Abstract

Session presented on: Thursday, July 25, 2013:

Purpose: Multiple national initiatives have established a focus on improving health, promoting healthy aging and preventing further disability from chronic disease among adults with intellectual and developmental disabilities (I/DD). Despite the recognized importance of health promotion, increased health disparities exist among this population. The literature reveals a lower fitness level, poor nutrition, and a general sedentary lifestyle have increased risk for chronic conditions such as heart disease, diabetes, dental disease, and vision problems. Notably lacking in the literature is inquiry of what these individuals perceive as facilitators and barriers to health. This study listened to the voice of participants with I/DD in an effort to identify their reality of health, inform practice and society at large of this priority, and shape health policy.

Methods: This qualitative study explored facilitators and barriers to health and wellness among participants using Photovoice and photo elicitation methodologies. Photovoice has been used to gather data when conducting research with vulnerable or marginalized populations who often times are not able to find voice or are represented by proxy voice. In addition, perceptions of support staff, key community members who are charged with facilitating health and wellness for the individual they support, were gathered through a focus group meeting.

Results: In total six facilitator themes and three barrier themes were revealed around health and wellness for the participants. Of great significance was the ability of the participants to be articulate and savvy in using cameras to capture daily realities and provide descriptions and context around their photos.

Conclusion: While facilitators and barriers were similar to those of the general populations, a crucial observation was that participants were able to generate the study data, thus changing how we come to know about health and wellness and challenging assumptions about the ability of participants to inform practice and policy.

Author Details

Patricia Cannistraci, DNS, RN, CNE

Sigma Membership

Delta Pi

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

Qualitative Research

Keywords:

Health Disparities, Photovoice, Intellectual/developmental Disability

Conference Name

24th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Prague, Czech Republic

Conference Year

2013

Rights Holder

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All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Acquisition

Proxy-submission

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Using photovoice with a vulnerable population to inform policy change

Prague, Czech Republic

Session presented on: Thursday, July 25, 2013:

Purpose: Multiple national initiatives have established a focus on improving health, promoting healthy aging and preventing further disability from chronic disease among adults with intellectual and developmental disabilities (I/DD). Despite the recognized importance of health promotion, increased health disparities exist among this population. The literature reveals a lower fitness level, poor nutrition, and a general sedentary lifestyle have increased risk for chronic conditions such as heart disease, diabetes, dental disease, and vision problems. Notably lacking in the literature is inquiry of what these individuals perceive as facilitators and barriers to health. This study listened to the voice of participants with I/DD in an effort to identify their reality of health, inform practice and society at large of this priority, and shape health policy.

Methods: This qualitative study explored facilitators and barriers to health and wellness among participants using Photovoice and photo elicitation methodologies. Photovoice has been used to gather data when conducting research with vulnerable or marginalized populations who often times are not able to find voice or are represented by proxy voice. In addition, perceptions of support staff, key community members who are charged with facilitating health and wellness for the individual they support, were gathered through a focus group meeting.

Results: In total six facilitator themes and three barrier themes were revealed around health and wellness for the participants. Of great significance was the ability of the participants to be articulate and savvy in using cameras to capture daily realities and provide descriptions and context around their photos.

Conclusion: While facilitators and barriers were similar to those of the general populations, a crucial observation was that participants were able to generate the study data, thus changing how we come to know about health and wellness and challenging assumptions about the ability of participants to inform practice and policy.