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Barriers and Facilitators to Community-Based Physical Activity Participation Among Children and Adolescents With Developmental Disabilities in South Korea: Professionals' and Parents' Perspectives 韩国发育性残疾儿童和青少年参与社区体育活动的障碍和促进因素:专业人士和家长的观点。
IF 2.2 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2026-06-24 DOI: 10.1111/jar.70270
Jihee Woo, Wanho Jang

Background

Children and adolescents with developmental disabilities often encounter substantial barriers to physical activity. However, prior research has rarely provided a comprehensive understanding that integrates multiple perspectives.

Methods

We conducted semi-structured interviews with nine parents and seven sports professionals in South Korea. Data were analysed thematically using Braun and Clarke's six-phase framework.

Results

Identified barriers included inaccessible or poorly maintained facilities, societal stigma, insufficient instructor qualifications, fragmented administrative systems, and uniform, short-term programmes. Parents also reported discomfort in inclusive settings and a preference for designated disability-friendly spaces. Facilitators included government-supported infrastructure, disability awareness training, family psychoeducation, structured instructor certification, and long-term, individualised programmes tailored to individual support needs.

Conclusions

Participation in physical activity is shaped by interconnected physical, attitudinal, institutional, social, and programmatic factors. Addressing these challenges requires inclusive infrastructure, standardised qualification systems, emotional and informational support for families, and sustained, tailored programme development.

背景:患有发育障碍的儿童和青少年经常在身体活动方面遇到实质性障碍。然而,以往的研究很少提供一个综合多个角度的全面理解。方法:我们对韩国的9位家长和7位体育专业人士进行了半结构化访谈。使用Braun和Clarke的六阶段框架对数据进行了主题分析。结果:确定的障碍包括设施难以接近或维护不良、社会污名、教员资格不足、管理系统碎片化以及统一的短期课程。家长们还表示,在包容的环境中感到不舒服,他们更喜欢指定的残疾人友好空间。辅助手段包括政府支持的基础设施、残疾意识培训、家庭心理教育、结构化教员认证以及针对个人支持需求量身定制的长期个性化方案。结论:参与体育活动是由相互关联的身体、态度、制度、社会和程序性因素形成的。应对这些挑战需要包容性的基础设施、标准化的资格体系、对家庭的情感和信息支持,以及持续、有针对性的规划开发。
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引用次数: 0
Exploring Resilience in Mothers of Adolescents With Intellectual Disabilities in Thailand: A Qualitative Study 泰国智障青少年母亲的心理弹性:一项质性研究
IF 2.2 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2026-06-23 DOI: 10.1111/jar.70271
Wattana Tejakum, Maria Truesdale, Deborah Cairns

Background

Raising adolescents with intellectual disabilities in Thailand is challenging. Whilst some mothers show resilience, limited understanding exists of the factors within these cultural contexts that contribute to resilience. This qualitative study explores experiences of mothers caring for adolescent children with intellectual disabilities in Thailand.

Methods

Semi-structured interviews were conducted with 12 Thai mothers of adolescents with intellectual disabilities at the Rajanukul Institute in Thailand. Interview transcripts were analysed using thematic analysis, guided by Braun and Clarke (2006).

Results

Six themes were developed, detailing mothers' resilience journeys: becoming a mother of a child with intellectual disabilities, finding my way, navigating challenges, support systems, holding on to faith, and forward-thinking strategies.

Conclusion

This study reveals that resilience amongst mothers is a dynamic process shaped by personal attributes, coping strategies, social support, and cultural and spiritual beliefs. These findings highlight the need for culturally sensitive interventions to strengthen parental resilience.

背景在泰国抚养智障青少年是一项挑战。虽然有些母亲表现出适应力,但对这些文化背景中有助于适应力的因素的理解有限。本质性研究探讨泰国母亲照顾青少年智障儿童的经验。方法对泰国Rajanukul研究所12名智障青少年母亲进行半结构化访谈。在Braun和Clarke(2006)的指导下,使用主题分析对访谈记录进行分析。研究人员制定了六个主题,详细介绍了母亲的韧性历程:成为智障儿童的母亲、找到自己的道路、应对挑战、支持系统、坚持信念和前瞻性思维策略。结论母亲心理弹性是一个动态过程,受个人特质、应对策略、社会支持、文化和精神信仰等因素的影响。这些发现强调需要文化敏感的干预措施来加强父母的复原力。
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引用次数: 0
Intergenerational Change in Health, Well-Being and Social Inclusion for Two Groups of Adults With Intellectual Disability Aged 40–49: Findings From a National Longitudinal Study 40-49岁两组智力残疾成年人健康、幸福和社会包容的代际变化:一项全国性纵向研究的结果
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2026-06-03 DOI: 10.1111/jar.70254
Kálya Yasmine Nunes de Lima, Darren McCausland, Philip McCallion, Mary McCarron

Background

This paper examines differences in health, well-being and social inclusion between two generations of adults with intellectual disability in their 40s, measured 12 years apart.

