Murray Haight

Environmental factors affecting the occupations of children with physical disabilities

Abstract Children with physical disabilities encounter environmental constraints that limit their participation in daily occupations. The purpose of this qualitative research study was to work together with parents to discover environmental situations which presented substantial challenges to their children. The study took place in a city of 92,000 people in southern Ontario, Canada. Twenty‐two families who had a child with a disability between the ages of 3 to 12 years participated. Through focus groups and individual interviews, participants identified environmental factors which supported or hindered the daily occupations of their children. Social and institutional barriers were identified as the most significant environmental barriers. Although many physical barriers were identified, participants believed that attitudes or lack of knowledge prevented these barriers from being changed. The primary themes for change emerging from this study include parents’ desire for more control, increased use of incl...

Psychosocial impacts in populations exposed to solid waste facilities

This interdisciplinary study uses a parallel case study design to investigate psychosocial impacts in populations exposed to three solid waste facilities in Southern Ontario. Impacts are examined at three social scales: individual, social network and community levels. The objectives and design derive from a feasibility study recently completed by the same research team. A two stage approach is adopted. The first is an epidemiologic survey to determine the prevalence of psychosocial impacts in the populations within a prescribed area around each site. A disproportionate stratified (by distance) random sample of 250 households is surveyed at each site. Data on awareness, knowledge, concern and action regarding the site are also obtained. Scores on pre-validated health measurement scales will be compared with population norms to determine the frequency distribution above, within and below the range of normal. The second stage involves the use of qualitative methodologies to provide an in-depth analysis of the individual, social network and community level factors affecting psychosocial impacts and reactions to the situation. Depth interviews with a sub-sample of survey respondents explore individual perceptions, attitudes and actions. Focus groups composed of members of relevant organizations and discussion groups comprising non-members uncover social network and community perspectives in an interactional setting. Interviews and group sessions are taped and transcribed for content analysis of salient themes. Textual analysis of media reports and other relevant documentation provide insights regarding the informational environment and the community context of the issues.

Sensitivity to change and the effect of mode of administration on health status measurement.

A measure of global health status, the McMaster Health Index Questionnaire (MHIQ), was assessed to determine two important measurement properties related to its reliability and validity—sensitivity to change and the effect of mode of administration. Ninety-six patients in a physiotherapy clinic were randomly assigned to three mode-of-administration study groups, administered the MHIQ at four points in time including at admission and discharge from the clinic, and assessed for change by their physiotherapist. MHIQ physical function, social function, and emotional function retest scores obtained by self-completion within a 1-week interval were most stable. Physical function scores by any of self-completion, telephone interview, or personal interview were sensitive to change, that is, they improved dramatically by the time of discharge from the clinic. Mode of administration did not affect the size of the change scores. Changes reflected by the physical function scores correlated with changes in physical function reported by a patients physiotherapist. No systematic changes occurred with social and emotional function scores; this is not surprising in a group of patients with predominantly physical function problems.

Household, hotel and market waste audits for composting in Vietnam and Laos

In Da Nang and Ha Long, Vietnam and in Vientiane, Laos, there was interest by local authorities in separating and composting waste in order to reduce environmental and health problems at the local landfills and to produce a soil conditioner for local agricultural use. To assist in the planning of composting projects, three studies were carried out to estimate waste quantities and composition. 1. A 9-day audit of waste from 45 vendors in a market in Vientiane, the capital of Laos. The total quantity of waste and the quantity in each of nine categories were estimated for each of six different types of vendors. 2. A 7-day audit of waste disposed by three hotels in the tourist area of Ha Long, Vietnam. Waste quantities were estimated in total, on a per guest basis, and in three main categories: compostables, recyclables and miscellaneous. 3. A 7-day audit of waste collected from 74 households in Da Nang, the fourth largest city in Vietnam. Waste from each household was separated into compostable and non-compostable waste. Over 60% of each waste source comprised compostable waste and this was considered significant enough to warrant further planning of composting operations.

The Impact of Home Care on Recently Discharged Elderly Hospital Patients in an Ontario Community

Hospital and long-term care facility utilization, mortality and functional status over a 12-month follow-up period are described for elderly home care recipients who had been discharged from an acute care hospital. Of those eligible for receipt of services from the Program, 356 (92%) patients 65 years of age and older agreed to participate in the study at the time of discharge from an acute care hospital. Of these, 82.2 per cent survived during the subsequent 12 months, 44 per cent were readmitted to hospital, and 5 per cent were admitted to a nursing home or home for the aged. After adjusting for socio-demographic and health variables using regression analyses, the total number of home care services received was significantly associated with physical function and social function at 12 months. Similarly, the analyses revealed home care “social services” (social worker visits, meals on wheels, visiting home maker visits and volunteer visits) received were significantly associated with morale at 12 months. The clinical significance of these findings for case-management and home care program management and monitoring are discussed.