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Keywords = attitudes toward disability inclusion

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19 pages, 307 KB  
Article
Parenting in the Digital Era: Quantitative and Qualitative Insights from Families of Children with Neurodevelopmental Disorders
by Niccolò Butti, Eleonora Mascheroni, Vittoria Maucci, Roberta Nossa, Lucia Scaccia, Francesca Masserano, Emilia Biffi and Rosario Montirosso
Children 2026, 13(6), 716; https://doi.org/10.3390/children13060716 - 22 May 2026
Viewed by 398
Abstract
Background/Objectives: This study explored parents’ perspectives regarding digital media use in children and adolescents with neurodevelopmental disorders (NDs) and examined how these views vary according to family and clinical characteristics. Methods: Data were collected from an Italian survey involving 352 families. Items assessed [...] Read more.
Background/Objectives: This study explored parents’ perspectives regarding digital media use in children and adolescents with neurodevelopmental disorders (NDs) and examined how these views vary according to family and clinical characteristics. Methods: Data were collected from an Italian survey involving 352 families. Items assessed the perceived effects of digital devices on child development and parenting, awareness of screen time guidelines, and use of time- and content-limiting tools. Quantitative analyses were complemented by a reflexive thematic analysis of open-ended responses describing how digital media influenced parenting. Results: Parents expressed divergent attitudes towards digital media, with broadly similar proportions reporting positive, neutral, and negative views regarding both child development and parenting. More favourable views were associated with greater perceived benefits for children and were more frequent among parents of children with more severe functional disabilities. About half had discussed screen use with health professionals, and most were aware of existing guidelines. Thematic analysis identified six themes related to digital parenting: educational means (digital devices as tools for communication, learning, and socialisation), entertainment (screens as a source of leisure or behavioural management), reward (digital media used as reinforcement), screen time as a “necessity” (technology as an integral and sometimes rehabilitative part of daily life), negative effects on the child (concerns about detachment, reduced social interaction, and mood dysregulation), and parental behaviour and attitudes (reflecting the emotional burden of regulation and broader beliefs about digital media). Conclusions: Parents of children with NDs navigate digital media use through a complex balance of perceived risks and benefits. Findings highlight the need for family-centred guidance and assistive technology approaches that promote digital inclusion while addressing parental stress and regulatory challenges. Full article
(This article belongs to the Special Issue Screen Time in Childhood: Risks, Benefits, and Outcomes)
19 pages, 278 KB  
Article
Being an Asset or a Liability: A Multi-Stakeholder Perspective on Students with Disabilities Entering the Job Market
by Tone Ristad, Sissel Horghagen, Jørn Østvik, Lisbeth Kvam and Aud Elisabeth Witsø
Disabilities 2026, 6(3), 45; https://doi.org/10.3390/disabilities6030045 - 7 May 2026
Viewed by 1122
Abstract
Despite the known benefits of workforce participation, many individuals with disabilities remain excluded. This exploratory study utilises selected analytical tools from constructivist grounded theory to investigate how 46 diverse stakeholders perceive disability during the transition from higher education to employment. Additionally, it examines [...] Read more.
Despite the known benefits of workforce participation, many individuals with disabilities remain excluded. This exploratory study utilises selected analytical tools from constructivist grounded theory to investigate how 46 diverse stakeholders perceive disability during the transition from higher education to employment. Additionally, it examines how these perceptions influence efforts toward inclusion and the advice given regarding disability disclosure. Six workshops were conducted to facilitate dialogue on pathways to work for students with disabilities. The constructivist approach to analysis leads to the development of several concepts that capture stakeholders’ perspectives on disability, their strategies for promoting inclusion, and their recommendations regarding disclosure. Disabilities are conceptualised as an asset, a liability, or as insignificant. The views of disability as an asset or a liability influence advocacy strategies and disclosure recommendations, ranging from celebrating to concealing. These attitudes also shape how individuals who disclose disabilities are perceived. Society often expects people with disabilities to disclose their conditions to promote inclusion, even though performing such can involve risks like stigma and exclusion. At the same time, employers share responsibility for creating inclusive environments through universal design and supportive practices. The findings show that both disclosure and concealment can lead to inclusion or exclusion, emphasising the importance of universally designed institutions. Full article
15 pages, 678 KB  
Article
How Do Portuguese Care Providers Address Disability and LGBT Identity in Their Work?
