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Tanabe H, Shiraishi T, Sato H, Nihei M, Inoue T, Kuwabara C. A concept for emotion recognition systems for children with profound intellectual and multiple disabilities based on artificial intelligence using physiological and motion signals. Disabil Rehabil Assist Technol 2024; 19:1319-1326. [PMID: 36695503 DOI: 10.1080/17483107.2023.2170478] [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: 02/24/2022] [Revised: 11/28/2022] [Accepted: 01/16/2023] [Indexed: 01/26/2023]
Abstract
PURPOSE This study proposes a concept for emotion recognition systems for children with profound intellectual and multiple disabilities (PIMD) based on artificial intelligence (AI) using physiological and motion signals. METHODS First, the heartbeat interval (R-R interval, RRI) of a child with PIMD was measured, and the correlation between the RRI and emotion was briefly tested in a preliminary experiment. Then, a concept based on AI for emotion recognition systems for children with PIMD was created using physiological and motion signals, and an emotion recognition system based on the proposed concept was developed using a random forest classifier taking as inputs the RRI, eye gaze, and other data acquired using low physical burden sensors. Subsequently, the developed emotion recognition system was evaluated, validating the proposed concept. Finally, we proposed a validated concept for emotion recognition systems. RESULTS A correlation was found between the RRI and emotion. The emotion recognition system was created based on the proposed concept and tested. According to the results, the recognition rate of "negative" and "not negative" of 70.4% ± 6.1% (Mean ± S.D.) of the developed emotion recognition system was higher than 48.5% ± 5.0% of an unfamiliar person used as a control. CONCLUSION The results indicate that the proposed concept for emotion recognition systems is useful for communicating with children with PIMD.
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Affiliation(s)
- Hiroki Tanabe
- Graduate School of Environment and Information Sciences, Yokohama National University, Yokohama, Japan
| | - Toshihiko Shiraishi
- Graduate School of Environment and Information Sciences, Yokohama National University, Yokohama, Japan
| | - Haruhiko Sato
- Department of Rehabilitation, Kansai Medical University, Hirakata, Japan
| | - Misato Nihei
- Graduate School of Frontier Sciences, The University of Tokyo, Kashiwa, Japan
| | - Takenobu Inoue
- Department of Assistive Technology, Research Institute of National Rehabilitation Center for Persons with Disabilities, Tokorozawa, Japan
| | - Chika Kuwabara
- Center for Developmental Disabilities of Yokosuka, Yokosuka, Japan
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Malapela RG. Enablers to enhance school-based adolescents with intellectual disabilities' learning: A narrative approach. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2024; 28:83-92. [PMID: 36427236 PMCID: PMC10916348 DOI: 10.1177/17446295221141947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/08/2022] [Indexed: 06/16/2023]
Abstract
Society has always understood individuals with intellectual disabilities from a stance of deficiency, resulting in limited expectations and prospects for school-going adolescents with intellectual disabilities. The study used the social model of disability to explore teachers' perceptions of enablers to enhance school-based adolescents with intellectual disabilities' learning and took cognisance of a wave of policies aimed at including adolescents with intellectual disabilities in mainstream education. A qualitative narrative approach was used for the study. Using a narrative methodological framework, unstructured interview questions were posed to elicit teachers' perceptions of enablers to enhance adolescents with intellectual disabilities' learning. A non-probability purposive sampling method was used to select teachers working with school-based learners with intellectual disabilities. Five themes emerged from the analysis: therapeutic setting; learners' resilience; parental support; teaching strategies; and community involvement as enablers for enhancing learning for adolescents with intellectual disabilities. Policy implications are also provided in the study.
