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The effect of motor dual-task training on gait and mobility performances in children with intellectual disabilities. 运动双任务训练对智障儿童步态和行动能力的影响
IF 1.5 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2024-10-04 DOI: 10.1177/17446295241284722
Hiba Kachouri, Ghada Jouira, Haithem Rebai, Sonia Sahli

The study investigated the impact of motor dual-task training on gait and mobility in children with intellectual disabilities. Performance was assessed using the Timed Up and Go Test (TUGT) and the 10-Meter Walking Test (TMWT) before and after an 8-week training period, with participants divided into a Trained Group (n=12) and a Control Group (n=14). Results indicated that, across both groups and regardless of session, TUGT and TMWT scores were significantly higher (p < 0.001) in the motor dual-task condition compared to the single-task condition. Post-training, TUGT scores significantly decreased (p < 0.05) in the single-task condition. The Trained Group showed significant improvements in second motor-task performance on both TUGT (p < 0.05) and TMWT (p < 0.001) under dual-task conditions, while the Control Group showed no change. The study demonstrated the effectiveness of motor dual-task training in enhancing mobility in children with intellectual disabilities.

该研究调查了运动双任务训练对智障儿童步态和行动能力的影响。在为期8周的训练前后,使用定时起立行走测试(TUGT)和10米步行测试(TMWT)对参与者的表现进行评估,参与者分为训练组(12人)和对照组(14人)。结果表明,在两组学员中,无论训练时间长短,运动双任务条件下的 TUGT 和 TMWT 分数都明显高于单任务条件下的 TUGT 和 TMWT 分数(P < 0.001)。训练后,单任务条件下的 TUGT 分数明显下降(p < 0.05)。在双任务条件下,受训组的 TUGT(p < 0.05)和 TMWT(p < 0.001)在第二次运动任务中的表现均有明显改善,而对照组则没有变化。该研究证明了运动双任务训练在提高智障儿童行动能力方面的有效性。
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引用次数: 0
A systematic review of attachment interventions for people with intellectual disability and their caregivers. 针对智障人士及其照顾者的依恋干预措施的系统性回顾。
IF 1.5 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2024-10-04 DOI: 10.1177/17446295241289734
Ruby Ramsden, Emily Reeves, Eve Whitwell, Nicola Lane, Helen K Fletcher

Objective: The current mixed-methods systematic review evaluated available literature to find out which attachment-based interventions have been implemented for people with intellectual disability and whether they are efficacious and acceptable.

Methods: Five databases were searched (in July 2023 and April 2024), using terms related to intellectual disability and attachment-based interventions. The search yielded 793 papers; 15 papers (13 studies) met inclusion criteria. Relevant data was extracted from each study. Paper quality was appraised using the Mixed Methods Appraisal Tool. Findings were synthesised in an integrative review.

Results: Of the included studies, 7 had people with intellectual disability as participants and 6 had their caregivers. Interventions included education, psychotherapy, technology assisted therapy, video interaction guidance/feedback and circle of security. Research methods varied.

Conclusions: Evidence for efficacy and acceptability of interventions was mixed but promising. Most studies had limited generalisability. Therefore, further research is required. Pre-registration with PROSPERO [351287].

目的本次混合方法系统性综述对现有文献进行了评估,以了解针对智障人士实施了哪些基于依恋的干预措施,以及这些干预措施是否有效和可接受:使用与智障和依恋干预相关的术语,检索了五个数据库(2023 年 7 月和 2024 年 4 月)。检索结果显示有 793 篇论文;15 篇论文(13 项研究)符合纳入标准。从每项研究中提取了相关数据。采用混合方法评估工具对论文质量进行评估。结果:在纳入的研究中,7 项研究的参与者为智障人士,6 项研究的参与者为智障人士的照顾者。干预措施包括教育、心理治疗、技术辅助治疗、视频互动指导/反馈和安全圈。研究方法各不相同:干预措施的有效性和可接受性证据不一,但都很有希望。大多数研究的普遍性有限。因此,还需要进一步的研究。PROSPERO [351287] 预注册。
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引用次数: 0
Evidence-based decision-making in the treatment of speech, language, and communication disorders in Down syndrome; a scoping review. 治疗唐氏综合症患者言语、语言和交流障碍的循证决策;范围界定综述。
IF 1.5 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2024-09-19 DOI: 10.1177/17446295241283659
Annemieke de Groot, Noortje Eijsvoogel, Gijs van Well, Roeland van Hout, Esther de Vries

This scoping review examined available scientific evidence according to the PRISMA-ScR guideline on the subject of treatment interventions by speech and language therapists of speech, language, and communication needs in people with Down syndrome. A literature search in PubMed, Embase, Cinahl, Cochrane, and Web of Science yielded 41 studies suitable for inclusion. All studies examined the effect of an intervention in speech, language or communicative behaviour, alone or in combination. Most studies were conducted among children, only four were conducted among adults. Twenty-three studies (49%) found statistically significant results. This review may encourage speech and language therapists to incorporate scientific evidence in making their treatment choices. Furthermore, it may inform health care professionals about potential speech and language treatments that can help people with Down syndrome in developing and maintaining their communicative skills. However, future research is needed because little research has been done in this area so far.