by Inês Soares, Ana R. Pinho, Liliana Rodrigues, Catarina Maria Rêgo-Moreira and Conceição Nogueira
Healthcare 2026, 14(8), 1026; https://doi.org/10.3390/healthcare14081026 - 13 Apr 2026
Cited by 1 | Viewed by 352
Abstract
Despite growing interest in the sexuality and gender identity of people with disabilities (PWD), this topic remains underexplored in both research and institutional policies, owing to prevailing views that ignore PWD sexual life. This contributes to the invisibility of individuals who identify as [...] Read more.
Despite growing interest in the sexuality and gender identity of people with disabilities (PWD), this topic remains underexplored in both research and institutional policies, owing to prevailing views that ignore PWD sexual life. This contributes to the invisibility of individuals who identify as lesbian, gay, bisexual, and trans (LGBT) and to inadequate attention to the specific needs of LGBT people with disabilities (LGBT PWD). Background/Objectives: Given the lack of Portuguese studies that examine the intersection of LGBT and disability identities, this study aimed to understand professionals’ attitudes and practices toward PWD regarding sexuality and LGBT belonging. Methods: We conducted qualitative research using semi-structured interviews with eleven professionals (two psychologists, three occupational therapists, and six personal assistants). We analyzed the data using reflexive thematic analysis. Results: Key findings highlight professionals’ limited knowledge, prevailing cis-heteronormative attitudes, and emerging affirmative practices. Conclusions: Training and institutional changes are needed to make services more inclusive and responsive to the needs of LGBT PWD. Full article
(This article belongs to the Special Issue Gender, Sexuality and Mental Health)
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16 pages, 258 KB  
Article
Teachers’ Attitudes Toward Disability in Spain and Ecuador: A Comparative Analysis of Attitudinal Dimensions and Associated Factors
by Patricia Solís García, Alejandra Barreiro-Collazo, Irlanda Armijos and Sara Real Castelao
Disabilities 2026, 6(2), 25; https://doi.org/10.3390/disabilities6020025 - 3 Mar 2026
Viewed by 1076
Abstract
Educational inclusion remains a global challenge, with teachers’ attitudes toward disability being crucial for the implementation of inclusive classroom practices. This study compares the attitudes toward disability of 252 teachers from Spain and Ecuador, two countries whose educational systems promote inclusion but differ [...] Read more.
Educational inclusion remains a global challenge, with teachers’ attitudes toward disability being crucial for the implementation of inclusive classroom practices. This study compares the attitudes toward disability of 252 teachers from Spain and Ecuador, two countries whose educational systems promote inclusion but differ in the maturity of their legislative and institutional frameworks. The aim was to examine cross-national differences in attitudes and analyze how personal and professional variables relate to these attitudes. A descriptive, observational, cross-sectional design was used. Data were collected through an online administration of the Attitudes Toward Persons with Disabilities Scale, Form G via non-probabilistic. The instrument assesses five attitudinal dimensions: capacity assessment, rights recognition, personal involvement, generic rating, and role assumption. Results showed that Spanish teachers reported significantly more positive attitudes than Ecuadorian teachers in all dimensions except role assumption. Among sociodemographic and professional variables, only Early Childhood Education training and prior experience working with individuals with disabilities consistently correlated with more favorable attitudes, while age and teaching experience demonstrated weak and inconsistent associations across countries. These findings underscore the influence of cultural, educational, and institutional contexts on teachers’ attitudes toward disability and highlight the need to reinforce both initial and ongoing preparation in inclusive education. Strengthening structured practicum experiences, socio-emotional competencies, and inclusion-focused coursework may contribute to more positive attitudes, while adapting training policies and inclusive practices to each country’s cultural characteristics is essential for effective and sustainable implementation. Full article
16 pages, 562 KB  
Article
Regular Teachers for Regular Children: What Attitudes Toward Implementing Inclusive Classrooms Do Pre-Service Teachers from Regular Schools Have?
by Manuela Arias Campos, Markus Gebhardt and Andreas Gegenfurtner
Disabilities 2026, 6(2), 22; https://doi.org/10.3390/disabilities6020022 - 26 Feb 2026
Viewed by 948
Abstract
Teacher training should promote a social understanding of disability to support effective inclusive practices and reduce barriers. This study surveyed 150 pre-service primary and secondary teachers at one German university using a mixed-methods design to examine their attitudes toward inclusive education and their [...] Read more.
