Karen Kume Yoshida

Karen Kume Yoshida
University of Toronto | U of T · Department of Physical Therapy

BSc.PT, MSc. Ph.D.

About

70
Publications
21,184
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2,390
Citations
Introduction
Additional affiliations
July 1984 - October 2017
University of Toronto
Position
  • Professor (Full)

Publications

Publications (70)
Article
Aims: Since the introduction of both cervical and breast screening programmes in Aotearoa New Zealand, mortality rates have dropped. Both screening programmes track women's engagement, but neither capture the level of engagement of Deaf women who are New Zealand Sign Language users or their experiences in these screening programmes. Our paper addr...
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Background Individuals living with chronic spinal cord injury or disease (SCI/D) are at an increased risk of falling. However, little is known about the impact of falls and fall risk in the subacute phase of SCI/D, despite this being a time when fall prevention initiatives are delivered. Hence, we explored the impact of falls and fall risk in indiv...
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In this paper, we describe a methodology of access developed and applied during a three-year project in the Niagara region focused on cultivating the next generation of disability leaders. We describe the theoretical approach to the project and highlight the significance of doing this work in Niagara. A literature review of adult, transformative, a...
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Introduction: Falls are a concern for wheelchair users with spinal cord injury (SCI). Falls can negatively impact the physical and psychological well-being of fallers. To date, the perspectives of wheelchair users with lived experiences of SCI on the contributors to falls has been understudied. Information about factors that influence fall risk wo...
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Purpose: While the physical consequences of falls among wheelchair users with spinal cord injury have previously been examined, the psychosocial impacts remain understudied. Here, we explored the psychosocial impacts of falls and risk of falling from the perspectives of wheelchair users with spinal cord injury. Materials and methods: Twelve wheelch...
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Purpose: Family caregivers provide essential support to individuals recovering after experiencing a stroke. Although clinical guidelines recommend the provision of caregiver education and support, these guidelines have not been implemented into standard clinical practice. The objective of this study was to gain insight from key informants—affiliate...
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Background: The Independent Living Movement seeks to promote independence for people living with disabilities by encouraging them to direct their own care. Programs exist that strive to teach individuals the necessary skills to live independently; however, these programs have not been widely researched. Purpose: The purpose of this paper is to expl...
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Background: The 2005 South Asian earthquake led to large-scale injuries and disabilities in northern Pakistan, which were dealt with using various approaches. In this regard, a community-based rehabilitation approach was initiated in the Muzaffarabad district of Pakistan in early 2006, focused on preventing complications among persons with Spinal C...
Article
Purpose: The purpose of this study was to explore the experiences of physiotherapy students and clinical instructors (CIs) when discussing student clinical performance at the mid- and final points of clinical internships. The objectives were to identify why performance assessment discussions are valuable, explore the role of each participant throug...
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Purpose: We examined the relationship between the amount of physical activity and level of fatigue in adults with cystic fibrosis (CF). Method: Participants were recruited from the Toronto Adult Cystic Fibrosis Centre at St. Michael's Hospital. Participants completed the Habitual Activity Estimation Scale, the Multidimensional Fatigue Inventory, a...
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We present findings of a qualitative study exploring what constitutes relevant health promotion initiatives for immigrant mothers of children with developmental disabilities. We apply a social ecological approach, with a focus on gender-specific and transformative health promotion, to examine factors impacting mothers' health and wellbeing. Twenty-...
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When in public places, many individuals with physical disabilities experience staring. Although staring is typically seen as uncomplicated and something to be "ignored," it has consequences for the person being stared and the staree. Few studies have focused on staring experienced by men following spinal cord injury (SCI). Accordingly, this study e...
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To explore the experiences of women with non-stroke related ABI to gain greater insight into their general and sex- and gender-specific health and well-being concerns, and to identify areas for future research. A qualitative pilot study using interpretive description methodology and a sex-and gender-based analysis of data collected through focus gr...
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(1) To assess long term health care service utilization and satisfaction with health care services among women with traumatic brain injury (W-TBI), (2) to examine barriers that prevent W-TBI from receiving care when needed, and (3) to understand the perceived supports available for W-TBI. Ontario, Canada. W-TBI (n=105) 5-12 years post-injury and wo...
