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ZEEB ROAD, ANN A R B O R , Ml 4 8 1 0 6 18 B E D FO R D ROW, LONDON WC1R 4 E J, ENGLAND 8112102 KING, THEODORE I., II A SURVEY OF CONCERNS PERCEIVED BY STUDENT WHEELCHAIR USERS AT THREE MAJOR PUBLIC UNIVERSITIES IN MICHIGAN Michigan State University University Microfilms International 300 N, Zeeb Road, Ann Arbor, MI 48106 PH.D. 1980 PLEASE NOTE: In all cases this material has been filmed 1n the best possible way from the available copy. Problems encountered with this document have been identified here with a check mark v0* . 1. Glossy photographs ______ 2. Colored illustrations ______ 3. Photographs with dark background_ _ _ 4. Illustrations are poor copy ______ 5. °rint shows through as there 1s text on bothsides of page _ _ _ _ _ 6. Indistinct, broken or small print on severalpages 7. Tightly bound copy with print lost in spine _ _ _ _ _ _ 8. Computer printout pages with indistinct print _ _ _ _ _ 9. Page(s) _ _ _ _ _ _ lacking when material received, and not available from school or author 10. Page(s) _ _ _ _ _ _ _ seem to be missing in numbering only as text follows 11. Poor carbon copy ______ 12. Not original copy, several pageswith blurred type _ _ _ _ _ 13. Appendix pages are poor copy ______ 14. Original copy with light type ______ 15. Curling and wrinkled pages ______ 16. Other __________________________________________________________ University Micixjfilms International 3 0 0 N. /?EEB R D „ A N N A R B O R . Ml 4 H 1 0 6 13131 7 0 1 - 4 7 0 0 A SURVEY OF CONCERNS PERCEIVED BY STUDENT WHEELCHAIR USERS AT THREE MAJOR PUBLIC UNIVERSITIES IN MICHIGAN By Theodore I. King, II A DISSERTATION Submitted to Michigan State University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Department of Higher Education 1980 ABSTRACT A SURVEY OF CONCERNS PERCEIVED BY STUDENT WHEELCHAIR USERS AT THREE MAJOR PUBLIC UNIVERSITIES IN MICHIGAN By Theodore I. King, II Statement of the Problem Institutions of higher education have been striving over the past few years to eradicate barriers which limit use of their facilities by wheelchair users. These efforts are attempts to comply with the Rehabilitation Act of 1973. It is generally accepted that gains have been made but no clear efforts have been attempted to find out if the problems addressed are those that have the greatest impact on wheel chair users and if these modifications have been sufficient. By conducting a survey among the wheelchair users them selves at a representative sample of universities it was hoped that a better understanding of immediate needs could be ascertained which would assist the universities in better addressing these needs. Methods Three large public universities in Michigan were chosen as the higher education facilities from which to draw study participants: Michigan State University, Wayne State University and The University of Michigan. The defined Theodore I. King, II population consisted of student wheelchair users. All participants were enrolled as full or part-time students at one of these three universities. The students were originally contacted through the handicapper affairs offices at the universities to request their participation in the study. Data collection was accomplished through use of the following: (1) the Multidimensional Health Locus of Control Instrument, (2) a questionnaire designed by the investigator to determine perceived concerns of a student wheelchair user at a major university, and (3) personal interviews with a subsample of the research population to clarify and expound on perceived concerns. Major Findings The areas suggesting major concerns by student wheel chair users in responding to the questionnaire were: lack of adequate snow removal, accessible housing cafeterias, accessible drinking fountains, accessibility to sporting events on campus and adequate help to facilitate self care activities (e.g., dressing and personal hygiene). The independent variables that were identified by the investigator as influencing responses to the questionnaire were: sex, university attended, level of education, medical diagnosis, muscle involvement, manual vs. electric wheelchair use, years in a wheelchair at a university and locus of control. Sex and medical diagnosis were variables that yielded statistically significant differences in response patterns. Theodore I. King, xx The major issues identified by students who were inter viewed were: accessible bathrooms within classroom buildings, accessible campus housing, available handicapper parking spaces, library accessibility, adequate ramps to buildings with steps, accessible elevators and accessible doorways into buildings. To Harold Daly ACKNOWLEDGMENTS I wish to give thanks to my doctoral committee members, Marylee Davis, Howard Hickey, Cas Gentry and Donald Freeman. Their advice and encouragement during my quest for the degree has been extremely helpful. A special thanks is extended to my immediate family my parents and my sister. Throughout my struggle to obtain several degrees in an effort to satisfy my own needs they have been at my side without question to offer their support in any way possible. The unity of such a strong family has been the reason for my ability to endure many hardships and achieve many goals. Appreciation is also extended to the directors of the Handicapper Affairs Offices at the three universities in-* volved in this study - Judy Taylor, Betsy Schrauder and James Kubaiko. Without the support of their offices and the willingness to give of their time this study would not be as valuable in assessing the true needs and concerns of wheelchair users at a university. Finally, thanks to Necia Black from Michigan State University in serving as a research consultant for this study and her willingness to adapt to my time schedule so often. k I f 111 TABLE OF CONTENTS Page DEDICATION................................................ii ACKNOWLEDGMENTS.............. . ........................iii LIST OF T A B L E S ......................................... Vi CHAPTER ONE: THE P R O B L E M ............................. 1 Introductory Statement........................... 1 Purpose of the Study. . . . . . . . ............ 4 Statement of the Problem......................... 5 Questions ....................................... 6 Definition of Terms ............................. 7 Significance..................................... 8 Limitations ..................................... 9 Organization of the S t u d y ......................... 10 Footnotes to Chapter O n e ................ CHAPTER TWO: 11 REVIEW OF LITERATURE....................... 12 Introduction. . ............ .. . . ............. 12 Special Services................................... 12 The Rehabilitation Act of 1973.................. 15 Research Directly Related to Present Study. . . . 17 S u m m a r y ........................................... 24 Footnotes to Chapter Two............................... 25 CHAPTER THREE: DESIGN................................... 26 Introduction................................ 26 The Defined Population............................. 26 Sampling Procedures ............................. 28 Description of the S a m p l e ......................... 28 The Research Instruments...................... . 31 V a r i a b l e s ......................................... 34 Data Analysis Procedures........................... 34 S u m m a r y ........................................... 36 CHAPTER FOUR: ANALYSIS OF THE D A T A ..................... 38 Introduction....................................... 38 Question One....................................... 38 Question Two.......................... 41 Sex of Respondent. ........................... 43 iv Page Age of Respondent...............................45 University Attended.............................45 Academic Major .............................. 49 Level of Education............................ 49 Medical Diagnoses...............................51 53 Muscle involvement .......................... Use of Manual and ElectricWheelchairs . . . . 55 Number of Years as a Wheelchair U s e r .......... 59 Operating a Motor Vehicle. . . ............... 62 Locus of C o n t r o l .............................. 64 Question Three.................................. 66 S u m m a r y .......................................... 71 CHAPTER FIVE! SUMMARY, IMPLICATIONS AND RECOMMENDATIONS.......................... 73 S u m m a r y .......................................... 73 Implications of the S t u d y .........................78 79 Recommendations for Future Research ............ APPENDIX A: INTRODUCTORY LETTER TO STUDENT WHEELCHAIR USERS...................................... 81 APPENDIX B: CHARACTERISTICS OF WHEELCHAIR USERS WHO PARTICIPATED IN THE STUDY.................. 83 APPENDIX C: MULTIDIMENSIONAL HEALTH LOCUS OF CONTROL INSTRUMENT ...........................87 APPENDIX Di QUESTIONNAIRE TO DETERMINE PERCEIVED CONCERNS OF STUDENT WHEELCHAIR USERS AT A MAJOR UNIVERSITY.......................... 90 APPENDIX Es TABLE OF MEANS FOR EACH QUESTIONNAIRE STATEMENT............................ BIBLIOGRAPHY. 97 ........................................102 v LIST OP TABLES Page TABLE I: RESPONSES TO QUESTIONNAIRE GROUPED INTO TEN MAJOR CATEGORIES........................... 42 TABLE II: RESPONSES TO QUESTIONNAIREBYSEX...............44 TABLE III: RESPONSES TO QUESTIONNAIRE BY A G E ............ 46 TABLE IV: RESPONSES TO QUESTIONNAIREBYUNIVERSITY . . TABLE V: RESPONSES TO QUESTIONNAIRE BY LEVEL OF EDUCATION ................................50 TABLE VI: RESPONSES TO QUESTIONNAIRE BY MEDICAL DIAGNOSIS...................................... 