Teacher training should promote a social understanding of disability to support effective inclusive practices and reduce barriers. This study surveyed 150 pre-service primary and secondary teachers at one German university using a mixed-methods design to examine their attitudes toward inclusive education and their agreement with the social model of disability. It was found that participants held neutral to slightly positive attitudes toward inclusion and partially agreed with the social model of disability. Structural equation modeling revealed that social contact, even if limited, influenced the agreement with the social model of disability, but not the attitudes toward the inclusion of pupils with special educational needs in mainstream schools (CMIN/df = 1.50, CFI = 0.96, IFI = 0.96, TLI = 0.94, RMSEA = 0.06). Interview data showed that participants have concerns about working with these pupils, citing a lack of training in special education and inclusive practices. Full article
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17 pages, 299 KB  
Article
Teachers’ Attitudes Toward Inclusion and the ICF: Evidence from a National Survey in Portugal
by Maria José Saragoça and Adelinda Araújo Candeias
Educ. Sci. 2026, 16(1), 44; https://doi.org/10.3390/educsci16010044 - 30 Dec 2025
Viewed by 1157
Abstract
The “International Classification of Functioning, Disability and Health (ICF)” frames disability as an interaction between individual functioning and contextual factors, promoting participation over deficit-based models. In Portugal, the ICF was mandatory for eligibility decisions between 2008 and 2018 and remains a conceptual reference [...] Read more.
The “International Classification of Functioning, Disability and Health (ICF)” frames disability as an interaction between individual functioning and contextual factors, promoting participation over deficit-based models. In Portugal, the ICF was mandatory for eligibility decisions between 2008 and 2018 and remains a conceptual reference in inclusive education. However, little is known about teachers’ attitudes toward its use. This study explored Portuguese teachers’ attitudes toward (a) inclusion of students with “special educational needs (SEN)” and (b) the ICF as a framework for educational planning. A cross-sectional online survey was conducted with 417 public-school teachers working across all levels of compulsory education, from pre-school to secondary education. The questionnaire assessed six indicators of inclusion attitudes and a validated 27-item ICF Attitudes Scale. Data were analyzed using descriptive and correlational procedures. Teachers expressed strong support for participation in school life and selective academic integration, while rejecting full-time placement for all SEN students. Attitudes toward the ICF were generally positive, highlighting its perceived usefulness for planning and identifying barriers. Professional background variables showed only weak associations with these attitudes. Teachers value inclusive participation and recognize the ICF’s potential, but practical implementation depends on time, resources, and collaboration. Findings underscore the need for practice-based professional development to strengthen inclusive education. Full article
12 pages, 604 KB  
Article
Translation and Validation of the Attitudes Towards Inclusion of Students with Disabilities in Physical Education Questionnaire (AISDPE) and the Basic Empathy Scale (BES) in Basque
by Jurgi Olasagasti-Ibargoien, Naroa Uria-Olaizola and Olatz Zabala-Domínguez
Disabilities 2026, 6(1), 1; https://doi.org/10.3390/disabilities6010001 - 19 Dec 2025
Viewed by 957
Abstract
Inclusive education is currently a central priority within the Basque educational system, where the right to education is understood as a fundamental right that must be guaranteed in inclusive environments fostering social interaction among all members of the school community. Attitudes towards inclusion [...] Read more.