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Davenport S, Zolnikov TR. Understanding mental health outcomes related to compassion fatigue in parents of children diagnosed with intellectual disability. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2022; 26:624-636. [PMID: 34027745 DOI: 10.1177/17446295211013600] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
BACKGROUND Parenting a child diagnosed with intellectual disability includes a variety of stressors. The degree to which stress affects these parents has been given little emphasis. Compassion fatigue includes experiencing an emotional response to being unable to relieve the suffering of a loved one, burnout, strain and stress on the caregiver. Compassion fatigue develops in parents of children diagnosed with intellectual disability due to their caregiving roles. METHOD A phenomenological qualitative study was conducted using 25 semi-structured interviews to understand the mental health outcomes of parents caring for a child diagnosed with intellectual disability. RESULTS The results showed that initial emotional reactions after receiving their child's diagnosis was a combination of anxiety, depression and compassion satisfaction. This study's findings suggest that parents of children diagnosed with intellectual disability experience moderate levels of compassion fatigue in the caring of their child. CONCLUSIONS This research provides evidence that the caregiving of a child diagnosed with intellectual disability comes with a myriad of stressors that can lead to compassion fatigue.
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Affiliation(s)
- Stacy Davenport
- California Southern University, USA; California State University, USA
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4
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Choi KY, Wong HY, Cheung HN, Tseng JK, Chen CC, Wu CL, Eng H, Woo GC, Cheong AMY. Impact of visual impairment on balance and visual processing functions in students with special educational needs. PLoS One 2022; 17:e0249052. [PMID: 35486663 PMCID: PMC9053808 DOI: 10.1371/journal.pone.0249052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Accepted: 03/05/2022] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION Vision is critical for children's development. However, prevalence of visual impairment (VI) is high in students with special educational needs (SEN). Other than VI, SEN students are prone to having functional deficits. Whether visual problems relate to these functional deficits is unclear. This study aimed to assess the impact of vision on visual processing functions and balance in SEN students through a community service. METHODS Visual acuity (VA) and contrast sensitivity were measured in a total of 104 (aged 14.3±4.3) SEN students as the visual outcomes, followed by retinoscopy. Visual processing function assessment included facial expression recognition by card matching examiner's facial expression matching, and visual orientation recognition. Dynamic balance, by Timed Up and Go test, and static standing balance (postural sway in double-legged standing with feet-together and tandem-stance for open-eye and closed-eye conditions) were assessed. Static balance was presented in terms of the maximal medial-lateral and antero-posterior sways. RESULTS Of the 104 students, 62 (59.6%) were classified as visually impaired according to WHO classification of visual impairment based on presenting distance acuity. Ocular problems (e.g. optic nerve anomaly, uncorrected/ under-corrected refractive errors) and neurological anomalies were the major causes of vision loss. VA was positively associated with visual processing functions (all p ≤ 0.01), as SEN students with better vision tended to perform better in visual orientation and facial expression recognition tasks, as well as dynamic balance function (p = 0.04). For the static balance, postural sway and VA showed a positive relationship under open-eye and tandem stance conditions. However, the relationship between postural sway and VA became negative under closed-eye and tandem stance conditions. CONCLUSION This study found a high prevalence of SEN students with visual impairment, in which many of them were undetected. Optometric examination is important to improve their visual function to minimize the effect of vision on functional performance. Vision is critical in visual processing as well as playing an important role in maintaining balance in SEN students.