52 TABLE VII: RESPONSES TO QUESTIONNAIRE BY MUSCLE I NVOLVEMENT.................................. 54 TABLE VIII: TABLE IX: TABLE X: 47 RESPONSES TO QUESTIONNAIRE BY PERCENT USE OF MANUAL WHEELCHAIR ..................... RESPONSES TO QUESTIONNAIRE BY PERCENT USE OF ELECTRIC W H E E L C H A I R ................ 56 58 RESPONSES TO QUESTIONNAIRE BY NUMBER OF YEARS AS WHEELCHAIR USER..............................60 TABLE XI: TABLE XII: TABLE XIII: RESPONSES TO QUESTIONNAIRE BY YEARS IN WHEELCHAIR AT U N I V E R S I T Y ..................... 61 RESPONSES TO QUESTIONNAIRE BY DRIVING A MOTOR V E H I C L E ................................63 RESPONSES TO QUESTIONNAIRE BY INTERNAL LOCUS OF CONTROL SCORES..................... 65 CHAPTER ONE: THE PROBLEM Introductory Statement "Galen, in the second century A.D., stated that 'Employ ment is nature's best physician and essential to happiness. In this era of educational pursuits it has become recognized that to obtain a good job, one can generally assume that at least a high school education holds especial importance. For the physically handicapped it is even of greater importance to achieve a higher degree of education to assist in securing meaningful employment. Physically handicapped persons must rely mainly on their mental capacities in gaining employment and feeling that they are offering a meaningful contribution to the world in which they live. In contrast to the role that brute strength played in the lives of our ancestors, it is how much you have in your head and how you can use it that pays off in today's modern world. Knowledge itself, however, is not salable or usable. To put your knowledge and experience to practical use, you must be able to speak or use your hands. If you can communicate, either orally or in 2 writing, what's in your head can be put to use. Yearly, thousands of physically handicapped individuals enroll at institutions of higher learning across the United States. Some have only minor difficulties which rarely hamper their ability to gain an education. Others are severely handicapped and find college life a struggle both in the classroom and in their living environment. 1 ^ According to Rusalem, two special factors in the edu cation and rehabilitation of physically handicapped individuals may play roles in influencing the decision to attend college and the goals to be achieved at college.'* These factors are vocational rehabilitation and post-high school employment opportunities. In every state of the United States joint federal-state vocational rehabilitation agencies serve individuals with physical, emotional and mental handicaps. These agencies assist students in gaining an education to benefit them in securing employment through services extended to financing necessary assistive devices to aid handicapped students through school (e.g., buying eyeglasses, hearing aids or recording machines). Also, when there are fewer opportunities for handicapped students in the post-high school world, college attendance may be con sidered a logical choice. On September 26, 1973, President Nixon signed the Rehabilitation Act of 1973 (HR 8070). Existing authority for the vocational rehabilitation program had expired in June 1972. According to Section 504 of the Vocational Rehabilitation Act of 1973, 'No otherwise qualified handicapped individual in the United States, ...shall solely by reason of his handi cap be excluded from participation in, be denied the benefits of, or be subjected to discrimina tion under any program or activity receiving Federal financial assistance.'4 This legislation dictated changes not only in enrollment at institutions of higher education but mandated physical changes to eliminate barriers to physically handicapped persons. This included items such as braille labels for the visually impaired and ramps for wheelchair users. Since each institution would require time to assess their facilities and make the necessary changes to adhere to the new legislation, approximately five years was given to these federally-subsidized programs to meet the requirements of this new legislation. Final regulations governing the act went into effect in June 1977 and colleges and universities were faced with many deadlines during the 1977-78 academic year. The Rehabilitation Act of 1973 was clearly the biggest step the government had taken to assist in securing equal opportunities for handicapped persons interested in acquiring a college education. In the wake of its inception as a law, colleges and universities responded by setting up special offices designed to study the problems of handicapped students on their campus and to assist in complying with the regulations. This act meant that whether there was one or fifty students in wheelchairs on campus that buildings and programs must be made accessible to wheelchair students. With the advent of the Rehabilitation Act, the return of many Vietnam veterans to campus with war-related dis abilities, and the success of modern medicine, there has been a tremendous growth in the handicapped population on college campuses. In an effort to comply with the Rehabilitation Act much time, effort and money has been spent to make colleges 4 and programs accessible to handicapped students. The imple mentation of special services through handicapper affairs offices has been the major thrust of higher education facilities in response to this recent legislation. Over the past five years institutions of higher education have made a concerted effort in making their programs accessible through contact with handicapped students and working in cooperation with other institutions facing the same changes. Many formal and informal studies within these institutions have assisted these institutions in providing better services to handi capped students. However, as colleges and universities seek to open their programs to this population of students, few studies have concentrated on the handicapped students' per ceptions of the problems they face and the priority of such a list of current problems. A study designed to identify these disabled students' perceptions as to current problems encountered at institu tions of higher learning would assist in implementing better programs aimed directly at fulfilling student needs. Purpose of the Study The major purpose of this study is to determine the problems and needs perceived by wheelchair students at three major public universities. Secondarily, several independent variables (e.g., sex, age, medical diagnosis, time in wheelchair, etc.) will be compared with perceived problems to look for significance. In an effort to limit 5 the scope of the study and amount of data collected, to in crease validity, a clearly defined group of physically handi capped students will be used for the study. Statement of the Problem Institutions of higher education (in an effort to com ply with the Rehabilitation Act of 1973) have been striving over the past few years to eradicate barriers at their facilities which limit use by wheelchair users. It is felt 0 that gains have been made but no clear efforts have been attempted to find out if the problems addressed are those which have the greatest impact on wheelchair users and if these modifications have been sufficient. In conducting a survey among the wheelchair users themselves at a representative sample of universities it is hoped that a better understanding of immediate needs can be ascertained which would assist the universities in better addressing these needs. It is felt that the wheelchair users would have a clearer idea of what current problems exist and provide insight as to what directions the universities should channel their energies in not only complying with federal law, but also more adequately making the universities and their programs more accessible to wheelchair users. 6 Questions In preliminary contacts by this researcher with several student wheelchair users they noted a serious lack of attention by various universities in eliminating "barriers" to allow greater accessibility for wheelchair users. These barriers included attitudes of instructors in adapting to wheelchair users in classrooms as well as physical barriers in being able to enter buildings and maneuver independently within them. In reviewing the literature, support was found to sug gest that unnecessary duplication of services occurs for the handicapped vs. non-handicapped students and that formal surveys and/or needs assessments were lacking to indicate what problems were perceived by the wheelchair users at the level of higher education. For the purpose of this study ten major areas regarding "accessibility" concerns were felt to be important. ten areas are: These the health center, the library, campus events, study aids, campus terrain, transportation, campus housing, campus buildings, the attitude of the university toward handicappers, and student services. The major questions to be addressed by this study are: 1. What unique problems are experienced by student wheelchair users when they attend a large public university? 7 2. Do certain characteristics of wheelchair users have an impact on their perception of problems at a university? 3. What changes, if any, do student wheelchair users feel a university should make in an effort to alleviate these problems? Definition of Terms 1. Accessibility - Referring to the ease by which buildings and/or programs can be entered (obtainability). 2. Barrier-Free - Referring to a building and/or pro gram that is completely accessible; lacking any type of physical or mental obstacle. 3. Disabled - Unable, unfit or disqualified; generally regarded as a negative term when referring to a person with a physical or mental handicap. 