Malcolm Maclachlan

Malcolm Maclachlan
National University of Ireland, Maynooth | NUI Maynooth · ALL Institute & Dept of Psychology

PhD

About

316
Publications
103,267
Reads
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6,900
Citations
Citations since 2016
90 Research Items
3775 Citations
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20162017201820192020202120220100200300400500600
20162017201820192020202120220100200300400500600

Publications

Publications (316)
Article
Full-text available
Background Assistive technologies promote participation and quality of life for people with disabilities and other functional limitations. There is a global call to develop and implement policies to improve access to assistive technologies. In response, a stakeholder led initiative in Malawi is working towards the development of such a policy. Obj...
Chapter
Systems-thinking is a useful approach to deepen our understanding of the linkages, relationships, interactions, and behaviours that, together, comprise and shape our health systems. Offering a comprehensive range of opinion and scholarship from experts located across the world (Europe, North-America, Africa, Asia, and Oceania), spanning a wide rang...
Chapter
Systems-thinking is a useful approach to deepen our understanding of the linkages, relationships, interactions, and behaviours that, together, comprise and shape our health systems. Offering a comprehensive range of opinion and scholarship from experts located across the world (Europe, North-America, Africa, Asia, and Oceania), spanning a wide rang...
Chapter
Systems-thinking is a useful approach to deepen our understanding of the linkages, relationships, interactions, and behaviours that, together, comprise and shape our health systems. Offering a comprehensive range of opinion and scholarship from experts located across the world (Europe, North-America, Africa, Asia, and Oceania), spanning a wide rang...
Article
Full-text available
Purpose: In this paper, we highlight examples of how AT may play a role in realizing each of the fundamental rights affirmed in the UNCRPD. Materials and methods: We conducted an indicative literature search for relevant literature to each of the substantive articles of the CRPD. Results: Assistive technology plays a critical role in achieving...
Chapter
Full-text available
This paper outlines a systemic understanding the innovative develop-ment of (e)Services in Ireland during the initial months of the Covid-19 lockdownin 2020. The pandemic posed a wicked problem which defied obvious solutionsand had no clear stopping point. In response to the need to sustain contact withdisabled people most at risk both of catching...
Article
Full-text available
Purpose Global population growth and increasing longevity means that the need for Assistive Technology (AT) will continue to increase. The level of unmet need for AT is greatest in low-income settings. The aim of this study is to identify age-related increase in impairment and to estimate the AT needs. Materials and Methods We analysed secondary d...
Article
Background: Seafarers are an occupational group amongst those at highest risk for stress, which may adversely affect their mental health. The primary aim of this study was to assess the effects of a psychosocial programme on perceived stress, resilience, and job satisfaction among a sample of merchant seafarers. Materials and methods: Secondary...
Article
The United Nation's Sustainable Development Goal (SDG) 8.5 aims to “achieve equal pay for work of equal value” globally by 2030. This goal conflicts with a widespread and continuing practice of paying skilled workers from higher-income economies working in lower-income settings more than their host worker counterparts. This brief summarizes researc...
Preprint
Objective: Emerging evidence indicates that the mental health consequences of COVID-19 may not be as deleterious as initially feared. We analyzed the levels of symptom expression and rates of Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), and COVID-19 related Posttraumatic Stress Disorder (C19-PTSD) in the adult population of...
Article
Full-text available
Background : Longitudinal data indicates that the mental health of the general population may not have been as badly affected by the COVID-19 pandemic as some had feared. Most studies examining change in mental health during the pandemic have assumed population homogeneity which may conceal evidence of worsening mental health for some. In this stud...
Article
Full-text available
It is essential to understand the strategies and processes which are deployed currently across the Assistive Technology (AT) space toward measuring innovation. The main aim of this paper is to identify functional innovation strategies and processes which are being or can be deployed in the AT space to increase access to AT globally. We conducted a...
Article
Full-text available
The participation of organisations of persons with disabilities (OPDs) is crucial at each stage of policy processes at the local, regional, and international levels. However, decision-making mechanisms have traditionally excluded OPDs, failing to consult with them on decisions that impact on their daily lives. The overall aim of this study was to e...
Article
Full-text available
Empirical research and data are necessary for policy, planning and provision of services for persons with disabilities. Research data may be available but still not used by researchers and policy makers. The aim of this study is to explore existing empirical research and sources of data on Assistive Technology (AT) in Malawi in order to facilitate...
Article
Full-text available
Background : In this study, we compared the prevalence of posttraumatic stress disorder (PTSD), depression, and generalized anxiety disorder (GAD) before and during the COVID-19 pandemic across nationally representative samples of Irish adults. Methods : Participants were sampled in February 2019 (N = 1,020), April 2020 (N = 1,041), May 2020 (N =...
Article
Full-text available
The Irish Mental Health Act (2001) is undergoing revision. In 2014 an Expert Review Group recommended that the term currently used in the act “mental disorder”, should be replaced with the term “mental illness”. We argue that the proposed change, while well intentioned, contradicts the internationally adopted terminology of “mental disorder” used b...
Article
Full-text available
We read MacLachlan et al.’s (2021) open letter with considerable interest. The authors scrutinize and set out their case against the replacement of the term ‘mental disorder’ with 'mental illness’ in the new Irish Mental Health Act. We are three UK-based mental health nurse academics, all recently employed at Northumbria University, and have accept...