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Affiliation(s)
- Kai Yip Choi
- School of Optometry, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Ho Yin Wong
- School of Optometry, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Hoi Nga Cheung
- School of Optometry, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Jung Kai Tseng
- Department of Optometry, Asia University, Taichung, Taiwan
| | | | - Chieh Lin Wu
- Department of Optometry, Asia University, Taichung, Taiwan
| | - Helen Eng
- School of Optometry, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - George C. Woo
- School of Optometry, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
- Research Centre for SHARP Vision (RCSV), The Hong Kong Polytechnic University, Hung Hom, Hong Kong
- Center for Eye and Vision Research (CEVR), Sha Tin, Hong Kong
| | - Allen Ming Yan Cheong
- School of Optometry, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
- Research Centre for SHARP Vision (RCSV), The Hong Kong Polytechnic University, Hung Hom, Hong Kong
- Center for Eye and Vision Research (CEVR), Sha Tin, Hong Kong
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Measurement, Associated Factors, and Gender Implications of Care Views towards Older Persons with Disabilities: The Case of Trinidad. AGEING INTERNATIONAL 2022. [DOI: 10.1007/s12126-022-09490-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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6
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Patel V, Perez-Olivas G, Kroese BS, Rogers G, Rose J, Murphy G, Cooper V, Langdon PE, Hiles S, Clifford C, Willner P. The Experiences of Carers of Adults With Intellectual Disabilities During the First COVID-19 Lockdown Period. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2021; 18:254-262. [PMID: 34226830 PMCID: PMC8242525 DOI: 10.1111/jppi.12382] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 03/26/2021] [Accepted: 04/29/2021] [Indexed: 01/17/2023]
Abstract
Background The recent COVID‐19 pandemic led to widespread international restrictions, severely impacting on health and social care services. For many individuals with an intellectual disability (ID) this meant reduced access to services and support for them and their carers. Aim The aim of this study was to gain insight into the ways parents of adults with ID coped during the first 2020 lockdown period. Methods Eight parents of adults with ID were interviewed. The recordings of these interviews were subjected to a thematic analysis. Results Four main themes were identified: powerless and unappreciated; coping under lockdown; support; and the impact of lockdown on well‐being. Conclusions The parents of adults with ID who made up our sample reported that they received little support from services and experienced a sense of powerlessness. Nevertheless, they were open to accepting support from family and friends and showed remarkable resilience. These findings are discussed in the light of the Willner et al. (2020) survey results on parental mental health and coping, and suggestions for future service provision during pandemic conditions are proposed.
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Affiliation(s)
- Varsha Patel
- Birmingham Community Healthcare NHS Foundation Trust Unit 3 Priestley Wharf, Holt Street Birmingham B7 4BN UK
| | - Gisela Perez-Olivas
- Hertfordshire Partnership University NHS Foundation Trust 99 Waverley Road, St Albans Hertfordshire AL3 5TQ UK
| | | | - Gemma Rogers
- Kent and Medway NHS and Social Care Partnership Trust, The Tarentfort Centre Bow Arrow Lane, Dartford Kent DA2 6PB UK.,Division of Psychiatry University College London Maple House, 149 Tottenham Court Road London W1T 7BN UK
| | - John Rose
- University of Birmingham, School of Psychology Edgbaston Birmingham B15 2TT UK
| | - Glynis Murphy
- University of Kent Tizard Centre, Cornwallis North East Canterbury Kent CT2 7NF UK
| | - Vivien Cooper
- Challenging Behaviour Foundation, The Old Courthouse New Road Avenue, Chatham Kent ME4 6BE UK
| | - Peter E Langdon
- Centre for Educational Development, Appraisal and Research University of Warwick Coventry CV4 7AL UK.,Centre for Mental Health and Wellbeing Research, Warwick Medical School University of Warwick Coventry CV4 7AL UK.,Coventry and Warwickshire Partnership NHS Trust, Wayside House Wilsons Lane Coventry CV6 6NY UK
| | - Steve Hiles
- Swansea Trials Unit, Clinical Research Facility, Institute of Life Science, Swansea University Swansea SA2 8PP UK
| | - Clair Clifford