4. Handicapped - A person who experiences a physical or mental hindrance in being able to perform activities of daily living. Generally regarded as a less positive term than handicapper when referring to an individual with a physical or mental handicap. 5. Handicapper - A person with a physical or mental handicap who determines the degree to which their handicap will ultimately affect their life and can operate equally successfully as a person without the handicap. Regarded as a positive term when referring to a person with a physical or mental handicap. 6. Physically Handicapped Students - Students who have some form of physical disability which constitutes a distinct handicap to employment yet not complicated by recognizable emotional involvement. 7. Rehabilitation - "Restoration of the handicapped to the fullest physical, mental, social, vocational and economic usefulness of which they are capable."^ 8. Habilitation - "Not restoring but achieving inde pendence, self care, and work potential in the first instance; as, for example, in the child born blind or with cerebral palsy. 9. Hemiplegia - Paralysis of one side of the body. 10. Paraplegia - Paralysis of both lower extremities and, generally, the lower trunk. 11. Quadriplegia - Paralysis of all four limbs. Significance In conducting this study two major outcomes are anticipated: first, to determine the perceived problems of wheelchair students at three major public universities and secondly, to determine the adequacy of special programs and services currently available to these students. The ramifications of such a study include being able to determine priority problems that these specific handi capped individuals are experiencing at their campuses and, as a result, to offer better services to make the university more accessible and more responsive to the needs of handicapped students. Though only three major universities will be examined, it is hoped that some measure o£ general ization can be made to extend the findings of the study to other universities across the United States. Limitations The major limitations of the current study include the small sample size and the questionnaire design. The target population for the study includes wheelchair users at institutions of higher education. The defined population for the study are wheelchair users at Michigan State University, The University of Michigan and Wayne State University. The sample is that group of wheelchair users at these three universities who volunteered to participate in the study. This is a relatively small sample and will therefore limit generalizability of the results of the study to the target population. The major instrument in determining perceived needs by the wheelchair users in the sample is a questionnaire de signed by this investigator. The questionnaire contains forty-eight questions aimed at determining perceived needs of wheelchair users at a university. These questions were arrived at through discussions with wheelchair users and the special offices at the three universities designed to assist handicappers at their facility. Individuals with expertise in designing questionnaires were consulted and the question naire was pilot tested at Eastern Michigan University to 10 improve internal validity by clarifying wording of questions. The instrument is therefore not standardized and formal validity and reliability have not been determined. It is noted that prior to using this instrument only "face" validity was established. Results based on information from this questionnaire can only suggest relationships, not correlations. Organization of the Study In Chapter Two current literature is reviewed to sup port the need for undertaking the proposed study. In Chapter Three the design of the proposed research is dis cussed with an emphasis on examining the dependent and independent variables, data collection instruments and procedures, and analysis procedures. In Chapter Four the data that were collected are shared and analyzed. Chapter Five contains the summary, conclusions and implications suggested by the study as well as recommendations for future research. 11 Footnotes to Chapter One ^W. Scott Allan, Rehabilitation: A Community Challenge (New York: John Wiley and Sons, Inc., 1958) , p. 75. 2 Howard A. Rusk, et al^, Living With a Disability (Garden City, N.Y.: Blakiston Co., Inc., 1953), p. TIT ^Herbert Rusalem, Guiding the Physically Handicapped College Student (New York: Teachers College, Columbia University, Bureau of Publications, 1962), p. 407. 4Lone Phillips, "For Your Information," National Association of State Universities and Land-Grant Colleges, Circular No. 209, February 3, 1978, p. 1. 5W. Scott Allan, Rehabilitation: A Community Challenge (.New York: John Wiley and Sons, Inc. , T958) , p. 2. g Allan, op. cit., p. 1. CHAPTER TWO: REVIEW OF LITERATURE Introduction Despite an extensive literature search and review, this researcher discovered only four research studies which were directly relevant to the current study. Several short articles in professional journals offer specific insights that are incorporated into the study and are listed in the bibliography. The review of the literature contains information re lating to special services commonly offered by institutions of higher learning for minority group students, the develop ment and rationale for the Rehabilitation Act of 1973, and major references identified as highly applicable to the current study. Special Services Universities have responded to the needs of their students Cor potential students) over the past two decades by instituting many "special services" on campus. Some of these services include tutoring, legal aid, financial aid, personal counseling, career counseling, and job placement. Further, in an attempt to provide educational opportunity for all people universities have begun to satisfy the needs of a large number of minority groups including women, blacks, veterans, the poor, and the physically handicapped. 12 13 "Satisfying primary needs rather than long-range goals often dictates a reordering of priorities. The solution is not * just money but the innovative use of peer-tutors, paraprofessionals, all available resources." 7 In a study completed by Simmons and Maxwell-Simmons in 1978 they noted that many minority students have been successful in attending institutions of higher learning be cause of the college support programs and their own high motivation. Several suggestions were made to assist in increasing the retention of these students at the university level including: "The fostering of a good academic support program, dissemination of information and communications, establishing positive relations with high schools, encouraging institutional support and developing alternative and private funding sources, providing sensitive counseling, motivating students, fostering good community and parent g relations, and providing staff training." Rusalem notes that for the wheelchair student many difficult problems surface on a campus. "Among them are the mechanics of living, inability to enter some buildings be cause of steps, inability of many means of public transporta tion, and inability to participate in such activities as walking and dancing." g Though many problems cannot be eliminated totally, Rusalem identifies the responsibility of the university as seeking to give as much support as possible to the wheelchair student to allow him or her the opportunity to seek an education with as few major 14 difficulties as possible. The earliest university program in the country designed to serve the needs of severely handicapped students was started at the University of Illinois, Urbana-Champaign in 1948. Several other universities have had at least one person assigned to deal with the problems of handicapped students as far back as the 1950's. In most instances, these programs came into existence due to the efforts of the handicapped students themselves. * Although the full impact of the new legislation, Rehabilitation Act of 1973, on colleges and universities is yet to be determined, the necessity for major structural modification to accommodate students with mobility impairments presents the major immediate obstacle in terms of costs. At the same time universities are facing the challenge of making all aspects of their program available to handicapped persons 'in the most integrated setting appropriate.' To meet this goal universities are setting up a whole range of services designed to serve specific needs to various categories of disabilities, generally coordinated through a central office on campus. Among the services offered to handicapped students by such offices are: Help in the admissions pro cess; orientation and mobility training; attendant recruitment and referral; counseling; wheelchair repair; provision of handbooks, accessibility guides and tactile maps; assistance with trans portation difficulties; referral service for help with special problems not handled directly by the office; test proctoring; assistance with scheduling and other academic problems related to the handicap and the development of resource centers offering a wide array of study aids needed by handicapped students such as recordings of printed material, braille transcription, talking calculators and TV magnifiers.10 This description of special services distributed by the National Association of State Universities and Land-Grant 15 Colleges begins to get at the enormity of the task for such offices at universities designed to assist handicapped students. The Rehabilitation Act of 1973 As early as 1970 the