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In search of education, participation and inclusion: Embrace the uncertain By Jonathan Rix, Abingdon: Routledge. 2024. pp. 204. £28.79 寻找教育、参与和包容:乔纳森-里克斯(JonathanRix)著,阿宾顿:Routledge.2024. pp.£28.79
IF 1.2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2024-08-08 DOI: 10.1111/bld.12615
Melanie Nind
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引用次数: 0
Bridging the digital divide for individuals with intellectual disabilities: Implications for well-being and inclusion 缩小智障人士的数字鸿沟:对福祉和包容的影响
IF 1.2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2024-07-25 DOI: 10.1111/bld.12613
Esther Murphy, Orla Shiels, Sara Fiori, Darren McCausland, Helena Bergström, Raphael Koster, Hanna Noorlandt, Ida Korfage, Eva Flygare Wallén

Background

Developments in digital technologies have transformed how people interact with the world, offering employment, education, communication, health benefits and entertainment. Research has shown that not everyone can easily access digital content, particularly people with intellectual disabilities. Despite internet access being recognised as a human right in the United Nations' Conventions on the Rights of Persons with Disabilities, this group faces significant disadvantages.

Methods

A thematic analysis of quantitative and qualitative findings was conducted with data from focus groups and interviews with 200+ participants across Ireland, Sweden, France, and the Netherlands on how people with intellectual disabilities are using technology at this time and access facilitators and barriers.

Findings

The pandemic exacerbated the digital divide between people with intellectual disabilities and their neurotypical peers, impacting physical and mental well-being. Growing demand for accessible digital skills training underscores the need to bridge this gap.

Conclusion

Addressing these digital access disparities is crucial to ensure that individuals with intellectual disabilities can enjoy the benefits of the digital age and maintain their well-being. By identifying priority topics in our interview data, researchers also pinpointed critical accessibility barriers and facilitators to support codesigning activities for future digital skills education content within the Digi-ID project.

背景数字技术的发展改变了人们与世界互动的方式,为人们提供了就业、教育、交流、健康和娱乐。研究表明,并非每个人都能轻松获取数字内容,尤其是智障人士。尽管联合国《残疾人权利公约》将使用互联网视为一项人权,但这一群体仍面临着巨大的不利因素。研究方法通过对爱尔兰、瑞典、法国和荷兰的 200 多名参与者进行焦点小组讨论和访谈,对定量和定性结果进行了专题分析,以了解智障人士目前是如何使用技术的,以及使用技术的促进因素和障碍。研究结果大流行加剧了智障人士与神经正常的同龄人之间的数字鸿沟,影响了他们的身心健康。对无障碍数字技能培训日益增长的需求凸显了弥合这一鸿沟的必要性。结论要确保智障人士能够享受数字时代的益处并保持身心健康,解决这些数字访问方面的差距至关重要。通过确定访谈数据中的优先主题,研究人员还指出了关键的无障碍障碍和促进因素,以支持 Digi-ID 项目中未来数字技能教育内容的编码设计活动。
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引用次数: 0
Umbrella review of hospital passports: Their use and improvements 对医院护照的全面审查:使用和改进
IF 1.2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2024-07-17 DOI: 10.1111/bld.12612
Jennifer Jackson, Jessica Sinyor, Hayley Trower

Background

The hospital or health passport is widely acknowledged as a central element in making reasonable adjustments for patients with intellectual disabilities. Historically, the health passport has been used exclusively for patients with intellectual disabilities; however, it has wider applications for any patient requiring additional support. Commonly, it documents past medical history, communication needs and a person's means of expressing pain. There are, however, significant barriers to their use, meaning patients are unable to access adjustments to improve their experiences in a healthcare system that already marginalises and discriminates against people with intellectual disabilities. This umbrella review aims to establish whether the passport is an effective reasonable adjustment, identify barriers to its use and make recommendations to alleviate these barriers.

Methods

Database and citation searches informed a synthesis of international evidence to address these aims. Following the removal of duplicates and screening, nine review papers originating from the United Kingdom, Australia and Ireland were identified for inclusion. Seven focus on the use of passports for patients with intellectual disabilities, one on the use of passports for autistic people, and one exploring the use of passports for patients with dementia.

Findings

The results demonstrated that the passports are effective in improving care for patients with intellectual disabilities. However, there are barriers to its routine use. We identified three main issues with the current use of the hospital passport. First, there is a need for greater managerial support to implement reasonable adjustments. Second, standardisation of the passports at a national level will make them more accessible to healthcare professionals and will ensure that information is not ‘buried’; the development of a standardised passport must involve consultation of patients, carers and staff to meet the needs of all stakeholders. Finally, education for all healthcare staff to raise awareness of the passport and ensure it is utilised appropriately will ultimately pave the way for positive, long-lasting change.