本范围界定综述根据 PRISMA-ScR 指南,就言语和语言治疗师对唐氏综合症患者的言语、语言和交流需求进行治疗干预这一主题,对现有的科学证据进行了研究。通过在 PubMed、Embase、Cinahl、Cochrane 和 Web of Science 中进行文献检索,共获得了 41 项适合纳入的研究。所有研究都考察了对言语、语言或交流行为进行干预的效果,包括单独干预或综合干预。大多数研究是在儿童中进行的,只有四项研究是在成人中进行的。23项研究(49%)发现了具有统计学意义的结果。本综述可鼓励言语和语言治疗师在选择治疗方法时采纳科学证据。此外,它还可以让医护人员了解潜在的言语和语言治疗方法,帮助唐氏综合症患者发展和保持沟通能力。然而,由于迄今为止这方面的研究还很少,因此未来的研究还很有必要。
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引用次数: 0
How differentiated can a new tablet-based reading screening measure the reading proficiency of students with intellectual disabilities? Comparing the impact of disability, disability type and grade level on reading skills. 基于平板电脑的新型阅读筛查能如何区分智障学生的阅读能力?比较残疾、残疾类型和年级对阅读能力的影响。
IF 1.5 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2024-09-08 DOI: 10.1177/17446295241282750
Nikola Ebenbeck, Peter Zentel, Markus Gebhardt

All people have the right to learn reading. Understanding the factors influencing reading proficiency among students with intellectual disabilities is important for developing effective instructions. To accurately assess reading, suitable assessments that can effectively differentiate between low performance levels are necessary. We analyse results of 400 students (43 students with intellectual disabilities) in a digital reading screening and investigate the influence of disability severity, grade level and special educational needs status on the reading abilities of students with intellectual disabilities. The results indicate that the screening is suitable for assessing students with intellectual disabilities. A newly developed digital screening test for flash reading measures reliably. All presumed factors significantly impact the reading proficiency. However, substantial overlap exists between students with intellectual disabilities and those with other special needs. The necessity for structured reading interventions, irrespective of the disability label, and the importance of appropriate assessments for all students are discussed.

所有人都有学习阅读的权利。了解影响智障学生阅读能力的因素对于制定有效的指导非常重要。要准确评估阅读能力,就必须有合适的、能有效区分低水平表现的评估方法。我们分析了 400 名学生(43 名智障学生)的数字阅读筛查结果,并研究了残疾严重程度、年级和特殊教育需要状况对智障学生阅读能力的影响。结果表明,该筛查适用于智障学生的评估。新开发的闪读数字筛查测试测量结果可靠。所有假定因素都会对阅读能力产生重大影响。然而,智障学生与有其他特殊需要的学生之间存在大量重叠。本文讨论了不论残疾标签如何,进行结构化阅读干预的必要性,以及对所有学生进行适当评估的重要性。
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引用次数: 0
Trauma-informed counseling for individuals who have an intellectual developmental disorder: Considerations for mental health counselors. 为智力发育障碍患者提供创伤知情咨询:心理健康顾问的注意事项。
IF 1.5 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2024-09-03 DOI: 10.1177/17446295241278477
Christine A McAllister, Meredith A Rausch, Victoria E Kress

Individuals with an intellectual developmental disorder are four times more likely to have a co-occurring mental health diagnosis, as compared to the general population, and 60%-80% of individuals with IDDs have experienced at least one form of abuse. However, counselors receive little training to adequately help this population. In this article, counseling considerations related to individuals who have intellectual development disorder are discussed, with a particular focus on the presence of trauma in this population. Trauma-focused treatment, potential mental health issues, counseling considerations, general issues related to counseling this population, and common associated mental health experiences among this population are addressed. Specific evidence-based counseling approaches, modifications to counseling, and best practices that can be helpful when counseling this population are presented. Due to the unique challenges that individuals with IDDs face, it is essential that counselors address the counseling and mental health needs of this population.

