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South African Journal of Occupational Therapy

versión On-line ISSN 0038-2337

S. Afr. j. occup. ther. vol.41 no.3 Pretoria  2011

 

ARTICLES

 

Comparing the effect of different living environments on the development of independent living skills in children with visual impairment

 

 

Ntsakiseni MasheleI; Neeltjé SmitII

IPC, B OT, M OT (Stell). Accredited part-time senior lecturer, Department of Occupational Therapy, Division of Interdisciplinary Health Sciences, University of Stellenbosch
IIB OT, MBA (Stell), B OT Hons (Pret), DTSE (Unisa). Accredited part-time senior lecturer, Department of Occupational Therapy, Division of Interdisciplinary Health Sciences, University of Stellenbosch

Correspondence

 

 


ABSTRACT

INTRODUCTION: The World Health Organisation (WHO) recognised visual impairments in children as deserving priority treatment and intervention. Research indicated that caregivers play an important role in the development of independence in children with visual impairments. This study aimed to compare the independent living skills of children with visual impairments who resided in a school residence designed for children with visual impairments with those who lived at home.
METHODS: A descriptive study, comprising both quantitative and qualitative data collection methods, was implemented. A convenient sample was used and data collection was by means of the Paediatric Evaluation of Disability Inventory (PEDI) and semi-structured interviews.
RESULTS: Results on the PEDI yielded no significant difference on all the measured scales in the living environments between those living at home or in a residence. However, from the qualitative data four themes concerning independent functioning emerged, namely familiarity; adaptations; resources; and personal factors.
CONCLUSION: The importance of the environment for children with visual impairments, especially concerning familiarity (of the layout of the environment and the people within the environment) and making adaptations should be given more attention during the phase of independence development and should be incorporated in informing and training of caregivers.

Key words: Activities of daily living; Independent living skills; Living environment; Visual impairments


 

 

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References

1. Pogrund RL. Independence focus: Promoting independence in daily living and recreational skills. In: Pogrund RL, Fazzi D, editors. Early focus: Working with children who are blind or visually impaired and their families. 2nd ed. New York: American Foundation for the Blind. 2002: 218-50.         [ Links ]

2. Grey C. Inclusion impact and need: Young children with a visual impairment. Child Care in Practice. 2005; 11(2): 179-90. <http://www.tandfonline.com/doi/abs/I0.1080/l357527050003126> (12 Feb 2010)        [ Links ]

3. Fazzi DL, Klein MD, Pogrund RL, Salcedo PS. Family focus: Working effectively with families. In: Pogrund RL, Fazzi D, editors. Early focus: Working with children who are blind or visually impaired and their families. 2nd ed. New York: American Foundation for the Blind. 2002: 16-52.         [ Links ]

4. Lakshmi HV Geetha CV Murthy KN. Parental perspective towards the education of visually impaired children. Asia Pacific Disability Rehabilitation Journal, 2009; 20(2): 84-91. <http://www.dinf.ne.jp/doc/english/asia/resource/apdrj/vo120_2/07_briefreportsI.html > (12 Mar 2010).         [ Links ]

5. Joseph Rowntree Foundation. Residential schools and disabled children: Decision making and experience. 2001. <http://www.ebsco-host.com.ez.sun.ac.za/ehost/detail?vid=4&hid=2&sid=50a4a8f2e3aa45dea43a5687b7afc99a%40sessionmgr 10&bdata=JnNpdGU9ZWhvc3QtbGI2ZQ%3d%3d#db=aph&AN=I0230206> (9 Mar 2010).         [ Links ]

6. Census 2001. Prevalence of disability in South Africa. Statistics South Africa. 2005. < http://www.statssa.gov.za/census0I/html/Disability.pdf > (19 Apr 2010].         [ Links ]

7. Gilbert C, Foster A. Childhood blindness in the context of vision 2020.The right to sight. 2001; 79(1): 227-32. < http://www.sci-elosp.org/pdf/bwho/v79n3/v79n3all.pdf> (21 Mar 2009).         [ Links ]

8. Iselin S, Lewis S. A comparison of the independent living skills of primary students with visual impairments and their sighted peers: A pilot study. Journal of Visual Impairment and Blindness, 2002; 96(5): 335-44.         [ Links ]

9. Ferrell KA. Growth and development of young children. In: Holbrook MC, Koening AJ, editors. Foundation of education history and theory of teaching children and youths with visual impairments. 2nd ed. New York: American Foundation for the Blind. 2000: 111-35.         [ Links ]

