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After being founded in 1963, the Fédération Sportive des Handicapés Physiques de France (FSHPF) began a timid move towards regional structuring, with the creation of a Comité Régional Lyonnais-Forez-Dauphiné-Savoie (CR-LFDS) – alongside that of Ⓘle-de-France – in 1965. From 1968 onwards, the strengthening of links with the French State Department for Youth and Sport helped to accentuate this movement. The FSHPF, renamed the FFSHP in 1968, finally obtained a delegation of powers from this department on 20 June 1972. This article looks at the conditions and reasons for this accelerated recognition by the State. It puts forward the hypothesis that it was paradoxically the result of the crisis that led to the split into two federal organisations in early 1972 (the FFSHP and the FFOHP, created on the initiative of the president of the CR-LFDS). This hypothesis is explored by crossing the archives of the Department of State for Youth and Sport and those of the two rival federations (as well as testimonies collected from the leaders of the time). These archives shed light on the tensions generated in the early 1970s by the organisation of international sporting events and the desire to control the development of a growing sport for the physically disabled. In 1971–1972, the crisis that erupted around the organisation of the "World Winter Games" helped the FFSHP gain the status of a delegated federation, a prerequisite for its entry into the French National Olympic and Sports Committee (CNOSF) in 1973 and the secondment of technical advisors by the State (1976). [ABSTRACT FROM AUTHOR]

This study explored the effect of different dual-task (DT) training programs on DT interference in adults with intellectual disability. Center-of-pressure (CoP) mean velocity in single-task (ST) and cognitive-DT conditions and the Timed Up-and-Go Test (TUGT) during ST, cognitive-DT, and motor-DT conditions were assessed before and after intervention in a cognitive–motor training group, a motor–motor training group, and a control group. Before training, CoP mean velocity and TUGT time increased (p <.001) in DT compared with the ST condition. After training, the CoP mean velocity values remained unchanged (p =.07) in DT compared with the ST condition among the cognitive–motor training group. Furthermore, compared with the ST condition, no increase (p = 1) was reported in the TUGT time during the cognitive-DT condition for the cognitive–motor training group and during the motor-DT for the motor–motor training group (p =.12). The effect of DT training on DT interference depends on the training modality. [ABSTRACT FROM AUTHOR]

Background: To prospectively examine the association between physical fitness and risk of disability retirement in a large population-based cohort. Methods: This study utilized data from Health 2011 survey Physical Activity subsample (n = 4898), combined with information on disability retirement derived from 2 national registers. In total, 2455 individuals aged 18–74 years underwent the physical fitness test protocol concerning measures of cardiorespiratory fitness, muscle strength, and balance. The outcome variable was disability retirement, during the follow-up period of 9 years. After excluding those not at risk of disability retirement (ie, age ≥63 y) or who had already been granted disability pension, and those who had not completed the fitness protocol, the analytical sample included 1381 participants. Data were analyzed using Cox regression model with SPSS (version 29). Results: During the 9-year follow-up period, 61 individuals (4.4%) transitioned to a disability retirement. Cox regression analysis showed an association between the various physical fitness subdomains and the risk of disability retirement. In model 1, all fitness tests were associated with the risk of disability retirement, except the one-leg stand test with hazard ratios ranging from 1.69 (95% CI, 0.86–3.34) to 5.75 (95% CI, 1.84–17.90). Further adjustment for sociodemographic, health behavior, and health-related covariates attenuated the associations and statistical significance was lost, except for the vertical jump test (hazard ratio = 4.33; 95% CI, 1.32–14.10) and 6-minute walk test (hazard ratio = 3.81; 95% CI, 1.35–10.70). Conclusion: These findings highlight the importance of physical fitness for preventing work disability. [ABSTRACT FROM AUTHOR]

In this paper, we analyze the subjective inclusion experiences of visually impaired (VI) adult tennis players from an ableism-critical perspective. The primary focus of this research is the inclusive potential of blind tennis from the perspective of VI individuals. Episodic interviews were conducted to capture subjective perspectives. A qualitative text analysis revealed that the interviewees were confronted with multiple ability assumptions by sighted people in their everyday lives. Deficit notions on the performance of VI people included sports, work, and general activities. Participation in blind tennis helped the interviewees build a "competent identity" and acquire various skills useful for their everyday lives as participation in blind tennis was a pathway for competence in sports. Further research is needed to identify exclusion experiences from the perspective of disabled people to recognize the potential of different sports in reducing barriers to participation. [ABSTRACT FROM AUTHOR]

Disability is a basic human condition that affects a significant proportion of the world's population, yet many disability- and accessibility-relevant issues remain pressing and insufficiently addressed. With three experiments, the current research investigates potential reasons for why marketplace disability accessibility has not been universally accepted. Potential barriers to greater accessibility in marketplaces may arise because such efforts appear at odds with other salient priorities, at micro (i.e. consumer) and macro (i.e. firm, policy, or societal) levels. In the proposed framework and resulting experiments, micro-level trade-offs prompt perceptions of personal cost and macro-level trade-offs prompt perceptions of firm morality. In turn, these perceptions mediate firm evaluations, showing that consumers at baseline respond negatively to accessibility. Critically, however, several practical interventions emerge from these processes. Marketers can mitigate consumers' negative responses to accessibility by employing simple framing choices such as emphasizing who benefits or noting what the purpose of the offering is. By demonstrating one way to better understand perceptions of the full spectrum of the consumer population, this research provides pathways for consumer researchers to further delve into disability-related research in the future. [ABSTRACT FROM AUTHOR]

Background: The current physical activity guidelines recommend engagement in strength activities at least 2 days per week. Currently, there is a lack of literature examining strength activities among people with disabilities. The purpose of this study is to estimate and compare the prevalence of engagement in strength activities and adherence to strength activity guidelines among adults with and without disabilities in the United States. Methods: A total of 1,005,644 adults (18–80 y old) with and without disabilities from the 2013 to 2017 Behavioral Risk Factor Surveillance System were included in this secondary data analysis. Descriptive analyses were performed to describe the prevalence of strength activity behaviors of adults with and without disabilities. Logistic and Poisson regression models were performed to evaluate the relative contribution of disability status on strength activity behaviors. Results: A higher proportion of participants without disabilities (46.42%, 95% CI, 46.18–46.65) reported engaging in strength activities compared with participants with disabilities (30.68%, 95% CI, 30.29–31.08; P <.01). Participants with disabilities were less likely to engage in strength activities (odds ratio = 0.51, 95% CI, 0.50–0.52; adjusted odds ratio = 0.75, 95% CI, 0.73–0.77) and meet strength activity guidelines (odds ratio = 0.56, 95% CI, 0.54–0.57; adjusted odds ratio = 0.75, 95% CI, 0.73–0.77) than participants without disabilities. Conclusion: Experiencing a disability is associated with lower engagement in strength activities; thus, it is important to identify effective and efficient approaches to promoting strength activities among people with disabilities. [ABSTRACT FROM AUTHOR]

