Training of Caregivers in Positioning, Lifting and Transferring in Physically and Mentally Disabled People Living in Handicapped and Mentally Disabled Children Association, Kuala Langat, Selangor The study aimed to educate caregivers on proper positioning, lifting and transferring techniques through a pre-and post-assessment intervention. In part 1, caregivers faced challenges like language barriers, hygiene issues and low back pain. Part 2 involved a lecture, video and skills demonstration, followed by a post-assessment showing skills improvement. The intervention successfully trained caregivers, but knowledge scores did not significantly change. Future work should recruit more caregivers and provide ongoing training.

1. UMMP STAGE 3.2
2015/2020
UNIVERSITY OF MALAYA
Group 4A
Ari Aran, Sabrina, Azmina, Iqbal, Hamka, Afifah, Toh Jia Yong, Lok Yunwen
Supervisor: AP DR MAS AYU
TRAINING OF CAREGIVERS IN POSITIONING, LIFTING
AND TRANSFERRING IN PHYSICALLY AND MENTALLY
DISABLED PEOPLE LIVING IN HANDICAPPED AND
MENTALLY DISABLED CHILDREN ASSOCIATION,
KUALA LANGAT, SELANGOR

2. HAMKA
SABRINA
JIA YONG
AZMINA
AFIFAH
LOK
IQBAL
ARI ARAN
PROF. MAS AYU
2

3. DEFINITION
• Person who gives care to people who need
help. (National Cancer Institute)
Caregiver
• Neurodevelopmental disorders that begin in
childhood.
• Difficulties in conceptual, social, and practical
areas of living. (DSM-5)
Intellectual disability
4

4. BACKGROUND
The prevalence of mentally disabled people had shown an increasing in
number.
• 3.09% in 2000,
• 4.59% in 2005 and
• 5.61% in 2011.
(Kim 2017)
l

5. BACKGROUND
71.9% of the intellectual disabled population did not receive appropriate medical
care which will increase their severity of illness. (Kim et al. 2013).
Hence, patients with intellectual and developmental disability require proper care by the
trained caregivers to improve their physical and mental well-being.
.

6. ✔ 92.2 % - No proper training
✔ 65.4% - Wished to be trained properly
RECOMMENDATION:
✔ Regular training should be emphasized
✔ Type of training should include bed
positioning, providing meals, position
change and transferring of the patients.

7. Part 1-
Problems
Identification
• To describe the sociodemographic characteristics of the
caregivers.
• To determine the anthropometric parameters among the
caregivers.
• To assess the job scope and explore the challenges in taking care
of disabled people.
• To assess to the occupants’ level of dependency.
Part 2-
Intervention
• To educate the caregivers on the correct way of lifting, transferring
and positioning the patients.
OBJECTIVES

8. Training of Caregivers in Positioning, Lifting and Transferring in
Physically and Mentally Disabled People Living in Handicapped and
Mentally Disabled Children Association, Kuala Langat, Selangor
PART 2
Intervention
FINDINGS
PART 1
Problem
Identification

9. METHODOLOGY
S TUDY DE S IG N
S TUDY
POPULATION
S TUDY
LOC ATION
C aregiver pre and
post intervention
study design.
Handicapped and
Mentally Disabled
Children Association,
Kuala Langat,
Selangor.
Inclusion criteria
(All C aregivers)
C aregiver
qualitative study
in-depth interview.
P AR T 1
P AR T 2
10

10. SOCIODEMOGRAPHIC
OPEN-ENDED
QUESTIONS
BMI
PART 1: Open ended semi-
structured interview
guide
13

11. FINDINGS OF PART 1
QUALITATIVE ANALYSIS OF IN-DEPTH INTERVIEW
• Language barrier
• Hygiene issue
• Shortage of caregivers
• Low back pain due to carrying occupants
CHALLENGES
• First aid in seizure
• P ersonal hygiene,bed sore management
• Prevention of fall
• Proper technique in carrying occupant
AREAS THAT NEED
MORE KNOWLEDGE
AND SKILLS
15

12. JUSTIFICATION FOR INTERVENTION
 Musculoskeletal disorder is prevalent among
caregivers
 E ven among trained healthcare providers
(Aslam et al., 2015)
(Darragh, C ampo, & K ing, 2012)
Technique of positing, lifting
and transferring patients
• Time
• R esources available
• Medical professionals
Aslam, Imran, Scott A. Davis, Steven R. Feldman, and Willis E. Martin. 2015. “A Review of Patient Lifting Interventions to Reduce Health Care Worker Injuries.” Workplace Health and Safety.
Darragh, A. R., Campo, M., & King, P. (2012). Work-related activities associated with injury in occupational and physical therapists. Work.
Sharan, D., Ajeesh, P. S., Rameshkumar, R., & Manjula, M. (2012). Musculoskeletal disorders in caregivers of children with cerebral palsy following a multilevel surgery. Work.
Tong, H. C., Haig, A. J., Nelson, V. S., Yamakawa, K. S. J., Kandala, G., & Shin, K. Y. (2003). Low Back Pain in Adult Female Caregivers of Children with Physical Disabilities. Archives of Pediatrics and Adolescent Medicine.
 Associated with lifting, transferring, and repositioning &
transferability of the children
(S haran, Ajeesh, R ameshkumar, & Manjula, 2012)
(Tong et al., 2003)
19

