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Bridging the intention-behavior gap: The role of action planning in parental support for physical activity in children and adolescents with autism spectrum disorder 弥合意向-行为差距:行动计划在父母对自闭症谱系障碍儿童和青少年体育活动支持中的作用。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-12-01 Epub Date: 2025-11-13 DOI: 10.1016/j.ridd.2025.105161
Xinzhi Hu , Jiafu Huang , Byungmo Ku , Healy Sean , Chunxiao Li

Background

Parental support constitutes a critical determinant of physical activity (PA) engagement in children and adolescents with autism spectrum disorder (ASD), yet its predictors remain understudied. Grounded in an extended Theory of Planned Behavior (TPB) framework, this study examines the sequential relationships between parental support intention, parental action planning, parental support, and PA in this population.

Methods

A cross-sectional survey was conducted with 164 parents/caregivers of children and adolescents with ASD in China. The parents/caregivers completed a survey form measuring key TPB constructs of interest.

Results

Only 18.3 % of children and adolescents with ASD met the WHO’s recommended guideline of at least 60 min of daily PA. Path analysis revealed that parental support intentions directly predicted parental action planning (β = 0.52) and parental support (β = 0.34), while action planning mediated the intention-behavior relationship. Further, parental support mediated the intention-PA association (β = 0.41) and served as the critical pathway linking intention to children's PA through a chain mediation model (support intention → action planning → parental support → PA).

Conclusion

The extended TPB model elucidates the mechanisms underlying parental support for children and adolescents with ASD. These findings underscore the necessity to strengthen parental intentions, develop actionable plans, and implement integrated support strategies for promoting PA in this population.
背景:父母支持是自闭症谱系障碍(ASD)儿童和青少年身体活动(PA)参与的关键决定因素,但其预测因素仍未得到充分研究。本研究以扩展的计划行为理论(TPB)框架为基础,考察了这一人群中父母支持意向、父母行动计划、父母支持和PA之间的顺序关系。方法:采用横断面调查方法对164名中国儿童和青少年ASD的家长/照顾者进行调查。家长/照顾者完成一份调查表格,测量感兴趣的关键TPB构念。结果:只有18.3% %的ASD儿童和青少年达到了WHO推荐的每日至少60 分钟的PA指南。通径分析显示,父母支持意向直接预测父母行为计划(β = 0.52)和父母支持(β = 0.34),而行为计划介导意愿-行为关系。父母支持通过支持意愿→行动计划→父母支持→行为行为这一链式中介模型,在意向与儿童行为行为之间起着重要的中介作用(β = 0.41)。结论:扩展的TPB模型阐明了父母对儿童和青少年ASD的支持机制。这些发现强调了加强父母意愿、制定可行计划和实施综合支持策略以促进这一人群PA的必要性。
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引用次数: 0
Defining and measuring emotional well-being in intellectual and developmental disabilities: A scoping review 定义和测量智力和发育障碍的情感健康:范围综述
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-11-01 Epub Date: 2025-10-03 DOI: 10.1016/j.ridd.2025.105115
Alecia Mercier , Jessica Koslouski , Sandra Chafouleas , Sophie Hall , Caroline G. Richter

Objective

This review aimed to compile and report on existing emotional well-being (EWB) subjective report measures that have been developed, adapted, or validated on individuals with intellectual and developmental disabilities (IDD).

Method

Following PRISMA guidelines, this review searched three databases using search terms related to EWB, IDD, and measurement. Two independent reviewers screened titles and abstracts, then reviewed the full texts to include articles that used an EWB-related measure, had an IDD sample, and reported psychometric evidence (% agreement = 97.41, k = 91.92). For each included article, two coders extracted data, and an item analysis was performed to identify EWB and non-EWB items included in each located measure.

Results

This review identified 33 articles and 20 subjective report measures that were developed, adapted, or validated for individuals with IDD. Most existing measures focus on quality of life rather than treating EWB as a distinct, stand-alone construct, and include only a few EWB items. The included measures were mostly validated on adults and older adults with mild to moderate ID and show varying psychometric evidence across and within measures.