People with disabilities are often targets for exploitation. Persons with disabilities subject to guardianship require additional planning protections to safeguard them from financial predation. This article reviews the literature on this topic and identifies key areas of concern that financial advisors should address to protect this vulnerable population. [ABSTRACT FROM AUTHOR]

Drawing upon value theory, this study investigates both the enabling and disabling features of marketplaces for consumers in the disability market. Analysis of longitudinal qualitative data collected before and after the introduction of a new disability service provision scheme in Australia offer empirical evidence of such marketplaces that are both creating and destroying value for people with disability and their carers. In some instances, value creation and destruction can co-occur for individual consumers. These empirical insights lead to a theoretical conceptualisation of the marketplace as not being wholly disabling, but rather consisting of disabling and enabling factors. Understanding these factors allows service providers and policy makers to make adjustments in view of maximising value creation and minimising value destruction. [ABSTRACT FROM AUTHOR]

Using the Capability Approach (CA) as a means of identifying the barriers that individuals with disabilities face in achieving their goals, this conceptual paper aims to provoke discussion and identify how society excludes and marginalises individuals with disabilities. As framed through the lens of consumer vulnerability, reimagining how society, policy makers and the market can transform lived experiences, representation and symbolism of disability, this paper calls for a coherent and integrated set of actions. Central to these actions is a proposal for a transformative approach to marketplace access as a coordinated force to deliver positive change for people with disabilities. Through developing a new conceptual way of how the market should engage with disability, this paper presents proposals looking to ensure individuals with disabilities experience the conditions in which they can pursue their ultimate ends. [ABSTRACT FROM AUTHOR]

This article describes the perceptions and experiences of collaboration between teachers of physical education (n = 3) and special educators (n = 3) on teaching pupils with disabilities. Using a qualitative approach, the study seeks to establish the nature and extent of collaboration among these teachers and to identify the benefits and barriers to implementation. Semistructured interviews were used as the main data source. Data were collected from teachers working in the public school system in the southern part of Finland. The findings indicate that while teachers are mostly aware of the value of collaboration, its implementation varies immensely among the different schools. While the special educators in this study see themselves mainly responsible for supporting pupils with disabilities, the physical education teachers showed a strong commitment to the subject matter of their teaching. Participants also reported several challenges relating to time constraints, a lack of classroom support, and a shared vision of inclusive teaching. [ABSTRACT FROM AUTHOR]

This systematic review synthesized the literature on digital health interventions for the promotion of physical activity (PA) among people with intellectual disabilities and/or autism. From an initial screening of 553 records, 10 studies underwent full-text review. Data were extracted relating to study, intervention, and sample characteristics and PA-related findings. Methodological quality was evaluated using the Crowe Critical Appraisal Tool. There were mixed findings pertaining to the effectiveness of digital health interventions for promoting PA among these populations. Positive results were reported for three of five active-video-game interventions, two of three social-media-based interventions, and one of two e-learning/multicomponent interventions. Digital health interventions can potentially be effective for promoting PA among people with intellectual disabilities and/or autism. However, the large variation in the samples and intervention types and a reliance on pre- and quasi-experimental research designs suggest that inferences should be made with caution and additional research is needed. [ABSTRACT FROM AUTHOR]

Objectives: Sedation is commonly utilized for individuals otherwise unable to receive dental treatment, such as those with disabilities, medically complex conditions, and dentophobics. The aim was to characterize the profiles of patients receiving various types of sedation and assess the corresponding success rates. Method and materials: This was a 5-year records-based retrospective study. Data regarding the indication for sedation, medical history, sedation type, and treatments performed were recorded. Results: In total, 103 patients underwent 389 treatment sessions under sedation; 42.7% of the patients were disabled. The most commonly administered sedation was moderate sedation, (49.4%), followed by deep (36.8%) and inhaled sedation (13.9%). Successful treatment results were achieved in 96.1% of sessions, with no adverse effects noted during recovery. The high success rates were independent of patient age, sex, and sedation type. There was a positive association between the indication for sedation and the type of sedation. The medically complex patients and the dentophobic patients received mainly moderate sedation (85.3% and 58.2%, respectively), whereas the disabled patients received deep sedation (51.2%). In total, 94% of patients were returning (revisiting) patients. A statistically significant association was found between the type of sedation administered and the success rate during the first and last sessions (P< .001). The success rate at the first session may be predictive of the success in subsequent sessions. Conclusion: A significant positive correlation was found between patient characteristics and the chosen sedation type leading to a high success rate across the various sedation modalities. [ABSTRACT FROM AUTHOR]

Background: People with physical disabilities (PWD) participate in less physical activity than people without physical disabilities (PWoD), which increases the risk for several negative health consequences. Comparing physical activity between PWD and PWoD remains a challenge since no reliable and valid survey exists to measure physical activity in both populations. The International Physical Activity Questionnaire (IPAQ) was adapted to be inclusive of PWD using a recently developed survey adaption framework; however, the adapted IPAQ has not been assessed for reliability and validity. The objective of this study was to assess the reliability and validity of the adapted IPAQ. Methods: To assess test–retest reliability, the adapted IPAQ was completed twice within a 72-hour period by 172 individuals (PWD: n = 102, PWoD: n = 70) and compared using intraclass correlation coefficients. Using Spearman rho, convergent validity and construct validity were assessed in 62 individuals by comparing the adapted IPAQ against the original instrument and activity monitor measured step count, respectively. Results: The adapted IPAQ demonstrated moderate test–retest reliability, with intraclass correlation coefficients of total scores for the total sample of.690 (95% confidence interval [CI].581–.770) and among subgroup analysis (PWD,.640, 95% CI,.457–.761; PWoD,.758, 95% CI,.610–.850). Correlation coefficients were also good for the assessment of convergent validity of total score (.727; 95% CI,.579–.829; P <.001). Construct validity assessment yielded moderate coefficient (.406; 95% CI,.166–.596; P =.001). Conclusions: The adapted IPAQ demonstrated acceptable reliability and validity and is appropriate for use in PWD and PWoD. [ABSTRACT FROM AUTHOR]