与普通人相比,智力发育障碍患者同时患有精神健康诊断的可能性要高出四倍,60%-80%的智力发育障碍患者至少经历过一种形式的虐待。然而,心理咨询师接受的培训很少,无法充分帮助这类人群。本文将讨论与智力发育障碍患者相关的心理咨询注意事项,尤其关注该人群中存在的心理创伤。文章将讨论以创伤为重点的治疗方法、潜在的心理健康问题、咨询注意事项、与该人群咨询相关的一般问题以及该人群中常见的相关心理健康经历。此外,还介绍了以证据为基础的具体辅导方法、对辅导的修改以及在为这类人群提供辅导时可能会有所帮助的最佳实践。鉴于 IDD 患者面临的独特挑战,心理咨询师必须满足这类人群的心理咨询和心理健康需求。
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引用次数: 0
Assessing the effectiveness of menstrual health education in Japan: A non-randomized comparative study of adolescent girls with typical development and those with intellectual disabilities and high support needs. 评估日本月经健康教育的有效性:对发育正常的少女和有智力障碍并需要高度支持的少女进行的非随机比较研究。
IF 1.5 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2024-09-02 DOI: 10.1177/17446295241281394
Satoko Tsuda, Yuki Maruyama, Chika Muroka, Chie Kondo, Satoshi Takada

This study elucidates the effectiveness of a menstrual education program with segmented MHM procedure on the MHM skills of girls with intellectual disabilities/HSN compared with those with typical development. Participants in a nonrandomized comparative study included nine adolescent girls with intellectual disabilities/HSN and ten with typical development. They practiced MHM on dolls three times: before, immediately after, and three months after participating in the educational program. Although the total MHM scores were significantly higher after both groups attended the program, the girls with intellectual disabilities/HSN had significantly lower total and mean scores on MHM items than girls with typical development. They still required instruction on the majority of the items after 3 months. Meanwhile, girls with intellectual disabilities/HSN showed a significant improvement in napkin changing skills and maintained post-course scores 3 months later, similar to those with typical development.

本研究阐明了与发育正常的女孩相比,采用分段式 MHM 程序的经期教育计划对智障/HSN 女孩的 MHM 技能的影响。这项非随机比较研究的参与者包括九名智障/HSN 少女和十名发育正常的少女。她们在玩偶上练习了三次 MHM:参加教育项目之前、之后和三个月之后。虽然两组女孩在参加该项目后的MHM总分都明显提高,但智障/HSN女孩在MHM项目上的总分和平均分都明显低于发育正常的女孩。3 个月后,她们在大多数项目上仍需要指导。与此同时,智障/HSN 女童在更换餐巾纸的技能方面有了明显改善,并在 3 个月后保持了课程后的得分,与发育正常的女童相似。
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引用次数: 0
Examining the prevalence and type of technology-use in people with Down syndrome: Perspectives from parents and caregivers. 研究唐氏综合症患者使用技术的普遍程度和类型:父母和照顾者的观点。
IF 1.5 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2024-09-01 Epub Date: 2023-05-18 DOI: 10.1177/17446295231176121
Su Morris, Emily K Farran, Katie A Gilligan-Lee

Familiarity with technology has become a requirement for independent living, however there is limited information on technology access and use for people with Down syndrome (DS). The aim of this study is to describe technology, gaming, and social-media use in people with DS. Parents/caregivers (N = 220) of individuals with DS aged 5-35 years (49% female) completed an online questionnaire. They felt that technology and social media use, and to a lesser extent gaming, played an important role in their son/daughter's life. However, many had concerns about their son/daughter's safety online, and identified challenges they faced with using technology, such as using a mouse and speech recognition. We also found substantial parental interest in learning more about technology-use in DS, particularly the impact of using social media. This paper summarises important details about technology-use in people with DS, providing foundational information for the design of effective technology-based activities and support.

熟悉技术已成为独立生活的一项要求,但有关唐氏综合症(DS)患者接触和使用技术的信息却很有限。本研究旨在描述唐氏综合症患者使用科技、游戏和社交媒体的情况。年龄在 5-35 岁的唐氏综合症患者(49% 为女性)的父母/照顾者(N = 220)填写了一份在线问卷。他们认为,科技和社交媒体的使用在他们儿子/女儿的生活中扮演着重要的角色,其次才是游戏。不过,许多家长对儿子/女儿的上网安全表示担忧,并指出了他们在使用技术时面临的挑战,如使用鼠标和语音识别。我们还发现,家长对了解更多有关 DS 的技术使用,尤其是使用社交媒体的影响非常感兴趣。本文总结了有关 DS 患者使用科技的重要细节,为设计有效的科技活动和支持提供了基础信息。
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引用次数: 0
Constructing a preliminary model of school belonging for students with intellectual disability. 构建智障学生学校归属感的初步模型。
IF 1.5 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2024-09-01 Epub Date: 2023-04-15 DOI: 10.1177/17446295231164438
Emily K Van Gaasbeek, Marc J Tassé

The construct of belonging has been studied in many marginalised student groups yet has been understudied among students with intellectual disability. The present study used a large dataset from the United States to quantitatively investigate the construct of belonging among 7th to 12th grade students with the educational classification of "intellectual disability" (n = 670) who responded to a set of questions related to belonging in a nationally representative survey. The purpose of the study was twofold: (1) to identify the latent factors of belonging among students with intellectual disability to create a preliminary model and (2) use the preliminary model to compare belonging among students with intellectual disability with different demographic factors (e.g., race, sex, English proficiency). Exploratory factor analysis revealed a four-factor model of belonging and confirmatory factor analysis suggested the model was a good fit for the data, χ2 = 622.81, p < .001, RMSEA = .049, CFI = 0.879, TLI = 0.868. The study has implications for future avenues of research, including measurement development, exploring the developmental pathway of belonging, and the consequences of not belonging.