federal government became actively interested in the pursuit of a post-secondary degree by physically handicapped students. At that time the Special Services for Disadvantaged Students in Institutions of Higher Education Program was instituted, authorized under the Higher Education Amendments of 1968. Included in the definition of "disadvantaged students" were those students who are recipients of the vocational rehabilitation program benefits. Under this program, institutions of higher education were eligible to apply for grants to assist dis advantaged students in attending their facility. More directly assisting handicapped students was the Rehabilitation Act of 1973 (H.R. 8070). Specifically Section 504 of the Act states that "no otherwise qualified handicapped individual, solely by reason of his handicap, shall be subjected to discrimination under any program receiving federal financial assistance."3,1 According to Mistier (.1978) , to understand the regu lations one must examine why there was a need for them. In the past, some institutions refused to admit disabled people and explained that the institution was unprepared for them. Money continued to be committed to building campus facilities 16 that were not architecturally accessible. In schools that admitted disabled people, there was little or no provision made to ensure equal access. For example, registration would often be held in an inaccessible facility yet no provision was made for help into the inaccessible facility and no alternate location was offered. Blind people frequently encountered difficulty in obtaining permission to use tape recorders in class. In other instances, deaf people were left without support to deal with communication problems. Campus housing was often inaccessible. Trans portation was provided for students but the vehicles were usually inaccessible to disabled people. Pertaining to Section 504 of the Act, the U.S. Depart ment of Health, Education, and Welfare printed a booklet outlining the responsibilities of higher education facilities as mandated by the Act. In colleges and other postsecondary institutions, recruitment, admissions, and the treatment of students must be free of discrimination. Quotas for admission of handicapped persons are ruled out, as are preadmission inquiries as to whether an applicant is handicapped. However, voluntary post-admission inquiries may be made in advance of enrollment concerning handicapping conditions to enable an institution to provide necessary services. Higher education institutions must assure accessi bility of programs and activities to handicapped students and employees. Architectural barriers must be removed where the program is not made accessible by other means. A university, however, is not expected to make all its classroom buildings accessible in order to comply with program accessibility standards. It may have to undertake some alterations, or it may reschedule classes to 17 accessible buildings, or take other steps to open the program to handicapped students. Handicapped persons should have the same options available to others in selecting courses. Other obligations of the institutions include: — Tests which a college or university uses or relies upon, including standardized admissions tests, must not discriminate against handicapped persons. Tests must be selected and administered so that the test results of students with impaired sensory, manual or speaking skills are not dis torted unfairly but measure the student1s aptitude or achievement level, and not his or her disability. — Students with impaired sensory, manual or speaking skills, must be provided auxiliary aids although this may often be done by informing them of resources provided by the government or charitable organi zations. — Colleges and universities must also make rea sonable modifications in academic requirements, where necessary, to ensure full educational oppor tunity for handicapped students. Such modifica tions may include the extension of time for com pleting degree requirements, adaptation of the manner in which specific courses are conducted, and elimination of rules prohibiting handicapped persons from having tape recorders in class or dog guides on campus. — Physical education must be provided in a nondiscriminatory manner and handicapped students cannot be unnecessarily segregated in physical education classes. — Infirmary services must be provided handicapped students on a par with those offered others.12 Research Directly Related to Present Study In reviewing the literature, four dissertations were located with topics relating directly to this study and will be examined for content, results and implications for this study. In 1965 E.H. Tait completed a dissertation at Colorado State College entitled "Problems Perceived by Physically 18 Handicapped Students Enrolled at Three Colorado Institutions 13 of Higher Learning During the Spring of 1965." The pur pose of the study was to identify, categorize, and evaluate disability related problems encountered by physically handi capped college and university students at three institutions. The population selected for the study was composed of the handicapped clients of the Division of Vocational Rehabil itation of the Department of Rehabilitation of the State of Colorado enrolled as full-time, four year degree-oriented students at the higher education facilities used in the study. Background case study information and compilation of the lists of the physically handicapped students to be in cluded in the study were obtained from the files of the local Vocational Rehabilitation District Office under whose jurisdiction the students were pursuing their college ob jectives. Personal interviews were conducted to obtain insights into the students' perceived problems using the Department of Vocational Rehabilitation Structured Interview Guide which was designed specifically for the study. Stu dent perceptions relating to their academic and nonacademic life on the campus were sought in an effort to determine problem areas as well as to accumulate information relating to this group of college students. Of the 106 students included in the study, fifty stu dents possessed a visible handicap, while fifty-six had a non-visible handicap. Twenty-three separate disabilities were present in the population studied. In general, the 19 author set forth the following conclusions upon completion of the study: 1. The role of the physically handicapped student on the campus needed to be better understood not only by the student himself, but by all others concerned with his program. 2. Physical education activities, if not suitably altered or waived, may constitute a real obstacle to these students. 3. For many physically handicapped students a one initial year enrollment at a junior college may be very beneficial; proportionally much more so than a two year enrollment. 4. Students with specific disabilities, for example, diabetes, have developed ways of getting along on their campus which would be helpful to new diabetic students to know. 5. The students, as a group, were satisfied with the offerings of their institution, were increasingly aware of the rigorous academic demands, were appreciative of the support given them by the Department of Rehabilitation of the State of Colorado, were resolute in their ambitions to complete their program, were, once acclimated and adjusted, much the same as any other college student on their campus. This study served to demonstrate the need to actively seek out the handicapped students' perceptions as to prob lems they encounter on campus. By working specifically through the students, the investigator was able to identify previously undetected problems and/or offer suggestions for changes within the university structure to better assist the handicapped student. Though several general problems and concerns were identified and are useful to formulating ideas for the present study, specific problems for certain handicaps were 20 not identified. Concentrating on a specific population (viz, wheelchair students) can offer more specific insight into problems encountered and offer more concrete solutions through the existing special service offices. In Tait's study all of the students interviewed were able to walk, though some required crutches. It should be noted that for the wheelchair student many problems exist which are not apparent to an individual who is ambulatory. In 1972 K.B. Kloepping completed a dissertation en titled "The Prediction of Academic Achievement of Physically Disabled Students." The principle concern of this study was to determine what variables are significantly related to academic achievement in a physically disabled population. While increasing numbers of physically disabled persons are attending school, almost no systematic attention has been given to the process by which these potential students are selected for college level work. Traditional selection criteria may be valid for this population, however, other factors may also be significant variables. Personal experience with disability, environmental obstacles which can produce frustration and anxiety, and attitudinal barriers may all have a significant impact on the individual.14 In reviewing this study it was hoped that an insight could be gained regarding physically handicapped students' decisions to attend college and what academic problems they encountered. The ALPHA Biographical Inventory was one measure used in the research. It has been found to be a powerful pre dictor of academic achievement. Rotter's I-E scale and the Anxiety vs. Integration factor of the 16 Personality Factors 21 Questionnaire were two personality indices used in the research. The I-E scale measures the degree to which an individual is self-controlled or controlled by his or her environment. The Anxiety vs. Integration scale is a measure of trait-factor anxiety in the individual’s personality. Cumulative college grade point average (GPA) was the cri terion used in the research. The results of this study indicated that the two best predictors of academic achievement for the physically dis abled research population were the I-E scale and high school rank. The study suggested an external orientation on the part of the students possibly resulting in apathy, depend ence, passivity, and psychological maladjustment behaviors associated with non-success in an academic setting. If an external orientation leads to non-success in academic achievement, then determining ways of altering specific behavioral patterns of an external orientation is a significant need. One of the major limitations of this study, however, is that GPA may not be the best indicator of academic achieve ment. In terms of the present research it is important to note the value of the internal vs. external orientation of the students. This will be done through the use of an instrument to determine "locus of control” as will be dis cussed later in this literature review as well as in Chapter Three regarding design of the study. 