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Prevalence of Secondary Traumatic Stress Among Direct Support Professionals in Intellectual and Developmental Disabilities Field. 智力与发育障碍直接支持专业人员继发性创伤应激的患病率。
IF 1.8 3区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-08-01 DOI: 10.1352/1934-9556-60.4.273
Daniel A Boamah, Anita P Barbee

Direct support professionals (DSPs) are deemed by existing literature as vital support to persons with intellectual or developmental disabilities (IDD). They may be exposed to the traumatic experiences of people with IDD with potential psychological implications. Secondary traumatic stress (STS) has been studied among related professionals across human services, but little is known among DSPs. The current study examines the prevalence of STS in a sample of DSPs. The results suggested that DSPs are exposed to traumatic experiences, and exposure to a greater number of traumatized clients is significantly correlated with symptoms of STS. At least 12.4% of DSPs in this sample met the diagnostic criteria for experiencing post-traumatic stress disorder (PTSD) symptoms. Also, results suggest STS differences in DSPs based on demographics.

现有文献认为直接支持专业人员(dsp)是智力或发育障碍(IDD)患者的重要支持。他们可能会接触到有潜在心理影响的缺碘症患者的创伤经历。继发性创伤应激(STS)已经在人类服务的相关专业人员中进行了研究,但在dsp中却知之甚少。目前的研究检查了sps样本中STS的患病率。研究结果表明,心理服务提供者暴露于创伤经历,且暴露于更多的创伤客户与STS症状显著相关。本样本中至少有12.4%的精神病患者符合创伤后应激障碍(PTSD)症状的诊断标准。此外,研究结果表明,基于人口统计学的sps存在STS差异。
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引用次数: 1
Evidence-Based Early Home Visiting for Mothers and Parents With Intellectual Disability: Home Visitor Perceptions and Practices. 基于证据的智障母亲和父母早期家访:家访者的认知和实践。
IF 1.8 3区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-08-01 DOI: 10.1352/1934-9556-60.4.288
Allison L West, Kate E Dibble

Evidence-based maternal, infant, and early home visiting (EBHV) is a potential strategy to support parent and child health and well-being among families headed by a parent with an intellectual disability (ID). Little is known about the capacity of EBHV programs to meet the needs of parents with ID effectively. This study examined home visitor practices and perceptions of services for parents with ID. Home visiting staff recruited from a national practice-based research network participated in web-based surveys. Practices and perceptions varied widely across sites and were associated with home visitor knowledge and self-efficacy and site implementation supports, such as policies, curricula, and community collaboration. More work is needed to understand and strengthen EBHV services for parents with ID.

基于证据的母亲、婴儿和早期家访(EBHV)是一种潜在的战略,可支持父母一方为智力残疾(ID)的家庭中父母和儿童的健康和福祉。很少有人知道EBHV项目的能力,以满足父母的需要有ID有效。这项研究调查了家访的做法和对有身份证的父母的服务的看法。从国家实践研究网络招募的家访人员参与了基于网络的调查。不同地点的实践和认知差异很大,并与家访者的知识、自我效能和地点实施支持(如政策、课程和社区合作)有关。需要做更多的工作来了解和加强为患有身份证的父母提供的EBHV服务。
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引用次数: 1
Seeking Out Social Learning: Online Self-Education in Parents of Children With Intellectual and Developmental Disabilities. 寻求社会学习:智力和发育障碍儿童父母的在线自我教育。
IF 1.8 3区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-08-01 DOI: 10.1352/1934-9556-60.4.303
Christina M Karns, Bonnie Todis, Elizabeth Glenn, Ann Glang, Shari L Wade, Ilka Riddle, Laura Lee McIntyre

Supportive, informed parenting is critical to improve outcomes of children who experience intellectual and developmental disabilities (IDD). Parents want to learn about their child's condition, needs, and strategies to improve family life. The internet is a valuable resource, but how parents evaluate and apply information is unknown. We conducted focus groups to understand how parents use internet resources to learn about their children with IDD. Parents described using the internet to access information from trusted sources, find examples to apply their knowledge, and seek social support. Social learning theory, which posits that cognitive, behavioral, and social processes influence each other to support real-world learning, could provide a theoretical framework for unifying these findings and for designing efficacious online interventions.

支持性的、知情的养育方式对于改善智力和发育障碍儿童的结局至关重要。父母想要了解孩子的状况、需求和改善家庭生活的策略。互联网是一个宝贵的资源,但父母如何评估和应用信息是未知的。我们进行了焦点小组讨论,以了解家长如何使用互联网资源来了解他们患有IDD的孩子。家长们表示,他们使用互联网从可信的来源获取信息,寻找例子来应用他们的知识,并寻求社会支持。社会学习理论假设认知、行为和社会过程相互影响以支持现实世界的学习,可以为统一这些发现和设计有效的在线干预提供理论框架。
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引用次数: 0
Formal and Informal Supports for Women With Intellectual and Developmental Disabilities During Pregnancy. 为怀孕期间有智力和发育障碍的妇女提供正式和非正式支助。
IF 1.8 3区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-08-01 DOI: 10.1352/1934-9556-60.4.261
Eliana Rosenthal, Susan L Parish, Cristina Ransom, Lauren D Smith, Monika Mitra

