Experiences of Individuals With Disabilities in Vocational Rehabilitation Settings: Components Influencing Sleep Quality

Background and Purpose: Considering the high prevalence of sleep disorders among people with disabilities (PWDs) and the significant impact of sleep on health, quality of life (QoL), and work performance, this study aimed to explore the experiences of PWDs regarding the components affecting their sleep quality. Materials and Methods: This qualitative study, conducted in ۲۰۲۴, used conventional content analysis to explore the experiences of ۱۸ male individuals with disabilities (physical, intellectual, and psychosocial impairments) attending vocational rehabilitation settings in Malayer and Nahavand, Iran. Purposeful sampling was employed. Data were collected via semi-structured interviews and a demographic questionnaire. Interviews were transcribed and analyzed using Elo and Kyngäs’ conventional content analysis method. Data management and coding were performed using MAXQDA software, version ۲۰۲۲. Results: Participants were ۱۸ males with physical, intellectual, sensory, and psychosocial impairments. Data analysis yielded ۸۷ open codes, ۲۱ subcategories, and ۸ categories, organized into two main domains: personal factors (physical condition, psychological state, knowledge and competence) and environmental factors (physical sleep environment, social environment, economic environment, occupational environment, daily life and family). Conclusion: This qualitative study revealed that sleep quality among individuals with disabilities in vocational rehabilitation settings is shaped by a complex interplay of personal and environmental factors. Pain, emotional distress, inadequate sleep facilities, and chronic financial strain negatively affect sleep, while vocational competence, supportive social interactions, and structured daily routines enhance it. These findings underscore the need for multilevel interventions, including environmental modifications, staff communication training, economic support, and integrated sleep health services to improve sleep and overall well-being in this population.

کلیدواژه ها:

Sleep ، Persons with disabilities ، Rehabilitation centers ، Vocational rehabilitation ، Qualitative research