• The QE Health Scale (QEHS): assessment of the clinical reliability and validity of a spiritually based holistic health measure

    Type Journal Article
    Author K Faull
    Author M D Hills
    Abstract PURPOSE: To assess the clinical reliability and validity of a holistic health measure, the QE Health Scale (QEHS), for use with people with physical disabilities. METHOD: A test-retest design saw the QEHS administered and compared with established measures of health at admission and discharge from three-week inpatient rehabilitation programmes. Data was analysed by factor and correlation analysis. Clinician-reported credibility and usefulness of the theoretical basis of the QEHS, the QEHS itself, and Patient Profiles derived from the QEHS were also used to evaluate clinical validity. RESULTS: The QEHS was judged to possess satisfactory reliability and validity. CONCLUSION: The QEHS is a clinically reliable, valid, credible and useful holistic health instrument to facilitate client-centred therapeutic interventions, inform decision-making and evaluate outcomes for people with physical disabilities.
    Publication Disability and Rehabilitation
    Volume 29
    Issue 9
    Pages 701-716
    Date May 15, 2007
    Journal Abbr Disabil Rehabil
    DOI 10.1080/09638280600926611
    ISSN 0963-8288
    Short Title The QE Health Scale (QEHS)
    URL http://www.ncbi.nlm.nih.gov/pubmed/17453992
    Accessed Fri Nov 13 17:38:28 2009
    Library Catalog NCBI PubMed
    Extra PMID: 17453992
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Disability Evaluation
    • Disabled Persons
    • Female
    • Holistic Health
    • Humans
    • Male
    • Middle Aged
    • Patient Admission
    • Patient Discharge
    • Prospective Studies
    • Reproducibility of Results
    • spirituality

    Notes:

    • Purpose: To assess the clinical reliability and validity of a holistic health measure, the QE Health Scale (QEHS), for use with people with physical disabilities. Results: The QEHS was judged to possess satisfactory reliability and validity.

  • The role of the spiritual dimension of the self as the prime determinant of health

    Type Journal Article
    Author K Faull
    Author M D Hills
    Abstract PURPOSE: To present a clinical commentary on the relationship of spirituality to healthcare for those with chronic physical conditions. METHOD: A spiritually based theory of self-identity was presented, based on selected literature to identify the process of health attainment for those with chronic conditions. The resultant Health Change Process Theory was then discussed in relation to relevant empirical research and the implications for rehabilitation practice were outlined. RESULTS: The development of a resilient, intrinsic, spiritually based concept of self was found to be pivotal to health outcomes in rehabilitation. This was then incorporated within a Health Change Process Theory to explain and predict the course followed by people with chronic disorders to achieve health. CONCLUSION: The Health Change Process Theory provides an inclusive framework within which acute and chronic rehabilitation healthcare can be merged to maximise health outcomes. Nevertheless, a need remains to develop a quantitative measure of individual holistic health, based on this theory, to facilitate its use in rehabilitation practice. This paper forwards an explanation for the process that people experiencing chronic physical disabilities undergo as they achieve health. A concept of self that identifies the spiritual core as the component that determines the constancy and continuity of self as a whole which is necessary for health is presented as the basis of the rehabilitative health process.
    Publication Disability and Rehabilitation
    Volume 28
    Issue 11
    Pages 729-740
    Date Jun 15, 2006
    Journal Abbr Disabil Rehabil
    DOI 10.1080/09638280500265946
    ISSN 0963-8288
    URL http://www.ncbi.nlm.nih.gov/pubmed/16809216
    Accessed Fri Nov 13 16:38:48 2009
    Library Catalog NCBI PubMed
    Extra PMID: 16809216
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Adaptation, Psychological
    • Chronic Disease
    • Health
    • Humans
    • Self Concept
    • spirituality

    Notes:

    • Purpose: To present a clinical commentary on the relationship of spirituality to healthcare for those with chronic physical conditions. Results: The development of a resilient, intrinsic, spiritually based concept of self was found to be pivotal to health outcomes in rehabilitation.