This article explores the role of formal and informal supports for women with intellectual and developmental disabilities (IDD) throughout their pregnancy, childbirth, and postpartum experiences. Data from qualitative interviews with women with IDD (n = 16) were analyzed. Results showed that formal supports aided in planning, transportation, advocacy, and providing emotional support throughout pregnancy. Informal supports helped with errands, comfort, and emotional encouragement. The community surrounding these women facilitated communication with providers, self-empowerment regarding health choices, and increased preparedness for parenthood. Findings indicate the importance of encouraging and sustaining both formal and informal supports during pregnancy, childbirth, and postpartum to improve pregnancy and parenting experiences for women with IDD.

本文探讨了智力和发育障碍(IDD)妇女在怀孕、分娩和产后经历中的正式和非正式支持的作用。对IDD妇女(n = 16)的定性访谈数据进行分析。结果表明,在整个怀孕期间,正式的支持有助于计划、交通、宣传和提供情感支持。非正式的支持在跑腿、安慰和情感鼓励方面提供帮助。这些妇女周围的社区促进了与提供者的沟通,促进了在健康选择方面的自我赋权,并加强了为人父母的准备。研究结果表明,在怀孕、分娩和产后鼓励和维持正式和非正式的支持对于改善缺碘症妇女的怀孕和育儿经历非常重要。
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引用次数: 3
The Benefits of Active, Person-Centered Job Placement: Results From Service Providers Undergoing Organizational Transformation Away From Sheltered Employment. 积极的,以人为本的就业安置的好处:结果从服务提供者经历组织转型远离庇护就业。
IF 1.8 3区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-05-31 DOI: 10.1352/1934-9556-60.3.234
Oliver Lyons, J. Timmons, A. Hall, Lara Enein-Donovan, Esther Kamau
Recent national and state-level policy changes have created an imperative for service providers to transform from sheltered work to competitive integrated employment. The current study sought to understand the impact of participation in a 1-year, comprehensive technical assistance pilot designed to support service providers to transform away from sheltered workshops towards encouraging competitive integrated employment and delivering job development supports. Findings showed competitive integrated employment is attainable if given the appropriate organizational emphasis and when effective job development practices are implemented to a strategically identified group. Implications highlight the values of slowly preparing individuals for competitive integrated employment; facilitating an active, person-centered job placement process; engaging key stakeholders in job development; and focusing on individual job placement in the context of organizational transformation.
最近国家和州一级的政策变化使得服务提供者必须从庇护工作转变为有竞争力的综合就业。目前的研究旨在了解参与为期一年的全面技术援助试点项目的影响,该试点项目旨在支持服务提供者从受庇护的车间转变为鼓励竞争性综合就业和提供就业发展支持。调查结果表明,如果给予适当的组织重视,并在战略确定的群体中实施有效的工作发展实践,竞争性综合就业是可以实现的。其含义突出了为竞争性综合就业缓慢准备个人的价值;促进积极和以人为本的就业安置过程;让主要利益相关者参与工作发展;并关注组织转型背景下的个人就业安置。
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引用次数: 2
Leisure Participation Opportunities for Adults With Intellectual Disability With Moderate Levels of Impairment Residing in Community Apartments. 居住在社区公寓的中度智力残疾成年人的休闲参与机会。
IF 1.8 3区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-05-31 DOI: 10.1352/1934-9556-60.3.226
A. Keller, N. Weintraub
The purpose of this study was to examine the leisure and recreation opportunities available in community apartments for adults with intellectual disability (ID), and their association with leisure participation. The study included 38 adults with ID with moderate levels of impairment residing in 19 apartments. Apartment coordinators reported on apartment characteristics, as well as leisure and recreation schedule and opportunities. Findings revealed diverse leisure and recreation activities. We found correlation between the number of activities (rs = .392 , p = .015; rs = .433, p = .007, respectively) as well as a visible daily schedule (Z = 2.143, p = .035) and leisure participation. Findings suggest that diverse leisure activities and a visible schedule may be associated with improved leisure participation.
摘要本研究旨在探讨智障成人在社区公寓的休闲与娱乐机会,以及他们与休闲参与的关系。该研究包括住在19套公寓的38名患有中度认知障碍的成年人。公寓协调人报告了公寓的特点,以及休闲和娱乐的时间表和机会。调查结果显示,休闲和娱乐活动多种多样。我们发现活动的数量之间存在相关性(rs = 0.392, p = 0.015;rs = .433, p = .007),以及可见的日常计划(Z = 2.143, p = .035)和休闲参与。研究结果表明,多样化的休闲活动和明确的时间表可能与提高休闲参与有关。
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引用次数: 0
Résumés en Français. 英文摘要。
IF 1.8 3区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-05-31 DOI: 10.1352/2326-6988-7.1.71
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引用次数: 0