22 In 1978 J.E. Varghese completed a dissertation en titled "An Investigation of Special Programs for Handicapped Students at Institutions of Higher Learning in Michigan with Special Emphasis on Three Major Public Universities.11 This study is especially pertinent to the present research effort as the same three universities were used in the re search . This was a descriptive study to examine the special pro grams for handicapped students operated by Michigan State University, The University of Michigan and Wayne State University. the question: The main thrust of the study was to investigate "do the special programs for the handicapped students at these three major public universities in Michigan duplicate the services offered by the same universities to 15 their non-handicapped students through regular channels?" Surveys, questionnaires and personal interviews were utilized to gain information for the study. Information was collected regarding programs, staff, funding and students. The investigator discovered much duplication of services between the special programs and services offered by the three universities to their non-handicapped students through regular channels. It was felt that the special programs office should function more as a facilitator and liaison; playing an advocacy role on behalf of the handicapped student population. The investigator was not able to find any comprehensive needs assessment study done among the college and university 23 handicapped population and strongly recommended that a needs assessment be conducted at the earliest opportunity in order to develop the full potential of handicapped students in the realm of higher learning. He also recommended that it should be discerned if existing services and facilities at a college or university could be used by its handicapped student population as they exist today, or with limited modifications. In 1979 Mary Ellen Wierenga completed a dissertation 4 entitled "The Interrelationship Between Multidimensional Health Locus of Control, Knowledge of Diabetes, Perceived Social Support, Self-Reported Compliance and Therapeutic Outcomes Six Weeks After the Adult Patient Has Been Diag nosed With Diabetes Mellitus." The portion of this study which is pertinent to the present study revolves around the concept of locus of control. Locus of control as a concept relates to whether or not individuals expect to possess or lack power over what happens to them. The role of reinforcement and reward has been recognized as a stimulus for individuals to obtain and perform knowledge and skills. However, what one person perceives as a reward may not be interpreted the same way by someone else. The extent that indi viduals perceive the reward following from or con tingent on, their own behavior or attributes (internal), as opposed to, the extent that they feel the reward is controlled by forces outside of themselves and may occur independently of their own actions (external) influences their interpretation of reward. As locus of control may be an important independent variable for the present study, the Multidimensional Health Locus of Control instrument utilized by Wierenga will also 24 be used as an instrument by this investigator. Whether the students in the present study are influenced more by "internal" or "external" environmental factors may be im portant in their determination of perceived problems at the university they attend. Summary In reviewing the literature it is quite evident that little has been published regarding wheelchair users at institutions of higher education. In studying the use of "special services" for minority groups at universities the literature suggests that such services have been beneficial to these groups. Likewise, most universities currently have offices to assist the handicapped student population at their institutions. In reviewing several dissertations directly related to determining the needs of handicappers at a university, it is noted that though special offices for handicappers exist, they may not be adequately meeting the needs of the target population. Lack of some essential services and unnecessary duplication of others is suggested. A survey of wheelchair users at universities is impor tant in assisting universities in determining whether the special programs offered for their handicapper population are appropriately addressing their needs. 25 Footnotes to Chapter Two 7 "Special Needs Conference: Providing Educational Opportunity For All People," Flint, Michigan, 1975. Q Ron Simmons and Cassandra Maxwell-Simmons, "Principles of Success in Programs for Minority Students” (Stevens Institute of Technology, Hoboken, N.M., 1978). g Herbert Rusalem, Guiding the Physically Handicapped College Student (New York: Teachers College, Columbia University, Bureau of Publications, 1962), p. 38. ^°Lone Phillips, "For Your Information," National Association of State Universities and Land-Grant Colleges, Circular No. 209, February 3, 1978, p. 2. ■^"Section 504 of the Rehabilitation Act of 1973: Fact Sheet," U.S. Department of Health, Education, and Welfare, Office of the Secretary, Office for Civil Rights, Washington, D.C., July, 1977, p. 1. ^"Section 504 of the Rehabilitation Act of 1973: Fact Sheet” (U.S. Department of Health, Education, and Welfare, Washington, D.C., 1977). ^David H. Tait, "Problems Perceived by Physically Handicapped Students Enrolled at Three Colorado Institutions of Higher Learning During the Spring of 1965," Colorado State College, 1965. ^*4Kent B. Kloepping, "The Prediction of Academic Achieve ment of Physically Disabled Students,” The University of Arizona, 1972. 15 Joseph E. Varghese, "An Investigation of Special Pro grams for Handicapped Students at Institutions of Higher Learning in Michigan with. Special Emphasis on Three Major Public Universities," Wayne State University, 1978. ^ M a r y Ellen Wierenga, "The Interrelationship Between Multidimensional Health Locus of Control, Knowledge of Diabetes, Perceived Social Support, Self-Reported Com pliance and Therapeutic Outcomes Six Weeks After the Adult Patient Has Been Diagnosed With Diabetes Mellitus," Michigan State University, 1979, pp. 32-33. CHAPTER THREE: DESIGN Introduction The major purpose of this study is to ascertain the problems perceived by wheelchair students at major public universities. Questionnaires were used to gather data on attitudes regarding specified problem areas. A secondary purpose of the study is to identify relationships between selected independent variables and the concerns students identified. The Defined Population The target population for the study was defined as any student attending an institution of higher education who requires the use of a wheelchair for mobility either partially or totally. The defined population for the study included all student wheelchair users at Michigan State University, The University of Michigan and Wayne State University. Michigan State University's main campus is located in East Lansing, Michigan, with a total student enrollment of approximately 45,000. The campus has an essentially flat terrain. There is a Handicappers' Affairs Office to assist student handi cappers which has been in existence for eight years. small number of the campus dormitories have been made A 27 accessible for wheelchair users as well as some of the cam pus apartments. The University of Michigan is located in Ann Arbor, Michigan, with a total student enrollment of approximately 35,000. The Disabled Student Services Office has been in existence for six years. The main campus area is separated into a central and north campus area approximately two miles apart. The campus terrain is hilly in parts and would make wheelchair propulsion difficult. Some of the dormitory rooms have been made accessible to wheelchair users. Wayne State University is located in the metropolitan Detroit area and has an approximate enrollment of 35,000 students. The Educational Rehabilitation Office to assist student handicappers has been in existence for approximately eighteen years. The campus terrain is essentially flat. Some of the dormitory rooms have been made accessible to wheelchair users as well as some of the campus apartment complexes. All three campuses are located in the southern portion of the lower