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Orientation and Mobility Competency Agreements From 1983 to 2019: A Comparative Analysis of Professional Standards 从1983年到2019年的取向和流动能力协议:专业标准的比较分析
IF 1.1 4区 医学 Q4 REHABILITATION Pub Date : 2023-07-01 DOI: 10.1177/0145482X231188698
William M. Penrod, Ximena D. Burgin, W. Wiener, Eileen Siffermann, B. Blasch
Introduction: In 1983, Mark Uslan, Everett (Butch) Hill and Alec Peck conducted research to identify the competencies essential to the practice of the orientation and mobility (O&M) profession. This study compares the levels of agreement to those standards by O&M professionals in 2019. Methods: In a 1983 study, Uslan et al. interviewed practitioners to determine the goal areas and competencies that underlie the profession. In 2019, an institutional review board approved this study to compare current practice competencies related to O&M with the competencies documented in the 1983 study. The survey methodology utilized the survey used by Uslan et al. to determine if current practitioners have similar levels of agreement with the competencies and if there have been shifts in the ranking of their importance. Results: Survey data are surprisingly similar between the 1983 and 2019 evaluation of competencies, with some changes in the relative importance of some categories. The results indicated the current relevance of the competencies for the O&M profession in the twenty-first century. Discussion: The evidence indicates that the professional standards reported in 1983 remain extant and viable in the twenty-first century. As the profession develops, it is important these standards be revisited periodically to ensure they reflect the core standards of the O&M profession. Implications for Practitioners: It is evident that professionals support all original competencies and those competencies remain viable. Universities should be certain that all competencies are being taught to meet the requirements for quality services.
简介:1983年,Mark Uslan、Everett(Butch)Hill和Alec Peck进行了一项研究,以确定定向和流动(O&M)职业实践所必需的能力。这项研究将2019年运维专业人员的协议水平与这些标准进行了比较。方法:在1983年的一项研究中,Uslan等人采访了从业者,以确定职业的目标领域和能力。2019年,一个机构审查委员会批准了这项研究,将当前与运维相关的实践能力与1983年研究中记录的能力进行比较。调查方法利用Uslan等人使用的调查来确定当前从业者是否对能力有类似的认同程度,以及他们的重要性排名是否发生了变化。结果:1983年和2019年的能力评估的调查数据惊人地相似,一些类别的相对重要性发生了一些变化。研究结果表明了21世纪运维专业能力的当前相关性。讨论:证据表明,1983年报告的专业标准在21世纪仍然存在和可行。随着行业的发展,定期重新审查这些标准以确保它们反映运维行业的核心标准是很重要的。对从业者的影响:很明显,专业人员支持所有原始能力,这些能力仍然可行。大学应该确信,所有的能力都是为了满足优质服务的要求而教授的。
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引用次数: 0
Kendall's W and Inter-rater Reliability Kendall's W和内部信度
IF 1.1 4区 医学 Q4 REHABILITATION Pub Date : 2023-07-01 DOI: 10.1177/0145482x231188882
R. W. Emerson
In this issue, the article entitled, “Improving Learning of Figurative Concepts in Individuals with Blindness: Adopting Teaching Strategies to Enhance Learning Motivation,” reports the results of a statistical test called Kendall’s W. The full name of the test is Kendall’s Coefficient of Concordance, and it is a statistical test that is designed to measure the level of agreement among raters, or a measure of interrater reliability. It ranges from 0 to 1, with 1 being full agreement among raters and 0 being absolutely no agreement among raters. The easiest way to measure how much agreement exists among raters is by looking at the percent agreement, which also ranges between 0 and 1. A more rigorous and more common statistic is Cohen’s Kappa, which calculates the percentage of items the raters agree on but also accounts for the fact