Next Issue
Volume 5, September
Previous Issue
Volume 5, March
 
 

Disabilities, Volume 5, Issue 2 (June 2025) – 27 articles

Cover Story (view full-size image): A truly inclusive vision of healthy aging requires actively supporting the social participation of people aging with disabilities; yet, our understanding of the influencing factors remains limited and fragmented. This scoping review, synthesized current knowledge and gaps regarding factors that influence social participation among older adults living with long-term neurological disabilities. A total of 18 studies covering 9 neurological conditions were analyzed using the MDH-PPH framework, revealing 25 facilitators, 38 barriers, and 4 factors with mixed effects. Barriers most often stemmed from biological systems and macroenvironments, while facilitators were mainly related to individual physical traits and microenvironments. The findings highlight the urgent need for stronger community support, more accessible infrastructure, and shifts in attitudes to address ageism and ableism. View this paper
  • Issues are regarded as officially published after their release is announced to the table of contents alert mailing list.
  • You may sign up for e-mail alerts to receive table of contents of newly released issues.
  • PDF is the official format for papers published in both, html and pdf forms. To view the papers in pdf format, click on the "PDF Full-text" link, and use the free Adobe Reader to open them.
Order results
Result details
Select all
Export citation of selected articles as:
21 pages, 428 KiB  
Review
Augmentative and Alternative Communication Strategies for Learners with Diverse Educational Needs in African Schools: A Qualitative Literature Review
by Ariné Kuyler, Gloria R. Ledwaba, Mary G. Clasquin-Johnson, Jacomina M. C. Motitswe, Emile Gouws, Tshifhiwa I. Mashau, Margaret Chauke and Ensa Johnson
Disabilities 2025, 5(2), 59; https://doi.org/10.3390/disabilities5020059 - 18 Jun 2025
Viewed by 844
Abstract
Augmentative and Alternative Communication (AAC) research highlights the critical role of collaborative efforts among communication partners in supporting children with diverse educational needs in the school setting. This study aims to describe AAC strategies and systems employed in African schools to facilitate participation [...] Read more.
Augmentative and Alternative Communication (AAC) research highlights the critical role of collaborative efforts among communication partners in supporting children with diverse educational needs in the school setting. This study aims to describe AAC strategies and systems employed in African schools to facilitate participation for learners with diverse educational needs. A qualitative literature review was employed to describe 18 studies involving 659 participants across special schools and inclusive classrooms. The participants included 488 learners with diverse educational needs and 171 teachers. The research designs predominantly featured quantitative approaches, with some mixed-methods studies. This study found that reviewing classroom instruction strategies, learning processes, participant proficiency, and AAC strategies is cardinal for communication participation within the classroom. However, outcomes varied widely due to factors including learner characteristics and contextual familiarity. Key outcomes included improved use of the AAC system labeling and the identification of different symbols. Recommendations for further research include increased professional training and the development of collaborative AAC services. The findings underscore the need for a collaborative approach to AAC implementation, further research, and enhanced training to address the diverse needs of learners and promote the sustainability of AAC use. Full article
Show Figures

Figure 1

16 pages, 276 KiB  
Article
Victims or Heroes?—Disability Representations in a Hungarian Online News Media Portal
by Carmen Svastics, Gabor Petri, Agnes Kozma and Anikó Bernát
Disabilities 2025, 5(2), 58; https://doi.org/10.3390/disabilities5020058 - 16 Jun 2025
Viewed by 449
Abstract
While studies consistently show that the popular media often provide medicalized images of disabled people as “other” or inferior, dynamic societal changes, such as the diffusion of human rights laws, increasing public awareness, and the mediatization of disability activism, also influence media representations. [...] Read more.
While studies consistently show that the popular media often provide medicalized images of disabled people as “other” or inferior, dynamic societal changes, such as the diffusion of human rights laws, increasing public awareness, and the mediatization of disability activism, also influence media representations. The present research aims to identify relevant discursive practices in Hungarian online news media, a non-Western European country with about 50 years of a state party system under communism, and offer insight into how progressive policy changes and mediatized activism shape media features on disability. To establish the dataset, the most visited and independent online news media portal in Hungary (24.hu) was searched for articles discussing disability between 2019 and 2022. The 481 relevant articles extracted were analyzed using Critical Discourse Analysis (CDA) with the help of MAXQDA 2020. The findings reveal a multiplicity of disability representations: medicalized and victimized images on the one hand, and reports of resilience and “heroism” on the other. Three distinct discursive practices are identified: (1) traditional/ableist representations, (2) alternative representations with ableist framing, and (3) agency and the co-creation of disability representations. Results suggest that even 30 years after the political changes, disabled people’s collective agency is marginal in Hungary, and that socio-legal changes and mediatized disability activism are yet to influence news media features. Full article
13 pages, 236 KiB  
Article
Linking System of Care Services to Flourishing in School-Aged Children with Autism
by Wanqing Zhang and Stephanie Reszka
Disabilities 2025, 5(2), 57; https://doi.org/10.3390/disabilities5020057 - 12 Jun 2025
Viewed by 461
Abstract
Flourishing in children is an indicator of positive development in the areas of emotional, social, and cognitive development. Using a recent dataset from the US National Survey of Children’s Health, this study investigates the association between access to a quality healthcare system and [...] Read more.
Flourishing in children is an indicator of positive development in the areas of emotional, social, and cognitive development. Using a recent dataset from the US National Survey of Children’s Health, this study investigates the association between access to a quality healthcare system and flourishing indicators in school-aged children with autism. The outcome variable describes the proportion of children aged 6–17 with autism meeting the flourishing criteria, which include measures related to learning, resilience, and self-regulation. The main independent variable includes six core indicators for school-aged children and adolescents, which assess whether the family feels like a partner in their child’s care, the child has a medical home, receives regular medical and dental preventive care, has adequate insurance, has no unmet needs or barriers to accessing services, and has prepared for transition to adult healthcare. Multivariable logistic regression models were used to examine the relationships between various independent variables and the outcome of interest. The results show that children with autism who receive comprehensive and coordinated care are more likely to flourish compared to those without such care for five of these six indicators, while controlling for sex, race, parental education, household income, self-reported autism severity, general health status, and the number of adverse childhood experiences. Children with autism are more likely to flourish when their families and healthcare providers work together effectively. Addressing gaps in the quality care system is essential for developing holistic approaches that empower children with autism to thrive and reach their full potential. Supportive health policies and effective coordination between families and healthcare providers are crucial for fostering the flourishing of children with autism, ensuring comprehensive, individualized, and continuous care. Full article
Show Figures

