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Social assets and the career intent of teachers serving students with extensive support needs. 社会资产与为有广泛支助需求的学生服务的教师的职业意向。
IF 1.5 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2024-07-20 DOI: 10.1177/17446295241267088
LaRon A Scott, Kristin A Gansle, Selena J Layden, Colleen A Thoma

Decades of research indicate social support is vital for retaining teachers. However, little is known about social support for teachers serving students with extensive support needs. The purpose of this study was to explore whether collective social assets (administrative support, colleague support, paraeducator support, school culture) were associated with retaining special education teachers (SETs) who serve students with extensive support needs (e.g., intellectual disability, autism). Stepwise regression analyses and Analysis of Variance (ANOVA) were used to analyze survey data from SETs across the United States. Results showed that positive social supports are critical, and teachers serving students with autism reported the highest levels of social support in three of the four social assets categories. Implications for future research and practice are discussed, as well as a need to promote and better understand positive school culture as this variable weighed heavily across SETs.

数十年的研究表明,社会支持对留住教师至关重要。然而,人们对为有广泛支持需求的学生服务的教师的社会支持知之甚少。本研究旨在探讨集体社会资产(行政支持、同事支持、辅助教师支持、学校文化)是否与留住为有广泛支持需求(如智障、自闭症)的学生服务的特殊教育教师(SETs)相关。我们采用逐步回归分析和方差分析(ANOVA)对全美特殊教育教师的调查数据进行了分析。结果显示,积极的社会支持至关重要,在四个社会资产类别中,为自闭症学生服务的教师在三个类别中报告的社会支持水平最高。研究还讨论了未来研究和实践的意义,以及促进和更好地理解积极的学校文化的必要性,因为这一变量在各个特殊教育机构中占很大比重。
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引用次数: 0
Constipation prevalence and risk from prescribed medications in people with intellectual disability: Findings from an English mortality programme. 智障人士便秘的发生率和处方药带来的风险:一项英国死亡率计划的研究结果。
IF 1.5 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2024-07-19 DOI: 10.1177/17446295241267085
Christina Roberts, Jonathon Ding, Delia Bishara, Sahar Riaz, Rory Sheehan, Adam White, Andre Strydom, Umesh Chauhan

Constipation is common in people with intellectual disability, with case reports of associated deaths. Risk factors include lifestyle factors, health conditions, and certain medications. We aimed to explore constipation in a sample of people with intellectual disability who died in 2021. We described prevalence of constipation, causes of death and the risk of secondary constipation from prescribed medications. Medications were scored based on the risk of constipation indicated in the drug profile. Forty-eight percent of the sample had constipation. Half of the sample were prescribed at least two medications that are commonly associated with side effects of constipation. There were high rates of antipsychotic (30%) and laxative (40%) drug prescription. Five people with a history of constipation died of causes of death associated with constipation. Our findings highlight the risk of secondary constipation due to prescribed medication and the seriousness of the condition in people with intellectual disability.

便秘在智障人士中很常见,有相关死亡病例报告。风险因素包括生活方式因素、健康状况和某些药物。我们旨在对 2021 年死亡的智障人士样本中的便秘情况进行调查。我们描述了便秘的发病率、死亡原因以及处方药引起继发性便秘的风险。根据药物简介中显示的便秘风险对药物进行评分。48%的样本患有便秘。半数样本至少服用了两种通常与便秘副作用相关的药物。抗精神病药物(30%)和泻药(40%)的处方比例很高。五名有便秘病史的患者死于与便秘相关的死因。我们的研究结果突显了因处方药导致继发性便秘的风险,以及这种情况在智障人士中的严重性。
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引用次数: 0
Factors affecting the feelings of safety among individuals with mild intellectual disabilities and severe challenging behaviour in residential care: A qualitative study of professional and service users' perspectives. 影响住宿护理中轻度智障者和有严重挑战行为者安全感的因素:对专业人员和服务使用者观点的定性研究。
IF 1.5 4区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2024-06-18 DOI: 10.1177/17446295241246569
Suzanne Lokman, Roland Bal, Robert Didden, Petri Jcm Embregts