that raters might happen to agree by chance on some items. Cohen’s Kappa (k) also ranges from 0 to 1. As with most statistical tests, Kendall’s W comes along with a p value or level of significance. This means that the W statistic can be evaluated both from the point of view of statistical significance as well as the actual size of the effect. This item is similar to one known as a Pearson correlation coefficient, which is a measure of how closely two variables are related. This statistical test also results in an output measure (r) that ranges from 0 to 1 and a significance level. However, Kendall’s W is not a true correlation coefficient and the raw W measure cannot be viewed in exactly the same way that we view the r connection between two variables. However, there is a linear transformation between the two. The equation is
本期,题为《提高盲人形象概念的学习:采用教学策略提高学习动机》的文章报道了一项名为肯德尔W的统计测试的结果。该测试的全名是肯德尔一致系数,这是一种统计测试,旨在衡量评分者之间的一致性水平,或衡量评分者间的可靠性。它的范围从0到1,1表示评分者完全同意,0表示评分者绝对不同意。衡量评分者之间达成一致程度的最简单方法是查看百分比一致性,该百分比也在0到1之间。一个更严格、更常见的统计数据是Cohen的Kappa,它计算了评分者同意的项目的百分比,但也解释了评分者可能碰巧在某些项目上同意的事实。Cohen的Kappa(k)也在0到1的范围内。与大多数统计测试一样,Kendall的W伴随着p值或显著性水平。这意味着W统计量既可以从统计学意义的角度进行评估,也可以从效应的实际大小进行评估。这一项类似于皮尔逊相关系数,后者是衡量两个变量之间关系密切程度的指标。该统计测试还产生范围从0到1的输出度量(r)和显著性水平。然而,Kendall的W不是一个真正的相关系数,并且原始W测度不能以与我们看待两个变量之间的r联系完全相同的方式来看待。然而,两者之间存在线性变换。方程式为
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引用次数: 0
Mental Health and Depressive Mood in People With Visual Impairments 视觉障碍患者的心理健康与抑郁情绪
IF 1.1 4区 医学 Q4 REHABILITATION Pub Date : 2023-07-01 DOI: 10.1177/0145482X231193970
Agnus M. Kim, Jae-Hyun Park
Introduction: Understanding depression in view of the characteristics of disability would be important for establishing strategies for mental health among people with visual impairment. This study was conducted to assess the mental health of people with visual impairments and examine the factors associated with depressive mood. Methods: The data were obtained from the 2016 Panel Survey of Employment for the Disabled in Korea. The group difference in explanatory variables according to depressive mood was examined by the chi-square. To assess the effect of demographic and socioeconomic characteristics, health-related behavior, stresses, discrimination, and social relationships on depressive mood, a binary logistic regression analysis was performed. Results: The prevalence of depressive mood was higher in people with visual impairments compared to the general population. The demographic characteristics of people with visual impairments differed from the general population in terms of economic conditions and marital status. Not only stress in daily life but also stress due to disability was found to contribute to a depressive mood. Satisfaction with relationships with friends and family was associated with a lower likelihood of depressive mood. Discussion: This study demonstrates that people with visual impairments are likely to be more susceptible to depression than the general population. The association of depressive mood with not only stress in daily life but also stress due to their visual impairment suggests that disability, aside from the inconvenience due to it, can have a negative effect on mental health. The association of friends and family relationship suggests the importance of their supportive role. Implications for Practitioners: The specific characteristics of people with visual impairments in relation to mental health need to be considered and reflected in designing mental health support for the population.