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This narrative review examines research on the experiences of immigrant fathers raising children with developmental disabilities, and considers the findings within the Canadian context. Applying Green, Johnson & Adams' (Journal of Chiropractic Medicine, 5(3), 101-117, 2006) methodology, a step-by-step process was followed to conduct the review. Fou...
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Throughout history different practices have attempted to silence the experiences of disabled people. In this paper we explore some of these practices including the medical, familial, and self-subjugating practices English-speaking Canadian polio survivors experienced throughout their lives. We analyze participant’s experiences of silence and silenc...
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Abstract The purpose of this paper is to present a model of rehabilitation practice that is based on the recommendations of consumers who used rehabilitation services and have a life-changing physical impairment (spinal cord injury - SCI). This value-based practice model is based on two qualitative studies. The first study developed the framework (...
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In this paper we present oral narratives focusing on schooling experiences of Canadians who lived with polio as children between 1940 and 1959. We argue that disabled students with polio received an education about the differences ascribed to them by individuals in authority (teachers, principals), by other young people, and through the dominant ne...
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Purpose: Little is known about the experiences of people with disabilities (PWD) who live with HIV. Existing research largely assumes a "double burden" approach, which views HIV as doubling the load for people already burdened by disability. Intersectionality (a dynamic process of converging systems of relationships) offers an alternative approach...
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In this article we provide a critical reflection on the integrated use of solicited audio diaries, photography, and interviews in a study with disabled young men transitioning to adulthood. In the study, we developed a methodological approach for illuminating the intersectionality of gender, disability, and generation (life stage) identities. Drawi...
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Purpose: To determine the extent of presentation and publication, as well as time to publication, of student research completed as a component of a Master of Science in Physical Therapy (MScPT) degree at a Canadian university. Method: The authors conducted a retrospective cross-sectional study of MScPT research projects completed between 2003 an...
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Children and youth with progressive conditions are living longer, and there is increased interest in designing programs that will assist them with "transitioning" to adulthood. Almost none of the transitions research to date, however, has attended to the experiences of disabled boys in "becoming men," nor has there been critical conceptual work pro...
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Women with disabilities consider exercise an important health promotion activity. A lack of accessible facilities within the community has been identified as a major limiting factor to exercise participation among women with disabilities. To increase exercise participation among women with disabilities, we need to understand the structural and soci...
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Currently, the dominant cultural beliefs toward disability are negative, and the existing literature is limited with respect to examining how people are using and/or viewing their disabilities positively. The purpose of this study was to identify how individuals living with a spinal cord injury (SCI) viewed and/or used their disability positively,...
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We examined victimization data from a Canadian survey of 1,095 women with disabilities to determine the following: a) Who experienced abuse, b) the forms of abuse, and c) the factors associated with abuse. A convenience sample of Canadian women (18 years +) completed a mailed survey. Descriptive statistics were used to describe the sample and types...
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Qualitative research has rarely explored gender-based concerns of men with disabilities. Accordingly, this research investigates body image and self-concept for men with an acquired spinal cord injury (SCI). Modified grounded theory analysis was conducted for secondary, qualitative interview data of 64 male participants from a study of community dw...
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Traumatic brain injury (TBI) is a major public health problem, yet little is known about how this injury may affect long-term outcomes unique to women. This research examined the health outcomes relevant to premenopausal women 5-12 years after injury. This was a retrospective cohort study at eight participating acute care/rehabilitation facilities....
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Objective: To examine the long-term impact of traumatic brain injury (TBI) on health outcomes unique to women and other relevant health outcomes. Design: Retrospective cohort study. Setting: 8 acute and rehabilitation facilities in Ontario, Canada. Participants: 105 women with moderate-to-severe TBI (WTBI) 5 to 10 years postinjury, and 105 women wi...
