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Objective obstacles in hiring disabled persons -- the employers' point of view.

In the comprehensive rehabilitation process, one of the most accepted criteria for success or failure is the suitable placement of the client in the open employment market. The present study examined employer's attitudes toward hiring disabled persons. The sample consisted of 233 employers in the public and private sectors of the Israeli economy, and the method entailed interviewing each employer about his attitudes toward the risks of employing disabled persons, his actual hiring practices, and his expected response to financial aid for surmounting technical obstacles (architectural barriers and inappropriate work methods and tools). Interpretation of the results indicated that employers' reluctance to hire disabled employees was often explained by the existence of technical obstacles. However, when the possibility of financial aid for eliminating these obstacles was proposed, the employers responded with reservation. Although Israeli has mandated legislation requiring the employment of disabled war veterans, not all employers were aware of this, and almost half of those who were did not employ disabled persons. Evidently, legislation does not suffice in order to ensure actual hiring of disabled persons. In order to increase compliance with the law, and to encourage hiring of disabled persons who are not war veterans, it was suggested that more information be provided to the employers on the possibilities of employing disabled persons, with emphasis placed on the positive aspects of the disabled worker's true potential. Additional methods that should be applied to encourage employment include appropriate vocational training of disabled persons themselves and demonstration before the employers of the practical conditions under which successful employment is possible.

Architectural Accessibility↗

Work values: a comparison of non-disabled persons with persons with paraplegia.

A number of studies focus on factors that might explain the low level of employment of persons with paraplegia without questioning the social representations connected to work. Being employed is considered a priori as beneficial, constituting an important objective for rehabilitation. However sociologists have recently pointed out that work, as a means of self fulfilment, is a 'constructed' rather than a 'natural' category. The comparisons of the representations of work given by two groups: persons with paraplegia (n = 350), and non-disabled persons (n = 327) show that persons with paraplegia are more likely than non-disabled persons to consider work as a source of personal fulfilment and social recognition and less likely to positively value the fact of not-working. In addition, a demonstrated satisfaction with not working, among persons of working age, is clearly more significant among non-disabled persons than among persons with paraplegia. Among these, some of them who have generally made up their mind about not working declare that they feel satisfied being unoccupied. This satisfaction is explained, in part, by expressed representations of work. The authors suggest a reflection on the place of work in rehabilitation programmes.

Adolescent↗

An international validation of the interaction with disabled persons scale.

The Interaction with Disabled Persons Scale (IDP) was devised to measure attitudes in terms of discomfort reported about social interaction with people with disabilities. The Scale has been used in Australia for ten years. This article reports results of an international validation project that was designed to determine whether psychometric characteristics and norms emerging for Australian groups apply elsewhere. A methodological proforma was developed to maximize uniformity of data collection across nine countries: Australia, Canada, Croatia, England, Germany, Hong Kong, Poland, Scotland and the United States. In most countries the Scale was administered in English; however it also was translated into Germany, Polish, French and Croat. Results indicate that across countries mean scores fell within ten points, similar moderate to high levels of item homogeneity occurred and level of prior contact with people with disabilities emerged as the strongest predictor of IDP scores. It was concluded that the IDP Scale is a valid measure that is able to discriminate between respondents within the countries included in the study.

Adult↗

Assessment of daily physical activity levels of severely disabled persons using heart rate series.

Daily physical activity levels of severely disabled persons were assessed by means of a statistical analysis of their heart rate during a 24-h period. A non-Gaussian probability density function of the heart rate was calculated and separated into two levels of heart rate distributions, i.e. a relatively lower heart rate for basic daily activity and a relatively higher heart rate relating to vigorous activity. Disabled persons with low ambulatory ability showed daily activity levels similar to normal subjects in the length of time and the level of the heart rate. Their daily activity satisfied their needs for maintaining good health. However, more prolonged vigorous activity in daily living was necessary to improve cardiovascular fitness. For severely disabled persons without ambulatory ability, almost all of the heart rates during daily activity were categorized into the lower heart rate distribution. Their low level of physical activity may lead to a serious decrease in cardiovascular function with its attendant risk of cardiopulmonary disease.

Activities of Daily Living↗

Health-care utilization by disabled persons: a survey in rural Bangladesh.