Background: Although physical activity (PA) is an important determinant of health, physically disabled individuals tend to have a sedentary lifestyle. The Barriers to Physical Activity Questionnaire for People with Mobility Impairments (BPAQ-MI) is a self-report instrument evaluating PA barriers. This study was intended to evaluate the validity and reliability of the Persian version of BPAQ-MI (P-BPAQ-MI) and to report the prevalence and severity of PA barriers among Persian-speaking individuals. Methods: The translation and back translation of the BPAQ-MI was conducted according to an internationally accepted guideline and tested on 163 participants to assess its reliability and validity. Internal consistency and test–retest reliability were analyzed using Cronbach alpha and Spearman correlation coefficient. Convergent construct validity was established by comparing the scores of P-BPAQ-MI and The Baecke Habitual Physical Activity Questionnaire. Known-groups construct validity was assessed with regard to type of assistive device and sex of the individual. Prevalence and severity of the barriers were reported by computing the percentage and means of "yes" answers. Results: The P-BPAQ-MI domains demonstrated very good internal consistency (Cronbach alpha of.77–.95) and excellent test–retest reliability (Spearman rho of.73–.96) with a significant inverse small correlation with Baecke Habitual Physical Activity Questionnaire indexes. The P-BPAQ-MI successfully discriminated between individuals with different assistive devices and sex. Community Built Environment barriers were the most prevalent and severe. Conclusions: The P-BPAQ-MI is a valid and reliable instrument to assess the PA barriers of people with physical disability. The community barriers were the most frequently reported obstacles to PA. [ABSTRACT FROM AUTHOR]

Purpose: To examine the feasibility and utility of the Fitbit Charge HR to estimate physical activity among ambulatory children and youth with disabilities. Method: Participants (4–17 y old) with disabilities were recruited and asked to wear a Fitbit for 28 days. Feasibility was assessed as the number of participants who adhered to the 28-day protocol. Heat maps were generated to visually examine variability in step count by age, gender, and disability group. Between-group differences for wear time and step counts by age, gender, and disability type were assessed by independent sample t tests for gender and disability group, and a 1-way analysis of variance for age group. Results: Participants (N = 157; median age = 10 y; 71% boys; 71% nonphysical disabilities) averaged 21 valid days of wear time. Wear time was higher in girls than boys (mean difference = 18.0; 95% confidence interval [CI], 6.8 to 29.1), and in preadolescents (mean difference = 27.6; 95% CI, 15.5 to 39.7) and adolescents (mean difference = −21.2; 95% CI, −33.6 to −8.7) than children. More daily steps were taken by boys than girls (mean difference = −1040; 95% CI, −1465 to −615) and individuals with a nonphysical disability than a physical disability (mean difference = −1120; 95% CI, −1474 to −765). The heat maps showed peaks in physical activity on weekdays before school, at recess, lunchtime, and after school. Conclusion: The Fitbit is a feasible tool for monitoring physical activity among ambulatory children and youth with disabilities and may be useful for population-level surveillance and intervention. [ABSTRACT FROM AUTHOR]

Identifying factors that influence physical activity (PA) among individuals with Down syndrome is essential for PA promotion. Insight can be gained from guardians and health professionals. The purpose of this study was to explore the perspectives of guardians and health professionals on facilitators and barriers of PA in individuals with Down syndrome. Interviews were conducted with 11 guardians (five mothers, four fathers, and two legal guardians) and 11 professionals (four PA specialists, three physical therapists, and four occupational therapists). Grounded theory was applied. Barriers and facilitators fit the levels of the ecological model of health behavior: (a) intrapersonal (perceived rewards), (b) interpersonal (interaction), (c) community (availability of programs), (d) organizational (school systems), and (e) policy (education). Guardians and professionals agreed on the importance of enjoyment, interaction, and programs to promote PA. Differences between groups were identified at the organizational and policy levels. PA in persons with Down syndrome is influenced by interactions between individual and environmental factors. [ABSTRACT FROM AUTHOR]

This study explored the association between socioecological factors and outdoor physical activity (PA) and play in children with disabilities during the COVID-19 pandemic. Parents (N = 133) completed a survey to report changes in their child's outdoor PA and play during the pandemic (from prepandemic levels), and child, household, and neighborhood environment factors. Children with a PA-supporting parent and from multichild and White households had lower odds of reporting decreased outdoor PA. Children from multichild, higher income, married couple households and a PA-supporting parent had lower odds of decreased outdoor play. Living in neighborhoods with higher urbanization (i.e., high dwelling density, street intersections, and land-use mix) was associated with greater odds of decreased outdoor PA and play. Future research that uses larger and more representative samples of children with disabilities is needed to test for the multivariate effects of socioecological variables on outdoor PA and play. [ABSTRACT FROM AUTHOR]

How do advertising trade press and association resources advise practitioners on considering disabilities in advertising work? What does the industry think are effective practices for taking disabilities into account fairly and respectfully? This article answers these questions by closely reading prominent industry articles and multimedia materials focused on recommendations regarding how to take disabilities into account in advertising work. Using critical disability scholars' critiques of the advertising industry's considerations of disability as a guide, critical discourse analysis was applied to trade articles and multimedia materials published between 2018 and early 2023 by the Association of National Advertisers (ANA), Adweek, and Ad Age, all leading advertising industry trade publishers among U.S. advertising practitioners. These analyses present some emergent themes about what the industry tells itself are the effective practices to represent disabilities and reach and include people with disabilities. Careful attention is paid to the similarities and gaps between industry recommendations and scholarly and activist guidelines to see where the industry sees itself in its journey of disability diversity, equity, inclusion, and belonging. [ABSTRACT FROM AUTHOR]

The relations and dynamics between influencers, brands and marketers, social media digital platforms and consumers are indeed complex and can be analysed through the contrasting perspectives of parasitism and symbiosis. The influencer marketing symbiosis/parasitism framework One unique way of looking at the relationship between influencers, marketers and brands, consumers and social media platforms is to consider who is exploiting whom and to what ends. Recent contributions in this regard include special issues and sections in advertising scholarship that explore the efficacy and consumption of influencer marketing (Hudders & Lou, [46]) and how advertisers can best leverage influencers (Rosengren & Campbell, [93]), with in press special issues in business and marketing dedicated to examining virtual influencers (Koles et al., [60]), implications of influencers and influencer marketing for consumers and society (Mardon et al., [74]) and the ways influencers can be leveraged for the "greater good" to encourage sustainable and pro-social behaviours (Gerrath et al., [40]). In academic marketing research, the abundance of scholarly work to date centres on practical aspects of influencer marketing: how brands can profit from influencers (Hughes et al., [47]; Ki & Kim, [58]; Leung et al., [67]; Lou & Yuan, [70]; Martínez-López et al., [76]; Reinikainen et al., [91]), the functional components of influencer marketing (Brooks et al., [19]; Campbell & Farrell, [23]), roles and categorisations of influencers (Ouvrein et al., [84]; Rundin & Colliander, [94]), disclosure implications in influencer marketing (Audrezet & Charry, [10]; Chen et al., [26]; De Jans & Hudders, [29]; Giuffredi-Kähr et al., [42]; Karagür et al., [54]), and consumer perceptions of influencers (De Veirman et al., [30]; Lee & Eastin, [64]; Yuan & Lou, [114]). [Extracted from the article]

