Barriers and Facilitators to Emancipation Process in Persons with Physical Disability- A Grounded Theory.

The social model has considered the concept of emancipation in the field of social participation of people with disabilities that is less frequently investigated. This study aimed to explore the facilitators and barriers of emancipation process in persons with physical disability.METHODSThis grounded theory study was conducted in the welfare originations of Tehran and Zanjan from October 2017 to September 2018. The study was conducted using semi‑structured interviews of 12 participants with physical disabilities, two family members, one nurse, one physician, and two employees of the Welfare Organization. Purposeful sampling was performed with maximum variation. All interviews were transcribed verbatim and data were analysed using the Strauss and Corbin 2008. The study continued until data saturation occurred.RESULTSThe analysis of the data led to the extraction of 2067 codes, 25 subcategories and 8 main categories. The study findings appeared in 4 main categories for barriers and 4 main categories for facilitators. Barrier categories include non-supportive community, unprotected interactions between family, person and self-disability. Facilitating categories includes flexible environment, supportive programs, emancipated family and individual competencies.CONCLUSIONSThere are barriers and facilitators to the process of emancipation, the most important of which are individual factors. So individual motivational interventions with physical disabilities can be effective in achieving the emancipation process.

Challenges in Providing Rehabilitation Services for People with Disabilities in Iran: A Qualitative Study.

Introduction: World Health Organization (WHO) recognizes disability as a global public health issue and a development priority, but unfortunately, the evidence shows that people with disabilities (PWD) often have lower levels of health than the general population.This study targeted to identify challenges in providing rehabilitation services for People with Disabilities. Materials and Methods: This article was undertaken on a qualitative content analysis. Twenty one participants were selected through purposeful sampling. Data were collected through semi-structured in-depth interviews from June 2014 to July 2015. Interviews continued until data saturation. Data analysis was performed by MAXQDA version 10. Results: Challenges to providing of rehabilitation services were the most important for PWD that needed to receive medical rehabilitation services. These challenges were grouped into six categories of poor knowledge, negative attitude to disability, insufficient support of PWD, individual problems of providers, problems of accessibility and cost. Conclusions: A proper rehabilitation plan requires common understanding of the challenges in providing of rehabilitation services for PWD. Understanding these challenges will help policy makers, providers, and PWD and their families consider rehabilitation as an effective component of service provision in health system. Based on findings of this study, further research is recommended to elucidate the challenges affecting provision of rehabilitation services for PWD.