  • Investigation of health perspectives of those with physical disabilities: the role of spirituality as a determinant of health

    Type Journal Article
    Author K Faull
    Author M D Hills
    Author G Cochrane
    Author J Gray
    Author M Hunt
    Author C McKenzie
    Author L Winter
    Abstract PURPOSE: To identify key determinants of health and the process of health attainment for people with musculoskeletal disabilities. METHOD: Focus groups of people with musculoskeletal disorders, including 30 members and their five trained facilitators, provided data. Discussed were 'What is health for you?' and 'What has helped, or would help you achieve this health?' Delphi-structured analysis identified health themes and a health process model was developed with the facilitators comprising the expert panel. RESULTS: Health was perceived as centred on relationships that required a spiritual awareness for a strong and resilient identity. The Self Attributes Model developed portrays the processes perceived to be required for health. CONCLUSIONS: Although physical, social and psychological interventions are essential aspects of health intervention, by themselves they are not sufficient. Also required for health is a strong resilient self resulting from interaction and connection with other people and the natural world. Moreover, development of such an identity requires a spiritual world-view comprising an acknowledgement of the essence of self and focus upon the nature of the connection of this essence with all other aspects of life. Further research is required to advance understanding of the process by which this occurs for people with chronic disorders.
    Publication Disability and Rehabilitation
    Volume 26
    Issue 3
    Pages 129-144
    Date Feb 4, 2004
    Journal Abbr Disabil Rehabil
    DOI 10.1080/09595230020029365
    ISSN 0963-8288
    Short Title Investigation of health perspectives of those with physical disabilities
    URL http://www.ncbi.nlm.nih.gov/pubmed/14754624
    Accessed Fri Nov 13 12:44:21 2009
    Library Catalog NCBI PubMed
    Extra PMID: 14754624
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Adult
    • Aged
    • Aged, 80 and over
    • Attitude to Health
    • Delphi Technique
    • Disabled Persons
    • Female
    • Focus Groups
    • Friends
    • Health Behavior
    • Health Status
    • Humans
    • Male
    • Middle Aged
    • spirituality
    • Wit and Humor as Topic

    Notes:

    • Purpose: To identify key determinants of health and the process of health attainment for people with musculoskeletal disabilities. Results: Health was perceived as centred on relationships that required a spiritual awareness for a strong and resilient identity.

  • Religion among disabled and nondisabled persons II: attendance at religious services as a predictor of the course of disability.

    Type Journal Article
    Author E.L. Idler
    Author S.V. Kasl
    Abstract Does religious involvement influence changes in physical health? We perform a longitudinal analysis of the effect of religious participation on functioning over a 12-year follow-up period, in a large, prospective, representative sample of elderly persons from New Haven, Connecticut, a religiously diverse community. To examine the possibility that disability or changes in disability may be affecting religious involvement, we perform a second longitudinal analysis of changes in religious practices. Finally, we ask whether psychosocial correlates explain the effect of religious involvement on disability. Findings are (a) that attendance at services is a strong predictor of better functioning, even when intermediate changes in functioning are included, (b) that health practices, social ties, and indicators of well-being reduce, but do not eliminate these effects, and (c) that disability has minimal effects on subsequent attendance. The findings illustrate the short- and long-term importance of religious participation to the health and well-being of elderly people, and suggest a particular significance for religious participation in the lives of disabled elders.
    Publication The Journals of Gerontology
    Volume 52
    Issue 6
    Pages S306-316
    Date Nov. 1997
    Series B
    Series Title Psychological Sciences and Social Sciences
    Journal Abbr J Gerontol B Psychol Sci Soc Sci
    URL http://www.ncbi.nlm.nih.gov/pubmed/9403524
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • Findings are (a) that attendance at services is a strong predictor of better functioning, even when intermediate changes in functioning are included, (b) that health practices, social ties, and indicators of well-being reduce, but do not eliminate these effects, and (c) that disability has minimal effects on subsequent attendance.

  • Religion among disabled and nondisabled persons I: cross-sectional patterns in health practices, social activities, and well-being

    Type Journal Article
    Author EL Idler
    Author SV Kasl
    Publication J Gerontol B Psychol Sci Soc Sci
    Volume 52
    Issue 6
    Pages S294-305
    Date November 1, 1997
    Short Title Religion among disabled and nondisabled persons I
    URL http://psychsoc.gerontologyjournals.org/cgi/content/abstract/52/6/S294
    Accessed Tue Nov 10 19:53:26 2009
    Library Catalog HighWire
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • This article and its second part explore questions such as: What is the relationship between religious involvement and functional disability among elderly people? Is being disabled different for those who frequently attend religious services? Does religious involvement have an effect on subsequent change in disability?  The authors found (a) that religious involvement in 1982 is tied to a broad array of behavioral and psychosocial resources, (b) that these resources are associated primarily with attendance at services, and not with subjective feelings of religiousness, and (c) that some of these associations are especially pronounced among disabled respondents.

