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The Young Women's Program: A health and wellness model to empower adolescents with physical disabilities

机译:青年妇女计划:健康和保健模式,增强青少年身体残疾的能力

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Background: This article introduces a comprehensive health and wellness program that serves young women, ages 14 to 21, with physical disabilities. The program is a component of the Initiative for Women with Disabilities (IWD), a hospital-based center serving women with physical disabilities/conditions that offers accessible gynecology, primary care, physical therapy, nutrition consultations, exercise and fitness classes, and wellness and social work services. Recent literature has shown that young women with physical disabilities often face physical and emotional barriers to their own health and wellness. This group of adolescents often has difficulty developing a healthy image of their bodies, especially compared with their able-bodied peers. Unhealthy attitudes regarding the body image and sexuality of those with physical differences are often perpetuated by the media, peers, and parents. People with disabilities have become increasingly able to live fulfilling lives in recent decades. This is due largely to studies that have confirmed that once barriers are addressed and minimized, young women with physical disabilities lead active and productive lives and have much to contribute to society. Methods: The goal of the Young Women's Program (YWP), established in 2006, is to help young women adopt healthy lifestyles by exposing them to a carefully planned curriculum. The program provides a variety of classes and workshops, expert instruction, and access to resources and a network of peers and mentors. The ultimate goal is for the participants to apply the concepts learned in the group sessions to identify and evaluate their personal goals and develop health and wellness plans for achieving these goals. Results: Data were obtained from several sources: a self-administered program evaluation, program recruitment and retention statistics, and an assessment of whether individual health and wellness goals were achieved. All of these measures indicate a favorable response to the program structure and content. Participants are able to integrate and apply the learned concepts to alter aspects of their daily lifestyles and improve their self-confidence, self-worth, and self-competence. Conclusions: The results to date suggest that the YWP addresses the transitional challenges cited in the literature that young women with physical disabilities face from adolescence to adulthood. The structure of the program, which combines individual and group sessions, and the focused content appear to have a positive impact on the participants' lives by exposing them to experiences that promote self-determination and self-competence. By providing opportunities for socialization with peers and mentors and exposure to community resources, and by helping participants to develop self-care skills and to set goals for a healthy lifestyle, the program facilitates leading an independent life. The efficacy of the YWP will be determined by annual follow-up studies as participants enter adulthood.
机译:背景:本文介绍了一项全面的健康计划,该计划为14至21岁的身体残疾的年轻妇女提供服务。该计划是“残疾妇女倡议”(IWD)的一部分,该倡议是一个以医院为基础的服务中心,为肢体残疾/身体状况残疾的妇女提供妇科,初级保健,物理治疗,营养咨询,运动和健身课程以及保健和保健服务。社会工作服务。最近的文献表明,身体残疾的年轻妇女经常面对身体和情感上的障碍,影响自身的健康。这一组青少年通常难以形成健康的身体形象,尤其是与身体健全的同龄人相比。媒体,同龄人和父母通常会长期保持对那些身体有差异的人的身体形象和性行为不健康的态度。在最近几十年中,残疾人变得越来越有能力过着充实的生活。这主要是由于研究已经确认,一旦消除障碍并把障碍降到最低,肢体残疾的年轻妇女过着积极的,富有成效的生活,并为社会做出很大贡献。方法:成立于2006年的年轻妇女计划(YWP)的目标是通过使年轻妇女接受精心计划的课程,帮助他们采取健康的生活方式。该计划提供各种课程和讲习班,专家指导,资源访问以及同行和导师网络。最终目标是让参与者运用在小组会议上学到的概念来识别和评估他们的个人目标,并制定实现这些目标的健康计划。结果:数据来自以下几个方面:自我管理的计划评估,计划招募和保留统计数据以及对是否达到个人健康目标的评估。所有这些措施都表明对该计划的结构和内容有良好的反应。参与者能够整合和运用所学的概念来改变他们的日常生活方式,并提高他们的自信心,自我价值和自我竞争能力。结论:迄今为止的结果表明,青年工作计划解决了身体残疾的年轻妇女从青春期到成年所面临的文献中提到的过渡性挑战。该计划的结构将个人和小组会议结合在一起,并且重点突出的内容似乎通过将参与者暴露于促进自决和自我竞争的经验而对他们的生活产生积极影响。通过提供与同龄人和导师进行社交的机会以及接触社区资源的机会,并通过帮助参与者发展自我保健技能并设定健康生活方式的目标,该计划促进了独立生活。 YWP的功效将由参与者进入成年后的年度随访研究来确定。

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