- Birmingham Community Healthcare NHS Foundation Trust Unit 3 Priestley Wharf, Holt Street Birmingham B7 4BN UK.,Hertfordshire Partnership University NHS Foundation Trust 99 Waverley Road, St Albans Hertfordshire AL3 5TQ UK.,University of Birmingham, School of Psychology Edgbaston Birmingham B15 2TT UK.,Kent and Medway NHS and Social Care Partnership Trust, The Tarentfort Centre Bow Arrow Lane, Dartford Kent DA2 6PB UK.,Division of Psychiatry University College London Maple House, 149 Tottenham Court Road London W1T 7BN UK.,University of Kent Tizard Centre, Cornwallis North East Canterbury Kent CT2 7NF UK.,Challenging Behaviour Foundation, The Old Courthouse New Road Avenue, Chatham Kent ME4 6BE UK.,Centre for Educational Development, Appraisal and Research University of Warwick Coventry CV4 7AL UK.,Centre for Mental Health and Wellbeing Research, Warwick Medical School University of Warwick Coventry CV4 7AL UK.,Coventry and Warwickshire Partnership NHS Trust, Wayside House Wilsons Lane Coventry CV6 6NY UK.,Swansea Trials Unit, Clinical Research Facility, Institute of Life Science, Swansea University Swansea SA2 8PP UK
| | - Paul Willner
- Swansea Trials Unit, Clinical Research Facility, Institute of Life Science, Swansea University Swansea SA2 8PP UK
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Jenaro C, Flores N, Gutiérrez-Bermejo B, Vega V, Pérez C, Cruz M. 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:E9007. [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] [MESH Headings] [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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Affiliation(s)
- Cristina Jenaro
- INICO/Faculty of Psychology, Universidad de Salamanca, 37005 Salamanca, Spain;
| | - Noelia Flores
- INICO/Faculty of Psychology, Universidad de Salamanca, 37005 Salamanca, Spain;
| | - Belén Gutiérrez-Bermejo
- Faculty of Psychology, Universidad Nacional de Educación a Distancia (UNED), 28040 Madrid, Spain;
| | - Vanessa Vega
- Faculty of Education, Pontificia Universidad Católica de Valparaíso, Viña del Mar 1290, Chile;
| | - Carmen Pérez
- Faculty of Nursing, Universidad Autónoma de San Luis Potosí, San Luis Potosí 78240, Mexico; (C.P.); (M.C.)
| | - Maribel Cruz
- Faculty of Nursing, Universidad Autónoma de San Luis Potosí, San Luis Potosí 78240, Mexico; (C.P.); (M.C.)
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Rousseau MC, Baumstarck K, Valkov M, Felce A, Brisse C, Khaldi-Cherif S, Loundou A, Auquier P, Billette de Villemeur T. Impact of severe polyhandicap cared for at home on French informal caregivers' burden: a cross-sectional study. BMJ Open 2020; 10:e032257. [PMID: 32014871 PMCID: PMC7045096 DOI: 10.1136/bmjopen-2019-032257] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVES Polyhandicap (PLH), defined by a combination of profound intellectual impairment and serious motor deficits, is a severe condition with complex disabilities. In France, care of the large majority of PLH individuals is managed in specialised rehabilitation centres or residential facilities, but some of PLH individuals are cared for at home. The aims of this study were to assess the self-perceived burden among informal caregivers of PLH individuals and to identify potential determinants of this burden. DESIGN Cross-sectional study (Neuropaediatric Department, Trousseau Hospital, Paris, France). SETTINGS PLH children were recruited from a specialised paediatric/neurological department. PARTICIPANTS The selection criteria of caregivers were age above 18 years and being the PLH individual's next of kin. OUTCOMES MEASURES From March 2015 to December 2016, data were collected from the caregivers, including sociodemographical data, health status, psycho-behavioural data (quality of life, mood disorders and coping) and self-perceived burden. In addition, the health status of the PLH individual was collected. Relationships between the burden scores and potential determinants were tested (correlations coefficients, Mann-Whitney tests, generalised estimating equations models). RESULTS Eighty-four children were eligible; 77 families returned their questionnaire. The informal caregivers of PLH children experienced a high level of perceived burden (scores ranged from 55±20 to 81±12). Eighty per cent of them had more than 5 hours of daily caregiving and 51% of them had to get up more than twice during the night. The main factors associated with caregiver burden were age, financial issues, health status, daily care and coping strategies. The patients' health status was not associated with caregiver burden. CONCLUSIONS Some of the caregiver burden determinants might be modifiable. These findings should help healthcare workers and health-decision makers implement specific and appropriate interventions. TRIAL REGISTRATION NUMBER NCT02400528.