引言:从残疾特征的角度理解抑郁症对于制定视力障碍患者的心理健康策略至关重要。这项研究旨在评估视觉障碍患者的心理健康状况,并检查与抑郁情绪相关的因素。方法:数据来自2016年韩国残疾人就业小组调查。根据抑郁情绪的解释变量的组间差异通过卡方检验。为了评估人口统计学和社会经济特征、健康相关行为、压力、歧视和社会关系对抑郁情绪的影响,进行了二元逻辑回归分析。结果:与普通人群相比,视觉障碍患者的抑郁情绪患病率更高。视力障碍者的人口特征在经济条件和婚姻状况方面与普通人群不同。研究发现,不仅日常生活中的压力,而且残疾造成的压力都会导致抑郁情绪。对与朋友和家人的关系感到满意与抑郁情绪的可能性较低有关。讨论:这项研究表明,视觉障碍患者可能比普通人群更容易患抑郁症。抑郁情绪不仅与日常生活中的压力有关,还与视力障碍引起的压力有关。这表明,残疾除了带来不便外,还会对心理健康产生负面影响。朋友和家庭关系的结合表明了他们的支持作用的重要性。对从业者的影响:在为人群设计心理健康支持时,需要考虑并反映视觉障碍患者与心理健康相关的具体特征。
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引用次数: 0
Improving Learning of Figurative Concepts in Individuals With Blindness: Adopting Teaching Strategies to Enhance Learning Motivation 提高盲人形象概念的学习:采用教学策略提高学习动机
IF 1.1 4区 医学 Q4 REHABILITATION Pub Date : 2023-07-01 DOI: 10.1177/0145482X231193021
Hsiang-Ping Wu
Introduction: This study examines teaching strategies that help enhance learning motivation in individuals with blindness to facilitate improved learning of figurative concepts: attention, relevance, confidence, and satisfaction (ARCS). We began by teaching the origin of life and the reproductive system in the first unit of the relatively lacking gender-equality education. We established various teaching strategies through expert interviews. A teaching experiment was carried out to validate the strategy. Methods: Participants comprised eight individuals with blindness. They were first asked to draw various parts of the female reproductive system. Teaching activities based on the teaching strategy were then conducted. Upon completion of the activity, the participants were asked to redraw the diagram and the Instructional Materials Motivation Survey was administered to check the ARCS score. Results: The scores for each of the ARCS elements were attention = 3.99 (SD = 0.31), relevance = 3.99 (SD = 0.36), confidence = 3.61 (SD = 0.37) and satisfaction = 4.15 (SD = 0.46). The Kendall's W values obtained were attention = 0.21(p = .01), relevance = 0.31(p = .004), confidence = 0.25(p = .03), and satisfaction =0.67(p < .001). In the posttest, the average completion rate for each part of the drawing was 83.9% (standard deviation [SD] = 19.4) and the pretest was 35.7% (SD = 21.6). The test results were p < .001, t = −10.425, and the degrees of freedom = 7, thus, the learning effect is significant. Discussion: A, R, and S grades around 4 (agree) and C 3.61 (nearly agree) improved motivation. Additionally, a significant improvement was observed in the participants’ drawing-task performance as they could correctly express the relative position of each part. Implications for Practitioners: We conclude that the method tested in this study is feasible for teachers who wish to design teaching materials and lesson plans for figurative-concept learning and cognition. This teaching strategy could be referred to as a means of enhancing their students’ learning motivation and learning efficiency.
引言:本研究考察了有助于提高盲人学习动机的教学策略,以促进对形象概念的学习:注意力、相关性、信心和满意度(ARCS)。我们首先在相对缺乏的性别平等教育的第一单元教授生命起源和生殖系统。我们通过专家访谈制定了各种教学策略。通过教学实验验证了该策略的有效性。方法:参与者包括8名盲人。他们首先被要求绘制女性生殖系统的各个部分。然后根据教学策略进行教学活动。活动结束后,参与者被要求重新绘制图表,并进行教学材料动机调查以检查ARCS分数。结果:每个ARCS元素的得分都受到关注 = 3.99(标准差 = 0.31),相关性 = 3.99(标准差 = 0.36),置信度 = 3.61(标准差 = 0.37)和满意度 = 4.15(标准差 = 0.46)。获得的Kendall的W值值得注意 = 0.21(p = .01),相关性 = 0.31(p = .004),信心 = 0.25(p = .03),满意度=0.67(p < .001)。在后测中,图纸各部分的平均完成率为83.9%(标准差[SD] = 19.4),预测为35.7%(SD = 21.6)。试验结果为p < .001,t = −10.425,以及自由度 = 7,因此,学习效果显著。讨论:A、R和S成绩在4分左右(一致),C 3.61分左右(几乎一致)提高了动机。此外,参与者的绘图任务表现也有显著改善,因为他们能够正确地表达每个部分的相对位置。对实践者的启示:我们得出的结论是,本研究中测试的方法对于那些希望为形象概念学习和认知设计教材和课程计划的教师来说是可行的。这种教学策略可以说是提高学生学习动机和学习效率的一种手段。
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引用次数: 0
The Perspectives of Vision Rehabilitation Therapists on the State of the Profession: A Time for Action? 视觉康复治疗师对职业状态的看法:行动的时刻?
