Graphic of 3D bar charts depicting international signs of persons with disabilities

Workshop on Improving Disability Data for Policy Use
23-26 September 2003, Bangkok, Thailand

UN ESCAP Statistics Division
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Programme : Presentation on 26 September 2003

Collection of information about people with disabilities

Text version of a Powerpoint Presentation
Presented by Joanne Hillermann, ABS, on 26 September 2003, 9:00am


Slide 1

Collection of information about people with disabilities

Survey development,
collection, processing, analysis and dissemination issues

Joanne Hillermann
Australian Bureau of Statistics


2

Overview of survey stages and costs

(Survey of Disability, Ageing and Carers, 1998 - Table)


3

Overview of survey development

  • Key steps:
    • Identify user needs
    • Prioritise competing needs
    • Decide survey output
    • Consider scope and coverage issues
    • Identify the population or sub-population of interest
    • Individual question design including response categories
    • Sequencing and flow of the questionnaire
    • Testing and validation

4

User needs

  • It is important to develop surveys in conjunction with key users of the statistics and people with disabilities
  • ABS does this by convening Advisory Groups, to advise the ABS on information need
    • Identify and document broad issues, as well as fine level details
    • Identify and document the key policy issues that will be informed by the survey data
    • Where there are competing needs for information, sometimes need to compromise to ensure achievement of the highest priority information needs
  • Need to invite broad representation of key clients including:
    • Govt (all levels)
    • Peak bodies and advocacy groups
    • People with disabilities
    • Academics and researchers

5

Define survey objectives and output

  • Issues to consider:
    • What is the population of interest?
    • Why is the information needed?
    • Who is going to use the information?
    • What will it be used for?
    • What are the key policy questions the information is required to inform?
    • What is the desired accuracy? Of what data items?
    • How often is the information needed?
    • Is the need for a once off, or regular collection?

6

Scope and coverage

  • Who is to be included?
    • children?
    • adults?
    • older people?
    • carers?
  • What information about disability?
    • selected disabilities, or all disabilities?
    • severity of disability?
  • Type of accommodation to include?
    • private dwellings
    • special dwellings, such as hostels, group homes, institutions
  • Geographic areas

7

Operationalising the concept of disability and determining the domains to cover

  • Consistency with the ICF important
  • Data items and questions can attempt to cover a broad range of domains, or just specific ones
  • Activities of Daily Living (ADL) can broadly be seen as the activities:
    • Communication
    • Self-care
    • Mobility
  • Instrumental Activities of Daily Living (IADL) can broadly be seen as the more complex activities:
    • domestic activities
    • home maintenance and gardening

8

Context and mode effects

  • Disability prevalence rates vary according to type and mode of collection used to collect information
  • Disability rates were higher in ABS collections when disability questions were asked after detailed health questions (such as the SF36).
  • Disability rates generally lower in self-completion forms compared to personal interviews
  • General disability rates also lower where proxy interviewing allowed

9

Other issues to consider:

  • Proxy vs non-proxy interviews
  • Personal versus telephone interviews
  • Special questions versus questionnaires for sub-populations
  • Use of methods to improve collection of information from people with disabilities
    • interviewer training
    • letters to respondents
    • survey brochures (outline the need for the information and encourage cooperation
    • support from advocacy groups

10

Sample design

  • Sample survey or census
  • Stand alone survey or survey linked to Population census
  • Area or list based sample

11

Testing and validation (continued)

  • Pre-testing or skirmishes
    • obtain respondent feedback on open questions
  • Cognitive testing/focus groups
    • small number of people with specific characteristics interviewed
    • explore understanding of question wording in relation to the concepts being examined, and appropriateness of response categories
  • Observational studies
    • Observe respondents completing questionnaire, and ask them to explain their understanding of the questions

12

Testing and validation (continued)

  • Pilot testing
    • Small random sample to test
      • identification of populations
      • understanding of questions (broad)
      • question sequencing and overall survey flow
      • interviewer instructions
      • respondent reaction to questions
      • editing procedures
  • Dress rehearsal
    • Final test covering:
      • interview times
      • training of interviewers
      • field procedures
  • Debriefing
    • Subjective, anecdotal, interviewer feedback

13

Interviewer training

  • ABS disability survey training sessions were three days for all interviewers
  • Interviewers already well trained in general interviewing procedures, including computer assisted interviewing
  • Training covered:
    • major users and uses
    • structure of the questionnaire
    • main survey populations
    • questions and sequencing
    • coding of conditions
    • practice interviewing
    • issues relating to interviewing people with disabilities

14

Interviewing people with disabilities

  • Understand that there are myths and stereotypes about people with disabilities, but many of them are not true!!
  • Always interview in a professional and sensitive manner
  • Language is important
    • Needs to be acceptable to people with disabilities, for example, neutral and avoiding terms like disability, handicap, impairment etc.
    • Needs to be accurate and respectful of individuals with disabilities
  • Examples

15

Interviewing people with disabilities

  • Cultural issues
    • This is a very difficult area
    • Being considered by the WCG on disability statistics
    • Sometimes there is no overall word for "disability"
    • Reluctance in some cultures to identify people in their household with a disability
  • Ask all questions
  • Do not assume or anticipate answers
  • Be patient and let the respondent finish

16

Evaluation

  • Post survey review
    • Review all aspects of the survey
    • Use interviewer feedback on issues relating to the questions, response categories, procedures etc.
    • Survey processing staff feedback on issues of processing data items, validation etc.
    • Key user feedback on whether survey data met their information needs. Identify:
      • Gaps
      • Deficiencies in collected items
  • Data quality analyses
    • Non-response evaluation

17

Data processing and checking

  • Different for the different collection methods such as CAI or paper questionnaires
  • Create output or derived items
  • Editing
    • input (done as part of CAI instrument, or when punched or captured electronically)
  • Validation
    • of all output items
    • compared with other data sources, previous data etc

18

Tabulation

  • Determining the table content should be specified early in the development or collection phases of the survey
  • Publish output
    • based on key user needs
    • showing the most important information
    • demonstrating the range of data available

19

Consider range of important tabulations. Issues include:

  • Frequency and distribution of disability in the population
  • Prevalence of different types of disability, such as, learning, communicating etc,
  • Underlying cause of the disabilities in the population
  • Severity and estimated duration of the disability
  • Needs of people with disabilities in terms of
    • aids and equipment, assistance, services
    • met and unmet needs
  • Quality of life issues/comparisons such as, living conditions health, social and economic conditions
  • Barriers to full and equal participation in society in areas such as education, work, housing, transport etc.

20

Dissemination methods

  • Methods include:
    • Paper publication
    • Published on Website
    • Electronic tables/spreadsheets
    • Microdata
  • Promote survey data releases through:
    • Media releases
    • Seminars
    • Analytical articles etc.

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Copyright (c) 2003 UNESCAP
Last Updated 12/11/2003. Contact: stat.unescap@un.org