Conclusions

This review clarifies the current state of EWB measurement in individuals with IDD and provides an organized summary of existing EWB measures. These findings can guide the continued development of EWB research in the IDD population by identifying knowledge gaps and pointing to future directions. Findings also help inform the selection of subjective report measures for assessing EWB in individuals with IDD.
目的:本综述旨在汇编和报告现有的针对智力和发育障碍(IDD)患者的情绪健康(EWB)主观报告测量方法,这些测量方法已被开发、调整或验证。方法按照PRISMA指南,使用EWB、IDD和measurement相关的检索词对三个数据库进行检索。两名独立审稿人筛选标题和摘要,然后审查全文,纳入使用ewb相关测量方法、有IDD样本和报告心理测量证据的文章(%一致性= 97.41,k = 91.92)。对于每篇纳入的文章,两名编码员提取数据,并进行项目分析,以确定每个定位测量中包含的EWB和非EWB项目。结果:本综述确定了33篇文章和20个主观报告指标,这些指标是针对IDD患者开发、调整或验证的。大多数现有的衡量标准关注的是生活质量,而不是将EWB视为一个独特的、独立的结构,并且只包括少数EWB项目。所包括的测量大多在患有轻度至中度ID的成年人和老年人身上得到验证,并且在测量之间和测量内部显示出不同的心理测量证据。结论本综述澄清了IDD患者EWB测量的现状,并对现有EWB测量方法进行了有组织的总结。这些发现可以通过确定知识差距和指出未来方向来指导IDD人群EWB研究的持续发展。研究结果还有助于为评估IDD患者EWB的主观报告措施的选择提供信息。
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引用次数: 0
Beliefs of teachers who are blind related to the use of artificial intelligence (AI) in Jordan 约旦盲人教师对人工智能(AI)使用的看法
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-11-01 Epub Date: 2025-09-30 DOI: 10.1016/j.ridd.2025.105113
Eman Al-Zboon
This qualitative study employed Interpretative Phenomenological Analysis (IPA) to explore the beliefs and lived experiences of teachers who are blind (TWB) in Jordan regarding the use of artificial intelligence (AI) in education. Data were collected through semi-structured interviews with 14 TWB and a focus group with 8 additional teachers, recruited via snowball and purposive sampling. Findings reveal that TWB actively use various AI applications, including Siri, ChatGPT, currency and image readers, screen readers, and AI-powered search engines like Google and YouTube. Key domains of AI use include daily life, environmental recognition, education, and communication, while mobility, entertainment, and teaching were less common. The study identifies multiple factors shaping AI use, such as personal characteristics, environmental and technological contexts, and socio-cultural influences. Participants reported significant barriers, including limited training, financial constraints, accessibility challenges, and misconceptions about AI. TWB offered practical suggestions to enhance AI adoption in their professional and personal lives. The study concludes with recommendations for policy, practice, and future research to better support AI integration for TWB.
本定性研究采用解释现象学分析(IPA)来探讨约旦盲人教师(TWB)关于在教育中使用人工智能(AI)的信念和生活经历。数据收集通过半结构化访谈14 TWB和焦点小组8额外的教师,通过滚雪球和有目的的抽样招募。调查结果显示,TWB积极使用各种人工智能应用程序,包括Siri、ChatGPT、货币和图像阅读器、屏幕阅读器以及谷歌和YouTube等人工智能搜索引擎。人工智能应用的主要领域包括日常生活、环境识别、教育和通信,而移动、娱乐和教学则不太常见。该研究确定了影响人工智能使用的多种因素,如个人特征、环境和技术背景以及社会文化影响。参与者报告了重大障碍,包括有限的培训、财务限制、可访问性挑战以及对人工智能的误解。TWB为他们提供实用建议,以加强他们在工作和个人生活中采用人工智能。该研究最后提出了政策、实践和未来研究的建议,以更好地支持人工智能在TWB中的整合。
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引用次数: 0
A systematic review of the efficacy of circle of security for parents of children with a developmental delay or intellectual disability 对发育迟缓或智力残疾儿童家长的安全圈效果的系统评价。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-11-01 Epub Date: 2025-10-13 DOI: 10.1016/j.ridd.2025.105124
Ciara McBride , Laura McHugh , Lisa Flanagan , Margaret Farrelly
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引用次数: 0
Mother-infant interactions in infants at high risk of cerebral palsy compared to a low-risk group: A longitudinal study of the first 15 months 脑瘫高危婴儿与低危组的母婴互动:前15个月的纵向研究
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-11-01 Epub Date: 2025-10-22 DOI: 10.1016/j.ridd.2025.105131
Julie Enkebølle Hansen , Carlo Schuengel , Agnes Willemen , Anne Stuart , Mette Skovgaard Væver , Katrine Røhder

Aim

To examine group differences and longitudinal trajectories in mother-infant interactions following an interim clinical diagnosis of high risk of CP up to 15 months corrected age.