  • Religious concepts among individuals with intellectual disability: A comparison between adolescents and adults.

    Type Journal Article
    Author Heftziba Lifshitz
    Author Yaacov J. Katz
    Abstract This study compared behavioral, cognitive, and motivational components of religiosity among 54 Jewish adolescents (aged 13–21 years) and 35 adults (aged 30–60 years) with intellectual disability (ID) (IQ = 40–69). A special questionnaire was constructed based on several previous studies by other authors. A different pattern was found between age groups. The adolescents fulfilled Jewish commandments to a greater extent than the adults. Social psychology theories regarding religion change/stability over the lifecycle can serve as an explanation for these findings. The cognitive component was measured using a Piagetean-type scale. The scores in prayer efficacy and providence of God were significantly higher among the adults than among the adolescents. The adults also exhibited more mature motives of fulfilling commandments (dependence on God) than the adolescents. Regression analysis indicated that among the adolescents, mental age contributed to the explained variance of the behavioral and cognitive components, while among the adults chronological age contributed to the explained variance of these components. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication European Journal of Special Needs Education
    Volume 24
    Issue 2
    Pages 183-201
    Date May 2009
    DOI 10.1080/08856250902793651
    ISSN 0885-6257
    Short Title Religious concepts among individuals with intellectual disability
    Library Catalog EBSCOhost
    Date Added Thu Sep 29 09:06:18 2011
    Modified Thu Sep 29 09:06:18 2011

    Tags:

    • adolescents
    • adults
    • Age differences
    • Behavior
    • behavioral components
    • cognitive components
    • Cognitive Processes
    • intellectual disabilities
    • Mental Retardation
    • Motivation
    • motivational components
    • religiosity

    Notes:

    • This study compared behavioural, cognitive, and motivational components of religiosity among 54 Jewish adolescents (aged 13–21 years) and 35 adults (aged 30–60 years) with intellectual disability (ID) (IQ=40–69). A special questionnaire was constructed which revealed a different pattern was found between age groups. The adolescents fulfilled Jewish commandments to a greater extent than the adults. The authors look at social psychology theories to serve as an explanation for these findings.

  • Religiosity and Spirituality Among Persons With Spinal Cord Injury: Attitudes, Beliefs, and Practices.

    Type Journal Article
    Author Irmo Marini
    Author Noreen M. Glover-Graf
    Abstract A total of 157 persons with spinal cord injury completed the Spirituality and Spinal Cord Injury Survey in relation to their spiritual and/or religious attitudes, beliefs, and practices in terms of adapting to their disability. Factor analysis accounting for 69% of the variance revealed four factors related to Spiritual Help and Improvement (36%), Spiritual Decline (22%), Punishment/Atonement (6%), and Body/Mind Improvements (5%). Participants were further classified by time since injury, which statistically indicated that some individuals tend to become more focused on religious or spiritual practices and beliefs regarding cure soon after injury; however, these behaviors and beliefs tend to dissipate over time. The majority of participants expressed overall satisfaction with God or a Spiritual Power (G/SP) and that G/SP helped them cope, gave them meaning, and was a source of happiness in their lives. Implications for rehabilitation counselors and educators are discussed. [ABSTRACT FROM PUBLISHER]
    Publication Rehabilitation Counseling Bulletin
    Volume 54
    Issue 2
    Pages 82-92
    Date 01 January 2011
    DOI 10.1177/0034355210368868
    ISSN 00343552
    Short Title Religiosity and Spirituality Among Persons With Spinal Cord Injury
    Library Catalog EBSCOhost
    Date Added Thu Sep 29 08:57:35 2011
    Modified Thu Sep 29 08:57:35 2011

    Tags:

    • Analysis of Variance
    • CONTINUING education units
    • CORRELATION (Statistics)
    • DEMOGRAPHY
    • EDUCATIONAL attainment
    • EMPLOYMENT (Economic theory)
    • factor analysis
    • PEOPLE with disabilities
    • POPULATION geography
    • religion
    • RESEARCH -- Evaluation
    • SAMPLING (Statistics)
    • SCALE analysis (Psychology)
    • SCALE items
    • Severity of Illness Index
    • SEX distribution (Demography)
    • SOUTHERN States
    • SPINAL cord -- Wounds & injuries -- Psychological aspects
    • spirituality
    • SURVEYS
    • T-test (Statistics)
    • Time