Disability is one of the largest minority groups, with a spending power of approximately £273bn every year. Consequently, many advertisers are now weaving people with disabilities into brand narratives. These narratives often evoke feelings of pity or portray people with disabilities as inspiring, solely or in part on the basis of their disability. Meanwhile, social media has emerged as a vessel for social change. Through the netnographic study of twelve influencers with visible impairments, complex personhood is proposed as a social ontology by which disabled lives are acknowledged in less confined terms. Our findings illustrate how social media influencers with disabilities may draw on narratives based on empowerment, playfulness, resistance, and responsibility to present themselves as neither victims nor superhuman agents but as complex human beings. We thus bring forward a complex model in market-mediated representations of disability, beyond the misrepresentational narratives based on pity and 'inspiration porn'. [ABSTRACT FROM AUTHOR]

This phenomenological study's purpose was to describe the experiences of PWD learners in the conduct of face-toface classes after the COVID-19 pandemic in General Santos City for the school year 2022-2023. The study utilized a qualitative research design using a phenomenological approach, with 10 Junior and Senior High School learners with disability chosen through purposive sampling. Thematic content analysis was used as a data analysis tool. Considering the collected data, it revealed that the PWD learners were excited in the reopening of classes, selfdetermined and persevered, as well as experienced culture-shock during participation in limited face-to-face classes. Moreover, the themes for their coping strategies with various difficulties throughout their participation in limited face-to-face class were having a strong support system, having a positive mindset, and being adaptable to sudden change. Additionally, being a conqueror, being victorious amidst pandemic, and being a role model to others were the themes that resulted from the insights they shared for other learners with disabilities and to the academic community. Nevertheless, it was found out that all learners with disabilities were victorious amidst the pandemic. They conquered the challenges during the limited face-to-face classes and still were exhilarated to participate in the progressive inperson classes. [ABSTRACT FROM AUTHOR]

Purpose: To understand the perceptions and meaning of the experience of individuals with Parkinson's disease (PD) when participating in a telerehabilitation protocol during COVID-19 pandemic. Methods: This is a qualitative descriptive analytical study with a phenomenological basis, regarding the individuals' perceptions of telerehabilitation. The interviews were conducted by a semi-structured interview guide and carried out via recorded phone calls, which were later transcribed, categorized, and analyzed based on the principles of phenomenology according to the propositions of Martins and Bicudo. Results: From the qualitative analysis, four themes that configure the structure of the phenomenon emerged: 1) Expectations regarding physical therapy through telerehabilitation during the pandemic; 2) Experiences of the new routine; 3) Perceptions about oneself in the light of the proposed telerehabilitation program; 4) A view of the protocol. Conclusion: Apprehension and fear were present during the implementation of the protocol, however, previous experience with face-to-face physical therapy and the team allowed feelings of happiness, contentment, welcomeness, and satisfaction with the possibility of resuming the activities. The individuals actively participated in the program with commitment and co-responsibility, but the lack of physical contact, limited equipment, and constant concern for the safety and individuality of the participants must be emphasized. IMPLICATIONS FOR REHABILITATION: The use of telerehabilitation was a necessary therapeutic alternative during the COVID-19 pandemic period and has currently been consolidated as a complementary resource in the treatment of individuals with Parkinson's disease (PD). The perceptions of people with PD who have experienced telerehabilitation treatment can influence clinical decision-making regarding the use of this tool in this population. Telerehabilitation is useful when distance separates the patient from the healthcare team, it reduces travel time and expenses and can intensify the amount of treatment. According to our interpretation, telerehabilitation requires a good internet connection and restricts physical contact, so hybrid use of rehabilitation modalities (in-person and remote) could be an interesting option. [ABSTRACT FROM AUTHOR]

Purpose: This scoping literature review aimed to determine the definition of dignity in relation to disability. It also examined the extent to which inclusive research methods have been used to develop working definitions. Materials and Methods: A comprehensive search was conducted in five electronic databases, using a modified framework by Arksey and O'Malley. Narrative synthesis and qualitative content analysis were employed to examine definitions of dignity and the use of inclusive research methods. Results: 22 peer-reviewed studies were included. The majority of the studies were qualitative (72.72%) and examined various disability populations in diverse settings. Although 19 studies offered a definition of dignity, there was no clear consensus. Dignity was frequently defined from a utilitarian perspective, emphasising affordances and barriers. However, engagement with theoretical constructs was superficial and limited. Further, no studies mentioned the use of inclusive research methods. Conclusions: The absence of inclusive research methods hinders the development of a comprehensive definition of dignity that is accepted by and relevant to people with disability. Engaging with both theoretical and empirical perspectives of dignity is crucial to develop a meaningful and inclusive definition, which can inform interventions and policies that enhance dignity for people with disability across diverse settings and contexts. IMPLICATIONS FOR REHABILITATION: The adoption of inclusive research methods in disability research should be a priority for rehabilitation researchers and clinicians to better shape research agendas, study design, and outcomes. The absence of inclusive research methods hinders the development of a comprehensive definition of dignity that is accepted by and relevant to people with disability The findings emphasise the need to address dignity concerns within healthcare settings for people with disability. Rehabilitation practitioners can advocate for person-centered approaches, improved communication and increased accessibility to create dignified healthcare environments. Rehabilitation researchers and practitioners can play a pivotal role in advocating for social justice and equity by supporting policies and interventions that foster inclusive practices, dignity, and equitable opportunities for people with disability [ABSTRACT FROM AUTHOR]

Lived experiences with urban heat are often rendered invisible, shrouded under the cloak of neoliberal resilience discourse and sanitised heat mapping and messaging. This is particularly tragic for disadvantaged at‐risk populations in white, settler colonial contexts where heat tolerance is worn as a badge of honour. Here, drawing upon semi‐structured interviews and focus group discussions in Perth, Western Australia, and with feminist emphasis on the embodied, the everyday, and bodily difference, we illustrate how corporeal thermal insecurities among rough sleepers, people with disabilities, and across intersectional disenfranchisement immobilise and dehumanise. By employing the logic of structures of violence to thermal suffering, we reveal how housing and energy precarity exacerbate entrenched racism and normalised discrimination. Our aim is to expand current debates on heat action plans (HAPs) and cool refuges by examining what “better weathering” could mean in practice, via the materialities of heated urban bodies (HUBs) and to demonstrate how such counter‐hegemonic heat mapping serves as a corporeal critique of the neoliberal resilient subject. [ABSTRACT FROM AUTHOR]

South Africa has progressively established good healthcare policies and actively promotes the rights of people with disabilities. However, as the healthcare sector is moving towards value‐based care to achieve universal health coverage, it remains unclear whether South African rehabilitation policies provide sufficient guidance for delivering value‐based rehabilitation services for people with disabilities. This article attempts to ascertain whether the content of South African rehabilitation policies is aligned with value‐based care. Rehabilitation policies were identified through a literature search (including grey literature) and discussions with stakeholders in the health policy field. A framework for value‐based care was created for deductive policy content analysis. A qualitative descriptive approach was used to describe the content that correlates with the framework's components. The National Rehabilitation Policy and the Framework and Strategy for Disability and Rehabilitation Services were included in this study. Both documents aligned with the value‐based framework, however, various barriers in South Africa challenge value‐based rehabilitation services. We conclude that South Africa's rehabilitation policies can guide value‐based rehabilitation services. However, these policies need to be operationalized and supported by empirical data on disability and rehabilitation services. A concerted effort is required from the government to ensure the allocation of resources for the implementation of policy. [ABSTRACT FROM AUTHOR]