13. 1. PRE-ASSESSMENT
-KNOWLEDGE
-SKILLS
2. INTERVENTION
-LECTURE
-VIDEO
-DEMONSTRATION
3. POST-ASSESSMENT
Questionnaire consist of 14 questions to assess knowledge
Demonstration from physiotherapist on positioning, lifting and
transferring followed by hands on practice by caregiver on students as
simulated patients
Tools same as pre-assessment
Lecture given by physiotherapist
METHODOLOGY – PART 2
Demonstration from caregiver on positioning and lifting &
transferring patient
Video presentation from MyHE ALTHKKM on Y outube titled “Cara
mengangkat dan mengalih pesakit yang terlantar”
21

14. PART 2: ASSESSMENT TOOL
FOR KNOWLEDGE PRE AND
POST INTERVENTION
• CONSIST OF 5
DOMAINS
• CLOSED ENDED AND
MCQ
• 14 MARKS IN TOTAL
• QUESTIONS DERIVED
FROM LECTURE
SLIDESFROM UNIT
REHABILITASI
KKTELOK DATOK
22

15. PART 2: ASSESSMENT TOOL
FOR SKILLS PRE AND POST
INTERVENTION
• CONSIST OF 3
DOMAINS:
1. POSITIONING
2. LIFTING
3. TRANSFERRING
• CHECKLIST IN
NATURE
• 36 MARKS IN TOTAL
FIRST DOMAIN:POSITION
23

16. VIDEO (INTERVENTION)
https://drive.google.com/file/d/100tjiZ-zBmOavT3KibVzrf2WKgbsXu8i/view?ts=5d2a9f72
40

17. CONCLUSION
Based on our study, although the overall score for knowledge
does not show significant improvement, our intervention was
a success on the caregiver to improve their skills in
positioning, lifting and transferring patients.

18. Training of caregivers for
positioning, lifting and
transferring patient with
physical deformity &
contracture
Use lifting aids such
as sliding sheet,
lifting board, etc.
S uggest back care
for caregivers
P rovide other training
for caregivers
R ecruit more
caregivers
RECOMMENDATIONS

20. Other community engagement activities;
HEALTH SCREENING
Venue : Handicapped and Mentally Disabled Children Association,
Kuala Langat, Negeri Selangor
Date : 1st and 5th of July 2019 (Tuesday)

21. HEALTH SCREENING
Figure 14: Blood glucose station Figure 15: Blood pressure station

22. Figure 16: Examination station

23. FUTURE RESEARCH IDEAS...
1. Challenges of formal and informal caregivers when taking care of
people with needs.
2. Quality of life and mental health in caregivers.
3. The inadequacy of proper facilities at nursing homes.

24. REFERENCES
• Aslam, Imran, Scott A. Davis, Steven R. Feldman, and Willis E. Martin. 2015. “A Review of Patient Lifting Interventions to Reduce Health Care
Worker Injuries.” Workplace Health and Safety.
• Darragh, A. R., Campo, M., & King, P. (2012). Work-related activities associated with injury in occupational and physical therapists. Work.
• Hendrix, C. C., Landerman, R., & Abernethy, A. P. (2013). Effects of an Individualized Caregiver Training Intervention on Self-Efficacy of
Cancer Caregivers. Western Journal of Nursing Research. https://doi.org/10.1177/0193945911420742
• Kim, DeokJu. 2017. “Relationships between Caregiving Stress, Depression, and Self-Esteem in Family Caregivers of Adults with a Disability.”
Occupational Therapy International
• Kim, Yoon, Sang June Eun, Wan Ho Kim, Bum Suk Lee, Ja Ho Leigh, Jung Eun Kim, and Jin Yong Lee. 2013. “A New Disability-Related Health
Care Needs Assessment Tool for Persons with Brain Disorders.” Journal of Preventive Medicine and Public Health.
• Lee, Kyeong Woo, Su Jin Choi, Sang Beom Kim, Jong Hwa Lee, and Sook Joung Lee. 2015. “A Survey of Caregivers’ Knowledge about Caring
for Stroke Patients.” Annals of Rehabilitation Medicine
• Pitthayapong, S., Thiangtam, W., Powwattana, A., Leelacharas, S., & Waters, C. M. (2017). A Community Based Program for Family
Caregivers for Post Stroke Survivors in Thailand. Asian Nursing Research. https://doi.org/10.1016/j.anr.2017.05.009
• Sharan, D., Ajeesh, P. S., Rameshkumar, R., & Manjula, M. (2012). Musculoskeletal disorders in caregivers of children with cerebral palsy
following a multilevel surgery. Work.
• Tong, H. C., Haig, A. J., Nelson, V. S., Yamakawa, K. S. J., Kandala, G., & Shin, K. Y. (2003). Low Back Pain in Adult Female Caregivers of
Children with Physical Disabilities. Archives of Pediatrics and Adolescent Medicine.