The purpose of the present study was to examine the utilization of health services by disabled persons in rural Bangladesh and to identify associated factors to inform the development of appropriate health services. Household surveys were conducted in two villages of Bangladesh by a trained primary-care specialist who lived in the study area for 4 months. About 81% of the sample had utilized some form of health care with more than half consulting unqualified practitioners of modern medicine. Disabled persons whose families perceived they were disabled were 14 times more likely than others to seek treatment. Being male and in the economically productive age group, having an acquired disability and having some form of belief about disability causation were associated with utilization. The conclusions of the study are that social and cultural barriers prevent certain groups, notably women and demographically dependent age groups, from accessing health care. Those who are economically beneficial to the family usually utilize health services. A combination of educational and economic initiatives such as a disability benefits allowance would strongly promote the health of disabled persons and create a general awareness of disability in Bangladesh. A long-term programme which includes disability training for health-care workers and use of financial institutions and existing local government infrastructure for intensive rehabilitation will improve quality of life for disabled persons and is proposed for urgent implementation.

Adolescent↗

[Influencing factors on HRQOL of physically disabled persons].

PURPOSE: The purpose of this study was to investigate the influencing factors on health-related quality of life of physically disabled persons. METHOD: Data was collected from 96 persons with a physical disability in three cities in Korea from June to September, 2003. Social support and depression were measured by a Social Support Questionnaire 6 (SSQ6) and Center for Epidemiologic Studies Depression questionnaire (CES-D). The Rosenberg Self-esteem Scale was used to measure self-esteem. Health-related quality of life (HRQOL) was measured using Smith Kline Beecham Quality of Life Scale (SBQOL). The SPSS WIN 11.0 version program was used for data analysis. RESULT: There were significant differences of HRQOL according to monthly income and economic status. All subjects had a high level of depression and low self-esteem. CONCLUSION: The findings of this study show that self-esteem and the size of the social support network are significant influencing variables on HRQOL in physically disabled persons. Nursing intervention and counseling programs which improve self-esteem and increase the size of a social support network are needed to promote HRQOL in physically disabled persons.

Adult↗

Exercise effect with the wheelchair aerobic fitness trainer on conditioning and metabolic function in disabled persons: a pilot study.

OBJECTIVE: To determine the effect of exercise with the wheelchair aerobic fitness trainer (WAFT) on anthropometric indices, conditioning, and endocrine and metabolic parameters in persons with lower extremity disability. DESIGN: Exercise sessions with the WAFT lasted 20 to 30 minutes for two to three sessions. SETTING: Tertiary-care Veterans Administration medical center. PARTICIPANTS: Twelve subjects (3 with quadriplegia, 7 with paraplegia, 1 with cerebrovascular accident, 1 with bilateral above-knee amputation). MAIN OUTCOME MEASURES: Anthropometric indices (heart rate, blood pressure, weight, oxygen utilization, body mass index, upper arm and abdominal circumference, arm power) and endocrine and metabolic parameters (fasting serum glucose, lipids, and thyroid function) were determined before and after 10 weeks of exercise with the WAFT. RESULTS: All patients noted improved feelings of well-being after training. Mean resting heart rate, upper arm fat area, and fasting serum cholesterol level decreased significantly. Peak oxygen consumption, midarm circumference, and free thyroxine index increased significantly with training. CONCLUSIONS: WAFT improves quality of life, conditioning, and endocrine-metabolic parameters in disabled persons.

Adult↗

Attitudes of physical therapists in Wisconsin toward disabled persons.

This article contains descriptive statistics on attitudes toward disabled persons of a population of physical therapist. The instrument used to measure attitudes was the Attitudes Toward Disabled Persons Scale-Form A. The population for this study was the 553 physical therapists listed in the 1976-77 Directory of the Wisconsin Chapter of the American Physical Therapy Association, and living in Wisconsin. From this population, a sample of 125 (22.5%) completed and returned the form. A table of normative data in the form of percentiles was developed, along with a table of descriptive statistics that include the median, the quartile deviation, and measures of skewness and kurtosis.

Attitude of Health Personnel↗

[Survey of consciousness of community residents regarding the community life of disabled persons with service dogs].