Method

Data was drawn from Waves 1 and 5 of the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing. Descriptive statistics were calculated at Waves 1 and 5 and outcomes were analysed using CHAID (Chi Squared Automatic Interaction Detection) decision tree.

Results

Wave was the main predictor of increased weekly contact with friends (p < 0.001), internet use (p < 0.001) and alcohol consumption (p < 0.001). Mild exercise (p < 0.001) and moderate exercise decreased (p < 0.001). Self-rated health (p < 0.001) and mental health ratings (p = 0.006) improved, while loneliness declined (p = 0.041). Use of general practitioners (p < 0.001), social work (p < 0.001) and home help (p = 0.020) declined, whereas optician (p = 0.001) and dermatological services (p = 0.048) increased.

Conclusion

Intergenerational changes were observed, with improved social inclusion and health perceptions, alongside shifts in behaviour and healthcare use.

背景:本文考察了两代40多岁的智力残疾成年人在健康、幸福和社会包容方面的差异,测量时间间隔为12年。方法:数据来自爱尔兰老龄化纵向研究智力残疾补充的第1和第5波。在波1和波5计算描述性统计量,并使用CHAID(卡方自动交互检测)决策树分析结果。结果:Wave是每周与朋友联系增加的主要预测因素(p结论:观察到代际变化,社会包容和健康观念的改善,以及行为和医疗保健使用的变化。
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引用次数: 0
A Pilot Cluster Evaluation of an Experiential Learning–Based First Aid Training Program for Mothers of Children With Intellectual Disabilities 智障儿童母亲体验性学习急救培训项目试点集群评估。
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2026-06-02 DOI: 10.1111/jar.70255
Ayşe Sezer Balci, Kerime Öğüt Düzen

Aim

This study evaluated the effects of an experiential learning–based first aid training program on knowledge and self-efficacy among mothers of children with intellectual disabilities.

Methods

A pretest–posttest control-group design was conducted in four special education schools. The intervention group received a 4-week training program. Data were collected using the Self-Efficacy Scale for Home Accidents and the First Aid Information Form. Linear mixed-effects models assessed group × time effects, and intraclass correlation coefficients (ICCs) evaluated clustering.

Results

A significant group × time interaction was found for self-efficacy (p = 0.006), with greater improvement in the intervention group. The ICC was 0.21, indicating moderate clustering. Correct responses to several first aid items also increased.

Conclusion

Experiential learning–based training may improve first aid knowledge and self-efficacy. Findings remained robust after accounting for data dependencies but should be interpreted cautiously given the limited number of clusters.

目的:探讨体验式学习急救训练对智障儿童母亲的知识和自我效能感的影响。方法:对4所特殊教育学校进行前测后测对照组设计。干预组接受为期4周的培训。数据采用家庭事故自我效能感量表和急救信息表收集。线性混合效应模型评估组×时间效应,类内相关系数(ICCs)评估聚类。结果:自我效能感存在显著的组与时间交互作用(p = 0.006),干预组的改善更大。ICC为0.21,为中度聚类。对一些急救项目的正确反应也有所增加。结论:体验式学习培训可提高急救知识水平和自我效能感。在考虑了数据依赖性之后,研究结果仍然是可靠的,但考虑到集群数量有限,应谨慎解释。
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引用次数: 0
Sibling Brokerage: Recasting Sibling Roles as Systemic Labour Across Disability Service Systems 兄弟姐妹经纪:在残疾服务系统中重塑兄弟姐妹角色作为系统劳动力。
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2026-06-01 DOI: 10.1111/jar.70252
Jane Y. Jeong

Background and Aims

The study examines sibling brokerage as a form of cultural, linguistic and institutional labour performed by siblings of individuals with intellectual and developmental disabilities from historically marginalised communities.

Methods

Ten adult sibling brokers were recruited and completed open-ended questionnaires. Data were analysed thematically, guided by conceptual frameworks of epistemic injustice.

Results

Findings reveal that sibling brokers serve as system navigators, translating institutional logics, advocating for services and rearticulating family knowledge. Their labour often began in childhood, was shaped by hegemonic expectations to fit into the system and was frequently unacknowledged or co-opted by professionals.

Conclusion

Sibling brokerage is not ancillary but structurally embedded labour that compensates for systemic gaps in accessibility and inclusion. Future research should examine how such roles are institutionally produced and sustained and envision justice-oriented systems that recognise the expertise of sibling brokers.

