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Table 6 Themes generated by the participants

From: Description of environmental determinants of quality of life in children with intellectual disability in Japan using the Delphi technique

Physical environment

None

Attitudes and support

Listen to children’s views whenever possible

Increased involvement of father in child’s matters

Social environment

Tailored support for fathers of children with disability

Medical services cooperation (specialists and general practitioners)

Available specialists in the neighborhood

Economic assistance for family of disabled children

Adaptation of the caregiver’s workplace environment (more flexible working hours, care leave to look after the child)

Teachers’ consultation services (with retired teachers specialized in matters related to children with disability)

Volunteer helpers (to promote parent and child participation in public events)

Accurate information about disability

 To the general public

 To health professionals

 To teachers

Information about medical problems specific to children with disability for teachers (emergency manuals)

Partnership between government, private sector, and volunteer groups

Others

Participation

 Increased opportunities to interact with outside world (i.e., peers with and without disability, general public, etc.)

 Promotion and accessibility of leisure locations

Family composition

 Large families are more supportive

Family’s mental health/QOL

 (parents and siblings)