peninsula in Michigan and have similar climates with four distinct seasons. The average annual snowfall at the three campuses is approximately fifty to sixty inches. The final sample consisted of student wheelchair users who consented to participate in the study who were enrolled as full or part time students at one of the three univer sities used in the study. Because only thirty-three students agreed to participate in the study, it is difficult to 28 suggest that the sample is truly representative of the tar get population. It should also be noted that the sample is further “biased" in the sense that students who agreed to participate in the study were informed that they would be asked to identify problem areas in attending a university in a wheelchair. Therefore, students who had grievances might have been more willing to participate than those who were content with the university's facilities. Sampling Procedures The handicapper affairs offices at each of the three universities involved in the study were contacted. Each of the offices agreed to send out an introductory letter (see Appendix A) in January 1980 to all student wheelchair users identified at their university requesting that they par ticipate in the study. If the wheelchair students were willing to participate, a form was sent back to the investigator stating their interest arid giving their name and address. In this way the universities were able to maintain anonymity of wheelchair students they were aware of on their campus and the students had complete control over their decision to participate or not participate in the study. Description of the Sample After the introductory letters had been sent to the students, they were allowed one month to respond to the 29 request. The handicapper affairs offices then sent a second letter to the students who had not responded within that period of time. From the two mailings the following number of students volunteered to participate in the study: ten of seventeen students (58.8%) who received letters from Michigan State University, twenty-five of forty-four students (56.8%) from Wayne State University and five of eight stu dents (62.5%) from The University of Michigan. The research instruments were sent to these forty students in March of 1980. The students were allowed three weeks to send back the instruments and letters were sent to request returns from those who had not responded by the requested deadline. By the end of April 1980 thirty-three of the forty students (82.5%) responded by filling out and returning the data collection instruments. A phone call was made to the remaining seven students requesting participation but no further returns were forthcoming. Appendix B contains a description of the demographic characteristics of the sample including: sex, age, uni versity attended, academic major, academic level, medical diagnosis, muscle involvement, percent use of manual wheel chair, percent use of electric wheelchair, number of years as a wheelchair user, number of years as a wheelchair user at a university and operation of a motor vehicle. Of the total number of respondents, twenty (60.6%) were male and thirteen (39.4%) were female. The age of the participants ranged from eighteen to fifty with a mean of 30 27.53 and a median of 26.5. Michigan State University was represented by eight students <24.2%), Wayne State University by twenty-one students <63.6%) and The University of Michigan by four students (.12.1%). The thirty-three students listed a total of twenty-three different majors. Only one major was represented by three students - guidance and counseling. Six majors were represented by two students each while the remaining sixteen majors were represented by only one student each. The students were separated into academic level at the university with the following results: three freshmen (.9.1%), four sophomores (.12.1%), eight juniors (24.2%), nine seniors (.27.3%) and nine graduate students (27.3%). The medical diagnoses listed by the students were counted as follows: eighteen spinal cord injuries (54.5%), seven cerebral palsy (21.2%), two polio and two spinal osteoarthritis (6.1%) and one each for cerebral edema, osteogenesis imperfecta, neurological and muscular dystrophy (.3.0%). Two students (6.1%) classified themselves as hemiplegic, fourteen (.42.4%) as paraplegic and thirteen (.39.4%) as quadriplegic. een Eight of the twenty-eight C64.3%) who used a manual wheel chair did so over 95.0% of the time. Nine of the thirteen (69.2%) who used an electric wheelchair did so over 95.0% of the time. The length of time participants had been using a wheel chair for mobility ranged from 1.2 years to thirty years. The mean length of time in a wheelchair was 8.44 years? the 31 median was 5.08 years. The range for length of time using a wheelchair at the university was from 0.3 years to 8.5 years with a mean of 3.34 years and a median of 3.02 years. Nineteen of the students (57.6%) reported that they oper ated a motor vehicle while the remaining fourteen (42.4%) stated that they did not drive. The Research Instruments Data collection was accomplished through use of the following: (1) the Multidimensional Health Locus of Control Instrument (see Appendix C ) , (2) a questionnaire designed by the investigator to determine perceived concerns of a stu dent wheelchair user at a major university (see Appendix D ) , and (3) personal interviews with a subsample of participants to clarify and expound on certain areas of the question naire on perceived concerns. Questions used for the personal interviews may be found on page 67. The Multidimensional Health Locus of Control Instrument is standardized and was used exactly as written and used in Wierenga's (1979) study. The instrument was designed to differentiate between individuals whose locus of control is determined by internal factors (themselves), external factors (others) or who feel their well-being is controlled mostly by chance. There are six questions focusing on each of the three control factors. The instrument is constructed such that the higher the combined score for the six questions 32 regarding any particular factor, the stronger role that factor plays in determining locus of control. As reported by Wierenga (1979), the alpha coefficient reliability for the Multidimensional Health Locus of Control Instrument was found to be: (1) internal - .767, (2) power ful others - .673 and (.3) chance - .753. The means and standard deviations were almost identical for each subscale. As an initial indication of predictive validity, correlations were computed between health status and the scores obtained 4 by the instrument. As expected, health status correlated positively with ■’internal” (r = .403, p <.001}, negatively with "chance" (r = -.275, p <.01) and did not correlate with "powerful others" tr » -.055). Definitive evidence of the validity and reliability of the instrument will not be fully realized until it is used more extensively. Tho questionnaire to determine perceived concerns of student wheelchair users at a major university was designed by this investigator. Assistance in the design of the questionnaire was received by speaking to wheelchair users at three universities other than those used in the study, interviewing the directors of the handicapper affairs offices at the three universities used in the study, and advice from a research consultant in the College of Education at Michigan State University. The first draft of the questionnaire was revised following feedback from the investigator's doctoral committee members. The second draft of the questionnaire was then pilot tested with 33 student wheelchair users from Eastern Michigan University to determine difficulties with comprehension and to determine what additional problem areas should be added to the instrument. Statistical analysis of the validity of the questionnaire instrument was not accomplished and only "face" validity was established. All areas regarding "accessibility" were considered in designing the questionnaire. identified: Ten major categories were the health center, the library, campus events, study aids, campus terrain, transportation, campus housing, campus buildings, the attitude of the university toward handicappers, and student services. Questions were developed for the survey questionnaire to solicit responses which indicated attitudes by the student wheelchair users regarding these ten areas. An additional section for general comments was added at the end of the questionnaire to allow the students to comment about other specific con cerns that they did not feel were addressed in the question naire. The questions used in the personal interviews were formulated after initial examination of the data collected by the questionnaire and certain problem areas were identified. Three students from each of the universities were interviewed. The students were asked each question individually and given a chance to respond while the investigator recorded the responses by taking notes. 