IF 1.1 4区 医学 Q4 REHABILITATION Pub Date : 2023-07-01 DOI: 10.1177/0145482X231194634
Elyse M. Connors, Polly M. Abbott, Daniel E. Norris, Jennifer J. Ottowitz, Brigitte N. Morren
Introduction: The vision rehabilitation therapy (VRT) field is small in number and growing more slowly than needed to meet the expanding need for services for persons with vision loss. There has been little examination of how vision rehabilitation therapists (VRTs) understand the strengths, weaknesses, opportunities, and threats to the profession. Methods: Statements of potential strengths, weaknesses, opportunities, and threats were developed through a Delphi process. The final survey consisted of 11 demographic questions and asked participants to rate their level of agreement with 29 statements concerning the field. Participants were also asked to indicate which statements they believed were most important or impactful. Results: Overall, there was strong consensus among participants, with 19 of the 29 statements receiving 75% or greater agreement (strong agreement), with the highest consensus (87.2%) across the opportunity category. Discussion: Respondents perceive that the discipline's greatest strengths are that VRTs are the most highly trained professionals to provide education and rehabilitation for people with visual impairments across the lifespan, and they are a bridge between the medical, education, and rehabilitation systems. The lack of awareness of the job title and the roles of VRTs in the community, medical field, and in the field of vision was identified as the most impactful weakness of the field of VRT. Other related professionals being asked by employers to provide VRT services beyond their training, was identified as the most important threat. Implications for Practitioners: VRTs who responded to the survey indicate a fairly unified perspective on the state of the VRT discipline. Understanding the identified strengths, weaknesses, opportunities, and threats to the field of VRT may serve as a foundation for unifying the voice of VRTs, to help coordinate a more uniform and strategic direction for growth. There are opportunities for all VRTs to contribute to the advancement and health of the VRT discipline, with the ultimate goal of providing high-quality services for persons with vision loss.
引言:视力康复治疗(VRT)领域数量较少,增长速度慢于满足视力丧失者日益增长的服务需求。很少有人研究视力康复治疗师(VRT)如何理解该行业的优势、劣势、机会和威胁。方法:通过德尔菲法对潜在优势、劣势、机会和威胁进行陈述。最后的调查包括11个人口统计问题,并要求参与者对他们对29项有关该领域的陈述的一致程度进行评分。参与者还被要求指出他们认为哪些陈述最重要或最具影响力。结果:总体而言,参与者之间达成了强烈的共识,29份声明中有19份获得了75%或更高的一致性(强烈一致性),在机会类别中达成的共识最高(87.2%)。讨论:受访者认为,该学科最大的优势在于,VRT是训练有素的专业人员,为视力障碍患者提供终身教育和康复服务,是医疗、教育和康复系统之间的桥梁。对VRT在社区、医疗领域和视野中的职位和作用缺乏认识被认为是VRT领域最具影响力的弱点。雇主要求其他相关专业人员在培训之外提供VRT服务,这被认为是最重要的威胁。对从业者的影响:对调查做出回应的VRT表明,他们对VRT学科的状况有着相当统一的看法。了解虚拟现实技术领域的优势、劣势、机遇和威胁,可以作为统一虚拟现实技术声音的基础,帮助协调更统一的战略发展方向。所有VRT都有机会为VRT学科的发展和健康做出贡献,最终目标是为视力丧失者提供高质量的服务。
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引用次数: 0
Thinking About Social Skills 关于社交技能的思考
4区 医学 Q4 REHABILITATION Pub Date : 2023-07-01 DOI: 10.1177/0145482x231204618
Sandra Lewis
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引用次数: 0
Response to Letter 对信件的回应
4区 医学 Q4 REHABILITATION Pub Date : 2023-07-01 DOI: 10.1177/0145482x231201981
Valérie Caron