Article
Full-text available
This paper aims to address the information gap on the influence of socio-demographic factors on access and utilization of Assistive Technology (AT) among children with disabilities in Malawi. Thus, it contributes towards the realization of the recommendations of the UN Convention on the Rights of Persons with disabilities and the development of a f...
Preprint
Background: Longitudinal data indicates that the mental health of the general population may not have been as badly affected by the COVID-19 pandemic as some had feared. Most studies examining change in mental health during the pandemic have assumed population homogeneity which may conceal evidence of worsening mental health for some. In this study...
Article
Full-text available
Background: Whilst assistive technology (AT) can play an important role to improve quality of life, health inequity regarding access to appropriate AT for people with intellectual disabilities (ID) is still very much present especially in low resource countries. Objectives: This study focused on exploring factors that influence access to and conti...
Article
Full-text available
Background Equity and inclusion are important principles in policy development and implementation. The aim of this study is to explore the extent to which equity and inclusion were considered in the development of Malawi’s National Disability Mainstreaming Strategy and Implementation Plan. Methods We applied an analytical methodology to review the...
Article
Purpose To address the data gap on efforts to assess use of assistive technology among children with disability in sub-Saharan Africa. Contribute towards efforts examining access to assistive technologies in sub-Saharan Africa. Materials and methods The paper uses data from the 2017 survey on Living conditions among persons with disabilities in Ma...
Article
Full-text available
Background Assistive technology is the products and services used by individuals with functional limitations to enable participation in society and realisation of rights afforded by the United Nations Convention on the Rights of Persons with Disabilities. The Assistive Product List is a comprehensive list of products identified as essential for acc...
Conference Paper
Full-text available
Background: Assistive Technology is important for the achievement of the Sustainable Development Goals (SDGs) for persons with disabilities. Increasingly, studies suggest low demand and provisions of Assistive Technology (AT) for persons with disabilities in low- and middle-income settings. Evidence from high income countries highlight the importan...
Article
Full-text available
Background: The coronavirus disease 2019 (COVID-19) pandemic has impacted all segments of society, but it has posed particular challenges for the inclusion of persons with disabilities, those with chronic illness and older people regarding their participation in daily life. These groups often benefit from assistive technology (AT) and so it is imp...
Article
Full-text available
Introduction Assistive technology (AT) is important for the achievement of the sustainable development goals (SDGs) for persons with disabilities (PWD). Increasingly, studies suggest a significant gap between the need for and demand for and provisions of AT for PWD in low-income and middle-income settings. Evidence from high income countries highli...
Article
Assistive technology is a critical component of maintaining health, wellbeing, and the realization of rights for persons with disabilities. Assistive technologies, and their associated services, are also paramount to ensuring individuals with functional limitations have access to important health and social service information, particularly during...
Preprint
Full-text available
Background Equity and inclusion are important principles in policy development and implementation. The aim of this study is to explore the extent to which equity and inclusion were considered in the development of Malawi’s National Disability Mainstreaming Strategy and Implementation Plan. Methods We applied an analytical methodology to review the...
Preprint
Full-text available
Background: Equity and inclusion are important principles in policy development and implementation. The aim of this study is to explore the extent to which equity and inclusion were considered in the development of Malawi’s National Disability Mainstreaming Strategy and Implementation Plan. Methods: We applied an analytical methodology to review th...
Preprint
Full-text available
Background Equity and inclusion are important principles in policy development and implementation. The aim of this study is to explore the extent to which equity and inclusion were considered in the development of Malawi’s National Disability Mainstreaming Strategy and Implementation Plan. Methods We applied an analytical methodology to review the...
Preprint
Full-text available
Background Assistive technologies promote participation and quality of life for people with disabilities and other functional limitations. There is a global call to develop and implement policies to improve access to assistive technologies. In response, a stakeholder led initiative in Malawi is working towards the development of such a policy. The...
Article
This study aimed to investigate the relationship between death anxiety levels at pre-exposure to human donor remains, post-exposure self-worth, and post-exposure death anxiety levels, among a sample of Irish medical students. A multi-wave prospective study was conducted, using questionnaires administered at six time-points. Path analysis was used t...
Article
Full-text available
Purpose: The importance of assistive technology (AT) as a pillar of universal health coverage was recognized at the 71st World Health Assembly (WHA) through the passing of Resolution 71.8 on improving access to AT (May 2018). A systematic analysis was conducted on the responses made to the Resolution by Member States and non-state actors, in order...
Conference Paper
Full-text available
Facilitation of universal access to Assistive Technology (AT) is an entitlement enshrined in the United Nations’ Convention on the Rights of Persons with Disabilities (UNCRPD). Access to an appropriate, effective and timely delivery of AT, has been identified as a key driver to the realization of the United Nation’s (UN) Sustainable Development Goa...
Article
Full-text available
