Knowledge, perception and attitude of physiotherapy and medical undergraduates in Nigeria towards people with disability

Authors

  • OA Olaleye
  • OM Sowemimo

Keywords:

Knowledge, perception, attitude, undergraduates, people with disabilities

Abstract

Background: Knowledge, perception and attitude of

healthcare professionals could constitute barriers that

could affect healthcare provision for, and social life

of People with Disability (PWD). Knowledge,

perception and attitude towards PWD was

investigated among physiotherapy and medical

undergraduates of the University of Ibadan, Nigeria

using a mixed-method design.

Methods: Knowledge and perception of first and

final year physiotherapy and medical undergraduates

about PWD were assessed using a validated

questionnaire while attitude was assessed using the

Attitude Towards Disabled Persons scales (Forms A

and O). Focus Group Discussion (FGD) was held

with eight purposively selected students from the

survey sample. Data were analysed using Man

Whitney U test at p-value < 0.05. Transcripts from

the discussion were analysed thematically.

Results: 187 undergraduates (106 males) aged

20.35±2.67years participated in the survey. Majority

of the participants (e”88.0%) were knowledgeable

about physical disabilities but had poor perception

and negative stereotypes about PWD. Only

38(20.3%) of the participants reported that PWD

experienced disparities in accessing healthcare. First

year physiotherapy undergraduates had more positive

attitudes towards PWD than first-year medical

students (68.2% vs 35.0%, p<0.01) whereas final

year medical students had more positive attitude that

final year physiotherapy students (68.2% vs 52.6%,

p=0.29) on form O. Participants in the FGD believed

disability could be socially constructed and not just

on account of physical impairments. They considered

treating PWD as being more stressful than treating

people without disability.

Conclusion: Participants had good knowledge,

ambivalent attitude and poor perception about PWD.

Their perception and attitude could be improved

through adequate exposure and contact with PWD.

References

Leonardi M, Bickenbach J, Ustun TB, et al.

The deûnition of disability: what is in a name?

Lancet. 2006; 368(9543): 69498-69499.

Knowledge, perception and attitude towards disability

World Health Organization. World report on

disability: factsheet. 2011. Geneva, Switzerland

Amerena P and Barron T, editors. Disability and

Inclusive Development. London: Leonard

Cheshire International. 2007.

Meekosh H and Soldatic K. Human rights and

the global south: the case of disability. Third

World Q. 2011; 32(8): 1383-1397.

O’Mahony C. Legal capacity and detention:

implications of the UN disability convention for

the inspection standards of human rights

monitoring bodies. Int J Hum Rights. 2012;

(6): 883-901.

Yazbeck M, McVilly K and Parmenter TR.

Attitude towards people with intellectual

disabilities; an Australian perspective. J Disabil

Policy Stud. 2004; 15(2): 97-111.

Rimmer JH and Rowland JL. Health promotion

for people with disabilities: implications for

empowering the person and promoting

disability-friendly environments. American J

Lifestyle Med. 2008; 2(5): 409-420.

Gulley SP and Altman BM. Disability in two

health care systems: access, quality, satisfaction,

and physician contacts among working-age

Canadians and Americans with disabilities.

Disabil Health J. 2008; 1(4): 196-208

Morrison EH, George V and Mosqueda L.

Primary Care for adults with Physical

Disabilities: Perception from Consumer and

Provider focus group. Family Med. 2008; 40(9):

-651.

Dorji S and Solomon P. Attitudes of health

professionals toward persons with disabilities in

Bhutan. Asia Pac Disabil Rehabil J. 2009; 20(2):

-42.

Shakespeare T and Kleine I. Educating Health

Professionals about Disability: A Review of

Interventions. Health Soc Care Education. 2013;

(2): 20-37.

Byron M and Dieppe P. Educating health

professionals about disability: ‘attitudes,

attitudes, attitudes. J R Soc Med. 2000; 93(8):

-398.

Smith DL. Disparities in patient-physician

communication for persons with a disability.

Disabil Health J. 2009; 2: 206-215.

Katz S and Hayout I. Impact of an educational

programme on nursing for children with

developmental disabilities. Br J Developmental

Disabilities 2002; 48(94):2 7-37.