Inclusive education is currently a central priority within the Basque educational system, where the right to education is understood as a fundamental right that must be guaranteed in inclusive environments fostering social interaction among all members of the school community. Attitudes towards inclusion are a key factor for ensuring the participation of students with disabilities, and empathy has been identified as one of the main capacities supporting inclusive practices. The aim of this study was to translate to Basque, culturally adapt, and validate the Attitudes towards Inclusion of Students with Disabilities in Physical Education Questionnaire (AISDPE) and the Basic Empathy Scale (BES). A validation and reliability study was conducted with 151 students enrolled in compulsory secondary education at a public school in Gipuzkoa. Confirmatory factor analysis was applied to assess construct validity. Reliability was examined using Cronbach’s alpha and omega coefficients for each dimension of both questionnaires. Results demonstrated satisfactory reliability for both instruments (α and ω > 0.75), supporting their applicability in Basque. These findings contribute to the availability of validated tools to assess attitudes towards inclusion and empathy, thereby facilitating future research on inclusive education in the Basque context. Full article
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16 pages, 461 KB  
Article
How Do Gender and Previous Contact with People with Disabilities Affect Students’ Attitudes Towards Inclusion in Physical Education? A Chilean–Spanish Experience
by Mauro Grassi-Roig, Fernando Muñoz-Hinrichsen, Rodrigo C. Vergara, Javier Coterón and Javier Pérez-Tejero
Educ. Sci. 2025, 15(12), 1672; https://doi.org/10.3390/educsci15121672 - 11 Dec 2025
Viewed by 677
Abstract
The research explores the attitudes of students without disabilities towards the inclusion of students with disabilities in Physical Education classes. It analyses how gender and previous contact with people with disabilities influence these attitudes across four Spanish-speaking cities. The study involved 3732 secondary [...] Read more.
The research explores the attitudes of students without disabilities towards the inclusion of students with disabilities in Physical Education classes. It analyses how gender and previous contact with people with disabilities influence these attitudes across four Spanish-speaking cities. The study involved 3732 secondary school students from Spain and Chile. Data was collected using the Students’ Attitudes Towards Integration in Physical Education (CAIPER-R) instrument. The results indicated that girls generally have more positive attitudes towards inclusion than boys. However, previous contact with people with disabilities did not significantly affect the students’ attitudes. There were also differences observed across the cities, with Extremadura showing the highest inclusion scores. This study highlights the importance of gender in shaping attitudes towards inclusion in PE. It suggests that new educational policies are effectively promoting inclusion across culturally similar countries, such as Chile and Spain. Full article
(This article belongs to the Special Issue Teachers and Teaching in Inclusive Education)
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23 pages, 1120 KB  
Article
Inclusive Education as a Pillar of Sustainability: An Experimental Study on Students’ Attitudes Towards People with Disabilities
by Aniella Mihaela Vieriu
Educ. Sci. 2025, 15(11), 1522; https://doi.org/10.3390/educsci15111522 - 11 Nov 2025
Cited by 3 | Viewed by 1835
Abstract
Inclusive education represents a central pillar of social sustainability, demanding a nuanced understanding of the factors shaping students’ attitudes toward people with disabilities. Grounded in the social–relational model of disability—which conceptualizes disability as the interaction between individual characteristics and environmental barriers—this study examined [...] Read more.
Inclusive education represents a central pillar of social sustainability, demanding a nuanced understanding of the factors shaping students’ attitudes toward people with disabilities. Grounded in the social–relational model of disability—which conceptualizes disability as the interaction between individual characteristics and environmental barriers—this study examined the effects of emotionally valenced video stimuli (positive, negative, neutral), gender, and tolerance level on university students’ attitudes, using a randomized quasi-experimental design with repeated measures. The intervention was implemented entirely online to ensure consistency and accessibility. A total of 179 undergraduate students from the National University of Science and Technology Politehnica Bucharest (Romania), aged 20 to 23 years (M = 21.4, SD = 1.6), participated in the study, which lasted approximately two weeks. Participants completed pre- and post-intervention assessments, including the Elementary Tolerance Scale and a 25-item Attitude Scale combining strengths-based descriptors with stereotype-consistent items used diagnostically to detect bias (without endorsing such framings). Results revealed a significant main effect of video type, F(2,176) = 10.07, p < 0.001, with higher post-test scores for the positive condition (M = 93.82) compared to the negative (M = 85.88) and neutral (M = 82.67) conditions. Gender (p = 0.033) and tolerance level (p = 0.034) also emerged as significant moderators. We explicitly reject deficit-oriented terminology, contextualizing its use solely for diagnostic and analytical purposes; wherever