title: Promoting group empowerment and self-reliance through participatory research: a case study of people with physical disability.
abstract: OBJECTIVE
  Despite the growing popularity of the empowerment construct among social scientists, relatively few empowerment studies involving groupwork with people with physical disabilities exist. This article accordingly describes and analyses the organic development of the empowerment process within a spinal cord injury self-help group, set against the backdrop of policy imperatives for disability in post-apartheid South Africa.
  
  
  METHODS
  The treatise on the group empowerment process is located within the context of a group evaluation conducted within a participatory research framework. Key variables informing the research approach included: quality of participation, control over resources and decision-making, shift in critical consciousness and understanding, malleability of roles within the group and role of the health professional.
  
  
  RESULTS
  Group members assumed ownership of group management and decision-making and shifted from a professionally-led to a peer-led self-help group. Group objectives changed from providing mutual support to community education and outreach activities. The role of the health professional shifted from group facilitator to invited consultant.
  
  
  CONCLUSIONS
  This case study demonstrates how group participation, promoted by a critically informed therapeutic and research praxis, can unlock the inherent potential for self-reliance and empowerment of socially marginalized collectives. It offers important insights with regard to group process, participatory research and the role of the health professional in creating opportunities for empowerment and self-reliance of people with disability.
authors.affiliation: Department of Occupational Therapy, University of Durban-Westville, KwaZulu-Natal, South Africa.
authors.forename: R
authors.initials: R
authors.lastname: Stewart
authors.forename: A
authors.initials: A
authors.lastname: Bhagwanjee
mesh_terms: D000293:Adolescent; D000328:Adult; D003657:Decision Making; D006233:Persons with Disabilities / Q000534:rehabilitation; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D019982:Organizational Case Studies; D010379:Peer Group; D012106:Research; D012657:Self-Help Groups / Q000458:organization & administration