Figure 1

15 pages, 1066 KiB  
Article
Using Machine Learning to Identify Educational Predictors of Career and Job Satisfaction in Adults with Disabilities
by Beau LeBlond, Bryan R. Christ, Benjamin Ertman, Olivia Chapman, Rea Pillai and Paul B. Perrin
Disabilities 2025, 5(2), 56; https://doi.org/10.3390/disabilities5020056 - 10 Jun 2025
Viewed by 369
Abstract
Purpose: This study explored the potential long-term effects of academic-related variables, including academic satisfaction, college degree attainment, unmet academic accommodation needs, and demographic characteristics on the job and career satisfaction of adults with disabilities using modern machine learning techniques. Method: Participants [...] Read more.
Purpose: This study explored the potential long-term effects of academic-related variables, including academic satisfaction, college degree attainment, unmet academic accommodation needs, and demographic characteristics on the job and career satisfaction of adults with disabilities using modern machine learning techniques. Method: Participants (n = 409) completed an online survey assessing these constructs. All had a disability or chronic health condition, had attended school in the U.S. throughout their K-12 education, and were between 19 and 86 years of age. Results: The random forest models had 68.6% accuracy in correctly identifying job satisfaction and 72.5% accuracy in correctly identifying career satisfaction. When using mean decrease in impurity (MDI) and permutation importance to identify statistical predictors, academic satisfaction was the most important predictor of job satisfaction in both MDI and permutation importance, while unmet academic accommodations was the fourth highest predictor for MDI behind academic satisfaction, disability level, and age, but ahead of other demographic variables and college degree status, and the second highest predictor of job satisfaction in permutation importance. For career satisfaction, academic satisfaction accounted for the highest MDI, while unmet academic accommodations ranked fourth. For permutation importance, academic satisfaction ranked first, and unmet academic accommodations ranked fifth behind academic satisfaction, age, college degree status, and disability level. Discussion: Meeting the academic accommodation needs of disabled students is linked with lasting vocational success. This study underscores the associations between unmet academic accommodation needs and future job and career satisfaction, illuminated using novel machine learning techniques. To our knowledge, this is the first investigation of the potential long-term associations between unfulfilled accommodation needs and future job and career satisfaction. Full article
Show Figures

Figure 1

35 pages, 1221 KiB  
Review
The Range and Impact of Adverse and Positive Childhood Experiences on Psychosocial Outcomes in Children with Intellectual Disabilities: A Scoping Review
by Jessica Vervoort-Schel, Gabriëlle Mercera, Inge Wissink, Janneke Staaks, Peer van der Helm, Ramón Lindauer and Xavier Moonen
Disabilities 2025, 5(2), 55; https://doi.org/10.3390/disabilities5020055 - 8 Jun 2025
Viewed by 714
Abstract
Children with intellectual disabilities experience unique developmental, social, and environmental challenges that intersect with adverse childhood experiences (ACEs) and positive childhood experiences (PCEs), shaping their psychosocial outcomes. While prior research has mainly examined single adversities or protective elements, the frameworks of ACEs and [...] Read more.
Children with intellectual disabilities experience unique developmental, social, and environmental challenges that intersect with adverse childhood experiences (ACEs) and positive childhood experiences (PCEs), shaping their psychosocial outcomes. While prior research has mainly examined single adversities or protective elements, the frameworks of ACEs and PCEs provide a broader understanding of their cumulative and interactive effects. However, these constructs remain underexplored in children with intellectual disabilities. This scoping review maps the range, conceptualization, and impact of ACEs, PCEs, and related concepts on psychosocial outcomes. Following the Joanna Briggs Institute (JBI) methodology, a search of PsycInfo, MEDLINE, CINAHL, Web of Science, and Google Scholar identified studies until October 2024. Two reviewers screened and extracted data using standardized criteria. Findings reveal variability in how ACEs and PCEs are defined and measured. ACE exposure, particularly the cumulative impact of multiple ACEs (polyvictimization), links to adverse psychosocial outcomes, including emotional (e.g., anxiety, depression, Post-Traumatic Stress Disorder), behavioral (e.g., aggression, conduct problems), and developmental (e.g., social and adaptive skill deficits) difficulties. PCEs—such as positive parent–child relationships, teacher–student support, and peer acceptance—mitigate risks, though impact varies by context. Intellectual disabilities severity and socioeconomic adversity shape associations. Further research is needed to inform the adaptation of ACE–PCE frameworks for children with intellectual disabilities. Full article
Show Figures

Figure 1

17 pages, 457 KiB  
Review
A Mapping Review of Existing Tools to Assess Physical Qualities of Manual Wheelchair Users
by Corentin Barthod, Jade Berthiaume, Marie-Ève Schmouth, Joanie Bédard, François Routhier and Krista L. Best
Disabilities 2025, 5(2), 54; https://doi.org/10.3390/disabilities5020054 - 3 Jun 2025
Viewed by 488
Abstract
Background: Assessment of physical competencies is one way to enhance uptake and maintain participation in a leisure-time physical activity (LTPA) for manual wheelchair (MWC) users. Weineck’s model explains physical competencies through eight physical qualities. The use of this model may influence MWC [...] Read more.
Background: Assessment of physical competencies is one way to enhance uptake and maintain participation in a leisure-time physical activity (LTPA) for manual wheelchair (MWC) users. Weineck’s model explains physical competencies through eight physical qualities. The use of this model may influence MWC users’ motivation for participation in LTPA. The aim of this study was to identify and categorize existing assessment tools designed for MWC users of physical qualities (strength, speed, power, muscular endurance, cardiovascular endurance, balance, and flexibility). Methods: A mapping review was conducted following the “Preferred reporting items for systematic reviews and meta-analyses (PRISMA)” guidelines. Two reviewers selected articles that documented assessment tools for the physical qualities of MWC users. Tools were extracted from each article to categorize them in a list. Results: A total of 149 articles that contained assessments of physical qualities were included in the review. A total of 97 assessment tools were extracted and categorized according to the eight physical qualities. Conclusions: These assessments are categorized into physical qualities that would facilitate the creation of test batteries aimed at assessing physical qualities in MWC users. This study is the first step in the construction of a test battery to assess the physical qualities of MWC users. Full article
Show Figures