Conclusions

Passports can be an effective means of communicating reasonable adjustments. Addressing a lack of awareness of its utility, ensuring managerial commitment to implementing reasonable adjustments and making the passport accessible through a standard

背景医院或健康护照被广泛认为是为智障病人提供合理调整的核心要素。从历史上看,健康护照只用于智障病人,但它对任何需要额外支持的病人都有更广泛的应用。通常情况下,它可以记录患者的既往病史、沟通需求和表达疼痛的方式。然而,这些工具的使用却存在着巨大的障碍,这意味着患者无法在已经边缘化和歧视智障人士的医疗保健系统中获得调整,以改善他们的就医体验。本综述旨在确定护照是否是一种有效的合理调整,识别使用护照的障碍,并提出减少这些障碍的建议。在删除重复内容并进行筛选后,确定了九篇来自英国、澳大利亚和爱尔兰的综述论文供纳入研究。其中七篇侧重于智障患者护照的使用,一篇侧重于自闭症患者护照的使用,还有一篇探讨了痴呆症患者护照的使用。但是,护照的常规使用还存在一些障碍。我们发现,目前医院护照的使用主要存在三个问题。首先,在实施合理调整方面需要更多的管理支持。其次,在全国范围内实现通行证的标准化将使医护人员更容易使用通行证,并确保信息不会被 "埋没";标准化通行证的开发必须征求患者、护理人员和员工的意见,以满足所有利益相关者的需求。最后,对所有医护人员进行教育,提高他们对护照的认识,并确保其得到合理使用,这将最终为积极、持久的变革铺平道路。解决对其效用缺乏认识的问题,确保管理者致力于实施合理的调整,并通过标准化的格式使患者能够使用护照,这将增强患者参与自身护理的能力。
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引用次数: 0
Big ideas that changed the world of disability: Exploring theory with self-advocates 改变残疾世界的伟大思想:与自我倡导者一起探索理论
IF 1.2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2024-07-17 DOI: 10.1111/bld.12611
Nicola Grove, Simon Richards, Simon Rice, Claudia Magwood, Bryan Collis, Steffen Martick, Saskia Schuppener, Gertraud Kremsner, Elizabeth Tilley, Jan Walmsley

Background

Inclusive research has sidelined discussion of theoretical issues with researchers with intellectual/learning disabilities. This is a situation which the Big Ideas initiative sought to change. Between 2021 and 2023, the Open University, Leipzig University and the University of Koblenz organised nine workshops to explore influential theories in disability research. The objective was to share a theory (Big Idea) that sheds light on disability with self-advocates and discuss how it relates to their experience. By making theories accessible and discussing how they relate to lived experience, we aimed to inform self-advocates and activist researchers about key concepts in disability, deepen their capacity for research and campaigning, and better equip them to activate for change.

Methods

The online workshops were evaluated by observers. These observations were used by an inclusive group of activist researchers as the basis for an overall evaluation of the project.

Findings

People with learning disabilities can engage with complex theories if these are presented accessibly alongside opportunities for reflective discussion. Input from self-advocates helps to broaden and deepen theoretical understanding.

An unanticipated but important finding was that the Big Ideas workshops created a new space in which academics and self-advocates could learn together as equals.

Conclusions

Making theory accessible and easier to understand is both possible and valuable.

背景全纳研究忽视了与智力/学习障碍研究人员讨论理论问题。而 "大创意 "计划正是要改变这种状况。2021 年至 2023 年期间,开放大学、莱比锡大学和科布伦茨大学组织了九次研讨会,探讨残疾研究中具有影响力的理论。目的是与自我倡导者分享揭示残疾问题的理论(大构想),并讨论该理论与他们的经历有何关联。通过使理论易于理解并讨论其与生活经验的关系,我们旨在让自我倡导者和积极的研究人员了解残疾领域的关键概念,加深他们的研究和运动能力,使他们能够更好地推动变革。研究结果如果能将复杂的理论与反思性讨论的机会结合起来,学习障碍者就能理解这些理论。一个意料之外但却很重要的发现是,"大创意 "研讨会创造了一个新的空间,让学者和自我倡导者可以平等地共同学习。
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引用次数: 0
Editorial: The case for more action and more research into healthcare provision and health inequalities for people with intellectual disabilities 社论:对智障人士的医疗保健服务和健康不平等问题采取更多行动和开展更多研究的理由
IF 1.2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2024-06-24 DOI: 10.1111/bld.12610
Hazel M. Chapman, Martin McMahon, Alexandra Kaley, Kay Mafuba, Mary-Ann O'Donovan
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引用次数: 0
Don't put us away: Memories of a man with learning disabilities By  Richard Keagan-Bull, forward by Mel Giedroyc, Critical Publishing.  2022. pp. 184. £18.99. 别把我们关起来:一个有学习障碍的人的回忆》,理查德-基根-布尔著,梅尔-吉德罗伊茨作序,临界出版社。2022年,第184页。£18.99.
IF 1.2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2024-06-14 DOI: 10.1111/bld.12608
Nathaniel Lawford
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引用次数: 0
Working it out together: Lessons and insights into inclusive research in an arts context 共同努力:艺术领域包容性研究的经验与启示
IF 1.2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2024-06-11 DOI: 10.1111/bld.12609
Matthew Reason, Kelsie Acton, Daniel Foulds