The current study aimed to review the previous literature to analyze scientific research published in peer-reviewed scientific journals in Arabic and English, during the period from 2013 to 2023 AD. This is about the impact of inclusive education practices on students' self-esteem and sense of belonging in the classroom and the school community. In searching for relevant literature, the two researchers used the following databases: Dar Al-Mandurah, Eric,Google scholar, and then the literature was reviewed and analyzed The results of the study showed that the impact of inclusive education practices on students' self-esteem was positive and that the impact of inclusive education practices on students' sense of belonging varied between positive and negative, The results also revealed the existence of challenges facing students in inclusive education However, the presence of positive outputs resulting from comprehensive education urges specialists to face these challenges and continue working. The researchers recommended that the need still exists to conduct more studies about the impact of inclusive education on self-esteem and students' sense of belonging to the classroom and the school community Work on building standards to assess the quality of research published in Arabic language. [ABSTRACT FROM AUTHOR]

AbstractPurposeMethodsResultsConclusions\nIMPLICATIONS FOR REHABILITATIONRacial and ethnic minoritized children and youth with disabilities participate less often in structured leisure activities compared to their white peers and yet, little is known about the role of race/ethnicity in their participation. The purpose of this review was to understand the role of race/ethnicity in leisure participation of children and youth with disabilities.We systematically assessed peer-reviewed studies published from 2000 to 2023 in six international databases. We independently screened and identified thirteen studies meeting our inclusion criteria.Three themes emerged from our findings: (1) rates of leisure participation; (2) factors affecting leisure participation (i.e., ableism and racism; fear of harassment and safety; systemic factors; disability-related factors and intersectional factors); and (3) benefits and impact of culture on leisure participation (i.e., perceived benefits of leisure participation; perceived constraints of leisure participation; parents’ advocacy; importance of family participation).Findings revealed how disability and racial discrimination, systemic factors, cultural preferences, and availability of financial resources all shape leisure experiences and rate of participation for racial/ethnic minoritized children and youth with disabilities. Future research should explore the impact of culture on leisure participation in more depth.Understanding what leisure means to racial/ethnic minoritized parents of children with disabilities could help pediatric rehabilitation therapists to facilitate meaningful and culturally sensitive leisure programs.A multi-faceted approach is needed to improve leisure participation of racial/ethnic minoritized children and youth with disabilities, which involves parents/caregivers, leisure providers, community stakeholders, and children and youth with disabilities.Rehabilitation clinicians and recreational therapists should consider designing new or adapting existing leisure programs that align with the culture and preferences of racial/ethnic minoritized children and youth with disabilities to support their participation.Understanding what leisure means to racial/ethnic minoritized parents of children with disabilities could help pediatric rehabilitation therapists to facilitate meaningful and culturally sensitive leisure programs.A multi-faceted approach is needed to improve leisure participation of racial/ethnic minoritized children and youth with disabilities, which involves parents/caregivers, leisure providers, community stakeholders, and children and youth with disabilities.Rehabilitation clinicians and recreational therapists should consider designing new or adapting existing leisure programs that align with the culture and preferences of racial/ethnic minoritized children and youth with disabilities to support their participation. [ABSTRACT FROM AUTHOR]

\nLAY SUMMARYAcademic writing is a complex task involving microstructure (linguistic-level) and macrostructure (coherence structure) indices. Our goal was to examine the contribution of an academic writing intervention programme among students with intellectual disability at the microstructure and macrostructure levels while characterising the learning curves. Six students with mild intellectual disability studying for a BA (MCA = 30.43, MIQ = 69.17) participated in a spiral intervention programme of 32 lessons focusing on improving paragraph complexity and text structure measured at five time-points. Microstructure improvement in number of words, sentences, paragraphs, words per paragraph, lexical density, adjectives along with macrostructure improvement in text-paragraph structure, global-local linkage were found. A rapid increase in macrostructure indices was observed between the first and second testing points, after which a ceiling effect was reached. Concurrently, microstructure indices demonstrated a slower, more gradual learning curve throughout the intervention period. The discussion will focus on the improvement patterns in microstructure–macrostructure indices and the various learning curves observed. It explores the implications of these findings for cognitive modifiability in adults with intellectual disability and the potential of tailored academic writing interventions in post-secondary education programmes. A long-term, spiral intervention programme was effective at improving academic writing skills that require high cognitive involvement among individuals with intellectual disabilities in microstructure and macrostructure indices.Different types of linear learning curves showed a rapid increase in macrostructure indices, alongside a mixed rate of improvement in microstructure indices.The participants' thinking skills improved from focused thinking to transcendental thinking following the Structural Cognitive Modifiability (Feuerstein, 2003).The results can be explained via the Compensatory Trajectory theory (Lifshitz, 2020; 2015) which claims that chronological age plays an important role in determining the cognitive level and ability in adults with intellectual disabilities.A long-term, spiral intervention programme was effective at improving academic writing skills that require high cognitive involvement among individuals with intellectual disabilities in microstructure and macrostructure indices.Different types of linear learning curves showed a rapid increase in macrostructure indices, alongside a mixed rate of improvement in microstructure indices.The participants' thinking skills improved from focused thinking to transcendental thinking following the Structural Cognitive Modifiability (Feuerstein, 2003).The results can be explained via the Compensatory Trajectory theory (Lifshitz, 2020; 2015) which claims that chronological age plays an important role in determining the cognitive level and ability in adults with intellectual disabilities. [ABSTRACT FROM AUTHOR]

Background: This study aims to analyze the historical trends of inflammatory bowel disease (IBD) burden in the elderly from 1990 to 2021 and forecast future trends up to 2051. Methods: Data from the Global Burden of Disease Study 2021 were utilized. Age-standardized rates (ASR) for incidence, prevalence, mortality, and disability-adjusted life years (DALYs) were calculated. Estimated annual percentage changes (EAPCs) were computed to quantify temporal trends. A Bayesian Age-Period-Cohort model was employed to project future trends. Results: From 1990 to 2021, the global number of elderly IBD increased from 573,500 to 1,278,190. The age-standardized incidence rate (ASIR) rose from 8.01 to 8.77 per 100,000, while the age-standardized prevalence rate (ASPR) slightly decreased from 118.14 to 117.29 per 100,000. Death number increased from 14,400 to 33,490, but the age-standardized mortality rate decreased from 3.21 to 2.84 per 100,000. DALYs increased from 324,100 to 683,750, with the age-standardized DALYs rate declining from 68.78 to 60.88 per 100,000. Significant geographical variations were observed, with high Socio-demographic Index regions showing the highest burden. Projections suggest that by 2051, elderly IBD prevalence number may reach 2,316,000, with ASIR and ASPR potentially rising after 2035 and 2042, respectively. Deaths and DALYs are projected to increase to 75,000 and 1,401,000 respectively, despite continued declines in ASRs. Conclusion: The absolute burden of IBD in the elderly population is projected to increase substantially by 2051, despite decreasing ASRs. These findings underscore the need for tailored healthcare strategies and resource allocation to address the growing challenge of elderly IBD globally. [ABSTRACT FROM AUTHOR]