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Affiliation(s)
- Marie-Christine Rousseau
- Hôpital San Salvadour, Assistance Publique - Hôpitaux de Paris, Paris, Île-de-France, France
- EA 3279, Self-perceived Health Assessment Research Unit, Aix-Marseille Universite, Marseille, France
| | - Karine Baumstarck
- EA 3279, Self-perceived Health Assessment Research Unit, Aix-Marseille Universite, Marseille, France
| | - Maria Valkov
- Hôpital San Salvadour, Assistance Publique - Hôpitaux de Paris, Paris, Île-de-France, France
| | - Agnés Felce
- Hôpital Marin d'Hendaye, Assistance Publique Hopitaux de Paris, Paris, Île-de-France, France
| | - Catherine Brisse
- Comité d'Études, d'Éducation et de Soins Auprès des Personnes Polyhandicapées, Paris, France
| | | | - Anderson Loundou
- EA 3279, Self-perceived Health Assessment Research Unit, Aix-Marseille Universite, Marseille, France
| | - Pascal Auquier
- EA 3279, Self-perceived Health Assessment Research Unit, Aix-Marseille Universite, Marseille, France
| | - Thierry Billette de Villemeur
- Hôpital de La Roche Guyon, Assistance Publique - Hopitaux de Paris, Paris, Île-de-France, France
- Pathologie du développement, Sorbonne Université, UPMC, GRC ConCer-LD, Paris, France
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9
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Predicting quality of life among family caregivers of people with spinal cord injury having chronic low back pain in Nepal: a cross-sectional pilot study. Spinal Cord Ser Cases 2018; 4:72. [DOI: 10.1038/s41394-018-0110-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2018] [Revised: 06/28/2018] [Accepted: 07/02/2018] [Indexed: 11/09/2022] Open
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10
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Rodrigues SA, Fontanella BJB, de Avó LRS, Germano CMR, Melo DG. A qualitative study about quality of life in Brazilian families with children who have severe or profound intellectual disability. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2018; 32:413-426. [PMID: 30353627 DOI: 10.1111/jar.12539] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Revised: 07/17/2018] [Accepted: 09/21/2018] [Indexed: 11/27/2022]
Abstract
BACKGROUND This study investigated the psychocultural perspectives concerning family quality of life among Brazilian families with children who have severe or profound intellectual disability. METHODS Individual in-depth semi-structured interviews conducted with 15 mothers, selected by convenience, were analysed using a categorical thematic analysis technique. The themes were examined to allow for an interpretative approach of the results. RESULTS Mothers revealed that their children with disabilities had insufficient access to services and support related to health care, transportation and recreation. Family quality of life was negatively affected by financial restrictions and social interaction difficulties. Caring for a child with disabilities seemed to be centred on the mother and religious coping appeared as a common psychological adjustment strategy. CONCLUSIONS Improving emotional and psychological cares, as well as social and practical measures comprising income support and access to appropriate health care, were inferred to be the mothers' priorities to improve their families' quality of life.
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Affiliation(s)
- Stephania A Rodrigues
- Department of Medicine, Federal University of São Carlos, São Carlos, São Paulo, Brazil
| | - Bruno J B Fontanella
- Department of Medicine, Federal University of São Carlos, São Carlos, São Paulo, Brazil
| | - Lucimar R S de Avó
- Department of Medicine, Federal University of São Carlos, São Carlos, São Paulo, Brazil
| | - Carla M R Germano
- Department of Medicine, Federal University of São Carlos, São Carlos, São Paulo, Brazil
| | - Débora G Melo
- Department of Medicine, Federal University of São Carlos, São Carlos, São Paulo, Brazil
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Grey JM, Totsika V, Hastings RP. Physical and psychological health of family carers co-residing with an adult relative with an intellectual disability. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2017; 31 Suppl 2:191-202. [PMID: 28378391 DOI: 10.1111/jar.12353] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/31/2017] [Indexed: 11/30/2022]
Abstract
BACKGROUND Providing long-term care to an adult relative with intellectual disability can impact negatively on caregivers' health and well-being. METHODS Data were collected via online and postal questionnaires on 110 family carers' physical and psychological health, family stress and perceived positive gains from caring. Psychological adaptation and carers' satisfaction with available support were also examined. RESULTS Study participants reported more health problems than general populations. Higher support needs of care recipients were associated with increased family stress. Carers being female were associated with lower family stress. Older age and better socio-economic position were associated with better psychological outcomes. Other associations were consistent with psychological adaption and perceived helpfulness of support buffering negative outcomes and facilitating positive gains from caring. CONCLUSIONS Family carers of adults with intellectual disability appear to experience poorer health outcome than population norms. Adaption to the caregiving role may buffer negative outcomes. Further large scale, population-based, longitudinal research is needed.