Background: This study focuses on what feeling safe means for people with mild intellectual disabilities and severe challenging behaviour, and which factors affect their sense of safety. Method: Thematic analysis was used to analyse data collected during (1) ethnographic longitudinal research and (2) interviews and focus groups among professionals and service users. Results: Feelings of safety can relate to three main themes: (1) a physical environment that reduces risks and temptations; (2) a reliable, predictable, and supportive environment; and (3) an accepting environment that enables service users to establish a normal life. An analysis of which factors affect service users' sense of safety identified 20 themes (e.g. team climate) and 34 subthemes (e.g. interactions with other service users). Conclusions: A range of interconnected factors can affect service users' feelings of safety. Future research should explore what organisations and external actors (e.g. the police) can do to promote those feelings.

背景:本研究主要探讨安全感对于有轻度智力障碍和严重挑战行为的人意味着什么,以及哪些因素会影响他们的安全感。研究方法采用主题分析法分析在(1)人种学纵向研究和(2)专业人员与服务使用者访谈和焦点小组中收集的数据。研究结果安全感主要涉及三个主题:(1) 减少风险和诱惑的物质环境;(2) 可靠、可预测和支持性的环境;(3) 能够让服务使用者建立正常生活的接纳环境。通过对影响服务使用者安全感的因素进行分析,确定了 20 个主题(如团队氛围)和 34 个次主题(如与其他服务使用者的互动)。得出结论:一系列相互关联的因素会影响服务使用者的安全感。未来的研究应探讨机构和外部参与者(如警察)可以采取哪些措施来促进这些感受。
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引用次数: 0
Evaluating Saudi Parental Interagency on Collaborative Initiatives for Successful Post-Secondary Transition of Students with Intellectual Disabilities. 评估沙特家长机构间为智障学生中学后成功过渡而开展的合作行动。
IF 1.5 4区 医学 Q1 Health Professions Pub Date : 2024-06-17 DOI: 10.1177/17446295241262565
Mubarak S Aldosari, Abdullah Jardan Alzhrani

Effective collaboration between schools and community agencies is paramount for the successful transition of students with disabilities to post-secondary educational settings. This study, conducted in Riyadh, Saudi Arabia, focuses on assessing the level of collaboration from the perspective of parents of students with intellectual disabilities. Using descriptive analysis, data was gathered from 191 parents, and the results indicate a perceived low level of collaboration between schools and various agencies in planning and supporting the transition to post-secondary environments. The study results evaluate collaboration in three dimensions: (a) universities rank lowest with x¯ =1.61 and SD=1.102). (b) vocational training centers ranking highest (1st rank) with an x¯ = 1.97 and SD = 1.079), and (c) other relevant service centers 2nd rank with x¯ =1.69 and SD= 1.177. The findings emphasize the necessity for legislative measures directing agencies to engage in collaborative agreements with secondary schools. This proactive approach aims to enhance opportunities for students with intellectual disabilities during their transition to post-secondary education and training. The study concludes with implications for future research and recommendations for fostering improved collaboration and support mechanisms.

学校与社区机构之间的有效合作对于残疾学生成功过渡到中学后教育环境至关重要。本研究在沙特阿拉伯利雅得进行,重点从智障学生家长的角度评估合作水平。研究采用描述性分析方法,从 191 位家长那里收集了数据,结果表明,在规划和支持向中学后环境过渡的过程中,学校与各机构之间的合作水平较低。研究结果从三个方面对合作进行了评估:(a)大学排名最低,x¯ =1.61,SD=1.102)。(b) 职业培训中心排名最高(第 1 位),x¯ = 1.97,SD = 1.079),(c) 其他相关服务中心排名第 2 位,x¯ = 1.69,SD = 1.177。研究结果表明,有必要采取立法措施,指导各机构与中学签订合作协议。这种积极主动的方法旨在为智障学生在过渡到中学后教育和培训期间提供更多机会。研究最后提出了对未来研究的启示以及促进改善合作和支持机制的建议。
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引用次数: 0
A review of research on social studies instruction for students with intellectual disabilities. 智障学生社会学教学研究综述。
IF 1.5 4区 医学 Q1 Health Professions Pub Date : 2024-06-17 DOI: 10.1177/17446295241259074
Kemal Afacan, Esra Kılıç Afacan

