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Adding meaning to physical fitness test results in individuals with intellectual disabilities

OPPEWAL, Alyt
HILGENKAMP, Thessa I M
February 2019

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Purpose: Evaluating physical fitness in individuals with intellectual disabilities (ID) is challenging, and a multitude of different versions of tests exist. However, psychometric properties of these tests are mostly unknown, and both researchers as clinical practitioners struggle with selecting appropriate tests for individuals with ID. We aim to present a selection of field tests with satisfactory feasibility, reliability, and validity, and of which reference data are available.

 

Methods: Tests were selected based on (1) literature review on psychometric properties, (2) expert meetings with physiotherapists and movement experts, (3) studies on population specific psychometric properties, and (3) availability of reference data. Tests were selected if they had demonstrated sufficient feasibility, reliability, validity, and possibilities for interpretation of results.

 

Results: We present a basic set of physical fitness tests, the ID-fitscan, to be used in (older) adults with mild to moderate ID and some walking ability. The ID-fitscan includes tests for body composition (BMI, waist circumference), muscular strength (grip strength), muscular endurance (30 second and five times chair stand), and balance (static balance stances, comfortable gait speed).

 

Conclusions: The ID-fitscan can be used by researchers, physiotherapists, and other clinical practitioners to evaluate physical fitness in adults with ID. Recommendations for future research include expansion of research into psychometric properties of more fitness tests and combining physical fitness data on this population in larger datasets.

Association between social factors and performance during Functional Capacity Evaluations: a systematic review

ANSUATEGUI ECHEITA, Jone
VAN HOLLAND, Berry J
GROSS, Douglas P
KOOL, Jan
OESCH, Peter
TRIPPOLINI, Maurizio
RENEMAN, Michiel F
March 2018

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Purpose: Determine the association of different social factors with Functional Capacity Evaluation (FCE) performance in adults.

 

Materials and methods: A systematic literature search was performed in MEDLINE, CINAHL, and PsycINFO electronic databases. Studies were eligible if they studied social factor’s association with the performance of adults undergoing FCE. Studies were assessed on methodological quality and quality of evidence. The review was performed using best-evidence synthesis methods.

 

Results: Thirteen studies were eligible and 11 social factors were studied. Considerable heterogeneity regarding measurements, populations, and methods existed among the studies. High quality of evidence was found for the association of FCE performance with the country of FCE and examiner’s fear behavior; moderate quality of evidence with previous job salary; and low or very low quality of evidence with compensation status, litigation status, type of instruction, time of day (workday), primary or mother language, and ethnicity. Other social factors were not studied.

 

Conclusions: Evidence for associations of various social factors with FCE performance was found, but robust conclusions about the strength of the associations cannot be made. Quality of evidence ranged from high to very low. Further research on social factors, also within a biopsychosocial context, is necessary to provide a better understanding of FCE performance.

Human Rights

www.macao-tz.org
December 2014

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Malezi AIDS Care Awareness Organization (MACAO) is a non-profit organization reaching out to neglected Indigenous people in Ngorongoro District, Arusha Region of Northern Tanzania.  Macao founded in 2003, Macao is a humanitarian organization that provides assistance to approximately 200,000 Indigenous Maasai community in Ngorongoro district for addressing needs of water and sanitation, food security, health Care Research, Education, Research environment, Maasai Traditional Research, Human Rights and sustainable economic development by strengthening their livelihoods.  In addition to responding to major relief situations, MACAO focuses on long-term community development through over 4 Area Development Project. We welcome the donors and volunteers to join us in this programs, we are wolking in ruro villages.

Evacuation of people with visual impairments

Sørensen, Janne Gress
2014

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This Study aimed to increase knowledge and data on evacuation characteristics of vulnerable people and with a special focus on blind and visually impaired people.

 

An experimental program designed to obtain data on walking speeds horizontally and descending stairs, interaction between participants and their interaction with the building environment. Experiments were conducted in different buildings including office buildings, an institutional building and a tunnel. In total 148 people have participated in the experiments. Parallel to the evacuation experiments participants were interviewed not only about their experience with the experiments but also their use of different building types and the difficulties they meet.

Electoral participation of electors with disabilities : Canadian practices in a comparative context

PRINCE, Michael J
March 2012

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"This report addresses three main research questions: What barriers do people with disabilities, physical and/or mental, face when trying to vote? What reforms have countries and, in the case of Canada, provinces introduced since 2000 to reduce or eliminate barriers to voting for people with disabilities? More specifically, what services, supports and laws or standards have governments introduced to ensure better access to voting by electors with disabilities The specific focus of this report is on the right to vote, rather than on the right to freely associate as an activist or to run as a candidate and to hold elected office. Five national jurisdictions are reviewed in this report, specifically Australia, Canada, the United Kingdom, the United States and New Zealand. On Canada, attention is given to developments and practices at the federal, and provincial and territorial levels of government"

Web accessibility policy making : an international perspective

G3ICT
THE CENTRE FOR INTERNET AND SOCIETY
January 2012

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This report reviews of a number of countries policies on web accessibility to share good practice. The internet and ICT have become increasingly accessible with the introduction of electronic screen readers, close-captions video viewers and personally tailored assistive technology readers. Despite this, the authors maintain that there are still 1 billion disabled people who could have better access to the internet and ICT and there is great potential for improvement