Background

I'm Me is a creative research project co-created between York St John University and Mind the Gap, investigating learning disabled and autistic artists’ understandings of identity, representation and voice.

Methods

In this paper, we use Walmsley and Johnson's criteria for inclusive research to reflect on the involvement of people with learning disabilities and autism in I'm Me.

Findings

Researchers need to carefully reflect on who benefits from research. Long-term relationships allow genuine allyship and for research design to emerge in an inclusive manner. Taking the time to develop access and clear structures for decision-making can support people with learning disabilities’ participation and control over research. Part of access is sharing our findings in accessible ways, in this case, by using plain language and artistic outputs.

Conclusions

Working out how people with learning disabilities and autism should be involved in research has involved establishing structures, reflecting and responding to create as much involvement and enable as much decision-making as possible.

我是我 "是约克圣约翰大学(York St John University)与 "缩小差距 "组织(Mind the Gap)合作开展的一个创意研究项目,旨在调查学习障碍者和自闭症艺术家对身份、代表性和话语权的理解。在本文中,我们采用沃姆斯利(Walmsley)和约翰逊(Johnson)提出的包容性研究标准,对 "我是我 "中学习障碍者和自闭症患者的参与情况进行反思。研究人员需要仔细思考谁能从研究中获益。长期的合作关系可以建立真正的盟友关系,并以包容性的方式进行研究设计。花时间开发决策通道和明确的决策结构,可以支持学习障碍者参与和控制研究。如何让学习障碍者和自闭症患者参与到研究中来,这涉及到建立结构、反思和回应,以创造尽可能多的参与机会并促成尽可能多的决策。
{"title":"Working it out together: Lessons and insights into inclusive research in an arts context","authors":"Matthew Reason,&nbsp;Kelsie Acton,&nbsp;Daniel Foulds","doi":"10.1111/bld.12609","DOIUrl":"10.1111/bld.12609","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p><i>I'm Me</i> is a creative research project co-created between York St John University and Mind the Gap, investigating learning disabled and autistic artists’ understandings of identity, representation and voice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this paper, we use Walmsley and Johnson's criteria for inclusive research to reflect on the involvement of people with learning disabilities and autism in <i>I'm Me</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Researchers need to carefully reflect on who benefits from research. Long-term relationships allow genuine allyship and for research design to emerge in an inclusive manner. Taking the time to develop access and clear structures for decision-making can support people with learning disabilities’ participation and control over research. Part of access is sharing our findings in accessible ways, in this case, by using plain language and artistic outputs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Working out <i>how</i> people with learning disabilities and autism should be involved in research has involved establishing structures, reflecting and responding to create as much involvement and enable as much decision-making as possible.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47232,"journal":{"name":"British Journal of Learning Disabilities","volume":"52 4","pages":"676-686"},"PeriodicalIF":1.2,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bld.12609","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141358020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In response to “Health and healthcare of people with learning disabilities in the United Kingdom through the COVID-19 pandemic” (Chris Hatton and colleagues) 回应 "COVID-19 大流行期间英国学习障碍者的健康和医疗保健"(Chris Hatton 及其同事)
IF 1.2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2024-05-17 DOI: 10.1111/bld.12602
Julie Loblinzk, Iva Strnadová

We chose to respond to this paper because bad things are happening in health care for people with intellectual disabilities. We met with Chris Hatton, one of the authors of the article. There were things we liked about the article, things we liked about the study that were not in the article and things we asked Chris about. We enjoyed talking to Chris about the study and writing our response.

我们选择对这篇论文做出回应,是因为智障人士的医疗保健领域正在发生一些糟糕的事情。我们会见了文章作者之一克里斯-哈顿(Chris Hatton)。文章中有我们喜欢的地方,研究中有我们喜欢但文章中没有的地方,还有我们向克里斯询问的地方。我们很高兴能与克里斯讨论这项研究并撰写我们的回复。
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引用次数: 0
Inclusive peer review: Reflections on an adapted citizens' jury with people with learning disabilities 包容性同行评审:对有学习障碍者参加的适应性公民评审团的思考
IF 1.2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2024-05-10 DOI: 10.1111/bld.12603
Angela Henderson, John Cassidy, Abigail Croydon, Melanie Nind

Background

Inclusive research is widely accepted as an essential part of the process to democratise knowledge creation and dissemination. However, while peer review is an important part of academic publishing, the potential to include people with learning disabilities in this element of the research process has not previously been explored using a deliberative approach.