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Affiliation(s)
- Jillian M Grey
- DECIPHer, School of Social Sciences, Cardiff University, Cardiff, UK
| | - Vasiliki Totsika
- Centre for Educational Development, Appraisal and Research (CEDAR), University of Warwick, Coventry, UK
| | - Richard P Hastings
- Centre for Educational Development, Appraisal and Research (CEDAR), University of Warwick, Coventry, UK
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12
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Kamstra A, van der Putten AAJ, Vlaskamp C. The Structure of Informal Social Networks of Persons with Profound Intellectual and Multiple Disabilities. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2014; 28:249-56. [DOI: 10.1111/jar.12134] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/01/2014] [Indexed: 11/30/2022]
Affiliation(s)
- A. Kamstra
- Department of Special Needs Education and Child Care; University of Groningen; Groningen The Netherlands
- 's Heeren Loo; Amersfoort The Netherlands
| | - A. A. J. van der Putten
- Department of Special Needs Education and Child Care; University of Groningen; Groningen The Netherlands
- 's Heeren Loo; Amersfoort The Netherlands
| | - C. Vlaskamp
- Department of Special Needs Education and Child Care; University of Groningen; Groningen The Netherlands
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13
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Ihara H, Ogata H, Sayama M, Kato A, Gito M, Murakami N, Kido Y, Nagai T. QOL in caregivers of Japanese patients with Prader-Willi syndrome with reference to age and genotype. Am J Med Genet A 2014; 164A:2226-31. [PMID: 24953026 PMCID: PMC4278419 DOI: 10.1002/ajmg.a.36634] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2013] [Accepted: 05/16/2014] [Indexed: 01/24/2023]
Abstract
This study aimed to measure quality of life (QOL) of the primary family caregivers for patients with Prader–Willi syndrome (PWS). Comparisons were made between caregivers' QOL in regard to their dependents' genotype and age group. The participants with PWS consisted of 22 children (aged from 6 to 12 years) and 23 adolescents (aged from 13 to 19 years), including 6 children and 7 adolescents with maternal uniparental disomy (mUPD) and 16 children and 16 adolescents with deletion (DEL). The QOL of the primary family caregiver for each patient was assessed using the Japanese version of the WHOQOL-BREF. To examine the effect that age (children vs. adolescents) and genotype (DEL vs. mUPD) have on the QOL of caregivers, a two-way ANOVA was conducted, followed by the Bonferroni procedure to test the simple main effects. The two age groups and the two genotypes of PWS were used as independent variables and the total QOL of caregivers as a dependent variable. The two-way ANOVA (F(1, 41) = 6.98, P < 0.05), followed by the Bonferroni procedure, showed the following: the total QOL of caregivers of DEL adolescents showed little difference from that with DEL children, but the QOL of caregivers for mUPD adolescents was shown to be lower than that with mUPD children along with that of caregivers with DEL adolescents. There is hence a growing tendency for the deterioration in the QOL of caregivers to manifest itself later in the patients' adolescence, found mainly with mUPD patients. © 2014 The Authors. American Journal of Medical Genetics Published by Wiley Periodicals, Inc.