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Exercise participation among women living with disabilities can be limited as a result of pain, decreased muscle strength, and limited mobility. More "disabling" than these symptoms, however, is a lack of accessible exercise facilities in women's communities. Our study explores how material and social structures and functions existing and operating...
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This qualitative paper describes, people with rheumatoid arthritis (RA) and the everyday strategies they develop to assist them to participate in valued activities and to manage their condition. Forty-six adults with RA participated in face-to-face interviews on the impact of rheumatoid arthritis and the ways that they manage their condition. A cod...
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This study investigated the physical and psychosocial consequences of living with osteoarthritis (OA) in daily life and peoples' views of total knee arthroplasty (TKA) and the role of physiotherapy. In-depth interview data were used from a prospective qualitative study conducted by the senior author (KY). Participants were 15 volunteers with knee O...
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The purpose of this paper is to discuss consumer values important to rehabilitation practice and to illustrate those values with women living with SCI and their body issues. This is a qualitative, retrospective, and cross-sectional descriptive study based on interview data from 15 women from a sample of 80 participants of a larger parent study. A s...
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The health of women with disabilities, like other women, is affected by experiences of violence and abuse. However, the experiences of women living with disabilities is less well known and an important issue for rehabilitation professionals. In this paper we focus on presenting women's knowledge and experiences of violence and abuse regarding where...
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The purpose of this article is to describe the changing nature, process and structure of an international non-governmental organisation (NGO) in response to internal and external factors. This article is based on the interview data collected for the study which focussed on the experiences and perception of key informants on trends related to offici...
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This article reports on a study conducted for the Canadian International Development Agency by The International Centre for Disability and Rehabilitation at the University of Toronto. We critically examined the broad literature in the area of disability and development and in this article we identify the key issues which emerged. Most of the data w...
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Traditionally, rehabilitation professionals have viewed and studied leisure participation in terms of quantifiable activities. Advances in leisure studies have, however, led to recognition of the need for and value of examining leisure as a subjective experience too. Accordingly, this study used a qualitative approach to explore postinjury leisure...
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This paper describes the impact of chronic illness on self and identity among 35 adults with traumatic spinal cord injury (paraplegic), living in the community. The reconstruction of self and identity post spinal cord injury is conceptualised as a pendulum. The pendulum of self represents a dynamic model of identity reconstruction. The pendulum sug...
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In this article we illuminate the narratives of women living with a spinal cord injury (SCI) with regard to (a) learning how to live with a changed body and (b) exploring the factors that influence how they feel toward their new bodies. An SCI produces immediate physical impairments resulting in a changed body, which can then have physical, emotion...
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The objective of this study was to examine the perspectives of individuals living with spinal cord injury (N=14) concerning the changes that occur in personal relationships after the injury. A qualitative study was completed and a finer-grained analysis of data collected from a primary study took place. The primary study had a cross-sectional and r...
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To report the prevalence and factors associated with ever having had a Papanicolaou (Pap) test or pelvic examination among Canadian women with physical disabilities and the barriers to having the tests. Cross-sectional survey. General community. Convenience sample of 1095 women between the ages of 18 to 93 completed the survey. The most frequently...
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Purposes: (1) To determine the availability, use and factors associated with the use of electrophysical agents (EPAs) in the management of patients with musculoskeletal impairments in physical therapy (PT) outpatient clinics in Metro Toronto and (2) to determine sources of EPA information used by physical therapists (PTs) and their perceived need f...
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Research shows a decline in physical activity levels during adolescence, particularly among girls. This study explored perceived barriers to participation in moderate and vigorous physical activity among adolescent girls who live in a large ethnoracially and socioeconomically diverse city. A total of 73 adolescent girls in Toronto participated in 1...
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This study explored male adolescents' reasons for participating in moderate and vigorous physical activity, perceived barriers to moderate and vigorous physical activity, and suggestions as to what can be done to increase participation in physical activity. A total of 26 male 15- and 16-year-old adolescents participated in focus group sessions, whi...