The content of social studies encompasses various topics such as culture, citizenship, values, geography, and history. However, social studies has historically been an under-researched academic content area for students with intellectual disabilities. The aim of this study was to identify and summarize empirical research on social studies instruction for students with intellectual disabilities. We searched for articles in two electronic databases from 2000 to 2023. We applied seven inclusion criteria to 1709 articles that emerged in databases. A total of 13 empirical studies met the inclusion criteria. We conducted a narrative review across these 13 studies. Results showed that students with intellectual disabilities improved social studies skills through effective instructional strategies including graphic organizers, technology-based instruction, time delay, and task analysis. Also, social studies instruction for students with intellectual disabilities mostly focused on history and geography. We discussed the findings along with their limitations and provided recommendations for future research.

社会研究的内容包括文化、公民意识、价值观、地理和历史等各种主题。然而,对于智障学生而言,社会研究历来是一个研究不足的学术内容领域。本研究旨在确定和总结有关智障学生社会研究教学的实证研究。我们在两个电子数据库中搜索了 2000 年至 2023 年期间的文章。我们对数据库中出现的 1709 篇文章采用了七项纳入标准。共有 13 项实证研究符合纳入标准。我们对这 13 项研究进行了叙述性回顾。结果显示,智障学生通过有效的教学策略(包括图形组织器、基于技术的教学、时间延迟和任务分析)提高了社会研究技能。此外,针对智障学生的社会研究教学大多侧重于历史和地理。我们讨论了研究结果及其局限性,并为今后的研究提出了建议。
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引用次数: 0
Interplay between representations, practices, and stigma variables towards people with intellectual disabilities among healthcare professionals: A cross-sectional study. 医护人员对智障人士的表述、做法和成见变量之间的相互作用:一项横断面研究。
IF 1.5 4区 医学 Q1 Health Professions Pub Date : 2024-06-06 DOI: 10.1177/17446295241259913
Laurie Lucassen, Romina Rinaldi, Elise Batsele

Disparities in healthcare are observed among people with intellectual disabilities. They generally face stigmatisation and negative attitudes from healthcare professionals. The aim of this study is to investigate the link of diagnostic label and social distance on inclusive health representations and practices towards people with intellectual disabilities among healthcare professionals. We conducted an online survey of 163 healthcare professionals living in French-speaking Belgium. The results highlighted that the diagnostic label and a lower social distance predict better representations and practices in inclusive health. In addition, an analysis of mediation showed the mediating effect of social distance on the link between being in contact with people with intellectual disabilities (through employment) and better representations and practices in inclusive health. This study enabled us to assess the interplay between stigma variables and healthcare professionals' representations and practices towards people with intellectual disabilities and to identify potential facilitators for promoting health equity.

智障人士在医疗保健方面存在差异。他们普遍面临着来自医护人员的污名化和负面态度。本研究旨在调查诊断标签和社会距离与医护人员对智障人士的包容性健康表述和实践之间的联系。我们对居住在比利时法语区的 163 名医护人员进行了在线调查。结果表明,诊断标签和较低的社会距离预示着包容性健康方面更好的表述和实践。此外,一项中介分析表明,社会距离对与智障人士接触(通过就业)与更好的包容性健康表征和实践之间的联系具有中介作用。这项研究使我们能够评估成见变量与医护人员对智障人士的表述和实践之间的相互作用,并找出促进健康公平的潜在促进因素。
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引用次数: 0
The effect of dance workshops participation on reaction time in persons with moderate intellectual disabilities - pilot study. 参加舞蹈工作坊对中度智障人士反应时间的影响--试点研究。
IF 1.5 4区 医学 Q1 Health Professions Pub Date : 2024-06-01 Epub Date: 2023-03-13 DOI: 10.1177/17446295231163247
Olga Kałużny