10. Lizhu Y Xiaoyan Z. A study of the cross-situational stability of three- to five-year-old children's independence. Int J Early Years Educ, 2005; 13(2): 171-8.         [ Links ]

11. Brambring M. Divergent development of manual skills in children who are blind or sighted. Journal of Visual Impairment and Blindness, 2007; 101(4): 201-12.         [ Links ]

12. World Health Organization (WHO). Global magnitude of visual impairment caused by uncorrected refractive errors in 2004. <http://www.who.int/bulletin/volumes/86/I/07-04I2I0/en> (5 Aug 2010).         [ Links ]

13. Russel E, Nagaishi PS. Services for children with visual or auditory impairments. In: Case-Smith J, editor. Occupational therapy for children. 5th ed. St. Louis MI: Elsevier Inc., 2005: 827-68.         [ Links ]

14. Warren M. Evaluation and treatment of visual deficits. In: Pedretti LW, Early MB, editors. Occupational therapy: Practice skills for physical dysfunction. 5th ed. New York: Mosby, 200: 385-421.         [ Links ]

15. Scheiman M. Background information. In: Scheiman M, editor. Understanding and managing vision deficits: A guide for occupational therapists. 2nd ed. New Jersey: Slack, 2002: 1-9.         [ Links ]

16. Low M, Missluna C, Pollock N, Stewart D. Foundation for occupational therapy practice with children. In: Case-Smith J, editor. Occupational therapy for children. 5th ed. St. Louis MI: Elsevier Inc. 2005: 53-67.         [ Links ]

17. Haley SM, Coster WJ, Ludlow LH, Haltiwanger JT, Andrellos PJ. Pediatric Evaluation of Disability Inventory (PEDI). San Antonio (TX): The Psychological Corporation, 1992.         [ Links ]

18. Cotavl CM, Kaldenberg J, Wagenveld A. Self-care. In: Cotavl CM, editor. Foundations of pediatric practice for the occupational therapy assistant. New Jersey: Slack, 2003: 197-215.         [ Links ]

19. Shepherd J. Activities of daily living and adaptation for independent living. In: Case-Smith J, editor. Occupational therapy for children. 5th ed. St. Louis MI: Elsevier Inc., 2005: 521-62.         [ Links ]

20. Anthony TL. Orientation and mobility: The early years of infancy through preschool. 2004. <http://www.tsbvi.edu/Education/early-years.htm> (8 Feb 2010).         [ Links ]

21. Lahav O, Mioduser D. Blind persons' acquisition of spatial cognitive mapping and orientation skills supported by virtual environment. Proceedings of the 5thICDVRAR. Oxford, 2004: 131-7.         [ Links ]

22. Fazzi DL. Social focus: Developing social skills and promoting positive interaction. In: Pogrund RL, Fazzi D, editors. Early focus: Working with children who are blind or visually impaired and their families. 2nd ed. New York: American Foundation for the Blind, 2002: 188-218.         [ Links ]

23. DeMario N. Non-academic competencies for elementary level students with visual impairments.         [ Links ] [Conference paper]. Ontario: Council for Exceptional Children, 1990.

24. Wolffe KE. Skills for success: A career education handbook for children and adolescents with visual impairments. New York: American Foundation for the Blind, 1999.         [ Links ]

25. Mcallister R, Gray C. Low vision: Mobility and independence training for the early years. ECDC 2007; 177(8): 839-52.         [ Links ]

26. Niemann S, Jacob N. Helping children who are blind: Family and community support for children with vision problems. California: Hesperian Foundation, 2000.         [ Links ]

27. Pilling N, McGill P Cooper V Characteristics and experiences of children and young people with severe intellectual disabilities and challenging behaviour attending 52-week residential special schools. Journal of Intellectual Disability Research, 2007; 51(3): 184-96. http://onlinelibrary.wiley.com/doi/10.111/j.1365-2788.2006.00852.x/full (18 May 2010).         [ Links ]

28. Bieckman L. Applied research design: A practical approach. In: Bieckman L, Rog DJ, editors. The Sage handbook of applied social research methods. California: Sage, 2009: 13-6.         [ Links ]

29. Hofstee E. The method. In: Hofstee E editor. Constructing a good dissertation: A practical guide to finishing a master's, MBA or PhD on schedule. South Africa: Exactica, 2006: 120-32.         [ Links ]

30. Elfant I, Asher MS. Occupational therapy assessment tools: An annotated index. 2nd ed. USA: The American Occupational Therapy Association, 1996.         [ Links ]