PURPOSE: Service dogs have received much attention as effective choices for promoting participation in society of disabled persons. The purpose of this study was to obtain the fundamental data to prepare guidelines regarding service dogs use in community life, by making clear the problems in terms of public health and community welfare through a survey of attitudes towards service dogs in community residents. METHODS: Study 1 was conducted as follows. The subjects were 423 community residents between their teens and seventies who participated in health and welfare lectures in 4 metropolitan areas. A questionnaire survey was conducted just after watching a promotion video about service dogs, including several items on aspects not accept, were anxious about or were unpleasant in the case of community life of a disabled person and a service dog. Study 2 was as follows. A questionnaire survey was conducted inside a supermarket in the central part of Tokyo. One group of subjects were 103 shopping customers who witnessed a shopping scene featuring a disabled person with her service dog, and the other subjects were 84 customers who were not witnessed to the scene. The same survey was simultaneously performed for impression about the shopping scene. RESULTS: Study 1 showed that 31.8% of all the respondents replied that they had some knowledge of service dogs before watching the video. A total of 20.4% (32.5% of the elderly) replied that there were places where service dogs should not enter. Concretely speaking, these included restaurants for 7.3-22.5% and medical institutions for 8.5-12.5% of the respondents. A third of all the respondents (51.3% of older persons) replied they could not endure some actions by service dogs, concretely "carrying food in the mouth" was highly pointed out by 27.3%. Zoonosis (15.3-19.0%), hair scattering (9.5-21.3%), injuries (4.4-7.4%) were also pointed out as main sources of anxiety or uncomfortable feelings. Such negative opinions were especially apparent among those aged 60 years and older. Also, 44.1% knew some disabled person. Cross tabulation showed those who had experience of taking care of a dog were significant less anxious about "vague anxiety or discomfort," and "zoonosis" than those who had not (P < 0.01). On the other hand, most of both witness (79.6%), and non-witness groups (81.0%) replied that it was heartwarming that the service dog assisted with shopping. None expressed discomfort about the presence of "service dog" inside the supermarket. In terms of carrying a commodity in the mouth, 92.2% and 89.1% in both groups replied that they don't mind, especially if safety was guaranteed for public health, and 91.3% and 95.2% in both groups replied that they had no other problems. Moreover, none of them would not entering stores. Significant differences were seldom in replies between the witness and non-witness groups. CONCLUSION: Although the respondents were extremely affirmative regarding the image of service dogs, it became clear that anxiety about public health aspects such as "zoonosis" or "utilization of medical institutions" was persisting. On the whole, negative opinions were more apparent in the elderly.

Adolescent↗

[Factors related to the demand of caregivers for institutionalization of disabled persons living at home].

PURPOSE: Recently, there has been an increase in the number of caregivers who are demanding institutionalization of the disabled, despite having taken care of them at home since their birth. It is important to clarify the background of this demand in order to help develop plans aimed at socially supporting the caregivers. This study was aimed at elucidating the factors related to demands of caregivers to have disabled persons living at home institutionalized. METHODS: To caregivers of 410 home-living disabled persons, we handed out and collected questionnaires asking for the following information: age of the disabled persons and their caregivers, severity of the disability, status and level of manageability of the caregivers, and the place where the caregivers wanted the disabled to live in the future. The demand for institutionalization of the disabled and the attributes of the responders were analyzed by multiple logistic regression. RESULTS: From the responses of 297 people who replied to the questions, univariate analysis revealed that the demand for institutionalization significantly correlated with the labels of "severe" in the mental disability certificate, "incapable of conversation" according to the Office of Population Censuses and Surveys (OPCS) scale, "severe disability" in Oshima's classification and "unfit" and "unable to give daily care." The results analyzed by multiple logistic regression revealed that older caregivers had a significantly higher odds ratio (18.3 for those in their 40s and 37.2 for those in their 50s), indicating a strong correlation between the demand for institutionalization and the age of the caregivers. According to the mental disability certificate, the odds ratio of those with "A" was 5.0 relative to "other than A," while the odds ratio was 3.8 for those "unable to give care" against "able to give care," in both cases statistically significant. As for suffering in daily life, a majority of the caregivers aged 50 years or older claimed "a limit to home caring" and "aging". Regarding the shortage of public welfare services, a large percentage pointed out the inconveniences of emergency short stay, short stay, day care, and bathing services. CONCLUSION: The factors related to demand for institutionalization of disabled care receivers at home were aging of the caregivers, incapability of giving daily care, and severe mental impairment. The age of the caregivers was identified as an explicit factor.

Adolescent↗

Trend and types of disabled persons in Libyan Arab Jamahiriya.

Libyan Arab Jamahiriya pays special attention to the problem of disability. It truly follows the policy: "Full participation and equality for all persons with disability". In the country, the number and types of disabled persons have been documented thrice since 1964 and priority social services have been extended for them. The prevalence of disabled persons per 1000 population has shown a downward trend from 29.26 in 1964 to 18.65 in 1976. Males were observed to have significantly higher rates than females. The age specific disability rate per 1000 was 7.92 under 15 years, 24.23 between 15 to 49 years and 99.95 for 50 years or more. Blindness and paralysis were the first and second frequent causes of disability in the three counts carried out in 1964, 1973 and 1976. Among all causes of disability mental subnormality and loss of limbs respectively moved up from position five and four in 1964 to three and five in 1973 and 1976; whereas, deafness and dumbness together moved down from position three to four during the same period of time. Compared to the situation in 1964, all categories of disabled persons per 1000 population showed a declining trend over the years except of mentally subnormal who showed an increasing trend. The common causes of disability in the descending order of frequency were acquired diseases (both communicable and non-communicable), accidents, congenital and other disorders. Prevention of disability and services for disabled persons are outlined along with reference to the newly founded National Committee for Care to Disabled Persons.