Figure 1

21 pages, 1357 KiB  
Article
Heart Rate Monitoring in Unified Basketball: Applications and Relevance for Athletes with Intellectual Disabilities
by Mariana Borukova, Stefka Djobova and Ivelina Kirilova
Disabilities 2025, 5(2), 53; https://doi.org/10.3390/disabilities5020053 - 31 May 2025
Viewed by 509
Abstract
The aim of this pilot study is to explore the applications and relevance of heart rate (HR) monitoring in unified basketball during training and competition circumstances, focusing on athletes with intellectual disabilities. Six UB national team athletes were monitored using Polar Verity Sense [...] Read more.
The aim of this pilot study is to explore the applications and relevance of heart rate (HR) monitoring in unified basketball during training and competition circumstances, focusing on athletes with intellectual disabilities. Six UB national team athletes were monitored using Polar Verity Sense heart rate monitors throughout training sessions and competitions. The data revealed considerable individual variability in HR responses among the athletes. These variations highlight the importance of personalized HR monitoring to accurately assess training loads and optimize performance. However, when applying HR monitoring, it is essential to account for factors that may affect data accuracy, including consistency in device placement and environmental stressors such as competition anxiety. Additionally, athletes with cardiovascular comorbidities may display atypical HR patterns, requiring cautious interpretation of HR thresholds. Although the small sample size limits the broader applicability of the findings, this study explores the application and relevance of HR monitoring, highlighting the need for future research to further validate its effectiveness. Full article
Show Figures

Figure 1

24 pages, 389 KiB  
Review
Early Intervention for Children with Hearing Impairment in the South African Context: A Narrative Review of Legislative and Policy Frameworks
by Luisa Petrocchi-Bartal, Katijah Khoza-Shangase and Amisha Kanji
Disabilities 2025, 5(2), 52; https://doi.org/10.3390/disabilities5020052 - 31 May 2025
Viewed by 420
Abstract
Globally, many countries have promulgated extensive, contextually relevant disability legislative policies for children with hearing impairment/d/Deafness (HI/d/D). The alignment of policies with their implementation, with robust monitoring, is essential for effective early intervention (EI) and early education (EE) outcomes. The study’s purpose was [...] Read more.
Globally, many countries have promulgated extensive, contextually relevant disability legislative policies for children with hearing impairment/d/Deafness (HI/d/D). The alignment of policies with their implementation, with robust monitoring, is essential for effective early intervention (EI) and early education (EE) outcomes. The study’s purpose was to review current South African EI and EE regulations, acts, and policies in relation to children with HI/d/D from birth to age six. An adapted Arksey and O’Malley framework with inductive thematic analysis was applied to synthesise and evaluate relevant information. Documentation was sourced between 1993 and 2023 from the official South African government portal and Google online searches using keywords. While 7976 documents were initially identified with the broad search and 1249 with a refined category search, only 17 met the specific inclusion criteria for policies referencing hearing impairment in early intervention and education. Seventeen documents were selected for study inclusion, with sixteen mentioning HI/d/D and multi-disciplinary, multi-sectoral, family-centred, culturally sensitive considerations superficially. One document from the Department of Health (DoH) specifically addressed early hearing detection and intervention (EHDI). Three main themes emerged, including Partnerships, Participation and Integration, Screening, Identification and/or Intervention, and Education/Special Education. Greater engagement with South African EI and education policies is essential to strengthen implementation, especially across sectors and at the community level. Mandating EHDI guidelines is critical to improving service delivery and ensuring smoother transitions between health, education, and social services for children with hearing impairment. Full article
Show Figures

Figure 1

12 pages, 199 KiB  
Article
Challenges in Menstrual Management Among Women with Visual Impairments: A Study of Riryouka Kyouin with Visual Impairments in Japan
by Miyono Okinaka and Tsunehiko Wada
Disabilities 2025, 5(2), 51; https://doi.org/10.3390/disabilities5020051 - 30 May 2025
Viewed by 378
Abstract
This study aimed to clarify the menstrual experiences and perceptions of women with visual impairments in Japan. An anonymous web-based questionnaire consisting of both multiple-choice (quantitative) and open-ended (qualitative) questions was administered to female Riryouka Kyouin (visually impaired teachers who provide instruction in [...] Read more.
This study aimed to clarify the menstrual experiences and perceptions of women with visual impairments in Japan. An anonymous web-based questionnaire consisting of both multiple-choice (quantitative) and open-ended (qualitative) questions was administered to female Riryouka Kyouin (visually impaired teachers who provide instruction in traditional Japanese therapeutic practices—such as acupuncture, moxibustion, and massage—to students with visual impairments) employed at prefectural schools for the blind. The multiple-choice responses suggested several difficulties in menstrual management, including challenges in detecting menstrual blood, limited access to information, and concerns related to embarrassment. The open-ended responses revealed that participants, as individuals with visual impairments who also serve as educators and healthcare professionals, expressed efforts to manage menstruation appropriately in social contexts. These findings highlight the practical experiences of visually impaired women who are actively engaged in society and suggest the importance of support approaches that respect individual autonomy in managing menstruation—a bodily practice imbued with social meaning. Full article
18 pages, 262 KiB  
Article
The Complex Matter of Requesting Support—Experiences of Persons with Intellectual Disability
by Ann-Marie Öhrvall, Margret Buchholz and Annika Sköld
Disabilities 2025, 5(2), 50; https://doi.org/10.3390/disabilities5020050 - 30 May 2025
Viewed by 588
Abstract
In Sweden, persons with intellectual disability have a legal right to support in everyday life, including housing with support and participation in daily activities, but government reports show that many do not receive the support they need or would prefer. The aim of [...] Read more.
In Sweden, persons with intellectual disability have a legal right to support in everyday life, including housing with support and participation in daily activities, but government reports show that many do not receive the support they need or would prefer. The aim of this study was to explore how persons with intellectual disability experience and reflect upon support in everyday life. Thirteen adults with mild intellectual disability participated in one to three interviews each. Content analysis yielded an overarching theme “Persons with intellectual disability request two different forms of support” and three themes: “Support requested to achieve independence”, “Challenges in requesting support”, and “Mutual support in a safe environment”. The study shows that persons with intellectual disability can be hindered in requesting and obtaining support due to both internal factors and support persons’ inability to provide support in a way that is acceptable to the person with intellectual disability. Persons with intellectual disability adapt to the support person to receive support without burdening them. Persons with intellectual disability also strive to become more independent in everyday life. Being situated in a context where mutual support is a natural part of the social life is found to be optimal. Full article
Show Figures

