Community Receptivity: The Ecology of Disabled Persons’ Participation in the Physical, Political and Social Environments

Bricout, John C.; Gray, David B.

doi:10.1080/15017410500335229

Cited by 33 publications

(10 citation statements)

References 49 publications

(40 reference statements)

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“…Previous studies revealed that there is a relationship between participation and environmental factors at all levels, including features of the natural and built world, as well as attitudes of others and social policies that affect people with disabilities [2,[13][14][15][16][17]. By using structural equation modeling, Hollingsworth and Gray [16] found a moderately strong relation between the environment and activity participation for those with mobility impairments.…”

Section: Introductionmentioning

confidence: 99%

Influence of Environmental Factors on Social Participation Poststroke

Foley

Connor

Nicholas

et al. 2019

The American Journal of Occupational Therapy

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Objectives. For rehabilitation professionals to adequately address meaningful participation in social activities with their patients after a stroke, there must be a better understanding of neurobehavior, that is, how neurological impairment and its sequelae and environmental factors support or limit social participation. The current study examines how stroke severity (NIH Stroke Scale), its impact on perceived mobility (Stroke Impact Scale mobility domain), and the environment (MOS Social Support-Positive Social Interactions scale and Measure of Stroke Environment receptivity and built environment domains) influence social participation (Activity Card Sort: ACS). Methods. A correlational, cross-sectional design examined the relationships among neurological impairment, perceived limitations in activity, environmental factors, and social participation. Participants included 48 individuals who were at least 6 months post-stroke both with aphasia (N = 22) and without aphasia (N = 26) living in the community for whom all measures were available for analysis. Results. No differences in social participation were found between those with and without aphasia, though both groups reported a large (25-30%) decline in participating in their prestroke social activities. For the ACS Social Domain activities and ACS Partner to Do With activities (percent retained), 37% and 35% of the variance, respectively, was accounted for by the predictor variables, with only MOS Social Support making an independent contribution to social participation. In this sample, neurological impairment was not a significant correlate of social participation. Additionally, perceived mobility and the built environment were not found to independently predict participation in social activities. Conclusions. Perceived social support was found to predict social participation in individuals living in the community 6 months or greater post-stroke. Focusing on social support during post-stroke rehabilitation may provide an avenue for increased social participation and more successful community reintegration.

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Section: Introductionmentioning

confidence: 99%

Influence of Environmental Factors on Social Participation Poststroke

Foley

Connor

Nicholas

et al. 2019

The American Journal of Occupational Therapy

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“…As a result, use of community life space reflects the potential for community participation. This dichotomization from home to community spaces is critical as increasingly accessing community spaces provides and enhances opportunities for continued participation in societal roles [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Home and Community Environmental Features, Activity Performance, and Community Participation among Older Adults with Functional Limitations

Yang

Sanford

2012

Journal of Aging Research

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This paper describes relationships among home and community environmental features, activity performance in the home, and community participation potential to support aging in place. A subset of data on older adults with functional limitations (N = 122), sixty three (63) with mobility and 59 with other limitations, were utilized in this study from a larger project's subject pool. Results showed significant and positive correlations between environmental barriers, activity dependence and difficulty at home, and less community participation in the mobility limitation group. While kitchen and bathroom features were most limiting to home performance, bathtub or shower was the only home feature, and destination social environment was the only community feature, that explained community participation. Compared to environmental features, home performance explained much more community participation. Study results provide detailed information about environmental features as well as types of home activities that can be prioritized as interventions for aging in place.

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“…[17] Examples of factors influencing conversations are noise and the arrangement of furniture. [17] Since the physical environment and other ICF environmental factors (support and relationships, attitudes, and services, systems and policies) have a reciprocal relationship, [18] more knowledge is needed about the impact of the physical environment in order for professionals and health-care systems to create communication friendly environments. Adapting or modifying existing physical environments, and designing new environments that promote universal communication access, is important.…”

Section: Introductionmentioning

confidence: 99%

The role of the physical environment in conversations between people who are communication vulnerable and health-care professionals: a scoping review

Stans

Dalemans

Witte

et al. 2016

Disability and Rehabilitation

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Purpose: The role of the physical environment in communication between health-care professionals and persons with communication problems is a neglected area. This study provides an overview of factors in the physical environment that play a role in communication during conversations between people who are communication vulnerable and health-care professionals. Method: A scoping review was conducted using the methodological framework of Arksey and O'Malley. The PubMed, PsycINFO, CINAHL and Cochrane Library databases were screened, and a descriptive and thematic analysis was completed. Results: Sixteen publications were included. Six factors in the physical environment play a role in conversations between people who are communication vulnerable and health-care professionals: (1) lighting, (2) acoustic environment, (3) humidity and temperature, (4) setting and furniture placement, (5) written information, and (6) availability of augmentative and alternative communication (AAC) tools. These factors indicated barriers and strategies related to the quality of these conversations. Conclusions: Relatively small and simple strategies to adjust the physical environment (such as adequate lighting, quiet environment, providing pen and paper) can support people who are communication vulnerable to be more involved in conversations. It is recommended that health-care professionals have an overall awareness of the potential influence of environmental elements on conversations. ä IMPLICATIONS FOR REHABILITATIONThe physical environment is an important feature in the success or disturbance of communication. Small adjustments to the physical environment in rehabilitation can contribute to a communicationfriendly environment for conversations with people who are communication vulnerable. Professionals should consider adjustments with regard to the following factors in the physical environment during conversations with people who are communication vulnerable: lighting, acoustic environment, humidity and temperature, setting and furniture placement, written information, and availability of AAC (augmentative and alternative communication tools). ARTICLE HISTORY

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Community Receptivity: The Ecology of Disabled Persons’ Participation in the Physical, Political and Social Environments

Cited by 33 publications

References 49 publications

Influence of Environmental Factors on Social Participation Poststroke

Influence of Environmental Factors on Social Participation Poststroke

Home and Community Environmental Features, Activity Performance, and Community Participation among Older Adults with Functional Limitations

The role of the physical environment in conversations between people who are communication vulnerable and health-care professionals: a scoping review

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