possible, affirming, strengths-based, and socially grounded language is prioritized. These findings highlight the value of brief, emotionally tailored interventions for fostering inclusive attitudes in higher education and emphasize the importance of ethically curated, co-designed educational materials and measurement practices grounded in dignity and human rights. Ethical Note (Content Warning): The study adopts a social–relational, human-rights perspective on disability. Deficit-based narratives were analyzed exclusively as subjects of critique and are not endorsed. Descriptions of the “negative” stimulus were deliberately minimized to reduce potential harm and included only for scientific transparency. Negative-valence questionnaire items reflect prevalent stereotypes and were used solely as diagnostic indicators of bias. Future research should prioritize collaborative co-creation with scholars and advocates with disabilities and employ ethically curated, inclusive stimuli. Full article
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20 pages, 314 KB  
Article
Inclusion Across Educational Levels: Cultural Differences in the Attitudes of Jewish and Arab Teachers in Elementary, Middle, and High Schools
by Nirit Karni-Vizer, Maha Arslan and Batel Hazan-Liran
Educ. Sci. 2025, 15(10), 1398; https://doi.org/10.3390/educsci15101398 - 18 Oct 2025
Cited by 2 | Viewed by 4693
Abstract
This study examined cultural differences in teachers’ attitudes towards the inclusion of students with disabilities in Jewish and Arab Israeli schools. We explored whether cultural differences influence attitudes and perceptions, considering the distinct educational contexts and cultural values. The research involved 1191 teachers [...] Read more.
This study examined cultural differences in teachers’ attitudes towards the inclusion of students with disabilities in Jewish and Arab Israeli schools. We explored whether cultural differences influence attitudes and perceptions, considering the distinct educational contexts and cultural values. The research involved 1191 teachers who completed an inclusion questionnaire. Jewish teachers rated inclusion more positively across all domains, with no significant differences between school levels. Arab teachers showed more positive attitudes in elementary schools, but these declined in high schools, reflecting cultural tendencies toward community-oriented practices at the primary level. The study highlights the role of cultural values, such as collectivism in Arab communities, in shaping educational practices and underscores the impact of sociocultural dynamics on the success of inclusive education. Full article
(This article belongs to the Section Special and Inclusive Education)
15 pages, 265 KB  
Article
Supporting Teacher Professionalism for Inclusive Education: Integrating Cognitive, Emotional, and Contextual Dimensions
by Michal Nissim and Fathi Shamma
Educ. Sci. 2025, 15(10), 1317; https://doi.org/10.3390/educsci15101317 - 4 Oct 2025
Cited by 3 | Viewed by 2670
Abstract
This study examined how cognitive, affective, and sociocultural factors shape teachers’ readiness for inclusive education, focusing on the interplay between attitudes, emotional concerns, and self-efficacy. A survey of 149 elementary school teachers from diverse communities employed three validated instruments to assess these constructs. [...] Read more.
This study examined how cognitive, affective, and sociocultural factors shape teachers’ readiness for inclusive education, focusing on the interplay between attitudes, emotional concerns, and self-efficacy. A survey of 149 elementary school teachers from diverse communities employed three validated instruments to assess these constructs. Overall, teachers expressed moderately positive attitudes toward inclusion and relatively high levels of self-efficacy, yet emotional concerns were consistently present. Importantly, correlational analyses revealed that emotional concerns fully mediated the relationship between attitudes and self-efficacy, underscoring the central role of affective dimensions in shaping teachers’ professional confidence. Teachers with prior training or direct experience with students with disabilities reported lower emotional concerns, suggesting the value of practice-based professional learning opportunities. Sociocultural differences also emerged, with differences across communities, pointing to the influence of communal norms on emotional readiness for inclusion. These findings highlight the need to reconceptualize teacher professionalism in inclusive education as integrating cognitive, emotional, and contextual dimensions. Implications include designing professional development programs that combine knowledge, practice, and emotional preparedness, alongside culturally responsive approaches tailored to minority communities. Full article
(This article belongs to the Special Issue Supporting Teaching Staff Development for Professional Education)
15 pages, 615 KB  
Article
Exploring Emotional Intelligence, Attitudes Towards Disability, and Sexism Among Future Teachers in Spain
by Alberto Nolasco Hernández, Jesús Paz-Albo, Aránzazu Hervás-Escobar and Laura Gracia Sanchez
Educ. Sci. 2025, 15(10), 1291; https://doi.org/10.3390/educsci15101291 - 1 Oct 2025
Cited by 1 | Viewed by 1137
Abstract
This research aimed to evaluate the emotional intelligence of future teachers and its relationship with attitudes towards people with disabilities, sexism, and bullying behaviors. Using a non-experimental design under a quantitative approach, 1004 future teaching subjects were selected by convenience sampling from different [...] Read more.