Byron M, Cockshott Z, Brownett H and

Ramkalawan T. What does ‘disability’ mean for

medical students? An exploration of the words

medical students’ associates with the term

‘disability’. Med Education 2005; 39(2): 176–183.

Devkota HR, Murray E, Kett M and Groce N.

Healthcare provider’s attitude towards disability

and experience of women with disabilities in the

use of maternal healthcare service in rural Nepal.

Reproductive Health. 2017; 14(1): 79-79.

Cecchetti M, Last J, Lynch J and Linehan C.

Evaluating the longitudinal impact of a disability

education intervention on medical students’

attitudes towards persons with a disability.

Disabil Health J. 2021; 14(3): 101092.

Shakespeare T, IIezzoni L and Groce NE. Disability

and the training of health professionals. Lancet.

; 374(9704): 1815-1816.

Krahn GL, Walker DK and Correa-De-Araujo

R. Persons with disabilities as an unrecognized

health disparity population. Am J Public Health.

; 105(2): 198–206.

Uysal A, Albayrak B, Koçulu B, Kan F and Aydin

T. Attitudes of nursing students toward people

with disabilities. Nurse Education Today. 2014;

(5): 878-884.

Yorke AM, Ruediger T and Voltenburg N. Doctor

of physical therapy students’ attitudes towards

people with disabilities: a descriptive study.

Disabil Rehabil. 2016; 39(1): 91-97.

Coban AI, Ozden SA, Tekinda MA and Polat G.

Assessing health science students’ attitudes

towards persons with disabilities in Turkey.

Biomedical Res. 2017; 28(12): 5370-5377.

Ruiz PO, Gonzalez-Medina G, Couso AS, et al.

Attitude towards People with Disability of

Nursing and Physiotherapy Students. Children.

; 7(10): 191.

Vincent-Onabanjo G and Malgwi SW. Attitudes

of physiotherapy students in Nigeria towards

persons with disability. Disabil Health J. 2014;

(1): 102-108.

Ajuwon PM, Lesi FEA, Odukoya O, Melia C.

Attitudes of medical students toward disabilities

in Nigeria. Int J Disabil Hum Development.

; 14(2): 131-140.

O’Cathain A, Murphy E and Nicholl J. The

quality of mixed methods studies in health

services research. J Health Services Res Policy.

; 13(2): 92-98.

United Nations Children’s Fund. Knowledge,

attitude and practice study on children with

disabilities in Turkey. 2015. [cited 2018 June 1].

Available from: https://www.unicef.org/turkey/

en/reports/knowledge-attitude-and-practicestudy-children-disabilities-turkey

OA Olaleye and OM Sowemimo

Yuker HE, Block JR and Young JH.

Measurements of attitudes toward disabled

persons. Human Resources, Albertson, New

York; 1970. [cited 2018 June 1]. Available from:

https://eric.ed.gov/?id=ED044853

Findler L, Vilchinsky N and Werner S. The

multidimensional attitudes scale toward persons

with disabilities (MAS); construction and

validation. Rehabil Counselling Bull 2007;

(3): 166-176.

Lam WY, Gunukula SK, McGuigan D, et al.

Validated instruments used to measure attitude

of healthcare students and professionals towards

patient with physical disability. J Neuroeng

Rehabil 2010; 7: 55(2010).

Nigeria Disability Decree. Disability Rights

Education and Defense Fund 1993. [Cited 2021

April 8]. Available from: https://

googleweblight.com/i?u=https://dredf.org/legaladvocacy/imternational-disability-rights/

international-laws/nigeria-disability-decree/

&hl=en=NG

Miller SR. Fostering informed empathy through

patient-centered education about persons with

disabilities. Perspectives Med Education. 2015;

(4): 196-199.

Paris MJ. Attitude of medical students and health

care professionals towards people with

disabilities. Arch Phys Med Rehabil. 1993;

(8): 818-825.

Stachura K and Garven F. A national survey of

occupational therapy students’ and

physiotherapy students’ attitudes to disabled

people. Clin Rehabil. 2007; 21(5): 442-449.

Downloads

Published

2025-03-13

Issue

Section

Original Articles

Similar Articles

1-10 of 188

You may also start an advanced similarity search for this article.