{"title":"The Effectiveness of Community-Based Interventions in Improving Activities of Daily Living and Quality of Life Outcomes in Persons Living with Stroke: a Systematic Review","authors":"Raymond M. Tosoc, R. Lazaro","doi":"10.47985/dcidj.503","DOIUrl":"https://doi.org/10.47985/dcidj.503","url":null,"abstract":"Purpose: Despite the growth of literature regarding community-based interventions (CBI) in low-to middle-income and high-income countries, its effectiveness in improving outcomes related to activities of daily living (ADL) and quality of life (QOL) in people with stroke is inconclusive. This systematic review compared the effectiveness of community-based interventions with the usual or hospital-based treatments in improving ADL and QOL outcomes in this population. Method: Four databases were systematically searched from inception until December 31, 2020, for relevant experimental studies from high-income and low-to middle-income countries that compared CBI with the usual/hospital rehabilitation on outcomes related to ADLs and QOL in clients with stroke. Results: All the 10 experimental studies that were included came from high-income countries (Italy, United Kingdom, South Korea, Canada, and Australia), involving 1575 participants (806 males, 656 females, 113 not classified) with age range from 22-103 years. Seven articles measured ADL performance, and 10 measured QOL. Results indicated that CBI generally demonstrates improvement in ADL and QOL values similar to usual or hospital-based care. There was wide variability in the interventions described and the outcome measures used for both groups. Risk of bias assessment revealed issues with randomisation, blinding and follow-up. Stroke-specific baseline characteristics such as length of time since diagnosis and laterality varied considerably in all of the studies.","PeriodicalId":127712,"journal":{"name":"Disability, CBR & Inclusive Development","volume":"283 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122107848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"(Neo) Colonialist Attitudes in International Cooperation: imposed, self-imposed or an easy excuse? Plus some suggestions to overcome them","authors":"Frank Bron","doi":"10.47985/dcidj.567","DOIUrl":"https://doi.org/10.47985/dcidj.567","url":null,"abstract":"","PeriodicalId":127712,"journal":{"name":"Disability, CBR & Inclusive Development","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128175892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Angarita-Fonseca, Stacey Lovo, Isabel Cristina Gomez-Diaz, J. Bidonde, Martha Liliana Hijuelos-Cardenas, M. Basualdo, K. Premkumar, Melvin Urbina-Nuñez, A. Busch
{"title":"International Continuing Education for Rehabilitation Workers in Honduras: a Pre-test Post-test Evaluation","authors":"A. Angarita-Fonseca, Stacey Lovo, Isabel Cristina Gomez-Diaz, J. Bidonde, Martha Liliana Hijuelos-Cardenas, M. Basualdo, K. Premkumar, Melvin Urbina-Nuñez, A. Busch","doi":"10.47985/dcidj.451","DOIUrl":"https://doi.org/10.47985/dcidj.451","url":null,"abstract":"","PeriodicalId":127712,"journal":{"name":"Disability, CBR & Inclusive Development","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122019595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"HELP: Help Educate Low-Income Countries to Set their Own Priorities","authors":"H. Cornielje","doi":"10.47985/dcidj.565","DOIUrl":"https://doi.org/10.47985/dcidj.565","url":null,"abstract":"","PeriodicalId":127712,"journal":{"name":"Disability, CBR & Inclusive Development","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125980183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Extra-Institutional Factors Limiting Access to Rehabilitation Services for Children with Cerebral Palsy: Perspectives of Caregivers in Marsabit County, Kenya","authors":"Hilary Kibele Harawo, W. Mprah","doi":"10.47985/dcidj.513","DOIUrl":"https://doi.org/10.47985/dcidj.513","url":null,"abstract":"Purpose: This paper explored the factors limiting access to and use of hospitalbased rehabilitation services for children with cerebral palsy in Marsabit County, Kenya. The factors were unrelated to healthcare institutions providing the services and the focus was on the perspectives of caregivers of children with cerebral palsy. Method: A qualitative study was conducted with a total of 18 participants who were selected by purposive sampling. Semi-structured interviews were used to collect data from the participants. Data was analysed using Erlingsson and Brysiewicz’s approach to content analysis. Results: The major barriers for the caregivers were belief systems, lack of awareness of rehabilitation services, no support at home, transport problems, and cost of transport. Conclusion and Implications: Access to rehabilitation services for caregivers of children with cerebral palsy appear to be limited. Health policymakers, service providers and other stakeholders should ramp up their efforts to improve access to these services and make them services not expensive, but caregivers experience transport problems in terms of its unavailability and cost as well. Efforts at improving access could be supported by information and awareness-creation among caregivers about the importance of rehabilitation services for children with cerebral palsy.","PeriodicalId":127712,"journal":{"name":"Disability, CBR & Inclusive