Identifying priorities for Australian disability research using Q methodology

IF 3.7 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Simon Garbellini PhD , Angela Dew PhD , Christine Imms PhD , Simon Darcy PhD , Keith McVilly PhD , Gisselle Gallego PhD
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Abstract

Background

Globally, there are over an estimated one billion people with disability. Research priorities with a focus on diagnosis and treatment of conditions or policy and service initiatives, traditionally decided by researchers, may not align with priorities of those with lived experience of disability.

Objective

To explore and inform disability research for Australia, including perspectives of people with disability.

Methods

As part of a research program, we used Q methodology to explore “what should guide the Australian research agenda?” People with disability, their families, community organizations and researchers were purposively recruited and sorted 25 statements, developed iteratively using data collated from systematic research mapping and a prior consultation process. The sorting grid ranged from −4 to +4, according to “Which topics should guide disability research the least to the most?” Factor analysis revealed four distinct but interrelated participant viewpoints.

Results

52 participants (65 % female, aged 18–65+ years, 37 % people living with disability), sorted the statements. Viewpoint 1 – design and delivery of services across the lifespan. Viewpoint 2 – understanding the diverse experience of those with disability. Viewpoint 3 – designing systems to address impacts of disability for the individual, their families and society. Viewpoint 4 – addressing mental health for those with disability no matter where they live.

Conclusion

These viewpoints focused on design and delivery of services to address the impacts of disabling environments and attitudes on individuals living with impairments, their families and society. The four viewpoints provide a framework for future disability research in consultation with those with lived experience.

利用 Q 方法确定澳大利亚残疾研究的优先事项
背景全球估计有超过十亿的残疾人。传统上由研究人员决定的研究重点主要集中在疾病的诊断和治疗或政策和服务举措上,这可能与那些有残疾生活经历的人的研究重点不一致。方法作为一项研究计划的一部分,我们使用 Q 方法来探讨 "什么应该指导澳大利亚的研究议程?我们有针对性地招募了残疾人、他们的家人、社区组织和研究人员,并对 25 项陈述进行了排序,这些陈述是利用从系统研究绘图和事先咨询过程中整理的数据反复编制而成的。根据 "哪些主题最不应该或最应该指导残疾研究?",排序网格从-4 到 +4。结果 52 名参与者(65% 为女性,年龄在 18-65 岁以上,37% 为残疾人)对陈述进行了排序。观点 1 - 设计和提供跨生命周期的服务。观点 2 - 了解残疾人的不同经历。观点 3--设计系统,解决残疾对个人、家庭和社会的影响。观点 4--无论生活在哪里,都要解决残障人士的心理健康问题。结论这些观点侧重于设计和提供服务,以解决残障环境和态度对残障人士、其家庭和社会的影响。这四个观点为今后与有生活经验的人协商开展残疾研究提供了一个框架。
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来源期刊
Disability and Health Journal
Disability and Health Journal HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
7.50
自引率
6.70%
发文量
134
审稿时长
34 days
期刊介绍: Disability and Health Journal is a scientific, scholarly, and multidisciplinary journal for reporting original contributions that advance knowledge in disability and health. Topics may be related to global health, quality of life, and specific health conditions as they relate to disability. Such contributions include: • Reports of empirical research on the characteristics of persons with disabilities, environment, health outcomes, and determinants of health • Reports of empirical research on the Systematic or other evidence-based reviews and tightly conceived theoretical interpretations of research literature • Reports of empirical research on the Evaluative research on new interventions, technologies, and programs • Reports of empirical research on the Reports on issues or policies affecting the health and/or quality of life for persons with disabilities, using a scientific base.
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