Human activity recognition (HAR) for disabled people is a vital research area, which aims to help individuals with disabilities in their daily lives. HAR involves using technology, typically wearable devices or sensors, to automatically identify and classify human activities and movements. HAR using deep learning (DL) is an effective and popular method to automatically classify and identify human activities based on sensor information. This article develops a hyperparameter tuned fuzzy deep neural network–based HAR (HTFDNN‐HAR) method. The objective of the HTFDNN‐HAR method lies in human activities identification and classification. In the presented HTFDNN‐HAR technique, cross‐guided bilateral filtering (CGBF)–based preprocessing is initially applied and MobileNetV3 architecture is applied for the effectual extraction of the feature vectors. In addition, the HTFDNN‐HAR technique makes use of the FDNN method for the efficient detection and classification of human activities. Finally, the HTFDNN‐HAR technique applies the manta ray foraging optimization (MRFO) technique for the optimum hyperparameter selection of the FDNN approach. A wide range of experiments have been carried out on the CAUCAFall dataset comprising 10,000 samples with two classes. The simulation value highlighted that the HTFDNN‐HAR technique reaches an enhanced accuracy of 99.40% over other recent approaches. [ABSTRACT FROM AUTHOR]

The article analyses the international and national legal guarantees for the implementation of the status of groups of people with low mobility. The article identifies the key principles of international normative acts in the field of rights and freedoms of groups of people with low mobility. Their significance lies in guaranteeing the relevant areas of activity of Ukraine as a State party to create legal, economic, social, and other conditions for ensuring the rights and opportunities of persons with low mobility on an equal footing with other participants in legal relations. The status of implementation of international guarantees of the status of groups of people with low mobility in national legislation is analysed. The Constitution of Ukraine, the primary laws of Ukraine ‘On the Fundamentals of Social Protection of Persons with Disabilities in Ukraine’, ‘On the Status of War Veterans, and Guarantees of Their Social Protection’, normative acts of the President of Ukraine “On the National Program of Vocational Rehabilitation and Employment of Persons with Disabilities for 2001-2005”, “On Measures to Strengthen Social Protection of Persons with Disabilities; the Cabinet of Ministers of Ukraine’s regulations on Measures to Improve the Situation of Persons with Disabilities, On Approval of the Action Plan for Creating an Unhindered Living Environment for Persons with Disabilities and Other Low-Mobility Groups for 2009-2015 ‘Barrier-Free Ukraine’, and many others are studied. The implementation of the regulations has resulted in the creation of an unhindered living environment for groups of people with low mobility, the functioning of training courses on creating an unhindered environment for the life of people with disabilities, etc. The author substantiates the view that the provisions of the analysed current legal acts are the basis for the further formation and implementation of the State policy on the development and adoption of State social guarantees in general and for groups of people with low mobility in particular, national standards and technical specifications, and also for conducting research and development and research work on the implementation of the principles of reasonable accommodation and universal design. [ABSTRACT FROM AUTHOR]

Introduction: The role played by impulsivity in problematic internet use (PIU) is the object of much debate among researchers. Some studies emphasize its importance, while others suggest mental distress or personality traits may be more crucial. More research into the issue is clearly needed—especially in at-risk populations like people with disabilities. The objectives of this study were therefore to investigate the relationship between PIU and impulsivity among university students with disabilities, and to develop a specific predictive model for this group that would include psychological and life-functioning variables. Methods: A cross-sectional design was used with a sample of 240 Spanish university students with disabilities from seven universities. Several instruments were used for data collection: a sociodemographic questionnaire, the Internet Addiction Test (IAT), the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM), and NEO-FFI-R. Results: The results indicated that impulsivity is significantly correlated with PIU, as indeed it also is with other factors like conscientiousness and social functioning problems. The study's regression model explained nearly 50% of PIU variance, with impulsivity, personality traits, wellness and health indicators, and social media usage as predictive variables. Discussion: This suggests that interventions should consider these psychological and lifestyle variables as a means of mitigating PIU risks in students with disabilities. The findings identify a need for further longitudinal studies to understand the causality and develop targeted prevention strategies. [ABSTRACT FROM AUTHOR]

Introduction: Children with intellectual disability tend to exhibit lower performance in fundamental movement skills, such as locomotor skills, object control skills, and balance, compared to their typically developing peers. Evidence suggests that physical activity programs tailored for individuals with intellectual disabilities can positively influence the development of their motor skills. Similar to typically developing children, physical activity in children with intellectual disabilities stimulates not only physical development, but also brain function, resulting in cognitive benefits. However, the extent of physical activity's impact on the cognitive functioning of this population remains insufficiently explored. The aim of our study was to assess the effectiveness of a motor exercise program based on the Bilateral Integration method implemented for pupils with moderate intellectual disabilities. Methods: The sample consisted of 27 pupils with moderate intellectual disability (13 in the intervention group and 14 in the control group) from two special schools in Poland. Pupils in the intervention group participated in a modified version of the Bilateral Integration School Program - a 26-week physical activity program that included both individual and group sessions. The assessment of cognitive functioning, using the Fifth Edition of the Stanford–Binet Intelligence Subtests, was conducted over three time points in both groups: a pre-test before the intervention (T1), a post-test after the intervention phase end (T2) and a follow-up assessment three months after the post-test (T3). Results: Significant effects of the intervention compared to the control group were observed in certain cognitive variables. Repeated measures ANOVA revealed a significant group-by-time interaction for the Nonverbal Visual-Spatial Processing score, Nonverbal Working Memory score, as well as Verbal Fluid Reasoning. Discussion: The original program based on the Bilateral Integration method proved effective for pupils with moderate intellectual disability. Preliminary results indicate improvements in cognition, particularly in working memory and visual-spatial processing. Further studies are necessary to assess the program's efficacy comprehensively. [ABSTRACT FROM AUTHOR]

The Sustainable Development Goals (SDGs) are a multidimensional framework for monitoring progress on disability inclusion over time and among countries where reliable, disability disaggregated data is available. However, the SDGs alone do not provide insights into the causes of the social and economic disparities that people with disabilities face or offer specific policy solutions to alleviate them. This paper highlights the extra costs of living with disability in Indonesia to advance the country's commitment to further the rights of people with disabilities. It utilizes three primary estimation methods, combining an analyses of national survey data with primary data from interviews and focus group discussions. Findings reveal significant and varying costs based on disability type, severity and life cycle stages. It also highlights the unaffordability of these costs for most individuals with disabilities and their families. Leveraging these estimates, the paper proposes 'disability concessions' aligned with Indonesia's legal framework on disability inclusion, aiming to alleviate financial burdens through discounts across health, education, utilities and transportation. By contributing to methodological approaches in understanding extra costs of living with disability inclusion in emerging country context and promoting discussions on leveraging the results for disability inclusive policymaking, this paper supplements the SDG framework to foster disability inclusion. [ABSTRACT FROM AUTHOR]