Graphical abstract

26 pages, 646 KiB  
Review
Barriers and Facilitators to the Social Participation of Individuals Aging with a Long-Term Neurological Disability: A Scoping Review
by Samuel Turcotte, Sirine Kheroua, Gloria Brun, Laura Gagnon, Nora Bustamante, Angéline Labbé, Pascale Simard, Megan Veilleux, Mia Lapointe, Manh Hung Nguyen and Mélanie Levasseur
Disabilities 2025, 5(2), 49; https://doi.org/10.3390/disabilities5020049 - 29 May 2025
Viewed by 558
Abstract
Supporting the social participation of individuals aging with long-term neurological disabilities is key to healthy aging. However, knowledge about the factors influencing their social participation remains limited and fragmented. Following the Joanna Briggs Institute methodology, this scoping review synthesized and integrated knowledge regarding [...] Read more.
Supporting the social participation of individuals aging with long-term neurological disabilities is key to healthy aging. However, knowledge about the factors influencing their social participation remains limited and fragmented. Following the Joanna Briggs Institute methodology, this scoping review synthesized and integrated knowledge regarding the barriers and facilitators to the social participation of individuals aging with long-term neuro-disabilities. A search in four databases (MEDLINE, CINAHL, PsycInfo, and EMBASE) resulted in 18 studies involving 2587 participants with nine neurological conditions: stroke, multiple sclerosis, spinal cord injury, traumatic brain injury, aphasia, post-polio syndrome, spina bifida, cerebral palsy, and muscular dystrophy. A total of 38 barriers, 25 facilitators, and 4 factors with mixed influence to social participation were identified. Key reported barriers included the organic system (e.g., fatigue or pain) and macro environments (e.g., inaccessible built environment). The most common facilitators involved physical dimensions in personal factors (e.g., good physical functions) and micro-environments (e.g., supportive social environment). This review highlights the need for accessible infrastructure and community support to promote inclusivity and equity. Future research should focus on community-level factors and mixed study designs to provide robust evidence to improve social participation and healthy aging in this vulnerable population. Full article
Show Figures

Figure 1

31 pages, 708 KiB  
Article
Applying the Analytic Hierarchy Process (AHP) to Accessible Housing: A Multi-Disability Perspective
by Claudia Valderrama-Ulloa, Ximena Ferrada and Felipe Herrera
Disabilities 2025, 5(2), 48; https://doi.org/10.3390/disabilities5020048 - 21 May 2025
Viewed by 613
Abstract
Accessible housing plays a vital role in promoting independent living and quality of life for people with disabilities. However, the existing design standards often fail to address the specific needs of diverse disability groups. This study aims to establish architectural and habitability criteria [...] Read more.
Accessible housing plays a vital role in promoting independent living and quality of life for people with disabilities. However, the existing design standards often fail to address the specific needs of diverse disability groups. This study aims to establish architectural and habitability criteria for housing adapted to various disabilities, including wheelchair users, individuals with achondroplasia (little people), Autism Spectrum Disorder (ASD) and Down syndrome, individuals with visual and hearing impairments, and older adults, by integrating international frameworks and prior research. The Analytic Hierarchy Process (AHP) was used to prioritize key factors in the housing design. The factors analyzed included autonomy, independence, safety, comfort, communication, and mobility. Findings reveal that autonomy consistently emerged as the most relevant criterion across groups, particularly for older adults (61.8%), wheelchair users (83%) and little people (64%). Secondary priorities varied: mobility was emphasized by wheelchair users (77%), communication by visually impaired individuals (64%), and comfort by deaf and hard of hearing participants (43%). The results underscore the need for housing solutions that reflect the priorities of each disability group. This study contributes by validating user-centered design criteria and offering a framework to guide inclusive housing policies and practices. By highlighting needs, it bridges the gap between generic accessibility standards and design. These findings support policy development and enrich the literature by incorporating unique resident-centered perspectives and overlooked indicators of housing accessibility and inclusive residential design. Full article
Show Figures

Figure 1

17 pages, 234 KiB  
Article
A Qualitative Study of the Barriers to and Factors Enabling Sport Participation for People with Sight Loss from Ethnically Diverse Communities in the UK
by Kris Southby, Tim Bidey, Louis Horsley, Mahda Rashid, Ogo-Oluwa Oluleye, Coco Tas, Eden Foley, Grace Evans and Lucy Smith
Disabilities 2025, 5(2), 47; https://doi.org/10.3390/disabilities5020047 - 10 May 2025
Viewed by 577
Abstract
There is a growing body of evidence regarding the barriers to participation in sport for people with sight loss and for people from ethnically diverse communities. However, far less is known about the experience of people with sight loss who are also from [...] Read more.
There is a growing body of evidence regarding the barriers to participation in sport for people with sight loss and for people from ethnically diverse communities. However, far less is known about the experience of people with sight loss who are also from ethnically diverse communities. Semi-structured interviews with people with lived experience and focus groups with civil society organisations that work with people with sight loss in the UK were undertaken. The aim was to explore how issues concerning ethnicity, culture, and heritage overlap with sight loss to affect sport participation. This research found that the intersecting occurrences of sight loss and ethnicity/cultural factors, as well as other socio-demographic factors like gender, compound and exacerbate the barriers to sport participation for people with sight loss from ethnically diverse communities. Further research is needed in different settings to unpack the heterogeneity related to sight loss, ethnicity, and sport. Full article
18 pages, 554 KiB  
Article
Examining Individual and Environmental Factors Associated with Emergency Preparedness Among People with Disabilities in China
by Yue Xu, Bo Chen and Kelly Hsieh
Disabilities 2025, 5(2), 46; https://doi.org/10.3390/disabilities5020046 - 9 May 2025
Viewed by 565
Abstract
Background: People with disabilities, particularly those from developing countries, often fare worse during disasters, pandemics, and other emergencies. China is located in the most disaster-prone region in the world. However, no study has examined emergency evacuation planning among people with disabilities in [...] Read more.
Background: People with disabilities, particularly those from developing countries, often fare worse during disasters, pandemics, and other emergencies. China is located in the most disaster-prone region in the world. However, no study has examined emergency evacuation planning among people with disabilities in China. The latest literature on emergency preparedness tends to focus on individual-level factors such as demographic characteristics, self-efficacy, and disability status. A focus on individual-level factors overlooks the importance of environmental influences on disaster preparation. Objective: This paper explores how individual and environmental factors are associated with emergency preparedness among people with disabilities in China. Methods: Two hundred and forty-eight people with various disabilities filled out an online cross-sectional survey on the level of emergency preparedness among people with disabilities in China. We conducted a hierarchical logistic regression to examine which environmental-level factors are associated with emergency preparedness after controlling for individual-level factors. Results: The results show that when entering only individual-level factors, self-efficacy in evacuation and previous emergency experiences are significant factors associated with being prepared. After including the environmental-level factors, self-efficacy remains significant. People with a physical disability and those from Hubei province, when compared with respondents from the rest of China, are less likely to be prepared. Another protective factor other than self-efficacy is being part of an online disability peer-support group. Conclusions: When designing risk management interventions, public health officials should consider both individual- and environmental-level factors. Using an online peer-support community may be considered an innovative component when designing these interventions. Full article
(This article belongs to the Special Issue Advances in Disability-Inclusive Disaster Risk Reduction)
Show Figures