34 Variables The dependent variables in the study included the responses to the questionnaires and the responses to the interview questions. The independent variables included: 1. The university attended 2. Extent of wheelchair use 3. Level of education 4. Level of trauma (muscle involvement) 5. Number of years in a wheelchair at a university 6. Academic major 7. Sex 8. Age 9. Locus of control Data Analysis Procedures Locus of control was determined for each student and major problems perceived by the students were identified through use of the questionnaire. A computer was used to analyze responses to items on the questionnaire through comparison of mean responses. Where appropriate the inde pendent variables were separated into two categories for comparison purposes (e.g., wheelchair users twenty-five years or younger vs. twenty-six years or older). The per ceived concerns were compared to the independent variables to determine if there were differences in the pattern of responses across conditions in each variable (.e.g., male vs. 35 female). The questionnaire designed to determine perceived problems by the student wheelchair users utilized a seven point Likert-type scale. The means were determined for each of the questions as answered by the participants in the study to determine problem areas. In comparing responses to the questionnaire with the independent variables the data were collapsed from the seven point scale to a three point scale to indicate high agreement, moderate agreement and low agreement with the statements. This was done to make statistical comparisons possible by increasing the number of respondents in a given category. Though limited power exists due to the small sample size, chi-square distribution and analysis of variance (one-way classification) tests were computed to determine if observed differences in response patterns were statistically significant. The chi-square test provides a conservative test of statistical significance and the analysis of variance test provides a more liberal test. The chi-square analysis is more conservative in that the data from this study will readily satisfy the assump tions on which the test is based (e.g., ordinal vs. interval scale). variance. However, the test is less powerful than analysis of That is, the likelihood of making a Type II error (accepting a false hypothesis) is greater. A subsample of the respondents was selected at random and interviewed (.three from each of the universities) to 36 gain more insight as to why they identified certain areas as concerns and how they felt these situations could be improved. The investigator recorded similarities in the responses to the interview questions. Summary The purpose of the study was to ascertain the problems perceived by wheelchair students at major public universities. The handicapper affairs offices at each of the three universities were contacted and agreed to send out an introductory letter with a consent form to all student wheel chair users known to them asking for their participation in the study. Locus of control instruments and questionnaires were then sent to willing participants to determine locus of control and perceived problems at the university. instruments can be found in the appendices. These The locus of control instrument is standardized and taken from the study conducted by Wierenga (1979). The questionnaire to determine perceived problems was constructed by the investigator with the assistance of the directors of the handicapper affairs offices at the three universities in the study and through input from the investigator's doctoral committee members. An initial analysis of the questionnaire responses re garding perceived problems was used to formulate several personal interview questions which were asked to three students from each institution. This procedure was 37 instituted to assist in clarifying the results and to gain further information regarding the major problems identified. Chi-square and analysis of variance tests were com puted to determine if observed relationships between the perceived problems and the nine independent variables were statistically significant. CHAPTER POUR: ANALYSIS OP THE DATA Introduction This chapter presents and analyzes the research findings. Information will be shared and analyzed as it was collected from three specific sources: the Multi dimensional Health Locus of Control Instrument, the questionnaire designed by the investigator, and the per sonal interview questions. In reporting the data the three major questions of the study will be addressed. 1. What problems unique to student wheelchair users are experienced when they attend a large public university? 2. Do certain characteristics of wheelchair users have an impact on their perception of problems at a university? 3. What changes, if any, do student wheelchair users feel a university should make in an effort to alleviate these problems? Question One What problems unique to student wheelchair users are experi enced when they attend a large public university? The questionnaire designed by the investigator con tained forty-eight specific questions regarding services at the university. All questions were posed in a positive 38 39 manner so that if the respondent agreed to the statement then it would not be interpreted as a problem. The responses were in the form of a seven point Likert-type scale with "1" as strongly disagree and "7" as strongly agree. If a ques tion did not apply to a respondent then it was left blank and not considered when determining the mean for that question. In reporting data in the form of tables later in this chapter it is noted that the number of respondents across categories is not consistent due to some of the ques tions not being answered by all participants. Appendix E contains a list of the forty-eight questions along with the number of respondents to each question and the mean response level. In answering the question of what problems student wheelchair users experience at a university, the means of the individual questions were compared. It was found that seven of the questions were scored with an average of 5.5 tbetween "slightly agree" and "moderately agree") or greater. 9, 10, 18 and 19. These were questions numbered 2, 7, 8, These areas may be interpreted as not being perceived as problems by the majority of the students in this study. These specific questions dealt with the issues of accessible doorways to buildings, adequate side walks without stairs, adequate curb cuts, lack of hills to negotiate in a wheelchair, adequate assistance for class registration, and access for career counseling services. Five questions scored "negatively" in that the average score was less than four (."neutral") on the questionnaire. 40 These were questions numbered 11, 25, 31, 34 and 45, These areas may be interpreted as the major perceived problems as determined by the student wheelchair users in this study. These specific questions dealt with the issues of adequate snow removal, accessible housing cafeterias, accessible drinking fountains, accessibility to sporting events on campus and adequate help to facilitate self care activities (e.g., dressing and personal hygiene). The forty-eight questions were grouped into ten major categories for comparison purposes as follows: Category Questions Health Center 41 Library 42, 43 Campus Events 34, 35, 36 Study Aids 38, 39, 40 Campus Terrain 7, 8, 9, 10 f 11 Transportation 12, 13, 14, 15, 16 Campus Housing 25, 26, 27, 28, 29 Campus Buildings 1# 2, 3, 4, 5, 30, Atti tilde 6, 33, 37, 44, 45, Student Services 17, 18, 19, 20, 21 Though some of the categories were represented by only a small number of questions, they were felt to be important enough as single concerns to look at separately. There would therefore be higher reliability with items having more questions when comparing overall mean response levels. To keep the means for each of the ten categories comparable, 41 the sum of the mean responses for all questions within each category was divided by the number of questions within that category. This value therefore represents the mean res- ponse level (seven point scale) for all items within a given category. Table I provides a summary of how each of the partici pants responded to items in the ten major categories. The two categories with the lowest means were "campus events" (4.25) and "health center" (4.37). This means that the * student wheelchair users were most apt to consider campus events and the health center as their major concerns. The two categories with the highest means were "student ser vices" (5.16) and "campus terrain” (5.17). This suggests that of the ten major categories the students felt that their needs were best met in the services which are being provided for them and the lack of difficulty in locomotion around campus. Question Two Do certain characteristics of student wheelchair users have an inpact on their perception of problems at a university? In an attempt to answer this question, the demographic data obtained from the respondents were compared to the responses to the questionnaire as compiled into the ten major categories previously described. In reporting this data in the form of tables in the next section of this chapter, the seven point scale is collapsed into three 42 TABLE I RESPONSES TO QUESTIONNAIRE GROUPED INTO TEN MAJOR CATEGORIES High Agreement (7,6) Moderate Agreement (5,4,3) Low Agreement (2,1) Mean 8 16 6 4.37 16 10 7 4.59 Campus Events 8 15 4 4.25 Study Aids 9 16 1 4.41 Campus Terrain 17 14 0 5.17 Transportation 11 14 0 4.98 Campus Housing 9 15 1 4.76 Campus Buildings 14 17 0 4.89 Attitude 10 15 1 4.76 Student Services 15 13 0 5.16 Health Center Library Totals 117 (41.4%) 145 (51.4%) 20 (7.0%) 4.73 (Avg. 43 categories where: a response of seven or six on the questionnaire is labeled "high agreement," a response of five, four or three is labeled "moderate agreement," and a response of two or one is labeled "low agreement." The reason for collapsing the data in this manner is due to the small numbers of respondents and the many blank cells re sulting if the tables are reporting the full seven point scale. Results of chi-square and analysis of variance tests are also reported in the tables. As noted in Chapter Three these analyses provide evidence