Adolescent↗

[Studies on thermoregulative performance of disabled persons with congenital maldevelopment of the limbs and acquired loss of limbs during defined physical work and passive heat load (author's transl)].

Comparative studies were conducted in 20 persons without hands (amputated a long time ago) and in fifteen juveniles (12--15 years) with dysemlia (phocomelia or ectromelia), tested in each case against groups of non-disabled persons of corresponding age. All persons under examination had to perform the same, graded treadmill work under thermoconstant condition (30 degrees C, 45% rel. humidity). These tests pointed towards the existence of a particularly economic mode of thermoregulation in persons with dysmelia obviously involving adaptive processes of energy metabolism as well, whereas such adaptation does not take place--not even in the course of many years--in disabled persons with acquired loss of limbs. The persons with congenital dysmelia showed lower temperatures of the interior of the body, less sweat loss, and on the average a lower uptake of oxygen than non-disabled persons of the same age, whereas higher temperatures of the interior of the body, greater sweat loss, and a higher oxygen uptake were measured in the persons whose arms had been amputated a long time ago (ie persons without hands). Under passive heat load (40 degrees C, 30 min.) the amputated persons showed a corresponding thermoregulative performance as during physical work, in comparison to the non-disabled persons.

Adaptation, Physiological↗

[Telephone sets and environmental control devices for disabled persons--a brief overview and hints for their individualized selection].

Intended for the disabled person and those who advise him, for the physician and occupational therapist, as well as the engineering staff involved, an overview is given of assistive devices that have recently become available, i.e. --telephone sets for disabled persons of the German Federal Postal Administration and/or Standard Elektrik Lorenz AG, with or without environmental controls, --pertaining accessory units, --other devices designed to assist telecommunication. Based on novel, residual-capacity-related classifications of disability, the appliances that may be required in the individual case are set forth. Graphs are used to depict the various disabilities concerned, with reference lines and arrows pointing to the devices answering to the requirements of a given disability. Concluding, the author deals with some issues involved in counselling and provision.

Persons with Disabilities↗

Use of the SADP for measurement of attitudes of Chinese dental students and dental surgery assistants toward disabled persons.

The purpose of this study was to determine the attitudes of Chinese dental students and dental surgery assistants toward disabled persons using the Scale to Determine Attitudes Toward Disabled Persons, the SADP. A group of 99 Hong Kong University psychology students, 50 male and 49 female, was used as the control and to determine the internal consistency and reliability of the Chinese version of the scale. A group of 4th year (n = 25) and a group of 3rd year (n = 46) dental students and a group of in-house dental surgery assistants (n = 86) at the Prince Philip Dental Hospital, Hong Kong, were asked to complete a Chinese translation of the SADP. Results showed that there was no significant difference between attitude scores of 3rd and 4th year dental students (p = 0.06). There was a significant difference in attitude scores between dental students and the dental surgery assistants (p < 0.001), with those of dental students being lower. In the control group, there was no significant difference between female control and dental surgery assistant scores (p = 0.289). There was a significant difference between dental students and male control scores (p < 10(-6)). Not only did the dental students score lower than the dental surgery assistants, but they also scored significantly lower than a group of non-dental students of the same University.

Adult↗

The disabled person in the community: social and cultural aspects.

This article deals with the situation of disabled persons and their families in the local community, with special reference to developing countries. The article reviews various 'myths' about the situation of disabled people in Europe in the old days and in developing countries of today. Cultural and social factors influencing the situation of disabled persons in developing countries are then considered in the light of this review. Finally, case material from Botswana is presented in order to demonstrate how parents' attitudes may easily be misinterpreted as negative if not seen in their proper socio-cultural context.

Attitude to Health↗

Personal assistants' conceptions of their cooperation in the rehabilitation of disabled persons.

Personal assistants assist persons with severe disability in the performance of their daily activities. The law that covers the right to personal assistance is intended to strengthen the disabled individual's position as a member of society. The aim of the study was to describe personal assistants' conceptions of their cooperation in the rehabilitation of disabled persons. A qualitative method with a phenomenographic approach was used. Six personal assistants were interviewed. Strategic selection of the participants was carried out in order to obtain as wide a variation in conceptions as possible. The results showed that, apart from the factors related to the assistants, factors related to the disabled persons and the environment were of major significance for rehabilitation. The conceptions generated by the study were presented in the form of main categories and subcategories. Four main categories were developed: the meaning of will; the professional role; to consider ability; and awareness of the environment.

Adult↗