The number of disabled people in the world is increasing. Hemiplegia is a form of Infantile Cerebral Palsy, a disability that affects one side of the body and with a prevalence of 0,5-0,7 per 1000 live births. Disability is a condition that brings consequences not only on the medical level but also on psychological, cognitive, and social aspects: Hemiplegia prevents children from social participation, especially in sport settings where the orthoses they wear are not adequate. Social exclusion and physical inactivity are risk factors that must be reduced, as demonstrated by the 15% target reduction of inactivity by 2030 imposed by the WHO. Several evidence demonstrate the social impact of sport in traditional developed people but in the disability or Hemiplegic population the number of studies is reduced. In addition, previous evaluations of healthcare sports initiatives in the Hemiplegic population are not available and traditional methods, most focused on economic outcomes, are not applicable: appropriate searches in the fields are still missing. An SROI valuation on the real-life GIFT orthosis initiative was performed. GIFT (‘enGneering For sporT for all’) is the project winner of the 2019 Polisocial Award contest and with the aim to create a new generation of orthosis for Hemiplegic children to promote the possibility for a ‘sport for all’. The model has been created through the involvement of stakeholders in all the phases: the actors engaged in the pilot project were consulted with mixed methods to assess input, outcomes, and impact indicators. The final SROI, computed for a time horizon of three years and with a focus on the Lombardy Region, resulted equal to 3,265: the initiative resulted worth of investment. The present research wants to provide additional knowledge on the social impact of sport for Hemiplegic children and on the application of SROI methodologies in healthcare sport initiatives for children with disabilities. The methodology could be used to inform decision-making processes and to communicate results to society overall.
Il numero di persone con disabilità è in aumento. Emiplegia è una forma di Paralisi Celebrale Infantile, una disabilità che colpisce una parte del corpo e con una prevalenza dello 0,5-0,7 su 1000 nati vivi. La disabilità è una condizione che porta conseguenze non solo sul piano medico ma anche sugli aspetti psicologici, cognitivi e sociali: l’Emiplegia impedisce la partecipazione sociale, specialmente in ambienti sportivi, dove le ortesi ortopediche non risultano adeguate. L’esclusione sociale e l’inattività fisica sono fattori di rischio che devono essere ridotti, come dimostrato dal target di riduzione dell’inattività del 15% entro il 2030 imposto dell’OMS. Diverse evidenze scientifiche dimostrano l’impatto sociale dello sport in persone normo tipiche; tuttavia, nella popolazione disabile o Emiplegica il numero di studi disponibili risulta ridotto. In aggiunta, precedenti valutazioni di iniziative sportive e sanitarie nella popolazione Emiplegica non sono disponibili e i metodi tradizionali, focalizzati principalmente su outcomes economici, non sono applicabili: appropriate ricerche sono necessarie. Una valutazione SROI sull’iniziativa GIFT fu realizzata. GIFT (‘enGneering For sporT for all’) è il progetto vincitore del Polisocial Award 2019 ed ha l’obiettivo di creare una nuova generazione di ortesi per bambini Emiplegici per promuovere la possibilità di uno ‘sport per tutti’. Il modello è stato creato tramite il coinvolgimento degli stakeholders in tutte le fasi: gli attori coinvolti nel progetto pilota furono consultati in diversi modi per identificare gli input, gli outcomes e gli indicatori di impatto. Il SROI, calcolato su un orizzonte di tre anni e con un focus sulla Regione Lombardia, risultò 3,265: l’iniziativa è degna di investimento. La presente ricerca vuole fornire ulteriori conoscenze sull'impatto sociale dello sport in bambini con Emiplegia e sull'applicazione della metodologia SROI in iniziative sportive e sanitarie per bambini con disabilità. La metodologia aiuta ad informare i processi decisionali e a comunicare i risultati alla società nel suo complesso.
Impact assessment of social inclusion of disabled children in sport activities at school
Pesenti, Silvia
2020/2021
Abstract
The number of disabled people in the world is increasing. Hemiplegia is a form of Infantile Cerebral Palsy, a disability that affects one side of the body and with a prevalence of 0,5-0,7 per 1000 live births. Disability is a condition that brings consequences not only on the medical level but also on psychological, cognitive, and social aspects: Hemiplegia prevents children from social participation, especially in sport settings where the orthoses they wear are not adequate. Social exclusion and physical inactivity are risk factors that must be reduced, as demonstrated by the 15% target reduction of inactivity by 2030 imposed by the WHO. Several evidence demonstrate the social impact of sport in traditional developed people but in the disability or Hemiplegic population the number of studies is reduced. In addition, previous evaluations of healthcare sports initiatives in the Hemiplegic population are not available and traditional methods, most focused on economic outcomes, are not applicable: appropriate searches in the fields are still missing. An SROI valuation on the real-life GIFT orthosis initiative was performed. GIFT (‘enGneering For sporT for all’) is the project winner of the 2019 Polisocial Award contest and with the aim to create a new generation of orthosis for Hemiplegic children to promote the possibility for a ‘sport for all’. The model has been created through the involvement of stakeholders in all the phases: the actors engaged in the pilot project were consulted with mixed methods to assess input, outcomes, and impact indicators. The final SROI, computed for a time horizon of three years and with a focus on the Lombardy Region, resulted equal to 3,265: the initiative resulted worth of investment. The present research wants to provide additional knowledge on the social impact of sport for Hemiplegic children and on the application of SROI methodologies in healthcare sport initiatives for children with disabilities. The methodology could be used to inform decision-making processes and to communicate results to society overall.| File | Dimensione | Formato | |
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https://hdl.handle.net/10589/182083