Direct Support Professionals: Stress and Resiliency Amidst the COVID-19 Pandemic. 直接支持专业人员:新冠肺炎大流行期间的压力和复原力。
IF 1.8 3区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-05-31 DOI: 10.1352/1934-9556-60.3.246
Kathy Sheppard-Jones, H. Kleinert, Laura Butler, Jian Li, Emily Moseley, Chithra Adams
This study reports on the results of an online survey of direct support professionals (DSPs) during the COVID-19 pandemic in June 2020 to measure their perceived quality of life, stressors, coping/resilience skills, and knowledge of health care rights directly related to the pandemic for the persons that they support. Specifically, we examined direct support workers' perceptions of their quality of life, levels of stress, and their self-reported resilience skills. We found that perceived stress was strongly correlated with both self-reported quality of life and resilience, but not with years of DSP experience. Moreover, while DSPs overwhelmingly knew and affirmed health care rights for people with disabilities, they were less knowledgeable about their legal rights during hospital stays.
本研究报告了2020年6月新冠肺炎大流行期间直接支持专业人员(DSP)的在线调查结果,以衡量他们所支持的人的感知生活质量、压力源、应对/恢复能力以及与大流行直接相关的医疗保健权利知识。具体来说,我们调查了直接支持工作者对他们的生活质量、压力水平和自我报告的恢复能力的看法。我们发现,感知到的压力与自我报告的生活质量和恢复力密切相关,但与DSP的多年经验无关。此外,尽管DSP绝大多数人知道并肯定残疾人的医疗保健权利,但他们在住院期间对自己的法律权利知之甚少。
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引用次数: 0
Intermediate Care Facilities for Individuals With Intellectual Disabilities: Does Ownership Type Affect Quality of Care? 智障人士中间护理设施:所有权类型是否影响护理质量?
IF 1.8 3区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-05-31 DOI: 10.1352/1934-9556-60.3.212
Alison D. Morantz, L. Ross
Because many large, state-owned Intermediate Care Facilities for Individuals With Intellectual Disabilities (ICF/IIDs) have closed or downsized, their average size has fallen markedly, as has the number that are publicly owned. We probe the relationship between ownership type and four measures of care quality in ICF/IIDs. Data on deficiency citations suggest that for-profits underperform other ownership types, although data on complaints show no clear pattern. Meanwhile, data on staffing ratios and restrictive behavior management practices, based mostly on facility self-reports, generally tell the opposite story. Our results lend some credence to concerns regarding inadequate care in for-profit ICF/IIDs, while underscoring the importance of requiring ICF/IID operators to report more comprehensive, longitudinal data that are less prone to error and reporting bias.
由于许多大型的国有智障人士中间护理机构(ICF/IIDs)已经关闭或缩减规模,它们的平均规模明显下降,公立机构的数量也是如此。我们探讨了所有权类型与ICF/IIDs护理质量的四项指标之间的关系。关于不足引用的数据表明,营利机构的表现低于其他所有权类型,尽管关于投诉的数据没有显示出明确的模式。与此同时,关于员工比例和限制性行为管理实践的数据(主要基于工厂的自我报告),通常呈现出相反的情况。我们的研究结果在一定程度上证实了营利性ICF/IID中护理不足的担忧,同时强调了要求ICF/IID运营商报告更全面、更纵向的数据的重要性,这些数据不容易出现错误和报告偏差。
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引用次数: 2
Comparing Perspectives Between Different Agency Structures and Support Models. 不同代理结构和支持模式之间的视角比较。
IF 1.8 3区 医学 Q2 EDUCATION, SPECIAL Pub Date : 2022-05-31 DOI: 10.1352/1934-9556-60.3.199
K. E. Johnson, Caitlin E. Bailey, Nancy R. Weiss, Steven M. Eidelman
The roles and responsibilities of direct support professionals (DSPs) are evolving. This qualitative study explores how DSPs perceive their role and explores those perceptions across DSPs working in traditional, intermediate, and innovative agencies, as defined for the study. Examining 440 DSP survey responses and interviews with 24 DSPs, we found that DSPs working in more individualized settings tended to have expanded role functions (focused on promoting self-determination and community engagement). DSPs working in more traditional settings tended to have more care-focused role functions (concentrated on activities of daily living, medication administration, and health and safety). The role perception of DSPs at intermediate agencies and role conflict due to competing responsibilities demonstrate a need to systemically transform future service delivery.
直接支持专业人员(DSP)的角色和职责正在演变。这项定性研究探讨了DSP如何看待自己的角色,并探讨了在传统、中间和创新机构工作的DSP之间的这些看法,正如本研究所定义的那样。通过对440份DSP调查回复和对24名DSP的采访,我们发现,在更个性化的环境中工作的DSP往往具有更广泛的角色功能(侧重于促进自决和社区参与)。在更传统的环境中工作的DSP往往具有更注重护理的角色功能(集中于日常生活、药物管理以及健康和安全活动)。DSP在中间机构的角色认知和因职责竞争而产生的角色冲突表明,有必要系统地转变未来的服务提供。
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引用次数: 0
期刊
Intellectual and Developmental Disabilities
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