背景和目的:本研究考察了兄弟姐妹经纪作为一种文化、语言和制度劳动的形式,由来自历史上边缘化社区的智力和发育障碍个体的兄弟姐妹进行。方法:招募10名成年同胞经纪人,填写开放式问卷。在认识不公正的概念框架的指导下,对数据进行了专题分析。结果:研究结果表明,兄弟姐妹经纪人在翻译制度逻辑、倡导服务和重新表达家庭知识方面发挥了系统导航员的作用。他们的劳动往往始于童年,被适应体制的霸权期望所塑造,经常不被专业人士承认或接纳。结论:兄弟经纪不是辅助的,而是结构上嵌入的劳动力,弥补了可及性和包容性方面的系统性差距。未来的研究应该研究这些角色是如何在制度上产生和维持的,并设想以正义为导向的系统,承认兄弟经纪人的专业知识。
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引用次数: 0
Geographies of Parents With Intellectual Disabilities in Selected Regions of Namibia 纳米比亚选定地区智力残疾父母的地理位置。
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2026-05-31 DOI: 10.1111/jar.70245
Cynthy K. Haihambo

This study examined the geographies of parents with intellectual disabilities in specific regions of Namibia. It aimed to understand how these parents perceive themselves and their identities within their social and cultural contexts as they manage their parenting roles. Parents with intellectual disabilities in Namibia face many challenges from their families and communities.

Methods and Results

After obtaining ethical approval, permission was received from all relevant institutions. The study employed a qualitative research approach, including key informant interviews and non-participant observation with nine parents with intellectual disabilities.

Conclusion

The study recommends raising awareness campaigns about the parenting rights of individuals with intellectual disabilities and establishing safe spaces for everyone.

这项研究调查了纳米比亚特定地区智力残疾父母的地理分布。它的目的是了解这些父母如何在他们的社会和文化背景下看待自己和他们的身份,因为他们管理他们的养育角色。在纳米比亚,智力残疾的父母面临着来自家庭和社区的许多挑战。方法与结果:在获得伦理批准后,获得了所有相关机构的许可。本研究采用定性研究方法,包括对9位智力障碍家长的关键信息提供者访谈和非参与性观察。结论:该研究建议提高对智障人士养育权的认识,并为每个人建立安全空间。
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引用次数: 0
Communicative Dilemmas for Practitioners in Service Encounters With People With Intellectual Disabilities: Insights From a Systematic Review of Conversation Analytic Research 服务中遇到智障人士的沟通困境:来自对话分析研究系统回顾的见解。
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2026-05-29 DOI: 10.1111/jar.70239
Deborah Chinn, Andrea Bruun, Deborah Worrall, Susan Buell, Jessica La

Background

How do practitioners in service settings respond to communication support needs of people with intellectual disabilities? Conversation Analysis (CA) uses recordings of everyday encounters to understand the challenges practitioners face.

Method

Following specialist guidance on systematically reviewing CA research, we reviewed 65 CA research articles examining staff communication in healthcare, education, social care and the police.

Results

We identified five themes in the synthesis. Two were categories of interactional practices (Questions and Answers; Decision-Making), one examined non-verbal communication (Embodied and Non-Verbal Communication) and two considered contributions of other material and human agents (Communication Aids and Supports; Involvement of Companions). In each theme, we saw examples of competency-enhancing and competency-inhibiting practices.

Conclusions

Practitioners face interactional dilemmas: (1) Orienting to the Person's Self-determination versus Getting the Job Done; (2) Adapting Communication versus Downplaying Difference. Future research should build on this review to develop and evaluate communication training for staff.

背景:服务机构的从业人员如何回应智障人士的沟通支持需求?对话分析(CA)使用日常接触的记录来了解从业者面临的挑战。方法:根据专家指导系统地审查CA研究,我们审查了65篇CA研究文章,研究了医疗保健、教育、社会关怀和警察部门的员工沟通。结果:我们在合成中确定了五个主题。两个是互动实践类别(问答;决策),一个是非语言交流(具体化和非语言交流),两个是考虑其他物质和人类代理人的贡献(交流辅助和支持;同伴的参与)。在每个主题中,我们都看到了能力增强和能力抑制实践的例子。结论:实践者面临互动困境:(1)自我决定导向与完成任务导向;(2)适应沟通与淡化差异。未来的研究应在此综述的基础上发展和评价员工沟通培训。
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引用次数: 0
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2026-05-26
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引用次数: 0
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2026-05-22
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引用次数: 0
IF 1.9 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2026-05-22
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引用次数: 0
期刊
Journal of Applied Research in Intellectual Disabilities
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