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The purposes of this study were to examine the barriers to eating well experienced by women with physical disabilities and the services required to improve eating habits. Participants (mean age=48.9, SD=14.4) completed a questionnaire on health promotion behaviours (n=1096), which included a section on nutrition-related behaviours. Of the 31.8% who...
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This study investigated scores for mental health and vitality in a large community-based sample of women with physical disabilities. The scores from two subscales of the SF-36 were collected from 1,096 women with physical disabilities through a mailed survey regarding health and well-being. These scores were compared to normative data using t tests...
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Although there is a great deal of interest in women's health, research on the health and well being of women with disabilities has not increased. In this article we present internal and structural barriers to wellness activities experienced by women with disabilities. We also discuss women's actual and recommended strategies to address these barrie...
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The Activities Scale for Kids (ASK) is a self-report measure of childhood physical disability, that has excellent reliability (ICC = 0.97). The purpose of this study was to assess further the ASK's measurement properties. ASK questionnaires were completed by 200 children with musculoskeletal limitations (mean age, 10.1 years). Rasch analyses confir...
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The field of sexuality research as it pertains to women with physical disabilities from different ethno-cultural communities is limited. This may be due to the lack of understanding among health care providers and researchers regarding the issues related to sexuality for women with disabilities. The impact of cultural beliefs and values related to...
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The Short Form 36, The Toronto Extremity Salvage Score, and the 1987 and 1993 Musculoskeletal Tumor Society Rating Scales were compared as measures of functional status for patients with lower extremity sarcoma. The study included 97 patients with lower extremity sarcoma and evaluated each measure on the following measurement properties: conceptual...
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This study assesses the differences between two methods of conceptually framing physical disability questions, using two scenarios (capability and performance). The relationship between capability and performance was explored on the basis of the literature and empirically tested by administering two versions of the Activities Scale for Kids (ASK) t...
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Introduction: The Activities Scale for Kids (ASK) is a reliable measure (random effects ICC=0.97) of children's physical disability that is completed by child-report at home. We tested two methods for assessing the validity of questionnaires in the absence of a gold standard: (1) comparison to a scale with a similar purpose, and (2) comparison to a...
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Using a 1993 sample (n=107) of persons who teach disability studies courses, a sample (n=27) of disability studies syllabi from the early 1980s, and an extensive bibliography the authors discuss the history and the present condition of disability studies courses in the US and Canada. They discuss the disability paradigm and the methodology used in...
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To explore the contributions of children during the development of a disability scale, and their competence using the new scale. A new self-report measure of pediatric physical performance, the Activities Scale for Kids (ASK), was developed based on interviews and pilot testing with children. The ASK was then filled out by children on two occasions...
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In this paper, the experiences of 28 men with a spinal cord injury (paraplegia) regarding meeting significant others and decisions about long term relationships are discussed. Potential relationships were viewed along five major themes: 1) acceptance of the individual; 2) awareness and assistance with accessibility; 3) altered divisions of labour;...
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This article discusses how experiences during rehabilitation may influence self concept among individuals who have sustained a traumatic spinal cord injury (SCI). Specifically, experiences during rehabilitation may promote an 'inculcation' of the disabled self coupled with loss of the nondisabled self. These experiences are illustrated by personal...
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This paper reports the effects of two methods used to increase response rates in a community health survey administered by telephone. Converting refusals resulted in an increase of 3.7% in the final response rate, while the investigation and identification of indeterminate telephone numbers increased the response rate by an additional 6.1%. Togethe...
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The purpose of the study was to determine the influence of selected socio-demographic factors on the reporting of individual and structural barriers to increased physical exercise participation. The sample consisted of women who wish to increase their exercise level (Further Actives) and women who wish to begin exercise (Potential Actives). Data we...

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