protect the individual's 'rights'. CONCLUSION Parent and support worker advocacy provides one means to address the social determinants of health and fulfilment of health rights of and for people with ID. Policy and practice in the context of governmental obligation under the CRPD should support advocacy and make health rights the reality not rhetoric for this group of men and women.
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Affiliation(s)
- C E Brolan
- School of Population Health, University of Queensland, Herston, Australia.
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Hall HR, Neely-Barnes SL, Graff JC, Krcek TE, Roberts RJ, Hankins JS. Parental stress in families of children with a genetic disorder/disability and the resiliency model of family stress, adjustment, and adaptation. ACTA ACUST UNITED AC 2012; 35:24-44. [PMID: 22250965 DOI: 10.3109/01460862.2012.646479] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Research suggests that parents of children with disabilities endure increased amounts of stress but also experience positive outcomes. PURPOSE To further investigate findings from focus group interviews that explored parental stress in families of children with disabilities using a sequential mixed methods design. METHOD This study sought to model parental stress using the McCubbin and McCubbin (1993) Resiliency Model of Stress, Adjustment, and Adaptation using qualitative and quantitative data collected sequentially. Twenty-five parents of children with autism spectrum disorder, cerebral palsy, Down syndrome, and sickle cell disease participated in a 2-step study that encompassed qualitative followed by quantitative data ascertainment. RESULTS Parents who quantitatively experienced high stress or low stress used different behavioral themes to describe their experience qualitatively. Positive appraisals, resources, and ability to engage in problem solving and coping were associated with family resiliency.
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Affiliation(s)
- Heather R Hall
- Maternal Child Nursing Department, University of South Alabama, Mobile, Alabama 36688, USA.
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