Figure 1

35 pages, 1622 KiB  
Article
Enhancing Accessibility in Philippine Public Bus Systems: Addressing the Needs of Persons with Disabilities
by Ma. Janice J. Gumasing, Timothy Ray P. Del Castillo, Antoine Gabriel L. Palermo, Janred Thien G. Tabino and Josiah T. Gatchalian
Disabilities 2025, 5(2), 45; https://doi.org/10.3390/disabilities5020045 - 30 Apr 2025
Viewed by 2529
Abstract
This study examines strategies to enhance transport inclusivity and passenger satisfaction for persons with disabilities in public bus systems in the Philippines. Drawing on data collected through an online questionnaire from 396 persons with disabilities who responded across various regions in the country, [...] Read more.
This study examines strategies to enhance transport inclusivity and passenger satisfaction for persons with disabilities in public bus systems in the Philippines. Drawing on data collected through an online questionnaire from 396 persons with disabilities who responded across various regions in the country, this study investigates eight key factors affecting satisfaction: vehicle design, diverse seating options, sensory considerations, assistance services, safety measures, subsidies/discounts, accessibility, and communication and information quality. Structural equation modeling (SEM) was used to analyze the hypothesized relationships between these variables, passenger satisfaction, and intention to reuse public transport. The SEM results revealed that accessibility (β = 0.359, p = 0.005), vehicle design (β = 0.248, p < 0.001), diverse seating options (β = 0.485, p < 0.001), safety measures (β = 0.3867, p = 0.001), and subsidies/discounts (β = 0.447, p < 0.001) significantly influenced passenger satisfaction. In turn, satisfaction had a strong positive effect on the future intention to use public transport (β = 0.760, p < 0.001). However, sensory considerations (β = 0.163, p = 0.225), assistance (β = 0.133, p = 0.519), and communication and information quality (β = 0.171, p = 0.345) were not statistically significant. The model demonstrated a good fit (chi-square/df = 4.03; SRMR = 0.078; NFI = 0.956), supporting the robustness of the proposed framework. These findings suggest that design-centered improvements and subsidies/discounts are critical to inclusive transport experiences, while overreliance on assistance may not guarantee satisfaction. This study recommends promoting autonomy through universal design, enhancing digital and physical accessibility, and increasing public awareness. These insights are intended to guide policymakers and transit authorities in creating a more inclusive, equitable, and user-driven transportation system. Full article
(This article belongs to the Special Issue Transportation and Disabilities: Challenges and Opportunities)
Show Figures

Figure 1

13 pages, 504 KiB  
Article
Caregiver Perceptions, Practices, and Challenges in Accessing Rehabilitation Services for People with Disabilities in Rural Vietnam
by Sinh Phuong Nguyen, Hoang The Tran, Duc Dang Nguyen and Bach Xuan Nguyen
Disabilities 2025, 5(2), 44; https://doi.org/10.3390/disabilities5020044 - 30 Apr 2025
Viewed by 673
Abstract
This study aimed to examine caregivers’ perceptions, practices, and challenges regarding rehabilitation services for people with disabilities, with a focus on identifying factors influencing their decisions to bring care recipients for formal rehabilitation. A cross-sectional study was conducted in rural Thai Nguyen Province, [...] Read more.
This study aimed to examine caregivers’ perceptions, practices, and challenges regarding rehabilitation services for people with disabilities, with a focus on identifying factors influencing their decisions to bring care recipients for formal rehabilitation. A cross-sectional study was conducted in rural Thai Nguyen Province, Vietnam. Data were collected from 214 primary caregivers using a structured questionnaire covering demographics, caregiving roles, and rehabilitation-related perceptions. A pilot study was conducted to refine the tool, and data were collected via face-to-face interviews by a trained team. Statistical analyses included descriptive statistics, chi-square tests, and stepwise logistic regression to identify key predictors of care-seeking behaviors. Results showed that 92% of caregivers perceived rehabilitation as necessary or very necessary. Female caregivers were more likely to provide care at home (95.3%), while male caregivers were more likely to utilize hospital-based services (73.5%) and to bring care recipients for rehabilitation overall (79.4% vs. 67.1%). Logistic regression revealed that female caregivers were significantly less likely than males to bring people with disabilities in for care (OR = 0.34, p = 0.02). Longer caregiving duration was associated with a reduced likelihood of seeking care (OR = 0.96 per year, p < 0.001), whereas caregivers of individuals with mobility needs (OR = 3.15, p < 0.001) and social integration needs (OR = 2.12, p = 0.05) were significantly more likely to seek care. These findings highlight gender-based differences and caregiving dynamics that influence access to rehabilitation. To enhance rehabilitation outcomes and support caregiver engagement, targeted policies are needed to address gender roles, caregiving fatigue, and the specific needs of care recipients. Full article
(This article belongs to the Special Issue The Care Economy and Disability Inclusion)
Show Figures