This research aimed to evaluate the emotional intelligence of future teachers and its relationship with attitudes towards people with disabilities, sexism, and bullying behaviors. Using a non-experimental design under a quantitative approach, 1004 future teaching subjects were selected by convenience sampling from different Faculties of Education in Spanish universities. The following instruments were applied online: for emotional intelligence, the TMMS-24; for bullying assessment, the Bullying Questionnaire-CAME; the General Scale of Attitudes towards People with Disabilities (2016) and the Ambivalent Sexism Inventory (ASI). Results indicated that both male and female future teachers exhibited low levels of emotional intelligence. A correlation was observed between greater emotional intelligence and more positive attitudes towards people with disabilities, as well as a lower tendency towards sexism. Additionally, a relationship was found between greater emotional attention and a lower tendency to bully from the victim’s perspective. These findings highlight the importance of developing emotional intelligence in future teachers to improve their interactions with students and promote a more inclusive and respectful school environment. Full article
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18 pages, 1047 KB  
Article
Bridging the Gap: Toward Inclusive Tourism in the Banská Bystrica Region of Slovakia
by Radka Marčeková, Ľubica Šebová, Izabela Lazurová and Rebeka Liberdová
Tour. Hosp. 2025, 6(4), 193; https://doi.org/10.3390/tourhosp6040193 - 30 Sep 2025
Viewed by 1576
Abstract
This study examines the accessibility of tourism facilities in the Banská Bystrica region of Slovakia for visitors with disabilities and explores the attitudes of service providers toward inclusive tourism. Accessibility remains a key challenge in developing equitable tourism services, and this research aims [...] Read more.
This study examines the accessibility of tourism facilities in the Banská Bystrica region of Slovakia for visitors with disabilities and explores the attitudes of service providers toward inclusive tourism. Accessibility remains a key challenge in developing equitable tourism services, and this research aims to evaluate the current state of barrier-free infrastructure while identifying opportunities for improvement. A survey of 45 tourism facilities was conducted to assess compliance with accessibility standards, revealing that only 22.22% of the facilities meet the required criteria. To complement these findings, structured interviews with representatives from eight facilities were carried out, with responses analyzed using ATLAS.ti software (Version 24.0.0) to visualize patterns through diagrams and Sankey networks. The results highlight significant shortcomings in physical accessibility as well as mixed attitudes of service providers toward the needs of disabled visitors. The study concludes that while awareness of inclusive practices is growing, substantial efforts are still required to improve infrastructure and foster positive engagement from service providers. These findings provide valuable insights for policymakers, tourism stakeholders, and service operators, offering practical recommendations for enhancing accessibility and promoting a more inclusive tourism environment in the region. Full article
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18 pages, 692 KB  
Article
Active Breaks in Primary and Secondary School Children and Adolescents: The Point of View of Teachers
by Michela Persiani, Andrea Ceciliani, Gabriele Russo, Laura Dallolio, Giulio Senesi, Laura Bragonzoni, Marco Montalti, Rossella Sacchetti and Alice Masini
Healthcare 2025, 13(19), 2482; https://doi.org/10.3390/healthcare13192482 - 29 Sep 2025
Viewed by 1853
Abstract
Background/Objectives: Engaging in regular physical activity (PA) and reducing sedentary behaviors benefits youth health, especially for those with disabilities. However, two-thirds of European children remain insufficiently active. In schools, Active Breaks, brief 5–15 min PA sessions led by teachers during or between lessons, [...] Read more.
