Cappadocia
(Nevşehir-TURKEY)
INVESTIGATION OF THE FACTORS THAT
AFFECT THE COMMUNITY PARTICIPATION
OF HANDICAPPED PEOPLE
Gökçen AKYÜREK Pt. 1, Gonca BUMİN PhD ,Prof 2
1
Kastamonu Rehabilitation Center, Kastamonu, Turkey
2Hacettepe
University, Faculty of Health Sciences, Department of Occupational Therapy,
Ankara, Turkey
Participation
Becoming a part of life
 Regulating a person’s life
 Organized behaviors in a specific social system

◦
◦
◦
◦
Having education
Finding job
Getting married
Being happy in leisure activities

[1] American Occupational Therapy Association. Occupational therapy practice framework: Domain and Process.
American Journal Occupational Therapy 2002; 56(6): 609-639.

[2] Mosey AC. Applied scientific inquiry in the health professions: A epistemological orientation. 2nd ed. Bethesda, MD:
AOTA; 1996.

[3] Law M, Dunn W, Baum C. Measuring Participation. Law M, Baum C, Dunn W. (eds) Measuring occupational
performance: supporting best practice in occupational therapy. 2.ed. Thorofare NJ. Slack Incorporated; 2005. p 107-126.
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.
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.
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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.
5
Demographics
1.
2.
3.
4.
5.
6.
7.
8.
Gender
Age
Education level
Business status
The marital status
Doing sports
Mobility level
Some living space (work-school, cafe, sport
center, club etc..)
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Methodology
To evaluate







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.
Result I
Factors affecting participation
(multiple regression analysis)

Both WHO DAS II and  When the factors
CIQ
scores
were
affecting participation
significantly affected
were brought under
by these three factors;
control;
◦ Functional
◦
I<II=III
(p<0.05).
independence level,
◦ Vocational status
◦ Mobility
level
(p<0,05).
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Result II
Findings 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).
• Other scores were not affected by the mobility
level (p>0,05).
DISCUSSION
«vocational status»

Affects
social
significantly.
participation

, for it has contributed to making
them feel that they are a part of
society, becoming productive and
having ideals.
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«mobility level»

Affects social participation
significantly.

High mobility level means
◦ higher employment rates,
◦ more advanced educational levels, and
◦ more involved in the community.
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«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
12
Just for CIQ; «The educational status»
With education
 less trouble finding jobs
 easily adapting themselves to
society,
 respect to coping with
obstacles,
 holding on to life/enjoying life
 struggling for their freedom.
 Social participation seems to be
enhanced with education.

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Just for CIQ; «activity performance»

In COPM;
◦ Grup I has mobility and DLA
difficulties;
◦ Grup II.and III have.mobility
difficulties.

Disabilitylevel
requiredenergy
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Just for CIQ; «leisure activities»
Positively
affect
social
participation for CIQ score.
 I=II=III

Enhance interpersonal interaction
and communication,
 positively affect the individuals’
psychological conditions and
quality of life.
 They have favorable effects on
enjoying life and, thus, on health
and wellness.

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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.
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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.
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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.
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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.
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CONCLUSİON…1

Functional activity training and long-term followups through detailed assessments to be performed by
occupational therapists and physiotherapists, and
client-centered interventions are important.
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CONCLUSİON…2

The vocational trainings of the disabled can be
guaranteed and made sustainable such as ensuring
flexibility of working hours and times.
21
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.
22
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.
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
TEŞEKKÜRLER…DHANAYABAD…
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