Figure 1

12 pages, 2000 KiB  
Article
Effects of Training of Pharmacists in Japan on Reasonable Accommodations for People with Intellectual Disabilities
by Masaki Shoji, Rintaro Imafuku, Mei Mizomoto and Mitsuko Onda
Disabilities 2025, 5(2), 43; https://doi.org/10.3390/disabilities5020043 - 25 Apr 2025
Viewed by 510
Abstract
With the enforcement of the Act for Eliminating Discrimination against Persons with Disabilities, the provision of reasonable accommodations in pharmacies has become mandatory in Japan. This study aimed to develop and validate the effectiveness of a training program to improve pharmacists’ ability to [...] Read more.
With the enforcement of the Act for Eliminating Discrimination against Persons with Disabilities, the provision of reasonable accommodations in pharmacies has become mandatory in Japan. This study aimed to develop and validate the effectiveness of a training program to improve pharmacists’ ability to assist people with intellectual disabilities. The educational staff of one chain pharmacy company announced the program, and pharmacists at this company were invited to participate in the program. A 90 min online training was conducted with 15 pharmacists. The session included a lecture on reasonable accommodations and small group discussions (SGD). Before and after the training, participants answered an online survey about 1. Their basic attributes (number of years of experience and awareness of reasonable accommodations and constructive dialogue); 2. Their confidence in providing medication guidance to people with intellectual disabilities (10-point scale); and 3. Possible accommodations that could be provided by pharmacies. Training resulted in an increase in the average score for question 2 from 3.93 to 5.87. In addition, an increase in the number of keywords within the free-text descriptions and in the number of co-occurrences within the responses of mentions of possible accommodations in pharmacies was observed. Despite the shortness of the training, it changed the participants’ awareness about accommodations for people with intellectual disabilities. Further study is needed to enhance the content and evaluate changes in practice. Full article
Show Figures

Figure 1

11 pages, 212 KiB  
Article
Enhancing Urban Accessibility: Reliability and Validity Assessment of the Stakeholders’ Walkability/Wheelability Audit in Neighbourhoods Tool
by Rojan Nasiri, Atiya Mahmood and W. Ben Mortenson
Disabilities 2025, 5(2), 42; https://doi.org/10.3390/disabilities5020042 - 25 Apr 2025
Viewed by 891
Abstract
As Canada’s population ages and disability prevalence increases, understanding the built environment’s impact on mobility and social participation is essential. This study evaluates the measurement properties of the Stakeholders’ Walkability/Wheelability Audit in Neighbourhoods (SWAN) tool, a user-led instrument designed to assess environmental factors [...] Read more.
As Canada’s population ages and disability prevalence increases, understanding the built environment’s impact on mobility and social participation is essential. This study evaluates the measurement properties of the Stakeholders’ Walkability/Wheelability Audit in Neighbourhoods (SWAN) tool, a user-led instrument designed to assess environmental factors affecting older adults and individuals with disabilities. Using community-based participatory research, we recruited 54 participants from five cities to assess the SWAN tool’s inter-rater reliability, construct validity, and internal consistency. The results indicated a high overall inter-rater reliability of 85.22%, with substantial Cohen’s Kappa coefficients across domains, particularly in the Safety domain (0.73). The construct validity was confirmed through moderate to strong correlations with established measures, notably a correlation of 0.79 between the Street Crossing subdomain and the Sidewalk Index. The internal consistency analysis showed excellent reliability in the Functionality domain (α = 0.95) and a lower consistency value in the Social Environment domain (α = 0.63), suggesting the need for further refinement. These findings provide preliminary evidence of the SWAN tool’s potential for evaluating neighbourhood accessibility. By identifying barriers and facilitators to mobility, the SWAN tool can guide urban planning efforts aimed at creating inclusive environments for aging populations and individuals with disabilities. Future research should focus on larger samples to explore structural validity. Ultimately, the SWAN tool can contribute to improving the quality of life of vulnerable populations and promote more equitable urban policy development. Full article
(This article belongs to the Special Issue Mobility, Access, and Participation for Disabled People)
13 pages, 198 KiB  
Article
Challenges with the Disability Policy Framework in Zimbabwe: An In-Depth Qualitative Analysis of Perspectives of Youth with Disabilities
by Tapson Mashanyare, Tendayi Clotilda Garutsa and Kiran Odhav
Disabilities 2025, 5(2), 41; https://doi.org/10.3390/disabilities5020041 - 24 Apr 2025
Viewed by 999
Abstract
Although Zimbabwe has made significant progress regarding the development of a policy framework that caters to the needs of people with disabilities through various pieces of legislation, such as the Disabled Peoples Act (DPA), ratifying the Convention on the Rights of Persons with [...] Read more.
Although Zimbabwe has made significant progress regarding the development of a policy framework that caters to the needs of people with disabilities through various pieces of legislation, such as the Disabled Peoples Act (DPA), ratifying the Convention on the Rights of Persons with Disabilities (CRPD) and adopting a new Constitution which has provisions for disability rights, people with disabilities in Zimbabwe are yet to benefit from these policies, as they are not fully implemented. Focus group discussions and semi-structured interviews were conducted with 20 youth aged between 18 and 35 with disabilities, and 5 key informants in Gweru, to analyze their perceptions regarding the disability policy framework in Zimbabwe. Most of the youth with disabilities lacked knowledge on the various policies regarding disabilities. This was attributed to poor implementation of such policies and a general negative attitude of society towards disability rights. Youth with disabilities are not fully benefiting from the current disability policies due to a lack of knowledge and some implementation gaps. The participants suggested full implementation of such policies and involvement of youth with disabilities in policy formulation and implementation. Full article
22 pages, 1569 KiB  
Article
The Role of Personal Values in Sports Participation Among Young People with Disabilities: A Cluster and Profile Analysis
by Anetta Müller, Katalin Mező, Ferenc Mező, Éva Bácsné Bába, Nóra Laoues-Czimbalmos and Attila Lengyel
Disabilities 2025, 5(2), 40; https://doi.org/10.3390/disabilities5020040 - 19 Apr 2025
Viewed by 654
Abstract
Sports participation among young people with disabilities offers significant physical, psychological, and social benefits, yet participation rates remain lower than among their non-disabled peers. This study, conducted in Hungary, explores how value orientations, health perceptions, and disability characteristics interact to shape sports engagement. [...] Read more.
Sports participation among young people with disabilities offers significant physical, psychological, and social benefits, yet participation rates remain lower than among their non-disabled peers. This study, conducted in Hungary, explores how value orientations, health perceptions, and disability characteristics interact to shape sports engagement. Using a cluster analysis approach, we identified three distinct groups based on how young individuals with disabilities prioritize various life aspects. Data were collected through a survey of 771 participants aged 8–18, including individuals with diverse disability types. K-means clustering revealed three profiles: (1) a low sports activity group with moderate health consciousness, (2) a health-conscious group with broad life engagement but lower sports participation, and (3) a sports-oriented group that demonstrated strong interest in sports despite reporting lower self-rated health. The findings suggest that personal value orientation is a stronger predictor of sports participation than disability type or perceived health status. Furthermore, access to sports facilities alone does not guarantee participation, emphasizing the need for motivational and psychological interventions. These results highlight the importance of tailored, value-driven strategies in promoting physical activity among young people with disabilities, shifting focus from disability-specific adaptations to broader engagement-based approaches. Full article
Show Figures