The article discusses the cost-effectiveness of digital interventions for mental health, emphasizing the importance of economic evaluations in healthcare decision-making. It explains the techniques used in economic evaluations, such as Cost-Benefit Analysis, Cost-Effectiveness Analysis, and Cost-Utility Analysis. The text also highlights common misconceptions about cost-effectiveness and provides insights into the current evidence on the cost-effectiveness of digital interventions for mental health disorders. Additionally, it suggests future directions for advancing economic evaluations in the field of digital health interventions. [Extracted from the article]

The world is aging, and an increasing number of countries are becoming aged or super-aged societies. Japan has already become the world's first super-aged society, with an aging rate of 29.1% of the entire population of the country. As of 15 September 2021, there were approximately 36.40 million people aged 65 years and over. The advent of the super-aged society has increased the possibility of multimorbidity and multiple disabilities (MMDs) in the elderly population. According to a survey by the Ministry of Health, Labour and Welfare, the percentage of people with multiple disabilities of all people with physical disabilities has fluctuated between 4.0 and 7.0%, but rapidly increased to 8.9% in 2006 and 17.7% in 2016. This review aimed to establish the present status of MMDs and the rehabilitation for MMDs. In rehabilitation settings, patients with MMDs are more common than patients with a single disease or disability; however, evidence on MMD rehabilitation is insufficient. Inexperienced and unconfident medical professionals are overly cautious in providing rehabilitation; therefore, adequate rehabilitation is not provided. Furthermore, to respond to the rehabilitation needs of patients with MMDs, human resources need to be cultivated, and a scientific basis needs to be built. It is expected that MMD guidelines will soon be developed based on various case studies and surveys. In MMD rehabilitation, it is important to provide "wider, earlier, more intimate, and more connected rehabilitation"; for this, the training and cooperation of rehabilitation medical professionals is necessary. [ABSTRACT FROM AUTHOR]

Purpose: The Speech Accessibility Project (SAP) intends to facilitate research and development in automatic speech recognition (ASR) and other machine learning tasks for people with speech disabilities. The purpose of this article is to introduce this project as a resource for researchers, including baseline analysis of the first released data package. Method: The project aims to facilitate ASR research by collecting, curating, and distributing transcribed U.S. English speech from people with speech and/or language disabilities. Participants record speech from their place of residence by connecting their personal computer, cell phone, and assistive devices, if needed, to the SAP web portal. All samples are manually transcribed, and 30 per participant are annotated using differential diagnostic pattern dimensions. For purposes of ASR experiments, the participants have been randomly assigned to a training set, a development set for controlled testing of a trained ASR, and a test set to evaluate ASR error rate. Results: The SAP 2023-10-05 Data Package contains the speech of 211 people with dysarthria as a correlate of Parkinson's disease, and the associated test set contains 42 additional speakers. A baseline ASR, with a word error rate of 3.4% for typical speakers, transcribes test speech with a word error rate of 36.3%. Fine-tuning reduces the word error rate to 23.7%. Conclusions: Preliminary findings suggest that a large corpus of dysarthric and dysphonic speech has the potential to significantly improve speech technology for people with disabilities. By providing these data to researchers, the SAP intends to significantly accelerate research into accessible speech technology. [ABSTRACT FROM AUTHOR]

This study sought to increase understanding on barriers to securing academic employment met by people with disabilities. Lindsay and Fuentes [2022. "It is Time to Address Ableism in Academia: A Systematic Review of the Experiences and Impact of Ableism among Faculty and Staff." Disabilities 2 (2): 178–203] pointed out the paucity of research on disability in academia. We surveyed over 5,000 authors of scholarly articles with 'disab' in the title and with UK or USA academic email addresses. People with disabilities were asked to describe barriers they met, and people without disabilities to describe barriers they believed that people with disabilities faced. The responses were classified according to the category of barrier. We found examples of 11 categories of barrier, indicating that a wide range of factors contribute to barriers to academic employment. The most common categories of barrier in responses by people with disabilities were attitudinal barriers, inadequate provision of reasonable adjustment, and excessive workload. Moreover, the frequencies of categories of barrier vary greatly with impairment. We consider the possible ramifications of our study for addressing the barriers to academic employment, the understanding of the nature of disability and methodology. Our study is the first investigation of the relative frequencies of barriers to academic employment. [ABSTRACT FROM AUTHOR]

Background: Millions of Americans live with chronic health conditions and disabilities. While disability and disabling conditions are common in the United States, the number of politicians and candidates with disclosed disabilities or chronic health conditions remains extremely low. Objectives: This study examines what drives the lack of descriptive representation of individuals with disabilities or chronic health conditions. In particular, it examines whether disability bias, or more specifically ableism, drives voter bias against politicians with health challenges and disabilities. Methods: The analysis relies on two original surveys with samples of American respondents that match Census quotas on key indicators. The first survey was administered to more than 1800 U.S. respondents in 2018. The second survey was administered to 6345 U.S. respondents in 2020. The approach combines observational and experimental data, as well as quantitative and qualitative analysis. Results: The findings reveal that voters are significantly less likely to support candidates with disclosed disabilities or health conditions. Mental illness and HIV face the strongest discrimination, while physical challenges due to birth conditions like wheelchair usage and dwarfism are the least penalized. A combination of prejudice, negative character assessment, and electability concerns drive voter bias. Conclusion: Understanding the barriers to the election of politicians with disabilities and chronic health conditions is crucial to improve the representation of marginalized communities, as descriptive representation improves public policy outcomes for marginalized communities. [ABSTRACT FROM AUTHOR]