Background: Persons with intellectual disabilities who are physically active have faster reaction time compared to the physically inactive persons with intellectual disabilities (Yildirim et al. 2010). Aim: To recognize how participation in a series of hip-hop dance workshops can improve reaction time in persons with intellectual disabilities. Methods: 13 persons with moderate intellectual disabilities aged 14-22 (M = 17,30; SD = 2,52). A quasi-experiment was prepared using a single-group plan (nine dance workshops). Study design applied: pre-test - post-test. Measurement Tool - Optogait - acoustic response test. Results: Reaction time measured prior to dance workshops was M = 1,58; SD = 0,48 and after workshops was M = 1,34; SD = 0,69. The analysis using Wilcoxon signed-ranks test showed that this difference is statistically significant, Z = 2,06; p < .05. Conclusions: Hip-hop dance classes improve response times in persons with moderate intellectual disabilities.

背景:与不参加体育活动的智障人士相比,参加体育活动的智障人士反应时间更快(Yildirim 等人,2010 年)。目的:了解参加一系列街舞工作坊如何改善智障人士的反应时间。方法:13 名中度智障人士,年龄在 14-22 岁之间(男 = 17.30;女 = 2.52)。采用单组计划(九个舞蹈工作坊)准备了一个准实验。采用的研究设计:前测-后测。测量工具 - Optogait - 声学反应测试。结果在舞蹈工作坊之前测量的反应时间为 M = 1,58;SD = 0,48;工作坊之后测量的反应时间为 M = 1,34;SD = 0,69。使用 Wilcoxon 符号秩检验进行的分析表明,这一差异具有显著的统计学意义,Z = 2,06; p < .05。结论街舞课程能改善中度智障人士的反应时间。
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引用次数: 0
Persevering professionals: dilemmas of relationships and self-determination in work with people with intellectual disability - a multi-method study based on interpersonal process recall. 坚持不懈的专业人员:智障人士工作中的关系困境和自我决定--基于人际关系过程回忆的多方法研究。
IF 1.5 4区 医学 Q1 Health Professions Pub Date : 2024-06-01 Epub Date: 2023-02-01 DOI: 10.1177/17446295231154126
Mari Husabø, Magne Mæhle, Målfrid Råheim, Aud Marie Øien

The article focuses on social educators' reflections on their own professional practice in encounters with people with intellectual disability receiving services. Drawing on Interpersonal Process Recall, a video-assisted method, together with a focus group interview, the study explores the experiences from in-situ encounters of five social educators employed in a Norwegian municipality. The key findings are that they view relationship-building as integral to their work, they grant primacy to the ideal of autonomy and they strive towards realizing this in their daily work. The study however displays how these emphases might lead to dilemmas, especially between the wish to support the service users' self-determination and the urge to protect them from harm. Of special note was how the service users' increasing use of social media was perceived as a particular challenge for social educators, who were left with an experience of being unable to protect.

这篇文章的重点是社会教育工作者在与接受服务的智障人士接触时对自身专业实践的反思。这项研究利用视频辅助方法 "人际关系过程回忆"(Interpersonal Process Recall)和焦点小组访谈(focus group interview),探讨了受雇于挪威某市的五位社会教育工作者的现场接触经验。研究的主要发现是,他们认为建立关系是其工作不可或缺的一部分,他们把自主理想放在首位,并努力在日常工作中实现这一理想。不过,研究显示,这些重点可能会导致两难境地,特别是在支持服务使用者自主的愿望与保护他们不受伤害的冲动之间。特别值得注意的是,服务使用者越来越多地使用社交媒体,这对社会教育工作者来说是一个特别的挑战,他们感到无法保护。
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引用次数: 0
A national cohort study of spiritual and religious practices of older people with intellectual disability. 关于智障老年人精神和宗教习俗的全国队列研究。
IF 1.5 4区 医学 Q1 Health Professions Pub Date : 2024-06-01 Epub Date: 2023-03-23 DOI: 10.1177/17446295231163977
Fiona Timmins, Darren McCausland, Damien Brennan, Fintan Sheerin, Retha Luus, Philip McCallion, Mary McCarron

