The Perceptions of Persons with Disabilities, Primary Caregivers and Church Leaders regarding Barriers and Facilitators to Participation in a Methodist Congregation

Background: Persons with disabilities who reside in rural areas experience challenges accessing and utilising health services and rehabilitation. Due to the high prevalence of diabetes mellitus in rural regions, the risk of having a lower-limb amputation is increasing. Comprehensive rehabilitation is vital to mitigate the negative impact that a lower-limb amputation has on a person. Objective: To explore the barriers and facilitators to accessing rehabilitation experienced by persons with lower-limb amputations in a rural setting. Study Design: A qualitative descriptive approach was used to collect and analyse data. Methods: Data were collected from 11 conveniently sampled participants from three sub-district hospitals in the rural iLembe district, Kwa-Zulu Natal, South Africa. Data were collected using semi-structured interviews to explore the barriers and facilitators perceived by persons with lower-limb amputations in a rural region. Results: The three main barriers identified in this study were environmental factors, financial constraints and impairments. These barriers negatively impacted the participant’s utilisation of rehabilitation. The two main facilitators identified were environmental facilitators and personal factors which aided participant’s utilisation of rehabilitation. Conclusion: Access to rehabilitation was mainly hindered by the challenges utilising transport to the hospital, while self-motivation to improve was the strongest facilitator to utilising rehabilitation. Clinical relevance Rehabilitation is essential in preparation for prosthetic fitting. If a person cannot access rehabilitation services, they will remain dependent on caregivers. Highlighting the challenges to utilisation of rehabilitation in rural areas can assist to reduce these barriers and improve the functional status of persons with lower-limb amputations.

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Physical activity in young adults with autism spectrum disorder: Parental perceptions of barriers and facilitators

Autism ◽

10.1177/1362361318810221 ◽

2018 ◽

Vol 23 (6) ◽

pp. 1398-1407 ◽

Cited By ~ 11

Author(s):

Chad Nichols ◽

Martin E Block ◽

Jason C Bishop ◽

Brandon McIntire

Keyword(s):

Physical Activity ◽

Autism Spectrum Disorder ◽

Young Adults ◽

Autism Spectrum ◽

Spectrum Disorder ◽

Barriers And Facilitators ◽

Adults With Autism ◽

Physically Active ◽

Persons With Disabilities ◽

Education Act

The importance of physical activity in persons with disabilities is well known, yet the prevalence of inactivity remains high. The physical activity behaviors among adults on the autism spectrum are largely unexplored. It is presumed that sedentary behavior and obesity are a greater health issue among young adults on the autism spectrum who no longer receive Individuals with Disabilities Education Act services and supports such as school-based physical education. Using a phenomenology approach, the parents of eight young adults on the autism spectrum were interviewed about their perceptions of the barriers and facilitators to getting their young adults on the autism spectrum physically active. The purpose of this study was to investigate parent’s perspective of physical activity barriers and facilitators of their adult children on the autism spectrum. Common themes of both physical activity barriers and facilitators included parents, behaviors associated with autism spectrum disorder, and access and opportunities.

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An Examination of Barriers and Facilitators of Job Satisfaction and Job Tenure Among Persons With Disability in South Korea

Rehabilitation Counseling Bulletin ◽

10.1177/00343552211006767 ◽

2021 ◽

pp. 003435522110067

Author(s):

SunHee J. Eissenstat ◽

Yunsoo Lee ◽

Sojung Hong

Keyword(s):

Job Satisfaction ◽

South Korea ◽

Barriers And Facilitators ◽

Panel Survey ◽

Job Tenure ◽

Data Set ◽

Persons With Disabilities ◽

Employees With Disabilities ◽

Theory Of Work Adjustment ◽

The Disabled

The purpose of the study is to investigate the barriers and facilitators of job tenure among persons with disabilities (PWD), using the theory of work adjustment, which explains that the correspondence between person and environment predicts job satisfaction and consequently job tenure. This study utilized the ninth Panel Survey of Employment for the Disabled (PSED) data set compiled from 1,755 employees with disabilities in South Korea in 2016. The results show that education-level match and aptitude match are associated with job satisfaction, whereas the effect of job–skill match on job satisfaction was not significant. Job discrimination experience and accessible work facilities were significantly related to job satisfaction, which is a significant predictor of job tenure.

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Church leaders’ barriers and facilitators before and after implementing a physical activity and nutrition intervention

Health Education Research ◽

10.1093/her/cyy051 ◽

2019 ◽

Vol 34 (2) ◽

pp. 188-199 ◽

Cited By ~ 2

Author(s):

J A Bernhart ◽

C G Dunn ◽

S Wilcox ◽

R P Saunders ◽

P A Sharpe ◽

...

Keyword(s):

Physical Activity ◽

Church Leaders ◽

Barriers And Facilitators ◽

Nutrition Intervention ◽

Before And After

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Shared Responsibilities for Full Participation in Society: Planning Further Integration of the ICF Into AAC

Perspectives of the ASHA Special Interest Groups ◽

10.1044/persp1.sig12.83 ◽

2016 ◽

Vol 1 (12) ◽

pp. 83-93 ◽

Cited By ~ 1

Author(s):

Mary Blake Huer ◽

Travis T. Threats

Keyword(s):

Environmental Factors ◽

Augmentative And Alternative Communication ◽

Functional Limitations ◽

Community Support ◽

World Health ◽

International Classification Of Functioning ◽

Personal Factors ◽

Social Service Agencies ◽

Persons With Disabilities ◽

Full Participation

The World Health Organization's (WHO's) 2001 International Classification of Functioning Disability and Health (ICF) has as one of its central tenets the full inclusion of persons with disabilities in society. It acknowledges the need for medical and rehabilitation intervention in its biopscychosocial framework. However, the WHO realizes that society must do its part to facilitate this full participation and empowerment. Persons with complex communication needs (PWCCN) often need augmentative and alternative communication (AAC) in order to express themselves. However, in order to access and successfully use AAC, PWCCN need access to the necessary AAC devices and services, as well as a willing society to interact with them as full contributing members of society. The factors outside of a person's specific physical and/or cognitive functional limitations are addressed in the ICF via the Personal and Environmental Factors. Personal Factors include the individual's personality traits, lifestyle, experiences, social/educational/professional background, race, gender, and age. Environmental Factors include community support systems, social service agencies, governments, social networks, and those persons that interact with the PWCCN. This article addresses the sociopolitical influences on PWCCN and their functioning from a human rights perspective. The necessary introspective role of speech-language pathologists in this process is explored.

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