Figure 1

15 pages, 222 KiB  
Article
“If I Died Tomorrow, I’d Die Knowing That My Son Is Safe, Loved by the People in Here, Well Cared for, and Happy”: Exploring Maternal Perspectives on Community Living for Their Adult Children with Intellectual and Developmental Disabilities
by Margherita Cameranesi, Maria Baranowski, Lindsay McCombe, Kayla Kostal, Javier Mignone and Shahin Shooshtari
Disabilities 2025, 5(2), 39; https://doi.org/10.3390/disabilities5020039 - 17 Apr 2025
Viewed by 410
Abstract
There is abundant evidence that, following community transition or deinstitutionalization, persons with intellectual and developmental disabilities experience improvements in quality of life and well-being. However, very little research in this area has been conducted in the Canadian context. In this qualitative study, individual [...] Read more.
There is abundant evidence that, following community transition or deinstitutionalization, persons with intellectual and developmental disabilities experience improvements in quality of life and well-being. However, very little research in this area has been conducted in the Canadian context. In this qualitative study, individual in-depth interviewing was used to explore the perspectives of eight Canadian mothers of adults with intellectual and developmental disabilities regarding their children’s residences and access to services after community transition. Within an interpretive description framework, narrative data collected during semi-structured interviews with participating mothers were analyzed using thematic analysis. Three main themes portraying a combination of positive and negative maternal perspectives emerged from the data: (1) quality of care, (2) quality of life, and (3) health status and behavior. The study findings bring attention to the importance of offering individualized community living options that are person- and family-centered to all persons with intellectual and developmental disabilities. Full article
29 pages, 1223 KiB  
Review
Lived Experiences of Public Disability Representations: A Scoping Review
by Aartjan ter Haar, Sander R. Hilberink and Alice Schippers
Disabilities 2025, 5(2), 38; https://doi.org/10.3390/disabilities5020038 - 16 Apr 2025
Viewed by 1290
Abstract
Research has largely focussed on public perceptions of people with disabilities, particularly in the media. However, there is a lack of studies exploring how individuals with disabilities themselves experience public disability representation. This scoping review examines the lived experiences of individuals with disabilities [...] Read more.
Research has largely focussed on public perceptions of people with disabilities, particularly in the media. However, there is a lack of studies exploring how individuals with disabilities themselves experience public disability representation. This scoping review examines the lived experiences of individuals with disabilities regarding such representations. Eligible studies were peer-reviewed, published between January 1948 and July 2024, and presented qualitative findings on experienced public disability representation. A systematic search was conducted across PubMed, Scopus, ProQuest, OVID, EBSCO, and Web of Science using variations of the terms ’representation’ and ‘disability’, yielding 32 relevant studies. Data were analysed using both deductive and inductive methods. Deductive thematic analysis aligned the findings with two established media disability representation typologies: traditional and contemporary. Inductive thematic analysis identified three key themes—ignorance, incapability, and otherness—that illustrate how individuals with disabilities experience public representations. Overall, the review found that despite the absence of comparative studies, individuals with diverse disabilities report similar, predominantly negative experiences of public disability representation. Future studies should adopt an intersectional, cross-disability framework to better capture the experiences of people with disabilities, including those with intellectual disabilities. Full article
Show Figures

