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Cappadocia (Nevşehir-TURKEY )

Cappadocia (Nevşehir-TURKEY ) INVESTIGATION OF THE FACTORS THAT A FFECT THE COMMUNITY PARTICIPATION OF HANDICAPPED PEOPLE Gökçen AKYÜREK Pt . 1 , Gonca BUMİN PhD , Prof 2 1 Kastamonu Rehabilitation Center, Kastamonu , Turkey

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Cappadocia (Nevşehir-TURKEY )

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  1. Cappadocia (Nevşehir-TURKEY) INVESTIGATION OF THE FACTORS THAT AFFECT THE COMMUNITY PARTICIPATION OF HANDICAPPED PEOPLE Gökçen AKYÜREK Pt.1, Gonca BUMİN PhD,Prof2 1 Kastamonu Rehabilitation Center, Kastamonu, Turkey 2Hacettepe University, Faculty of Health Sciences, Department of OccupationalTherapy,Ankara, Turkey

  2. Participation • Becoming a part of life • Regulatinga person’s life • Organized behaviors in a specific social system • Havingeducation • Findingjob • Gettingmarried • Beinghappy in leisureactivities • [1] AmericanOccupationalTherapyAssociation. Occupationaltherapypracticeframework: Domain andProcess. AmericanJournalOccupationalTherapy 2002; 56(6): 609-639. • [2] Mosey AC. Appliedscientificinquiry in thehealthprofessions: A epistemologicalorientation. 2nd ed. Bethesda, MD: AOTA; 1996. • [3] Law M, Dunn W, Baum C. MeasuringParticipation. Law M, Baum C, Dunn W. (eds) Measuringoccupationalperformance: supportingbestpractice in occupationaltherapy. 2.ed. Thorofare NJ. SlackIncorporated; 2005. p 107-126.

  3. What is the reason of planning the study ? • In the previous studies, it was observed that the factors affecting social participation are addressed individually and there are no studies examining the impact of all factors on social participation. • No study analyzing the social participation of the disabled with various mobility levels has been encountered either.

  4. Purpose • To investigate the effects of functional, anxiety status, quality of life, occupational performance and satisfaction, leisure activities and environment on the community participation of disabled people who have different mobility levels.

  5. Subjects • To be only physically disabled at least 1 year • Age ranged between 18-55 years old • Cognitive and mental healthiness • Have verbal ability • Be volunteer.

  6. Demographics • Gender • Age • Education level • Business status • The marital status • Doing sports • Mobility level • Some living space (work-school, cafe, sport center, club etc..)

  7. MethodologyToevaluate • Social participation; WHO DAS II and CIQ, • Activity performance COPM, • Functional independence; FIM, • The effect of environmental factors MQE-SF, • Leisure activities LSS-SF, • The anxiety level STAI, • The quality of life SF-12 were used.

  8. Result I Factorsaffectingparticipation(multiple regression analysis) • Both WHO DAS II and CIQ scores were significantly affected by these three factors; • Functional independence level, • Vocational status • Mobility level (p<0,05). • Whenthefactorsaffectingparticipationwerebroughtundercontrol; • I<II=III (p<0.05).

  9. Result IIFindings on the effect of the mobility level on participation and other factors(analysis of variance). • When the intergroup difference for the FIM and SF-12 was considered, • I<II<III (p<0.05) • When the MQE and the COPM scores are considered, • I< II=III(p<0.05). • Otherscoreswere not affectedbythemobilitylevel (p>0,05).

  10. DISCUSSION«vocational status» • Affects socialparticipation significantly. • , for it has contributedto making them feel that they are a part of society, becoming productive and having ideals.

  11. «mobility level» • Affects social participation significantly. • High mobility levelmeans • higher employment rates, • more advanced educational levels, and • more involved in the community.

  12. «functional independence» • Has the greatest impact on social participation. • I < II < III • It affects the performance of activities. • In addition, it may cause the individual to drift away from social life, interpersonal interactions, and/or leisure activities, and may diminish their social participation

  13. Just for CIQ; «The educational status» • Witheducation • less trouble finding jobs • easilyadapting themselves to society, • respect to coping with obstacles, • holding on to life/enjoying life • struggling for their freedom. • Social participation seems to be enhancedwitheducation.

  14. Just for CIQ; «activity performance» • In COPM; • Grup I has mobilityand DLA difficulties; • Grup II.and III have.mobilitydifficulties. • Disabilitylevelrequiredenergy

  15. Just for CIQ; «leisure activities» • Positively affect social participationfor CIQ score. • I=II=III • Enhanceinterpersonal interaction and communication, • positively affect the individuals’ psychological conditions and quality of life. • They havefavorable effects on enjoying life and, thus, on health and wellness.

  16. Just for WHO DAS II; «anxiety» • A rise in general anxiety level adversely affected social participation. • I=II=III • Whether the individuals are at peace with themselves or desperate individuals, they still expressed their concerns for daily life and the future. • In addition others in society presented different attitudes of curiosity, and abused or embarrassed them, verbally or, sometimes, through behavior.

  17. Just for WHO DAS II; «quality of life» • Significantly affects social participation. • I <.II < III • Most of the participants of our study spent a certain part of their lives somewhere related their situation, and thus the amount of quality time they shared with their families was shortened. • Furthermore, they suffer from extraordinary challenges and this situation directly affects the quality of their lives.

  18. LİMİTATİONS • Most of the participants were active in their lives and were engaged in sports. • The limited number of the disabled individuals living in rural areas can be considered as a limitation to our study.

  19. STRENGTH • The strength of our study is reaching 270 disabled individuals in total, from every region of Turkey. • According to the results of the power analysis, what matters is obtaining 90% reliable results.

  20. CONCLUSİON…1 • Functional activity training and long-term follow-ups through detailed assessments to be performed by occupational therapists and physiotherapists, and client-centered interventions are important.

  21. CONCLUSİON…2 • The vocational trainings of the disabled can be guaranteed and made sustainable such as ensuring flexibility of working hours and times.

  22. CONCLUSİON…3 • Increasing the number of artistic, cultural and sportive athletic activities performed by the disabled or for the disabled within our society is necessary.

  23. CONCLUSİON…4 • Consequently, activity-related factors affecting the social participation of the disabled should be addressed by client-centered evaluations performed by occupational therapists in future studies. • They should be analyzed in a more detailed manner, and occupational therapy interventions should be planned in line with the results to be obtained from the aforementioned studies and analyses.

  24. TEŞEKKÜRLER…DHANAYABAD…

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