Adapting a health behavioral change and psychosocial toolkit to the context of physical disabilities: Lessons learned from disabled women with young children.
Disabil Health J
; 14(1): 100977, 2021 01.
Article
en En
| MEDLINE
| ID: mdl-32778452
ABSTRACT
BACKGROUND:
Mothers with physical disabilities (MPDs) face the behavioral and psychosocial changes of the motherhood transition with fewer resources, additional barriers, and higher risks than nondisabled mothers. In this study we sought guidance from MPDs on adaptations needed to a health promotion toolkit for behavioral and psychosocial health that was originally developed for nondisabled, primarily low-income, women.OBJECTIVE:
To identify general themes for adaptations that would increase the suitability of the toolkit for MPDs.METHODS:
11 MPDs were interviewed by videoconferencing in a mixed-methods study about their perspectives on improving relevance of the existing toolkit for this population. The toolkit contained three components assessment scale, feedback template on assessment results, and a decision aid related to behavior change. Interviews were analyzed using qualitative content analysis.RESULTS:
Nine themes for improving suitability of the toolkit for MPDs were identified. Themes covered Using non-judgment language; including strengths, not just risks; using exercise items applicable to persons with physical disabilities; being aware that functional ability was the key body image concern; considering motivational stages of behavioral change; providing choice in goal-setting for change; including suggestions for social support; identifying resources for health and adaptive parenting; and making health promotion resources available in alternative platforms (paper, electronic).CONCLUSIONS:
The MPDs' feedback revealed ways that our toolkit for behavioral and psychosocial health could be improved to be inclusive of MPDs. The participatory methods utilized here are also recommended in designing new or revising existing materials aimed at enhancing health promotion for people with disabilities.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Personas con Discapacidad
Tipo de estudio:
Qualitative_research
Idioma:
En
Revista:
Disabil Health J
Asunto de la revista:
REABILITACAO
/
SAUDE PUBLICA
/
SERVICOS DE SAUDE
Año:
2021
Tipo del documento:
Article