Methods

Accessibility adaptations were made to the citizens' jury approach enabling people with learning disabilities to participate. Sixteen adults with mild to moderate learning disabilities were recruited to participate in the adapted citizens' jury. Jury members took part in capacity-building workshops to develop their knowledge of research and research processes. Six expert witnesses presented evidence to the citizens' jury and were questioned on aspects of inclusive research, representation, peer review and academic publishing processes. Facilitators supported citizens' jury members to reflect on the evidence presented and to develop recommendations for inclusive peer review.

Findings

The citizens' jury was an effective inclusive research approach in this case. Jurors made recommendations related to the question of inclusive peer review: inclusive reviews should be done by groups rather than individuals; the research under review must be in accessible formats and on relevant topics; reviewers need sufficient time to conduct reviews; and diverse groups of people with learning disabilities should be involved.

Conclusions

People with learning disabilities appreciate the importance of peer review but do not necessarily want to participate in it. This jury suggested creative approaches to disseminating, reviewing and engaging with research, including building more opportunities for dialogue between researchers and self-advocates. The adapted citizens' jury was a novel and effective method of supporting deliberation on this topic but other approaches to including the views and experiences of those with more severe learning disabilities should be explored.

背景包容性研究被广泛认为是知识创造和传播民主化过程的重要组成部分。然而,尽管同行评审是学术出版的一个重要部分,但之前还没有人使用审议方法探讨过将学习障碍人士纳入研究过程中这一要素的可能性。我们招募了 16 名有轻度至中度学习障碍的成年人参加经过调整的公民陪审团。陪审团成员参加了能力建设讲习班,以发展他们的研究知识和研究过程。六位专家证人向公民陪审团提供了证据,并就包容性研究、代表性、同行评审和学术出版流程等方面接受了质询。主持人帮助公民陪审团成员对所提供的证据进行反思,并就包容性同行评审提出建议。评委们提出了与包容性同行评审问题有关的建议:包容性评审应由团体而不是个人来进行;被评审的研究必须采用无障碍格式,并涉及相关主题;评审人员需要有足够的时间进行评审;有学习障碍的不同群体都应参与其中。评审团提出了传播、评审和参与研究的创新方法,包括为研究人员和自我倡导者之间的对话创造更多机会。经过调整的公民评审团是支持对这一主题进行审议的一种新颖而有效的方法,但还应探索其他方法,以纳入那些有更严重学习障碍的人的观点和经验。
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引用次数: 0
Hard to reach, or struggling to be heard? Real-life experience of coproduction with people with learning disabilities 难以接触,还是难以倾听?与学习障碍者共同制作的真实经验
IF 1.2 4区 医学 Q3 EDUCATION, SPECIAL Pub Date : 2024-05-03 DOI: 10.1111/bld.12600
David Dobel-Ober, Paul Moloney, Sarah Millichap

Background

Coproduction is a fast-developing approach to patient involvement. It entails health and social care services users working as equals in partnership with providers and other public institutions to produce novel research and information, usually aimed at the improvement of service planning and delivery.

Methods

This paper presents two real-life examples of attempted coproduction with a group of men with learning disabilities in England. The first case study concerns the piloting and assessment of a ‘user-friendly’ version of a local authority's ‘vision statement’. The second explores an attempt to secure funding to develop and evaluate a community intervention with and for people with learning disabilities.

Findings

Together, these portraits capture two important and intertwined problems that afflict the field of coproduction: namely, the drive to create fast results and the challenges of time and resource allocation that service users and professionals face whenever they attempt to coproduce work in a meaningful way.

Conclusions

The paper concludes with some suggestions for how policy and practice might seek to address these issues in the future.

背景合作生产是一种快速发展的患者参与方式。它要求医疗和社会护理服务的使用者以平等的身份与服务提供者和其他公共机构合作,共同开展新颖的研究和信息制作,通常旨在改善服务的规划和提供。方法本文介绍了两个与英格兰一群有学习障碍的男性尝试共同制作的真实案例。第一个案例研究涉及对地方当局 "愿景声明 "的 "用户友好 "版本进行试点和评估。结论本文最后就未来政策和实践如何解决这些问题提出了一些建议。
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引用次数: 0
期刊
British Journal of Learning Disabilities
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