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引用次数: 0
Positive Influences on the Viability of the Journal and the Field of Visual Impairment 对期刊生存能力和视障领域的积极影响
IF 1.1 4区 医学 Q4 REHABILITATION Pub Date : 2023-05-01 DOI: 10.1177/0145482x231188886
S. Lewis
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引用次数: 0
Inadequate Funding Impacts State DeafBlind Projects in the United States 资金不足影响了美国各州的聋哑盲人项目
IF 1.1 4区 医学 Q4 REHABILITATION Pub Date : 2023-05-01 DOI: 10.1177/0145482x231188887
Tyler G. James
DeafBlindness is defined in the United States by the Individuals with Disabilities in Education Act (IDEA) Part B as “concomitant hearing and visual impairments, the combination of which causes such severe communication and other developmental and educational needs that they cannot be accommodated in special education programs solely for children with deafness or children with blindness” (see 34 CFR §300.8; 2004). (In this Comment, I use the unhyphenated “DeafBlind” following suit of DeafBlind-led organizations. I also use personand identity-first language to give respect to people who prefer either approach.) Approximately 1% of children who are DeafBlind have profound hearing loss and total blindness (National Center on Deaf-Blindness, 2022). Generalist special education professionals are not positioned to address the unique needs of children who are DeafBlind (Alsop et al., 2000, p. 12; Okungu et al., 2020), one of the lowest incidence populations of children with developmental disabilities with substantial diversity in etiology (National Center on Deaf-Blindness, 2022). Due to the shortage of professionals and the diversity in presentation of DeafBlindness, many states do not have the capacity to provide DeafBlind-focused educational professionals to students (Howley & Howley, 2021; Howley et al., 2017). Recognizing the effect of DeafBlindness on childhood development and primary and secondary education, the United States allocates funds for State DeafBlind Projects (“projects”) and the National Center on Deaf-Blindness, which is collectively known as the “DeafBlind TA Network.” The DeafBlind TA Network provides technical assistance and dissemination services, funded by the U.S. Department of Education’s Office of Special Education Programs, to meet the needs of families and educational providers with children and young adults (birth to age 21 years) who are DeafBlind. DeafBlind program funds are established by Section 682 of IDEA [20 USC §1482(d)(1)(A); 2004] requiring a minimum $12,832,000 to address “the educational, related services, transitional, and early intervention needs of children with [DeafBlindness].” This minimum was established in 1997. During grant cycles between 1997 and 2022, the total allocation to the DeafBlind TA Network did not change. In 2023, however, Congress approved an increase of $1,000,000 leading to an average 10% increase in statespecific project budgets for the first time in 25 years (U.S. Department of Education, 2023). Although the funding allocated to projects has only recently increased, the salaries of project staff members and the cost of goods have increased annually. For example, in 2014–2015, the majority of projects were based in university settings where cost of living adjustments occur.
