The Silent Majority: Understanding and Supporting Access and Inclusion for People with Disabilities Living in Predominantly Low-Resource Communities

Author:

Rimmer James H.1ORCID,Quach Phuong T. M.2,Ward Stephanie1,Young Hui-Ju1,Singh Harshvardhan2ORCID,Lai Byron3

Affiliation:

1. School of Health Professions Research Collaborative and National Center on Health, Physical Activity and Disability (NCHPAD), University of Alabama at Birmingham, Birmingham, AL 35233, USA

2. Department of Physical Therapy, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL 35233, USA

3. Department of Pediatrics, School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35233, USA

Abstract

People with disabilities are often isolated from their community due to issues with accessibility and inclusion, which are worse in low-resource communities. Creating meaningful change will require an understanding of strategies that work at a community-wide level to foster community engagement among people with disabilities. This study utilized a qualitative grounded theory approach to identify barriers and facilitators of community access and inclusion of people with disabilities from the perspectives of 12 neighborhood presidents of low-resource areas within the state of Alabama in the United States. Four themes were identified: (1) community engagement is a process from accessibility to inclusion; (2) knowledge supports people’s needs and empowers systemic changes to policies and laws; (3) neighborhood resources beget further resources; and (4) change necessitates benevolent leadership. Based on these themes, we generated a substantive theory called the Neighborhood Engagement Theory, which health professionals can utilize to support neighborhood presidents in creating systemic change for people with disabilities.

Funder

National Center on Health, Physical Activity and Disability

U.S. Centers for Disease Control and Prevention

National Center on Birth Defects

Developmental Disabilities, Disability and Health Promotion Branch

NCHPAD

Publisher

MDPI AG

Subject

General Engineering

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