    Notes:

    • A total of 157 persons with spinal cord injury completed the Spirituality and Spinal Cord Injury Survey in relation to their spiritual and/or religious attitudes, beliefs, and practices in terms of adapting to their disability.  The majority of participants expressed overall satisfaction with God or a Spiritual Power (G/SP) and that G/SP helped them cope, gave them meaning, and was a source of happiness in their lives. Implications for rehabilitation counselors and educators are discussed.

  • Narrating Disability, Narrating Religious Practice: Reconciliation and Fragile X Syndrome

    Type Journal Article
    Author Marsha Michie
    Author Debra Skinner
    Abstract This article examines the place of religion in the narratives of mothers of children with fragile X syndrome. In interviews, a majority of women combined narratives of religious practice with illness narratives, interpreting their children's disabilities within a religious framework. The authors articulate a reconciliation narrative that mothers commonly used to describe their transition from viewing disability as a burden or challenge to seeing it as a blessing, or as a part of God's purpose or plan for their lives.
    Publication Intellectual and Developmental Disabilities
    Volume 48
    Issue 2
    Pages 99-111
    Date 2010
    Journal Abbr Intellect Dev Disabil
    DOI 10.1352/1934-9556-48.2.99
    ISSN 1934-9491
    URL http://aamr.allenpress.com/aamronline/?
    request=get-abstract&…
    Date Added Thu Sep 29 09:04:35 2011
    Modified Thu Sep 29 09:04:35 2011

    Notes:

    • This article examines the place of religion in the narratives of mothers of children with fragile X syndrome. The authors found that a majority of women interpreted their children's disabilities within a religious framework. Informed by Arthur Frank's (1995) concept of “wounded storytellers,” the authors articulate a reconciliation narrative that mothers commonly used to describe their transition from viewing disability as a burden or challenge to seeing it as a blessing, or as a part of God's purpose or plan for their lives. The authors discuss the significance of narrative for better understanding religious perspectives on disability and conclude with the implications of these findings for practitioners and future research.

  • The meaning of spirituality for individuals with disabilities

    Type Journal Article
    Author Emily K Schulz
    Abstract PURPOSE: To examine the experiences of people with disabilities regarding their spirituality and its meaning for them. This study asked: What are the differences in the meaning of spirituality in the lives of individuals with childhood onset disabilities when compared to those with adult onset disabilities? METHOD: This qualitative study involved semi-structured individual interviews of 12 adults, six with childhood onset and six with adult onset disabilities. Member checking of both transcribed data and open coding was done to ensure trustworthiness. Data was analyzed using open, axial, and selective coding. RESULTS: Findings suggested that the two groups held different perceptions about the meaning of spirituality. For childhood onset participants, two categories of 'connecting and expressing for purpose and meaning in life', and 'disability as a vehicle to discover god's purpose' were generated. For adult onset participants, two categories of 'connecting and expressing through feelings and actions', and 'disability as a catalyst for spiritual awakening' were derived from the data. CONCLUSIONS: Individuals with childhood and adult onset disabilities perceive and experience spirituality differently. Therefore, different approaches to using spirituality in practice need to be employed for the two groups. Suggestions are provided for incorporating spirituality into occupational therapy practice.
    Publication Disability and Rehabilitation
    Volume 27
    Issue 21
    Pages 1283-1295
    Date Nov 15, 2005
    Journal Abbr Disabil Rehabil
    DOI 10.1080/09638280500076319
    ISSN 0963-8288
    URL http://www.ncbi.nlm.nih.gov/pubmed/16298931
    Accessed Fri Nov 13 15:30:34 2009
    Library Catalog NCBI PubMed
    Extra PMID: 16298931
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Adaptation, Psychological
    • Adult
    • Age of Onset
    • Attitude to Health
    • Disabled Persons
    • Female
    • Humans
    • Interviews as Topic
    • Male
    • Middle Aged
    • spirituality

    Notes:

    • Purpose: To examine the experiences of people with disabilities regarding their spirituality and its meaning for them. Conclusions: Individuals with childhood and adult onset disabilities perceive and experience spirituality differently.