归属感这一概念已在许多边缘化学生群体中进行过研究,但对智障学生的研究还很不够。本研究使用了美国的一个大型数据集,定量研究了教育分类为 "智障 "的 7 至 12 年级学生(n = 670)的归属感构建,这些学生在一项具有全国代表性的调查中回答了一系列与归属感相关的问题。研究的目的有两个:(1)确定智障学生归属感的潜在因素,建立初步模型;(2)利用初步模型比较不同人口统计因素(如种族、性别、英语水平)的智障学生的归属感。探索性因子分析揭示了归属感的四因子模型,确认性因子分析表明该模型与数据拟合良好,χ2 = 622.81, p < .001, RMSEA = .049, CFI = 0.879, TLI = 0.868。本研究对未来的研究方向具有启示意义,包括测量发展、探索归属感的发展途径以及不归属感的后果。
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引用次数: 0
Enabling older adults with intellectual disability to become physical activity leaders in their community: Pilot study. 让智障老年人成为社区体育活动的领导者:试点研究。
IF 1.5 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2024-09-01 Epub Date: 2023-07-05 DOI: 10.1177/17446295231177190
Sonia McDermott, Mary McCarron, Eilish Burke, Philip McCallion, Mary-Ann O'Donovan

People with intellectual disabilities (ID) have high levels of sedentary behaviour and co-morbid health conditions. There is also increased longevity for this group which is an incredible success story but one which also poses challenges to the health system. For the first time, the mainstream health system needs to plan for and address age related health needs of people with ID. It also demands consideration of age-appropriate health-promotion efforts to support this ageing population with life-long disability. A physical activity programme, People with Intellectual Disability as Physical Activity Leaders (PPALs), was co-designed and co-developed with older adults (40+ years) with intellectual disability (ID). The process, content and outcomes of the pilot are presented in this paper. Expertise from three sectors: non-statutory academic and people with intellectual disabilities and their supporters worked collaboratively for successful completion of the project.

智障人士(ID)久坐不动的行为和并发症较多。这一群体的寿命也有所延长,这是一个令人难以置信的成功故事,但也给医疗系统带来了挑战。主流医疗系统首次需要规划和解决智障人士与年龄相关的健康需求。这也要求考虑开展与年龄相适应的健康促进工作,以支持这一终生残疾的老龄人口。一项名为 "智障人士作为体育活动领导者(PPALs)"的体育活动计划是与智障老年人(40 岁以上)共同设计和开发的。本文介绍了试点项目的过程、内容和成果。来自三个部门的专家:非法定学术机构、智障人士及其支持者通力合作,成功完成了该项目。
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引用次数: 0
Competencies and employment after a university program in young people with intellectual disabilities. 智障青年大学毕业后的能力与就业。
IF 1.5 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2024-09-01 Epub Date: 2023-05-22 DOI: 10.1177/17446295231178107
Ana Berástegui, Graciela Suárez, María Dolores Gonzalez

This study analyzes the relationship between the employability competencies acquired after completing an employment training program at university and the subsequent access to employment of young people with intellectual disabilities. To do this, the employability competencies of 145 students were analyzed at the end of the program (T1) and information was gathered on their career path at the time of the study (T2) (n = 72). Sixty-two per cent of the participants have had at least one job since graduation. Job competencies increase the probability of accessing and retaining employment in students who graduated at least 2 years before (X2 = 17.598; p < .001; r2 = .583). These results compel us to complement employment training programs with new opportunities and greater job accessibility.

本研究分析了智障青年在完成大学就业培训课程后所获得的就业能力与随后的就业机会之间的关系。为此,我们在课程结束时(T1)对 145 名学生的就业能力进行了分析,并收集了他们在研究期间(T2)的职业发展路径信息(n = 72)。62%的学员毕业后至少有一份工作。对于毕业至少 2 年的学生来说,就业能力提高了他们获得和保住工作的概率(X2 = 17.598;p < .001;r2 = .583)。这些结果迫使我们为就业培训计划补充新的机会和更大的就业可及性。
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引用次数: 0
期刊
Journal of Intellectual Disabilities
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