Volume 22, Issue 4 (Pajouhan Scientific Journal, Autumn 2024)                   Pajouhan Sci J 2024, 22(4): 299-312 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Piroozi B, Moradi G, Zokaei M, Safari H, Hematpour S, Moshfeq M et al . Identifying Strategies to Improve Care for Children with Disabilities in Iran: A Q-Methodology Study. Pajouhan Sci J 2024; 22 (4) :299-312
URL: http://psj.umsha.ac.ir/article-1-1134-en.html
1- Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran
3- Department of Pediatrics, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
4- Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran & Vice Chancellor for Health Affairs, Health Education and Promotion Group, Kurdistan University of Medical Sciences, Sanandaj, Iran , mahmoodihassan115@gmail.com
Abstract:   (762 Views)
Background and Objectives: This study aimed to explore the perspectives of a sample of healthcare professionals regarding strategies for improving the care of children with disabilities in Iran.
Materials and Methods: The six-stage Q methodology was employed to systematically predict the diverse viewpoints of 15 health professionals working in Iran.
Results: The analysis of the participants' perspectives in the study (Q sorting) resulted in a five-factor solution (accounting for 62% of the total variance) to validate strategies for improving the care of children with disabilities in Iran. The five factors were insurance, health services, social and infrastructural supports (24%); financial, educational, and social support for families and children with disabilities (11%); addressing physical care needs and support from local organizations for the needs of children with disabilities (10%); facilitating access to public transportation, welfare, and sports services (9%); and life and social skills and facilitating service delivery (8%). These factors, as identified by the experts, collectively explained 62% of the variance.
Conclusion: The identified strategies for improving the care of children with disabilities highlight areas that should be focused on in interventions to facilitate the successful implementation of financial, educational, and social support for families and children with disabilities; addressing physical care needs and support from local organizations for the needs of children with disabilities; facilitating access to public transportation, welfare, and sports services; and life and social skills and facilitating service delivery for the needs of children with disabilities in Itan and other developing countries.
Full-Text [PDF 985 kb]   (117 Downloads)    
Type of Study: Research Article | Subject: Rehabilitation
Received: 2024/11/21 | Accepted: 2024/12/19 | Published: 2025/04/6