  • Disability, spiritual beliefs and the church: the experiences of adults with disabilities and family members

    Type Journal Article
    Author Linda L Treloar
    Abstract AIMS: This paper reports the findings of a qualitative interpretive study that explored how people with disabilities and family members use their spiritual beliefs to establish meaning for disability, and to respond to the challenges of lived experience with disability. The participants' perceptions of the evangelical Christian church's influence on their spiritual experiences related to disability suggest recommendations for improved integration by the church. Applications are drawn for helping professionals and religious leaders who provide holistic care. BACKGROUND/RATIONALE: Although there is a well-established literature on coping in families with disabled children, little is known about how people use spiritual beliefs to establish meaning for and respond to life with disability. Even less is known about how people with a particular set of shared spiritual beliefs make meaning for lived experience with disability. DESIGN/METHODS: The author interviewed 30 persons, comprising two major groups: 13 parents of children with mixed developmental disabilities and nine adults with physical disabilities. Predominantly white, the participants lived in a south-western metropolitan area in the United States of America (USA) in 1998. FINDINGS: Trial or difficulty contributed to spiritual challenge, the breaking of self, reliance on God, and strengthened faith in God. The participants chose to live with thankfulness and joy despite difficulties common to experience with disability. The participants' spiritual beliefs stabilized their lives, providing meaning for the experience of disability, assistance with coping and other benefits. The participants' recommendations include increased assistance by the church in promoting theological understanding of disability, and religious support using a continuing model of caring. CONCLUSIONS: Although the study design limits the generalizability of the findings, applications can be drawn for helping professionals and religious leaders who provide holistic care
    Publication Journal of Advanced Nursing
    Volume 40
    Issue 5
    Pages 594-603
    Date Dec 2002
    Journal Abbr J Adv Nurs
    ISSN 0309-2402
    Short Title Disability, spiritual beliefs and the church
    URL http://www.ncbi.nlm.nih.gov/pubmed/12437609
    Accessed Thu Nov 12 22:56:50 2009
    Library Catalog NCBI PubMed
    Extra PMID: 12437609
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Adaptation, Psychological
    • Adult
    • Aged
    • Aged, 80 and over
    • Attitude to Health
    • Christianity
    • Clergy
    • Disabled Persons
    • Female
    • Holistic Nursing
    • Humans
    • Male
    • Middle Aged
    • Models, Psychological
    • Nurse's Role
    • Nursing Methodology Research
    • Parents
    • Pastoral Care
    • Religion and Psychology
    • social support
    • Southwestern United States
    • spirituality

    Notes:

    • This paper reports the findings of a qualitative interpretive study that explored how people with disabilities and family members use their spiritual beliefs to establish meaning for disability, and to respond to the challenges of lived experience with disability.

  • Spirituality and disabilities: implications for special education

    Type Journal Article
    Author Kaili C Zhang
    Abstract Although researchers in the health and social care professions have suggested that spirituality is a fundamental human need and a human right that is a necessary component of both mental and physical health (e.g., George, Ellison, & Larson, 2000), spirituality is still a neglected area and underused resource in special education. Little work has focused directly on the significance of spirituality in the lives of students with disabilities, and there are few, if any, explicit references to the spiritual development in the students. In addition, teachers often have difficulties learning how best to understand and enable the spiritual development of students with disabilities (Foster, 2000). In this perspective, I address issues related to disability and spirituality, consider the impact of spirituality on children with disabilities, and suggest some practical strategies teachers can use to help foster the spiritual development of students with disabilities. I propose that spirituality has the power to foster the holistic development of children with disabilities and to give them a sense of identify and purpose in life.
    Publication Intellectual and Developmental Disabilities
    Volume 48
    Issue 4
    Pages 299-302
    Date Aug 2010
    Journal Abbr Intellect Dev Disabil
    DOI 10.1352/1934-9556-48.4.299
    ISSN 1934-9491
    Short Title Spirituality and disabilities
    Accessed Mon Aug 30 16:54:43 2010
    Library Catalog NCBI PubMed
    Extra PMID: 20722483
    Date Added Thu Sep 29 09:03:07 2011
    Modified Thu Sep 29 09:03:07 2011

    Notes:

    • This article discusses how spirituality makes a presence in a classroom for special education students.