Background: Despite numerous efforts to improve maternal and child health in Malawi, maternal and newborn mortality rates remain very high, with the country having one of the highest maternal mortality ratios globally. The aim of this study was to identify which individual factors best predict utilisation of skilled maternal healthcare in a sample...
Article
Full-text available
Significant changes in the seafaring industry have increased occupational demands at sea, challenging the psychosocial well-being of seafarers. The primary aim of this study was to explore perceptions and experiences of well-being, resilience and stress amongst a sample of merchant seafarers and superintendents. Exploring perceptions of well-being,...
Technical Report
Full-text available
Review with practical recommendations for increasing access to services for youth with disabilities in Ireland
Article
Full-text available
Background: Seafarers are amongst occupational groups with the highest risk for stress, a factor known to impact on mental health. Psychological issues such as depression, anxiety, suicide, and alcohol or drug dependence are recognized health problems within the maritime sector. The primary aim of this study was to identify which individual and occ...
Article
Background: The World Health Organization has launched a program to promote Global Cooperation on Assistive Technology (GATE) to implement those parts of the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) referring to assistive technology and products. A particular vulnerable group deeply affected by health inequity a...
Article
Full-text available
The Sustainable Development Goals (SDGs) aspire to “leave no-one behind”. Universal access to assistive products is a critical link between the realization of the SDGs and those most likely to be left behind. However, assistive technology provision in many countries, particularly low- and middle-income countries, has traditionally been conducted th...
Article
There is a global need to provide human resources for health in low- and middle-income countries. To increase access to care, task shifting has been implemented in community-based rehabilitation (CBR) programs where skills and responsibilities are transferred to local people with shorter and more focused training. Through realist review and synthes...
Article
Background The World Health Organisation has launched a programme to promote Global Cooperation on Assistive Technology. Its aim is to increase access to high‐quality affordable assistive products (AP) for everybody in need. People with intellectual disabilities (ID) are a specific group that could benefit from AP, but use less AP compared to their...
Article
Purpose: Health should be a universal phenomenon. However, little is known about the relationship between disability status and health issues – particularly in rural areas. This study looks at health issues of persons with disabilities in Madwaleni, a rural impoverished area in South Africa in 2011, and compares them to persons with no disabilities...
Article
Full-text available
Background and Methods: This paper reviews the current capacity of personnel in enabling access to assistive technology (AT) as well as the systems and processes within which they work, and was reviewed, discussed, and refined during and following the Global Research, Innovation, and Education in Assistive Technology (GREAT) Summit. Findings: Key c...
Article
Full-text available
The area of assistive technology has a long history of technological ingenuity and innovation. In order to ensure that the benefits of assistive technology are equitably distributed across the population and life course, it is necessary to adopt a systemic approach to the area. We describe examples of systems thinking and non-systems thinking acros...
Article
Fairness of access to assistive technology is important for its allocation on an equitable basis and for broader social justice and rights issues. While the use of Daniels’ notion of “justice as fair opportunity” is helpful to the context of assistive technology, other aspects of Daniels’ broader conceptualisation of “just health” are not appropria...
Article
Full-text available
Introduction The aim of this review is to answer the following question: Does assistive technology contribute to social inclusion for people with intellectual disability? Previous research on assistive technology has focused on socioeconomic impacts such as education, employment and access to healthcare by people with intellectual disability. There...
Article
Full-text available
We welcome Jesus et al.’s paper, which makes an important contribution to the under-researched area of the physical rehabilitation workforce. The authors present recommendations to “advance a policy and research agenda for ensuring that an adequate rehabilitation workforce can meet the current and future rehabilitation health needs” (p. 1). We argu...
Article
Background: The Irish Travelling community are identified “as a people with shared history, culture and traditions including, historically, a nomadic way of life”. The core of Travelling culture is strong family bonds which support resilience, however changing social circumstances and dislocation have contributed to significant mental and physical...
Article
Full-text available
Purpose: This paper explores the barriers which people with disabilities experience in accessing health care services in Malawi. Methodology: Fifty-two in-depth interviews were conducted with people with various types of disabilities. These interviews were conducted in four districts in Malawi: Blantyre and Phalombe in the Southern Region; Ntchisi...
Article
Full-text available
Background Global research suggests that persons with disabilities face barriers when accessing health care services. Yet, information regarding the nature of these barriers, especially in low-income and middle-income countries is sparse. Rural contexts in these countries may present greater barriers than urban contexts, but little is known about a...
Article
Full-text available
This paper explores differences in experienced environmental barriers between individuals with and without disabilities and the impact of additional factors on experienced environmental barriers. Data was collected in 2011–2012 by means of a two-stage cluster sampling and comprised 400–500 households in different sites in South Africa, Sudan Malawi...
Data
S_3_EquitAble_Control v10_1 English and Chichewa. Pdf. Control questionnaire. (PDF)
Data
S_1_EquitAble_household v10 English and Chichewa Version. Pdf. Household questionnaire. (PDF)
Data
S_2_EquitAble_indivudual v10_1 English and Chichewa. Pdf. Individual questionnaire. (PDF)