Background: Spirituality and spiritual support for older people with intellectual disability are deemed important, however little is known about their specific needs. This paper reports for the first time on the religious and spiritual practices of older adults with intellectual disability. Methods: A national longitudinal study examined the prevalence of spiritual practices among older people with intellectual disability in the Republic of Ireland. Results: Older people with intellectual disability seek and receive solace from religious and spiritual practices, especially if they are lonely, in poor health, distressed or bereaved. There is likely a social benefit to spiritual and religious aspects of life that would be beneficial to explore further. Conclusions: Globally more research is required and efforts should be made to ensure greater opportunities for inclusion in societal spiritual and religious activities and to more clearly determine the spiritual needs of this population.

背景:人们认为智障老年人的精神生活和精神支持非常重要,但对他们的具体需求却知之甚少。本文首次报道了智障老年人的宗教和精神习俗。研究方法一项全国性纵向研究调查了爱尔兰共和国智障老年人精神生活的普遍程度。研究结果智障老年人会从宗教和精神活动中寻求并获得慰藉,尤其是在他们孤独、健康状况不佳、感到痛苦或失去亲人时。生活中的精神和宗教方面很可能会带来社会效益,这一点值得进一步探讨。结论:在全球范围内,需要开展更多的研究,并应努力确保有更多的机会参与社会精神和宗教活动,并更明确地确定这类人群的精神需求。
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引用次数: 0
Leisure education in youth with developmental disabilities: Effects on individual quality of life, adaptive behavior, and family quality of life. 发育障碍青少年的休闲教育:对个人生活质量、适应行为和家庭生活质量的影响。
IF 1.5 4区 医学 Q1 Health Professions Pub Date : 2024-06-01 Epub Date: 2023-04-10 DOI: 10.1177/17446295231168442
Marta Badia, Beatriz Pérez, Begoña M Orgaz, María Gómez-Vela

Leisure participation enhances the learning of adaptive skills and the quality of life in youth with developmental disabilities. The goal of this study was to evaluate the effects of a leisure education program in individuals with developmental disabilities in terms of adaptive behavior and quality of life. Nine participants divided into two small groups and their families were included. A quasi-experimental design was employed to determine whether there was a program effect. The Adaptive Behavior Assessment System, the KIDSCREEN-27, and the Family Quality of Life Scale were administered before and after the intervention. There was a significant increase in social, home, and school skills as well as a better perception of quality of life in relationships with parents, social support, and school. In addition, the program affected the family's perception of practical and emotional support. Findings provide support for the application of this leisure program to enhance quality of life outcomes.

参与休闲活动可以提高发育障碍青少年的适应技能学习和生活质量。本研究的目的是评估休闲教育计划对发育障碍人士适应行为和生活质量的影响。九名参与者被分为两个小组,他们的家人也被纳入其中。研究采用了准实验设计来确定该计划是否有效果。干预前后进行了适应行为评估系统、KIDSCREEN-27 和家庭生活质量量表的测试。结果显示,孩子们的社交、家庭和学校技能有了明显提高,他们对与父母的关系、社会支持和学校的生活质量也有了更好的认识。此外,该计划还影响了家庭对实际支持和情感支持的感知。研究结果为应用该休闲计划提高生活质量提供了支持。
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引用次数: 0
期刊
Journal of Intellectual Disabilities
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