of the statistical sig nificance of relationships between a given independent variable and responses to items in each category of the questionnaire. The chi-square tests are based on the three categories of agreement cited above; the analysis of vari ance tests, on the other hand, consider mean response levels on the full seven point scale. Though the comparison of the means in many instances suggested relationships between responses to the questionnaire and the independent variables, the statistical analysis seldom suggested that these re lations were statistically significant. The results of these comparisons are as follows: Sex of Respondent: When responses to the questionnaire are analyzed ac cording to sex of the wheelchair user some obvious differences may be noted (.see Table II) . In nine of the ten categories, the male tended to agree with the statements TABLE U RESPONSES TO QUESTIONNAIRE BY SEX FEMALES (n = 13; 39.42) HALES (n = 20; 60.62) Low Agreement (2.1) Mean r £- ratio 6 4 3.92 1.66 1.28 6 2 5 3.96 4.61 2.13 4.98 1 7 3 3.18 4.81 9.96** 0 4.69 2 8 1 4.03 3.24 1.56 7 0 5.30 6 7 0 4.98 .21 .61 9 6 0 5.27 2 8 0 4.56 2:44 2.00 7 6 0 5.41 2 9 1 4 05 4.34 6.89* 10 10 0 5.32 4 7 0 4.11 .12 6.40* 5 9 1 4.68 5 6 0 4.86 1.01 .11 11 6 0 5.57 4 7 0 4.53 1.17 5.10* 6 (3.62) 5.09 (Avg.) 14 (12.12) 4.22 (Avg.) Moderate Agreement (5,4,3) Low Agreement (2.1) Mean High Agreement (7,6) 5 10 2 4.70 3 10 8 2 5.00 Campus Events 7 8 1 Study Aids 7 8 Campus Terrain 11 Transportation Campus Housing High Agreement (7.6) Health Center Library Ccaipus Buildings Attitude Student Services Totals * = <.05 ** = <.01 82 (49.4%) 78 (47.02) 35 (30.22) Moderate Agreement (5,4.3) 67 (57.72) 2 45 more than the females. The only exception was attitude of the university where females felt that the overall attitude of the university in meeting their needs was better than as the males perceived it. The results of chi-square tests of observed differences in response patterns among males and females suggest that none of these differences are statistically significant. The analysis of variance tests, however, suggested that the mean response levels for males and females are significantly different for campus events, campus housing, campus buildings and student services. These results suggest that female wheelchair users at a university have more concerns than male wheelchair users. Age of Respondent; The students were separated into two age groups {ap proximately at the median) for comparison purposes - twentyfive years or younger and twenty-six years or older {see Table III). In comparing the means for each of the ten categories of responses as well as the average mean score for all categories, there did not appear to be a relation ship between age and perceived problems. The average mean score for all ten categories was 4.71 for the younger group and 4.76 for the older group of students. University Attendedi In comparing the responses of students according to which university they attend (Table IV) some observations may be considered important, However, the small numbers of TABLE III RESPONSES TO QUESTIONNAIRE BY AGE 26 YEARS OR OLDER (n = 19; 59 .4X) 25 YEARS OR YOUNGER (n = 13; 40.6X) High Ag^eem^nt Moderate A^reene^t Low Agreement Mean High Agreement (7.6) Moderate Agreement (5,4.3) Low Agreement (2,1) Mean^ (2.1T Health Center 2 7 2 4.17 6 8 4 4.50 Library 9 2 2 5.07 7 7 5 4.24 Cainpus Events 3 6 0 4.40 5 8 4 4.16 Study Aids 3 5 0 4.70 6 10 1 4.25 Campus Terrain B 5 0 5.04 9 8 0 5.27 Transportation 2 7 0 4.36 9 6 0 5.40 Campus Housing 4 5 0 4.64 5 9 1 4.84 Cainpus Buildings 4 7 0 4.57 10 9 0 5.10 Attitude 5 3 0 5.29 5 11 1 4.48 Student Services 5 5 0 4.83 9 7 0 5.38 4 (4.OX) 4.71 (Avg.) 16 (9.4X) 4.76 (Avg.) Totals 45 (44.5*} 52 (51.5X) 71 (41,8X) 83 (48.8X) TABLE IV RESPONSES TO QUESTIONNAIRE BY UNIVERSITY MICHIGAN STATE UNIVERSITY (n = 8; 24.2%) UAYNE STATE UNIVERSITY (n = 21; 63.6%) THE UNIVERSITY OF MICHIGAN (n = 4; 12.1%) High Moderate Low Agreement Agreement Agreement Mean (7,6) (5,4,3) (2,1) High Moderate Low High Moderate Low Agreement Agreement Agreement Mean Agreement Agreement Agreement Mean (7,6) (5,4,3) (2,1) (7,6) (5,4,3) (2,1) Health Center 2 4 2 4.12 6 10 3 4.63 0 2 1 3.33 Library 4 1 3 4.31 11 7 3 4.83 1 2 1 3.87 Cainpus Events 3 2 0 5.20 5 11 3 4.14 0 2 1 3.33 Study Aids 1 4 0 4.33 8 9 1 4.59 0 3 0 3.44 Campus Terrain 4 4 0 5.02 12 7 0 5.30 1 3 0 4.80 Transportation 3 4 0 4.80 8 8 0 5.21 0 2 0 3.80 Campus Housing 3 3 0 5.00 6 9 1 4.85 0 3 0 3.80 Campus Buildings 2 5 0 4.18 12 8 0 5.45 0 4 0 3.37 Attitude 3 2 0 5.45 7 10 1 4.63 0 3 0 4.37 Student Services 3 3 0 5.02 12 7 0 5.46 0 3 0 3.58 Totals 28 (43 .0%) 32 (49.2%) 5 4.74 (7.6%) (Avg.) 87 (47.0%) 86 (46.4%) 4.91 12 (6.4%) (Avg.) 27 2 (6.2%) (84.4%) 3.77 3 (9.3%) (Avg.) 48 students responding from Michigan State University (n = 8) and The University of Michigan (n = 4) do not provide definitive evidence of relationships. Thus statistical analyses were not completed for this variable. Overall, wheelchair users at The University of Michigan rated their facility as having the most problems while wheelchair users at Wayne State University rated their institution as having the least problems of the three universities. In comparing overall responses to the ten categories between the three universities the following results were obtained. Michigan State University students indicated 43.0% high agreement, 49.2% moderate agreement and 7.6% low agreement. Wayne State University students indicated 47.0% high agreement, 46.4% moderate agreement and 6.4% low agreement. The University of Michigan students indicated 6.2% high agreement, 84.4% moderate agreement and 9.3% low agreement. The average mean scores for the three institutions in responding to all ten categories were: Michigan State University, 4.73; Wayne State University, 4.91; and The University of Michigan, 3.77. Of particular interest is the mean score average in each of the ten categories at The University of Michigan as eight of the ten categories reflected a mean score of less than 4.0 ("neutral"). At the other two universities no mean score for an individual category was below 4.0. Specific perceived problem categories at The University of Michigan were the health center and campus events. Michigan 49 State University students rated the health center and cainpus buildings as their major concerns. Wayne State University students were most concerned in the areas of campus events and study aids. Academic Major; Due to the large number of academic majors listed by the participants in the study and the resultant lack of numbers of students within those majors, comparisons based on academic major and responses to the questionnaire were not completed. Level of Education: Comparisons between level of education and responses to the questionnaire are shown in Table V. Due to the small numbers of students within each of the undergraduate levels, freshmen through seniors were combined and compared with graduate students. Due to the large discrepancy in numbers of students within the categories (undergraduate students » 24, graduate students = 9) and the close average mean for all ten categories between the two groups of students, specific relationships are difficult to suggest. The graduate students reflected more disagreement over all with the statements on the questionnaire. The overall average mean for the undergraduate students was 4.87 as they reflected high agreement 44.9% of the time, moderate agree ment 48.8% and low agreement 6.3% of the time. The overall average mean for the graduate students was 4.49 as they reflected high agreement 32.5% of the time, moderate TABLE V RESPONSES TO QUESTIONNAIRE BY LEVEL OF EDUCATION UNDERGRADUATE STUDENTS (n = 24; 72.7%) GRADUATE STUDENTS (n - 9; 27.3%) High Agreement (7,6) High Moderate Agreement Agreement (7.6) (5,4,3) Moderate Low Agreement Agreement Mean (5,4,3) (2,1) Low Agreement Mean (2.1) 5 13 4 4.45 3 3 2 4.50 13 6 5 4.68 3 4 2 4.17 Campus Events 6 11 2 4.54 2 4 2 3.79 Study Aids 8 10 1 4.68 1 6 0 3.76 Campus Terrain 13 10 0 5.13 4 4 0 5.25 Transportation 8 10 0 4.99 3 4 0 4.97 Campus Housing 7 10 1 4.76 2 5 0 4.74 10 12 0 5.16 4 5 0 4.68 9 10 0 4.97 1 5 1 4.25 13 8 0 5.36 2 5 0 4.77 13 (6.3%) 4.87 (Avg.) 7 (9.1%) 4.49 (Avg.) Health Center Library Campus Buildings Atti tude Student Services Totals 92 (44.9%) 100 (48.8%) 25 (32.5%) 45 (58.4%) 51 agreement 58.4% and low agreement 9.1% of the time. The largest discrepancies to be noted in comparing within the ten categories are seen in campus events and study aids where the graduate students perceived more problems than the undergraduates. For campus events the mean score was 4.54 for undergraduates and 3.79 for graduates. For study aids the mean score was 4.68 for undergraduates and 3.76 for graduates. Medical Diagnoses: In comparing medical diagnoses with responses to the questionnaire only spinal cord injury and cerebral palsy were used. The other categories of diagnoses contained too few individuals to consider comparison significant. As mentioned previously, eighteen students listed their diagnosis as spinal cord injury whereas seven listed cerebral palsy. Table VI compares these two diagnoses with responses to the questionnaire. The cerebral palsy students indicated more disagreement with the statements in seven of the ten categories (.library, campus events, study aids, transportation, campus housing, campus buildings and student services). Both the chi-square and the analysis of vari ance tests suggested that differences in responding to items in the library category were statistically significant
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