Background/Objectives: Engaging in regular physical activity (PA) and reducing sedentary behaviors benefits youth health, especially for those with disabilities. However, two-thirds of European children remain insufficiently active. In schools, Active Breaks, brief 5–15 min PA sessions led by teachers during or between lessons, offer a feasible strategy to increase movement. This study investigated teachers’ perceptions of ABs by comparing implementers and non-implementers, examining facilitators and barriers to implementation, and exploring their potential to support the inclusion of students with disabilities. Methods: An observational cross-sectional study was conducted among primary and secondary school teachers in the Emilia-Romagna region (Italy), all of whom had completed a 6 h training course on the implementation of ABs. Data were collected using an ad hoc questionnaire consisting of four sections: sociodemographic data, an adapted Attitudes Toward Physical Activity scale, ABs’ practicality/sustainability, and inclusiveness. Results: Overall, 65% of teachers reported implementing ABs, with higher adoption in primary (69.5%) than secondary schools (58.6%). Implementers reported more positive perceptions and attitudes across individual, classroom, and school-support domains (p < 0.05). In addition, primary teachers consistently scored higher than their secondary counterparts, particularly in terms of class characteristics and benefit perceptions (p < 0.001). Most teachers, especially in primary schools (84.2%), reported no difficulties, although one-third of secondary teachers reported challenges. Exploratory factor analysis on barrier items identified two dimensions (practical/logistical feasibility; institutional/procedural difficulties), but internal consistency was low. Teachers mainly reported using motor activities, with sessions lasting 5–10 min, typically scheduled mid-morning. Inclusion analysis revealed that 60% of teachers had students with disabilities in their classes. While most students participated without adjustments, 25% required occasional or consistent modifications. Conclusions: ABs are a practical and inclusive strategy to reduce SBs in schools. However, not all teachers are currently able to implement them, due to varying contextual constraints, levels of support, and perceived barriers. Primary school settings appear more conducive to their integration, whereas secondary schools may require more tailored support. Fostering teacher confidence, peer collaboration, and inclusive planning can enhance both the implementation and long-term sustainability of educational initiatives. Full article
(This article belongs to the Section Public Health and Preventive Medicine)
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14 pages, 480 KB  
Review
Sex and Relationship Education for Individuals with Disabilities: A Review of the Literature Through an Ecological Systems Lens
by Gustav Oppermann, Caroline Van Zant, Isabel Coughlan, Sophie Howarth, Nicole Sparapani and Kathryn Pedgrift
Sexes 2025, 6(3), 52; https://doi.org/10.3390/sexes6030052 - 17 Sep 2025
Viewed by 2225
Abstract
Despite advances toward disability inclusion, high-quality sex and relationship education (SRE) is often inaccessible for disabled communities. Confounding this issue, each individual’s experience of SRE is shaped by aspects within their environment, such as societal contexts, cultural factors, policy frameworks at the national [...] Read more.
Despite advances toward disability inclusion, high-quality sex and relationship education (SRE) is often inaccessible for disabled communities. Confounding this issue, each individual’s experience of SRE is shaped by aspects within their environment, such as societal contexts, cultural factors, policy frameworks at the national and local levels, and the attitudes of parents and educators. This informal review of the literature synthesizes historical and contemporary literature—focusing primarily on individuals with intellectual disabilities and autism—to explore the multifaceted barriers and opportunities for effective SRE. We have situated the literature within Bronfenbrenner’s ecological systems theory to illuminate how interactions among and within the environment shape individual experiences with SRE. The literature outlines several barriers to successful SRE programs for the disabled community, including pervasive misconceptions about the sexual and relational needs of disabled individuals, inadequate training for educators, and limited empirical evidence underpinning best practices. Our paper underscores the need for comprehensive, evidence-based curricula that align with the desires of the disabled community, are accessible to people with disabilities and their communities, and employ a variety of instructional methods to support learning across the life course, beginning in adolescence. We conclude by outlining future directions for research and practical solutions for curriculum development, emphasizing the importance of addressing these multi-layered challenges to enhance SRE for disabled people and their communities. Approaching and conceptualizing the literature within a systems framework and through our shared perspectives and experiences is noteworthy, as our review provides a descriptive and unique lens to understanding SRE influences on people with disabilities nationally and internationally. Full article
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