Objective: To determine the effect of time waiting for admission to inpatient neurorehabilitation following acquired brain injury on rehabilitation outcomes. Design: A retrospective observational case series. Setting: A specialist brain injury inpatient rehabilitation service. Subjects: Consecutive 235 admissions to specialist brain injury rehabilitation following acutely-acquired brain injury between 2019 and 2022. Main Measures: Waiting time from the point of injury to admission, diagnostic category, admission complexity (patient categorisation tool), functional status (functional independence measure/functional attainment measure), care needs (Northwick Park Care Needs Assessment), change in functional status and care needs over duration of admission (efficiency). Subgroup analysis was performed for patients with a tracheostomy, enteral feeding, anticonvulsant treatment and prior neurosurgery. Results: There was no relationship between admission wait and initial complexity (r s = 0.006; p = 0.923), functional status (r s = −0.070; p = 0.284) or care needs (r s = 0.019; p = 0.768). Longer waiting times were significantly associated with reduced efficiency of rehabilitation (r s = −0.240; p = 0.0002) and change of care needs (r s = −0.246; p = 0.0001). Longer waits were associated with reduced rehabilitation efficiency for patients prescribed anticonvulsants (n = 115; r s = −0.243; p = 0.009), with a tracheostomy (n = 46; r s = −0.362; p = 0.013), requiring enteral nutrition (n = 137; r s = −0.237; p = 0.005) or having had intracranial surgery (n = 97; r s = −0.344; p = 0.0006). There was a negative association between waiting times and reduction in care needs for patients admitted on anticonvulsants (r s = −0.319; p = 0.0005) and requiring enteral nutrition (r s = −0.269; p = 0.001). Conclusion: Longer wait for transfer to rehabilitation following brain injury is associated with reduced improvement in functional status and care needs over time. Attention should be given to ensuring rapid transfer into inpatient rehabilitation services. [ABSTRACT FROM AUTHOR]

Objectives: Treatments for borderline personality disorder (BPD) and post‐traumatic stress disorder (PTSD) are less effective for patients with co‐occurring symptoms of both disorders, who are considered to have complex PTSD (cPTSD), compared with patients with either condition alone. Evidence suggests that co‐occurrence of symptoms indicates greater impairment in mentalizing. This study examines evidence for targeting mentalizing when treating individuals with co‐occurring symptoms, irrespective of their exposure to developmental trauma and, for the first time, investigates the mediational role of mentalizing in the associations between BPD symptomatology and cPTSD. Design: We identified in a routine clinical service a group of patients with BPD, with or without co‐occurring symptoms of PTSD. We hypothesized that patients with co‐occurring symptoms and a history of childhood maltreatment will show more severe clinical profiles and greater mentalizing problems, which in turn lead to symptoms consistent with cPTSD. Method: Clinical profiles of 72 patients with BPD (43 with and 29 without co‐occurring symptoms of PTSD; mean age in both groups 28 years, 79% and 83% female, respectively) were identified using the Structured Clinical Interview for DSM‐IV Axis II Disorders. Patients completed self‐report measures of BPD and PTSD symptoms, well‐being, dissociation and reflective functioning. Childhood trauma histories were evaluated. Results: Compared with patients with BPD‐only, those with co‐occurring BPD and PTSD showed greater severity in terms of BPD and dissociative symptoms, met a broader range of BPD diagnostic criteria, had a greater sense of personal worthlessness and self‐evaluated their well‐being as considerably diminished. This group was also more inclined to recall increased instances of childhood sexual abuse. In a mediation analysis, mentalizing acted as a partial mediator for the relationship between BPD severity and cPTSD, as well as between dissociative symptoms and cPTSD. Interestingly, mentalizing did not mediate the relationship between childhood sexual abuse and cPTSD. Conclusions: Overall, the correlational findings are consistent with an intended focus on mentalizing to treat cPTSD symptoms in individuals who also meet criteria for a diagnosis of BPD. [ABSTRACT FROM AUTHOR]

Idiopathic inflammatory myopathies (IIMs) are a rare and heterogeneous group of chronic autoimmune disorders. Up to 40% of IIM patients have long-term sequelae and significant functional disability. Its management can be challenging and new therapies are badly needed. The small number of cases with diverse presentations and different diagnostic criteria significantly affect clinical trial results. Only IVIG has been internationally approved for IIM patients. Most clinical trials of new biologic therapies have failed to meet their primary endpoints in IIM, with only one biologic drug recommended for refractory IIM treatment (rituximab), although not approved. We review several new emerging biologic drugs, including B cell depletion therapies, abatacept, Janus kinase inhibitors, and aldesleukin. Encouragingly, some phase II randomized controlled trials have evaluated the efficacy and safety of new biologics in IIM, demonstrating an improvement in clinical and laboratory measures. [ABSTRACT FROM AUTHOR]

Purpose: Social connections are essential for the development of life skills for youth. Youth with disabilities have long faced barriers to meaningful social connections. The onset of COVID-19 increased barriers to social connections for all youth, and also led to enhanced use of virtual platforms in paediatric rehabilitation programming. Harnessing this opportunity, service providers created a suite of online programs to foster social connections and friendships. The current study explores participant and service provider experiences of such programs. Methods: This qualitative descriptive study used interviews and focus groups to explore how youth with disabilities (n = 8), their parents (n = 7), and service providers (n = 13) involved in program development and delivery experienced the programs, the accessibility of the virtual platforms, and their social connections in relation to program participation. Results: Participants were satisfied with the programs' content, accessibility and ability to meet their social needs. Qualitative themes included facilitating social connections, accessibility of virtual spaces, and recommendations for future virtual programming. Discussion: For youth with disabilities who have been historically marginalized in social spheres, the newly ubiquitous infrastructure regarding virtual programming must be supported and enhanced. A hybrid approach involving virtual/in-person options in future programming is recommended. IMPLICATIONS FOR REHABILITATION: Youth with disabilities can benefit from social connections on virtual platforms in terms of physical access to social spaces and opportunities to communicate in alternative ways For some youth with disabilities, virtual social connections can be the only feasible and readily available option for reducing social isolation due to physical barriers to access When offering virtual program options, service providers should consider the various benefits of connecting with the physical, communication-based, interaction-based, access-based and other barriers to virtual connection [ABSTRACT FROM AUTHOR]

Purpose: To explore health care providers' (HCP) experiences related to transitions in care from inpatient rehabilitation to the community for patients with limb loss. Materials and Methods: A qualitative study was conducted using semi-structured interviews. Participants were eligible if they were HCPs currently working in amputation rehabilitation at a rehabilitation hospital in Ontario, Canada, with at least 1-year experience in this setting, and could speak and understand English. Data were analyzed thematically using the six-step process of the DEPICT model dynamic reading, engaged codebook development, participatory coding, inclusive reviewing and summarizing of categories, collaborative analyzing and translating. Results: Fourteen HCPs from a variety of health care professions participated in this study. Five key themes describe participants' perspectives on the factors impacting patients' transition in care following limb loss. Specifically, participants emphasized patient preparedness, HCP follow-up, finances and funding, patient self-management skills, and psychosocial support as factors that could influence the transition in care. Conclusion: This study identified challenges to transitions in care for people with limb loss. Future research is needed to evaluate solutions to address these challenges in transitions in care. IMPLICATIONS FOR REHABILITATION: Suboptimal transitions in care can result in readmission to the hospital, emergency department visits, and increased health care costs. Patient preparedness, follow-up, finances and funding, patient self-management skills, and psychosocial support are perceived to influence transitions in care from inpatient rehabilitation to the community. Improved access to follow-up and supports in the community and improved communication across the continuum of care could improve transitions for people with limb loss. [ABSTRACT FROM AUTHOR]