Figure 1

14 pages, 242 KiB  
Article
Navigating Invisible Disability Disclosure and Workplace Inclusion: Employers’ Attitudes and Workplace Policies
by Niki Markou and Doxa Papakonstantinou
Disabilities 2025, 5(2), 37; https://doi.org/10.3390/disabilities5020037 - 7 Apr 2025
Viewed by 1414
Abstract
This study explores employers’ attitudes and practices regarding disclosing and including individuals with invisible disabilities in Greek workplaces. Invisible disabilities present unique challenges regarding workplace inclusion and the disclosure of disability. Through a thematic analysis of structured interviews with 50 employers and human [...] Read more.
This study explores employers’ attitudes and practices regarding disclosing and including individuals with invisible disabilities in Greek workplaces. Invisible disabilities present unique challenges regarding workplace inclusion and the disclosure of disability. Through a thematic analysis of structured interviews with 50 employers and human resource professionals from various industries, this research study identifies organizational policies, attitudes toward disability disclosure, the perceived impacts and benefits of hiring individuals with invisible disabilities, and recommendations for workplace inclusivity improvement. The findings reveal a range of employer practices. While many employers acknowledge the importance of fostering an inclusive workplace, there are gaps in formal training and structured policies. Employers have varied views on the necessity and timing of disability disclosure, with some supporting disclosure during hiring to ensure proper accommodations and others prioritizing employee comfort and autonomy. Important advantages of employing individuals with invisible disabilities include improved workplace diversity, increased innovation, and reinforced team unity. This study recommends diversity training, clear disclosure guidelines, and joint initiatives with external organizations to promote inclusivity in the workplace. These findings offer practical recommendations to close the inclusion gap and maximize the capabilities of employees with invisible disabilities. Full article
14 pages, 212 KiB  
Article
Factors Influencing the College Decision-Making Process for Students with Disabilities
by Stefania D. Petcu, Kathleen J. Marshall, Dalun Zhang, Adam R. Lalor and Yasir Hussain
Disabilities 2025, 5(2), 36; https://doi.org/10.3390/disabilities5020036 - 5 Apr 2025
Viewed by 836
Abstract
The purpose of this study is to increase understanding of the college decision-making process for students with disabilities by listening to their perceptions of factors that influenced their decisions related to attending postsecondary education. A semi-structured interview was used to provide descriptive evidence [...] Read more.
The purpose of this study is to increase understanding of the college decision-making process for students with disabilities by listening to their perceptions of factors that influenced their decisions related to attending postsecondary education. A semi-structured interview was used to provide descriptive evidence from 20 college-going high school students with disabilities. Content analysis was utilized to evaluate the data collected. The results suggest that the factors influencing the college decision-making process of students without disabilities also influence the decision-making process of students with disabilities. Full article
20 pages, 266 KiB  
Article
Barriers and Facilitators in Reaching and Supporting Parents with Intellectual Disabilities
by Maroesjka Van Nieuwenhuijzen, Sanna Koet and Marcia Lever
Disabilities 2025, 5(2), 35; https://doi.org/10.3390/disabilities5020035 - 31 Mar 2025
Viewed by 821
Abstract
Support of parents with intellectual disabilities should be long-term and start as early as possible. They, however, often come only into view late. The aim of the present study was to examine the barriers and facilitators in reaching and supporting parents with intellectual [...] Read more.
Support of parents with intellectual disabilities should be long-term and start as early as possible. They, however, often come only into view late. The aim of the present study was to examine the barriers and facilitators in reaching and supporting parents with intellectual disabilities and young children in the Netherlands. Fourteen professionals, three volunteers, and three mothers with intellectual disabilities participated in four focus groups. Results revealed four themes: (1) improve professional development, (2) mutual professional/parent distrust, (3) strengthen support network systems, and (4) improve child welfare system responses. Professionals and policymakers lack knowledge of parents with intellectual disabilities and skills to build trust and support them adequately. Professional development is warranted. The informal network and involvement of fathers is limited and, thus, could be increased. Finally, the way the system is organized impedes adequate support. Long-term involvement and, thus, a different use of resources is needed. Reaching parents with intellectual disabilities as early as possible is important but challenging due to multiple interacting factors. Integral actions at multiple levels are essential to improve preventive care for these parents. Full article
20 pages, 3197 KiB  
Article
Improving the Socio-Vocational Skills of Adults with Intellectual and Developmental Disabilities Using Video Modeling: A Pilot Study
by Yfat Ben Refael, Patrice L. Weiss, Yael Shidlovsky Press, Eynat Gal and Sharon Zlotnik
Disabilities 2025, 5(2), 34; https://doi.org/10.3390/disabilities5020034 - 26 Mar 2025
Cited by 1 | Viewed by 962
Abstract
In today’s job market, effective social communication is crucial for employment success. We investigated “Cog ‘n’ Role”, a novel video modeling (VM) intervention that integrates video self-modeling (VSM) and social problem-solving therapy (SPST) to enhance socio-vocational skills in individuals with intellectual and developmental [...] Read more.
In today’s job market, effective social communication is crucial for employment success. We investigated “Cog ‘n’ Role”, a novel video modeling (VM) intervention that integrates video self-modeling (VSM) and social problem-solving therapy (SPST) to enhance socio-vocational skills in individuals with intellectual and developmental disabilities (IDDs). The intervention is delivered via “PowerMod”, an application featuring ready-to-use VM scenarios and enhanced accessibility options; our aim was to examine (a) the app’s social validity and (b) the effectiveness of the intervention in improving job-related social skills. Thirty-four adults with IDD used “PowerMod” to view video clips of common workplace scenarios and rated their experiences through questionnaires. Subsequently, seventeen adults who have social difficulties at work participated in four weekly therapy sessions featuring the “Cog ‘n’ Role” intervention via the PowerMod app. Socio-vocational skills were measured through questionnaires filled out by their counselors; participants found the adapted video clips to be significantly more comprehensible and relevant compared to non-adapted video clips. Additionally, the intervention group showed significant improvements in socio-vocational behaviors and a significant transition to jobs that required higher levels of independence. These findings provide preliminary evidence for the impact of this innovative intervention in enhancing socio-vocational skills among individuals with mild to moderate IDD. Full article
Show Figures

Figure 1

33 pages, 554 KiB  
Systematic Review
A Systematic Review of Volunteer Motivation and Satisfaction in Disability Sports Organizations
by Antonio Muñoz-Llerena, Salvador Angosto, Carlos Pérez-Campos and Virginia Alcaraz-Rodríguez
Disabilities 2025, 5(2), 33; https://doi.org/10.3390/disabilities5020033 - 21 Mar 2025
Viewed by 1935
Abstract
Volunteering in sports for people with disabilities is a crucial element for social inclusion and development. Therefore, this systematic review aims to analyze the existing literature on the motivation, satisfaction, engagement, and commitment of volunteers in sports for people with disabilities. Following PRISMA [...] Read more.
Volunteering in sports for people with disabilities is a crucial element for social inclusion and development. Therefore, this systematic review aims to analyze the existing literature on the motivation, satisfaction, engagement, and commitment of volunteers in sports for people with disabilities. Following PRISMA guidelines, a comprehensive search was conducted across four databases, the Web of Science, Scopus, PsycInfo, and SportDiscus, resulting in the inclusion of 16 studies. The geographic distribution showed the existence of studies on all continents, particularly in Europe and Asia, and most studies were quantitative. The findings revealed that volunteer motivation was predominantly intrinsic, driven by values, understanding, and personal growth, with less emphasis on extrinsic factors such as career advancement. Satisfaction levels were generally high, particularly among student volunteers, who also showed strong future intentions to continue volunteering. As a conclusion, there was a limited number of studies exclusively focused on volunteers participating in sports for people with disabilities. This review highlights the need for more research on diverse types of disabilities and the development of inclusive policies and training programs to enhance volunteer experiences. The study underscores the importance of recognizing both personal and professional motivators to effectively recruit and retain volunteers in sports organizations supporting people with disabilities. Full article
Show Figures

Figure 1

Previous Issue
Next Issue
Back to TopTop