International best practices in universal design : a global review

DION, Betty
et al
August 2007

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This review provides an international overview of the technical information on accessibility criteria for the built environment that is being used by countries as they prepare to ratify the Convention on the Rights of Persons with Disabilities. The document compares the accessibility codes and standards from 16 international jurisdictions, including the new standards from Canada and the USA, as well as standards from Mexico, Uruguay, Sweden, Ireland, Spain, South Africa, Bangladesh, Philippines, Malaysia, Singapore, Australia and Lebanon

Universal design and visitability : from accessibility to zoning

NASAR, Jack L., EVANS-COWLEY, Jennifer
Eds
2007

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This book is a collection of best practices gathered from an international conference on universal design. It features guiding principles, statistics and examples of universal design. This comprehensive book offers detailed chapters on the following key issues: principles of universal design; inclusive housing and neighbourhoods; architecture and spatial cognition without sight; and research and teaching of accessibility. It features case studies in Brazil, Thailand, Norway and Maryland, USA. This book would be useful for those interested in universal design, accessibility, and disability and development

Programming experiences in early childhood development

UNITED NATIONS CHILDREN'S FUND (UNICEF)
November 2006

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This document presents examples and case studies from 21 countries. They demonstrate the benefit of cross-sectoral programming to support early childhood development, some building on early child care or education programme

A review of income transfers to disabled and long term sick people in seven case study countries and implications for South Africa

WHITWORTH, Adam
WRIGHT, Gemma
NOBLE, Michael
April 2006

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This resource examines seven international case studies of state income maintenance policies for individuals who are disabled or long-term sick in order to analyze the current debates in South Africa surrounding the Disability Grant. The countries are: India, Mexico, USA, UK, Sweden, Netherlands, and Canada. The purpose is to provide an overview of the various benefits and the nature of social security coverage for disabled people and chronically sick individuals in each country. This work would be useful for anyone with an interest in social protection, public policy and disability

Addressing violence against women in HIV testing and counselling

WORLD HEALTH ORGANIZATION (WHO)
2006

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This is a summary and recommendations from an international consultation co-convened by the WHO departments of Gender, Women and Health (GWH) and of HIV & AIDS to identify and review promising strategies or good practices to support women who may fear or experience violence as a consequence of HIV testing and/or HIV status disclosure; and develop recommendations to guide programmes and policies related to HIV testing and counselling, in light of current strategies to expand access to these and related services

The concept of reasonable accommodation in selected national disability legislation

DEPARTMENT FOR ECONOMIC AND SOCIAL AFFAIRS (DESA), UNITED NATIONS
December 2005

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This paper describes how national legislation in selected countries has managed to incorporate the concept of reasonable accommodation for persons with disabilities. It utilises case studies from the following selected countries: Australia, Canada, European Union, Ireland, Israel, New Zealand, the Philippines, South Africa, Spain, Sweden, United Kingdom, United States and Zimbabwe

A historical overview of health disparities and the potential of eHealth solutions

GIBBONS, M
2005

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Over the past decade a rapidly expanding body of literature has demonstrated the existence of disparities in health and health care. While consensus has not emerged regarding the causes of disparities, they are generally thought to be related to sociocultural, behavioural, economic, environmental, biologic, or societal factors. To effectively address disparities, several authorities have suggested the need for greater information technology research and investments. eHealth researchers may be able to make significant contributions in this area through research and its applications. This paper begins with a historical overview of health disparities in the United States and Europe. It then discusses the role that the Internet, and access to the Internet, may play in the genesis of health disparities. Finally, this paper closes with a discussion of the potential benefits of eHealth applications and the possible contributions of the field to overcoming disparities in health and health care

HIV/AIDS and security

CARBALLO, M
CILLONIZ, J
BRAUNSCHWEIG, S
2001

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This report provides a comprehensive analysis of the ways in which the growing HIV/AIDS pandemic is affecting national and human security. It looks at the impact of sexually transmitted diseases on the military and other uniformed services, what is known about the incidence / prevalence of the problem, and where and why military personnel are most vulnerable. It also reviews what some of the main international agencies and NGOs are doing in this field and provides information on selected case studies

First steps : stories on inclusion in early childhood education

UNITED NATIONS EDUCATIONAL, SCIENTIFIC AND CULTURAL ORGANIZATION (UNESCO)
September 1997

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Early childhood intervention is a strategy that can promote inclusive education leading to a deeper understanding by the general public on disability. Targeted at early development programmes and interventions to include disabled children

International disability rights monitor (IDRM) regional reports

CENTER FOR INTERNATIONAL REHABILITATION

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These regional reports are the primary focus of the International Disability Rights Monitor (IDRM) project and have been compiled by local IDRM researchers. Each report focuses upon several key areas such as legal protections, education, employment, accessibility, and health and housing services for people with disabilities. The reports include a detailed report on each country and a report card that compares the progress made by countries across the region. Reports are available on the Americas, Asia and Europe, as well as two thematic reports, in downloadable pdf format. They are useful for people interested in research on disability and development

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