Development","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122376724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CBR Practice and Inclusion: Persons with Disabilities in North East India","authors":"Nandini Ghosh","doi":"10.47985/dcidj.516","DOIUrl":"https://doi.org/10.47985/dcidj.516","url":null,"abstract":"Purpose: This paper explores the long-term impact of CBR programmes implemented in the Northeast region of India. The aim was to understand the ways in which targeted interventions led to changes in the lives of persons with disabilities and their families, to discern the extent of their inclusion within communities and any systemic changes brought about towards accessing their human rights. Method: Data was collected from three CBR programmes for persons with disabilities in Northeast India, 3 years after financial support to the programmes had stopped. Persons with disabilities were selected through stratified random sampling. In-depth interviews were conducted and the primary data was analysed in the light of the baseline and endline surveys/reports, reports of DPOs, and implementing agencies. Results: As a result of CBR initiatives and their sustainability after conclusion of the structured programmes, persons with disabilities, their families and communities experienced a change in the quality of their everyday lives and had better access to a range of rights and entitlements. Persons with disabilities also have improved status within their families and communities, enjoy better quality of relationships, play an active role in family and community decision-making, and gain dignity and respect. Conclusion and Implications: The CBR programmes brought visible changes in the lives of persons with disabilities in terms of self-sufficiency, independence, inclusion in education and within the community, as well as securing livelihoods. Those who benefited the most from the CBR programmes were persons with mild to moderate disabilities, while people with severe disabilities were pushed to the periphery, especially after cessation of the programmes. There is a need for continuous upgrading of skills and information/ knowledge among families,","PeriodicalId":127712,"journal":{"name":"Disability, CBR & Inclusive Development","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123604407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Emoticons as Self-Disclosure in Social Media and Its Meaning for People Who are Deaf","authors":"Eka Bagus Rachdito, Z. Hidayat","doi":"10.47985/dcidj.471","DOIUrl":"https://doi.org/10.47985/dcidj.471","url":null,"abstract":"Purpose : The limitations in communication for people who are deaf or unable to speak are evident. Like other people with disabilities, they too seek to acquire knowledge, search for information and understand its content, but there are barriers to self-expression and self-disclosure. This study provides insights into opportunities for people who are deaf, yet are able to access digital communication technology. It analyses their use of social media and emoticons for messages and communication. Online interaction enables self-disclosure to other people with deafness, as well as to people without disabilities. Method : The study used a qualitative approach with a phenomenological design. The interpretation of data was carried out with 5 key informants from the deaf community and 12 members of the deaf community, who use social media applications and various types of emoticons for self-disclosure on WhatsApp and Facebook. Selection of various emoticons took place through in-depth interviews, observations, and analysis of the conversations among themselves as well as people without disabilities. Results : The findings show that the motives for using social media, emoticons, and communication technology are to build online interactions and enable self-disclosure among people who are deaf. The use of emoticons in social media helps people who are deaf to express their feelings towards others, to communicate with their families and build intimate interpersonal relationships, making it easier to get along in their community. The ability to interact and understand social media content and communication technology, in general, depends on their experience and ability to master and give meaning to signs, words, emoticons, and language.","PeriodicalId":127712,"journal":{"name":"Disability, CBR & Inclusive Development","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127083907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Implementation of the United Nations Convention on the Rights of Persons with Disabilities in Africa: a Scoping Review","authors":"Tongai F. Chichaya, P. Govender, D. Naidoo","doi":"10.47985/dcidj.532","DOIUrl":"https://doi.org/10.47985/dcidj.532","url":null,"abstract":"","PeriodicalId":127712,"journal":{"name":"Disability, CBR & Inclusive Development","volume":"282 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116190853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Time to Refocus: Rehabilitation Perspective on Meeting the Needs of the Indian Population","authors":"Kedar K. V. Mate, D. Geete","doi":"10.47985/dcidj.497","DOIUrl":"https://doi.org/10.47985/dcidj.497","url":null,"abstract":"","PeriodicalId":127712,"journal":{"name":"Disability, CBR & Inclusive Development","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134534410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}