Chou Y C, Schalock R L, Tzou P Y, Lin L C, Chang A L, Lee W P, Chang S C
Institute of Health and Welfare Policy, National Yang-Ming University, Peitou, Taipei, Taiwan.
J Intellect Disabil Res. 2007 Nov;51(Pt 11):875-83. doi: 10.1111/j.1365-2788.2007.00958.x.
Little research has been conducted about the quality of life (QOL) of people with intellectual disabilities (ID) in Taiwan, particularly their subjective QOL. This study examined the personal perceptions of these individuals as measured on internationally recognized core QOL domains and indicators.
A census interview survey was conducted in Hsin-Chu City in Taiwan; 233 adults aged over 16 years with mild ID and living with their families participated in the study. Data were collected using the Cross-Cultural QOL Indicators (CCQOLI) together with socio-demographic data that included 'activities of daily living' and 'instrumental activities of daily living' (IADL). The CCQOLI were based on the three most commonly reported indicators of each of the eight QOL domains: emotional well-being, interpersonal relations, material well-being, personal development, physical well-being, self-determination, social inclusion and rights. Each indicator has two sets of questions related to the indicator's 'importance' and 'use'. These are answered by the respondent using a 4-point Likert scale.
The importance and use of the QOL indicators were evaluated positively by the respondents. The adults' individual characteristics, namely IADL and educational level, were significant predictors for the 'importance' while the adults' perceptions of 'use' for overall QOL were significantly affected by his/her socio-economic data, that is, residence location and father's educational level.
The present study addressed the issue of self-reported QOL in people with ID in Taiwanese society, becoming a possible benchmark for similar measurements carried out by disability movements there. These results contribute to current advocacy efforts towards creating a supportive environment for people with ID.
台湾针对智障人士生活质量(QOL)的研究较少,尤其是他们的主观生活质量。本研究考察了这些个体在国际认可的核心生活质量领域和指标方面的个人认知。
在台湾新竹市进行了一项普查式访谈调查;233名16岁以上、患有轻度智障且与家人同住的成年人参与了该研究。使用跨文化生活质量指标(CCQOLI)以及包括“日常生活活动”和“工具性日常生活活动”(IADL)在内的社会人口统计学数据收集资料。CCQOLI基于八个生活质量领域中每个领域最常报告的三个指标:情感幸福、人际关系、物质幸福、个人发展、身体健康、自我决定、社会融入和权利。每个指标有两组与指标的“重要性”和“用途”相关的问题。受访者使用4点李克特量表回答这些问题。
受访者对生活质量指标的重要性和用途给予了积极评价。成年人的个人特征,即IADL和教育水平,是“重要性”的显著预测因素,而成年人对整体生活质量“用途”的认知则受到其社会经济数据的显著影响,即居住地点和父亲的教育水平。
本研究解决了台湾社会智障人士自我报告生活质量的问题,成为当地残疾运动进行类似测量的一个可能基准。这些结果有助于当前为智障人士创造支持性环境的宣传努力。