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Affiliation(s)
- Hiroshi Ihara
- Department of Psychiatry, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Japan
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Hsiao CY. Family demands, social support and family functioning in Taiwanese families rearing children with Down syndrome. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2014; 58:549-59. [PMID: 23682672 DOI: 10.1111/jir.12052] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/15/2013] [Indexed: 05/10/2023]
Abstract
BACKGROUND Down syndrome (DS) affects not only children but also their families. Much remains to be learned about factors that influence how families of children with DS function, especially families in non-Western populations. The purpose of this cross-sectional, correlational study was to examine how family demographics, family demands and social support relate to family functioning as well as the potential mediating effect of social support on the relationship between family demands and family functioning in Taiwanese families of children with DS. METHOD One hundred and fifty-five parents (80 mothers and 75 fathers) from 83 families independently completed mailed questionnaires. Data were analysed using a principal component analysis and mixed linear modelling. RESULTS Families having older children with DS, greater parental education, higher family income, fewer family demands and greater social support contributed to healthier family functioning. Social support partially mediated the effects of family demands on family functioning. CONCLUSIONS Family demographics, family demands and social support appear to be important factors that may play a critical role in how Taiwanese families respond to the birth of a child with DS. Care of children with DS and their families is likely to be more effective if professionals working with these families are aware of factors that contribute to healthy family functioning.
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Affiliation(s)
- C-Y Hsiao
- College of Nursing, Chung Shan Medical University, Taichung, Taiwan; Department of Nursing, Chung Shan Medical University Hospital, Taichung, Taiwan
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O'Connell T, O'Halloran M, Doody O. Raising a child with disability and dealing with life events: a mother's journey. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2013; 17:376-386. [PMID: 24153056 DOI: 10.1177/1744629513509794] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Intellectual disability services recognise people with intellectual disability as a family member and aim to provide effective support that facilitates family cohesion. However, the needs of families and individuals within the family should be addressed in a holistic manner to ensure a seamless service. This article outlines a mother's reflections on her experience of raising a child with autism spectrum disorder and its impact on her life. The article focuses on one mother's feelings, coping or lack of coping and growth during a time of sadness. This article written by a mother, nurse and academic through their shared interest in supporting families of children with a disability all came together to tell this story. It is hoped that this article will assist professionals understand a mother's perspective when raising a child with intellectual disability and support professionals to recognise the importance of listening, coordinated support and working in partnership.
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McDougall C, Buchanan A, Peterson S. Understanding primary carers' occupational adaptation and engagement. Aust Occup Ther J 2013; 61:83-91. [DOI: 10.1111/1440-1630.12076] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/30/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Carmel McDougall
- School of Occupational Therapy and Social Work; Curtin Health Innovation Research Institute; Curtin University; Perth Western Australia Australia
| | - Angus Buchanan
- School of Occupational Therapy and Social Work; Curtin Health Innovation Research Institute; Curtin University; Perth Western Australia Australia
| | - Sunila Peterson
- School of Occupational Therapy and Social Work; Curtin Health Innovation Research Institute; Curtin University; Perth Western Australia Australia
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Chou YC, Lee YC, Chang SC, Yu APL. Evaluating the supports intensity scale as a potential assessment instrument for resource allocation for persons with intellectual disability. RESEARCH IN DEVELOPMENTAL DISABILITIES 2013; 34:2056-2063. [PMID: 23603067 DOI: 10.1016/j.ridd.2013.03.013] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2012] [Revised: 03/08/2013] [Accepted: 03/11/2013] [Indexed: 06/02/2023]
Abstract
This study evaluated the potential of using the Supports Intensity Scale (SIS) for resource allocation for people with intellectual disabilities (ID) in Taiwan. SIS scores were compared with those obtained from three tools that are currently used in Taiwan for homecare services: the medical diagnosis issued by local authorities and two scales measuring Activities of Daily Life (ADL) and Instrumental Activities of Daily Life (IADL). Data were collected on 139 persons with ID aged 16 or older. The correlation between SIS subscales and the other three tools were calculated and compared. Six subscales of the SIS demonstrated adequate reliability and validity and had higher correlations with the IADL than the ADL and medical diagnosis. The results of these analyses suggest that the SIS can be used as a reference tool for resources allocation in this population in Taiwan.
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Affiliation(s)
- Yueh-Ching Chou
- Institute/Research Center of Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan.
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