在美国,《残疾人教育法》(IDEA) B部分将聋盲定义为“伴随的听力和视觉障碍,其组合导致严重的沟通和其他发展和教育需求,无法在专门为聋童或盲童提供的特殊教育计划中进行”(见34 CFR§300.8;2004)。(在这篇评论中,我使用了不连字符的“聋哑人”,以遵循聋哑人领导的组织。我也会使用个人和身份优先的语言来尊重那些喜欢这两种方式的人。)大约1%的聋盲儿童有严重的听力损失和完全失明(国家聋盲中心,2022年)。通才型特殊教育专业人员无法满足聋哑儿童的独特需求(Alsop et al., 2000, p. 12;Okungu等人,2020年),是病因多样化的发育性残疾儿童发病率最低的人群之一(National Center on Deaf-Blindness, 2022年)。由于专业人员的短缺和耳聋的多样性,许多州没有能力为学生提供以耳聋为重点的教育专业人员(Howley & Howley, 2021;Howley等人,2017)。认识到聋盲对儿童发展和中小学教育的影响,美国为国家聋盲项目(“项目”)和国家聋盲中心分配资金,这些项目被统称为“聋盲助教网络”。聋盲助教网络由美国教育部特殊教育项目办公室资助,提供技术援助和传播服务,以满足有聋盲儿童和年轻人(出生至21岁)的家庭和教育机构的需求。聋盲项目基金是根据IDEA第682条[20 USC§1482(d)(1)(A)]设立的;(2004年)要求至少12,832,000美元用于解决“[聋盲]儿童的教育、相关服务、过渡和早期干预需求”。这个最低标准是在1997年制定的。在1997年至2022年的拨款周期中,聋哑盲人助教网络的总拨款没有改变。然而,在2023年,国会批准增加100万美元,导致25年来首次在特定项目预算中平均增加10%(美国教育部,2023年)。虽然拨给项目的资金最近才增加,但项目工作人员的薪金和货物费用每年都在增加。例如,在2014-2015年,大多数项目都是在大学环境中进行的,生活成本会发生调整。
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引用次数: 0
An Examination of Interstate Differences in Eligibility Criteria for Deafblindness 国家间聋人资格标准差异的检验
IF 1.1 4区 医学 Q4 REHABILITATION Pub Date : 2023-05-01 DOI: 10.1177/0145482X231178832
Hilary E. Travers, Rachel Anne Schles
Introduction: This study examined the interstate variability in eligibility criteria for the disability category of deafblindness. Methods: We systematically reviewed and coded information related to the location of state data, the use of federal language in state definitions, additional eligibility criteria (i.e., disability eligibility requirements, evaluative components), and required eligibility team members (i.e., specific school staff mentioned by profession to be present for eligibility determinations) for every U.S. state and territory, including Washington, DC. Results: We located deafblind eligibility data for 54 of 56 states. Thirty-one states provided an operationalized definition of deafblindness that included additional eligibility criteria. Seventeen states required students to first be found eligible as having visual and hearing impairments before they could be considered deafblind. Very few states required any eligibility team members with knowledge of sensory impairments or communication disorders to determine deafblind eligibility. Discussion: The findings of this work suggest there is large interstate variability in eligibility criteria for deafblindness. A universal operational definition of deafblindness with defined eligibility criteria may be necessary to ensure consistency in identification and access to appropriate personnel and services across states. Implications for Practitioners: Understanding the eligibility requirements in each state is critical to helping appropriately identify qualifying students with deafblindness. Practitioners should advocate for the identification of deafblind students by keeping any sensory-related information at the forefront of all eligibility discussions.
引言:这项研究考察了聋哑残疾类别资格标准的州际差异。方法:我们系统地审查和编码了与州数据的位置、州定义中联邦语言的使用、其他资格标准(即残疾资格要求、评估组成部分)、,以及包括华盛顿特区在内的每个美国州和地区所需的资格团队成员(即专业提及的特定学校工作人员)。结果:我们找到了56个州中54个州的聋哑人资格数据。31个州提供了一个可操作的盲症定义,其中包括额外的资格标准。17个州要求学生首先被认定有视力和听力障碍,然后才能被视为聋哑人。很少有州要求任何了解感官障碍或沟通障碍的资格小组成员来确定聋哑人的资格。讨论:这项工作的结果表明,聋哑人的资格标准存在很大的州际差异。为了确保各州在识别和获得适当人员和服务方面的一致性,可能需要一个具有明确资格标准的盲症通用操作定义。对从业者的启示:了解每个州的资格要求对于帮助适当识别符合资格的聋哑学生至关重要。从业者应通过将任何与感官相关的信息放在所有资格讨论的首位,来倡导对聋哑学生的识别。
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引用次数: 0
期刊
Journal of Visual Impairment & Blindness
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