31. Wasserberg-Severijnen JE, Custers JWH, Houx JJ, Vermeer A, Helders PJM. Reliability of the Dutch Pediatric evaluation of disability inventory (PEDI) Clinical Rehab, 2003 <http://web.ebscohost.com.ez.sun.ac.za/ehost/detail?vid=5&hid=17&sid=fddaa027-252l4eb29438e7a882725896%40sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbG12ZQ%3d%3d#db=aph&AN=9732427> (27 July 2010).         [ Links ]

32. Gannotti ME, Cruz C. Content and construct validity of a Spanish translation of the Pediatric evaluation of disability inventory for children living in Puerto Rico. 2001. <http://www.ncbi.nlm.nih.gov/pubmed/ll382207> (27 July 2010).         [ Links ]

33. Scoggin AE, Cowan MK, Benham PK. A young child with visual impairment. In: Ryan SE, Slady K, editors. Ryan's occupational therapy assistant: Principles, practice issues, and techniques. 4th ed. New Jersey: Slack, 2005: 104-22.         [ Links ]

34. Erkin G, Elhan AH, Aybay C, Sirzai H, Ozel S. Validity and reliability of the Turkish translation of the Pediatric evaluation of disability inventory (PEDI). Disability and Rehab, 2007. <http://web.ebsco-host.com.ez.sun.ac.za/ehost/detail?vid=5&hid=17&sid=fddaa027-252l4eb29438e7a882725896%40sessionmgrl4&bdata=JnNpdGU9ZWhvc3QtbG12ZQ%3d%3d#db=aph&AN=25902007> (27 Jul 2010).         [ Links ]

35. Kielhofner G. Research in occupational therapy: Methods of inquiry for enhancing practice. USA: EA Davis Company, 2006.         [ Links ]

36. Monette DR Sulivan TJ, DeJong CR. Survey reseach. In: Monette DR Sulivan TJ, DeJong CR editors. Applied social reseach: Tool for the human services. Washington, DC: Earl McPeek, 2002: 161-98.         [ Links ]

37. Strydom H. Sampling and sampling methods. In: Strydom H, Fouché CB, Delport CSL, editors. Research at grass roots: For the social sciences and human services professions. 3rd ed. Pretoria: Van Schaik, 2002: 192-203.         [ Links ]

38. Kruger AS, De Vos AS, Fouché CB. Quantitative data analysis and interpretation. In De Vos AS, Strydom H, Fouché CB, Delport CSL, editors. Research at grass roots: For the social sciences and human services professions. 3rd ed. Pretoria: Van Schaik, 2002: 217-45.         [ Links ]

39. Hofstee E. The method. In: Hofstee E editor. Constructing a good dissertation: A practical guide to finishing a master's, MBA or PhD on schedule. South Africa: Exactica, 2006: 120-32.         [ Links ]

40. Perez-Pereira M, Conti-Ramsden G. The use of directives in verbal interactions between blind children and their mothers. Journal of Visual Impairment and Blindness, 2001; 95(3): 133-49. <http://web.ebsco-host.com.ez.sun.ac.za/ehost/detail?vid=4&hid=6&sid=83fb9ec2-cd2b-4290a8cdb0b778586bf7%40sessionmgr13&bdata=JnNpdGU9ZWhvc3QtbG12ZQ%3d#db= aph&AN=4255l7l#db=aph&AN=4255l7l#db=aph&AN=4255l7l> (1 Feb 2010).         [ Links ]

41. Keller E.         [ Links ] [Lecture]. Clay is a treatment: Experience in art-therapy at a residential school for blind children. 2002. http://k-play.com/pdf/Clay%20with%20the%20blind.pdf (1 Mar 2009).

42. Dolunay KA, Kesiktas Ms. Early childhood special education for children with visual impairments: Problems and solutions. Educational Sciences: Theory and Practice, 2009; 9(2): 823-32. <http://web.ebscohost.com.ez.sun.ac.za/ehost/detail?vid=8&hid=6&sid=83fb9ec2-cd2b-4290a8cdb0b778586bf7%40sessionmgrl3&bdata=JnNpdGU9ZWhvc3QtbG12ZQ%3d%3d#db=aph&AN=43226160> (11 Jan 2010).         [ Links ]

43. Fazzi DL, Klein MD, Pogrund RL, Salcedo PS. Family focus: Working effectively with families. In: Pogrund RL, Fazzi D, editors. Early focus: Working with children who are blind or visually impaired and their families. 2nd ed. New York: American Foundation for the Blind, 2002: 16-52.         [ Links ]

 

 

Correspondence:
Ntsakiseni PC Mashele
e-mail: ntsaki@gmail.com

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