References
1. Irwin LG, Siddiqi A, Hertzman C. Early childhood development: A powerful equalizer. HELP, University of British Columbia.2007.
2. Betts J, Lata D. Inclusion of children with disabilities: The early childhood Imperative. Mag UNESCO Policy Br Early Child. 2009.
3. Simeonsson RJ. Early childhood development and children with disabilities in developing countries. Chapel Hill, Univ North Carolina. 2003.
4. Raporu DE. World Health Organisation, World Bank. World Report on Disability 2011.WHO. 2011.
5. Simeonsson RJ, Simeonsson NE, Hollenweger J. International classification of functioning, disability, and health for children and youth. Disabil Classif Educ Issues Perspect. 2008;207-226.
6. World Health Organization. World report on disability 2011. World Health Organization. 2011.
7. Unicef. Monitoring child disability in developing countries: results from the Multiple Indicator Cluster Surveys. Div Policy Pract UNICEF, New York. 2008.
8. Maulik PK, Darmstadt GL. Childhood disability in low-and middle-income countries: overview of screening, prevention, services, legislation, and epidemiology. Pediatrics. 2007;120(Supplement 1):S1-55. [DOI:10.1542/peds.2007-0043B] [PMID]
9. Bethell CD, Read D, Stein REK, Blumberg SJ, Wells N, Newacheck PW. Identifying children with special health care needs: development and evaluation of a short screening instrument. Ambul Pediatr. 2002;2(1):38-48. https://doi.org/10.1367/1539-4409(2002)002<0038:ICWSHC>2.0.CO;2 [DOI:10.1367/1539-4409(2002)0022.0.CO;2] [PMID]
10. Moradi G, Mostafavi F, Hajizadeh M, Amerzade M, Bolbanabad AM, Alinia C, et al. Socioeconomic inequalities in different types of disabilities in Iran. Iran J Public Health. 2018;47(3):427.
11. Barry J, Proops J. Seeking sustainability discourses with Q methodology. Ecol Econ. 1999;28(3):337-345. [DOI:10.1016/S0921-8009(98)00053-6]
12. Watts S, Stenner P. Doing Q methodology: theory, method and interpretation. Qual Res Psychol. 2005;2(1):67-91. [DOI:10.1191/1478088705qp022oa]
13. Brown SR. Q methodology and qualitative research. Qual Health Res. 1996;6(4):561-567. [DOI:10.1177/104973239600600408]
14. Akhtar-Danesh N, Baumann A, Cordingley L. Q-methodology in nursing research: a promising method for the study of subjectivity. West J Nurs Res. 2008;30(6):759-773. [DOI:10.1177/0193945907312979]
15. Given LM. The Sage encyclopedia of qualitative research methods. Sage Publications. 2008. [DOI:10.4135/9781412963909]
16. Gallagher K, Porock D. The use of interviews in Q methodology: card content analysis. Nurs Res. 2010;59(4):295-300. [DOI:10.1097/NNR.0b013e3181e4ffff] [PMID]
17. Schmolck P. PQmethod Manual version 2.35. Mainframe-progr QMethod. 2014.
18. Watts S, Stenner P. Doing Q methodological research. In: Theory, Method and Interpretation. Sage Los Angeles, London, New Delhi, Singapore, Washington DC. 2012. [DOI:10.4135/9781446251911]
19. Bartlett JE, DeWeese B. Using the Q methodology approach in human resource development research. Adv Dev Hum Resour. 2015;17(1):72-87. [DOI:10.1177/1523422314559811]
20. O'Leary K, Wobbrock JO, Riskin EA. Q-Methodology as a Research and Design Tool for HCI. In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. ACM; 2013:1941-1950. [DOI:10.1145/2470654.2466256]
21. Hashemi G, Kuper H, Wickenden M. SDGs, Inclusive Health and the path to Universal Health Coverage. Disability and The Global South. Disabil Glob South. 2017;4(1):1088-1111.
22. Moradi G, Bolbanabad AM, Abdullah FZ, Safari H, Rezaei S, Aghaei A, et al. Catastrophic health expenditures for children with disabilities in Iran: A national survey. Int J Health Plann Manage. 2021;36(5):1861-1873. [DOI:10.1002/hpm.3273]
23. Moradi G, Soltani S, Mostafavi F, Zokaei M, Hemmatpour S, Nouri E, et al. Perceived Need, Seeking, and Utilization of Health Services Among Eight-yearold or Younger Children With Disabilities in Iran. Hakim J. 2020; 23(2) :160-169.
24. Schulz R, Newsom J, Mittelmark M, Burton L, Hirsch C, Jackson S. Health effects of caregiving: the caregiver health effects study: an ancillary study of the Cardiovascular Health Study. Ann Behav Med. 1997;19(2):110-116. [DOI:10.1007/BF02883327] [PMID]
25. Beach SR, Schulz R, Yee JL, Jackson S. Negative and positive health effects of caring for a disabled spouse: longitudinal findings from the caregiver health effects study. Psychol Aging. 2000;15(2):259. [DOI:10.1037/0882-7974.15.2.259] [PMID]
26. Shapiro SL, Brown KW, Biegel GM. Teaching self-care to caregivers: Effects of mindfulness-based stress reduction on the mental health of therapists in training. Train Educ Prof Psychol. 2007;1(2):105-115. [DOI:10.1037/1931-3918.1.2.105]
27. Schulz R, Martire LM. Family caregiving of persons with dementia: prevalence, health effects, and support strategies. Am J Geriatr psychiatry. 2004;12(3):240-249. [DOI:10.1097/00019442-200405000-00002] [PMID]
28. Brodaty H, Donkin M. Family caregivers of people with dementia. Dialogues Clin Neurosci. 2009;11(2):217-228. [DOI:10.31887/DCNS.2009.11.2/hbrodaty] []
29. Development ministry of roads and urban. urban and agricultural design criteria for people with disability. In 2019.
30. Lessenberry BM, Rehfeldt RA. Evaluating stress levels of parents of children with disabilities. Except Child. 2004;70(2):231-244. [DOI:10.1177/001440290407000207]
31. Smith TB, Oliver MNI, Innocenti MS. Parenting stress in families of children with disabilities. Am J Orthopsychiatry. 2001;71(2):257-261. [DOI:10.1037/0002-9432.71.2.257] [PMID]
32. Prudente COM, Barbosa MA, Porto CC. Relation between quality of life of mothers of children with cerebral palsy and the children's motor functioning, after ten months of rehabilitation. Rev Lat Am Enfermagem. 2010;18(2):149-155. [DOI:10.1590/S0104-11692010000200002] [PMID]
33. Pennington L, Goldbart J, Marshall J. Speech and language therapy to improve the communication skills of children with cerebral palsy. Cochrane Database Syst Rev. 2004;2004(2):CD003466. [DOI:10.1002/14651858.CD003466.pub2] [PMID] []

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Pajouhan Scientific Journal

Designed & Developed by : Yektaweb