Method

This prospective observational study followed infants born in Denmark with (n = 23) or without (n = 36) identified high risk of cerebral palsy and their parents over time. Mother-infant interactions were assessed at 15 weeks, 9 months, and 15 months using the Coding Interactive Behavior manual. Group differences and trajectories in mother-infant interactions were analyzed using Generalized Estimating Equations (GEE) with bootstrapping to obtain robust estimates

Results

At 15 weeks (T1), the high-risk CP group differed significantly from the comparison group on all observed interactional dimensions, showing lower levels of maternal acknowledging (b = −0.93, p < .001), infant social initiation (b = −0.54, p = .007), and dyadic reciprocity (b = −0.58, p = .041), and higher levels of maternal intrusiveness (b = 1.04, p < .001) and dyadic constriction (b = 0.73, p = .018). While differences in maternal acknowledging and dyadic reciprocity were only present at 15 weeks, maternal intrusiveness and infant social initiation differences were present at 15 weeks and 15 months. Dyadic constriction differences were present across all time points.

Conclusion

Early differences in mother-infant interaction between dyads with and without infant CP risk underscore the importance of tailoring interventions to read and respond to subtle infant cues. Supporting the parent–infant relationship from early infancy might enhance the effectiveness of early intervention and promote more optimal socio-emotional development.
目的:研究15个月矫正年龄的CP高风险中期临床诊断后母婴互动的组间差异和纵向轨迹。方法:这项前瞻性观察性研究随访了在丹麦出生的(n = 23)或未(n = 36)确定脑瘫高风险的婴儿及其父母。在15周、9个月和15个月时使用编码互动行为手册评估母婴互动。结果:在15周(T1)时,高危CP组在所有观察到的互动维度上都与对照组有显著差异,显示出较低的母亲认知水平(b = -0.93, p )。在有和没有婴儿CP风险的两对母子之间的早期互动差异强调了定制干预的重要性,以阅读和回应婴儿的微妙线索。从婴儿早期开始支持亲子关系可以提高早期干预的有效性,促进更理想的社会情感发展。
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引用次数: 0
Portuguese validation of the Italian BASIQ quality of life assessment battery and implications for health resource consumption 葡萄牙对意大利BASIQ生活质量评估电池的验证及其对卫生资源消耗的影响。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-11-01 Epub Date: 2025-10-17 DOI: 10.1016/j.ridd.2025.105130
Joana Lindim Pereira , Dália Nogueira , Annamaria Bianco , Marco Bertelli

Introduction

Intellectual Disability (ID) is characterized by significant limitations in intellectual functioning and adaptive behavior. Quality of Life (QoL) is increasingly important in evaluating health interventions and support programs, helping improve resource allocation. In the context of ID, Generic QoL is considered a more valuable measure than Health-Related QoL. Objectives: This study has two main goals: a) to adapt and validate the Italian BASIQ instrument for assessing QoL in adults with ID for European Portuguese, and b) to analyse the relationship between QoL and health resource consumption in people with ID living in residential facilities. Methods: The instrument combines quantitative and qualitative measures, assessing nine QoL domains through Direct Interviews (DI), Proxy Questionnaires (PQ), and External Assessor Questionnaires (EAQ). It was administered to 111 adults with ID from two residential facilities in Lisbon. For the correlational analysis between QoL and costs, a sample of 102 individuals from one facility was used. Results: The instrument showed strong psychometric properties (Cronbach's alpha > 0.870 for all three instruments) and satisfactory inter-rater reliability (Cohen's K > 0.7). The nine domains are positively correlated with each other for the PQ, for all EAQ domains, and for about half of DI domains. In the analysis of QoL and costs, approximately 34 % of total costs were linked to QoL, particularly those related to outside activities and selfcare/ leisure services, rather than to human resources or health care. Conclusions: The study supports the validity of the BASIQ-PT for assessing QoL in people with ID, highlighting its potential for practical applications and program development. Additionally, other factors impacting QoL, such as the quality of relationships between people with ID and professionals, should be considered in future analyses.
智力残疾(ID)的特征是智力功能和适应性行为的显著限制。生活质量(QoL)在评估健康干预和支持计划方面越来越重要,有助于改善资源分配。在ID的背景下,通用生活质量被认为比健康相关生活质量更有价值。目的:本研究有两个主要目的:a)对意大利BASIQ工具进行改进和验证,以评估欧洲葡萄牙人成年身份证患者的生活质量;b)分析居住在住宅设施中的身份证患者的生活质量与卫生资源消耗的关系。方法:采用定量与定性相结合的方法,通过直接访谈(DI)、代理问卷(PQ)和外部评估问卷(EAQ)对9个生活质量领域进行评估。对来自里斯本两家住宅机构的111名有身份证的成年人进行了研究。对于生活质量和成本之间的相关性分析,使用了来自一家机构的102名个体样本。结果:该仪器具有较强的心理测量特性(三种仪器的Cronbach’s alpha >均为0.870)和令人满意的量表间信度(Cohen’s K >为0.7)。这9个结构域在PQ、所有EAQ结构域和大约一半的DI结构域之间呈正相关。在对生活质量和费用的分析中,大约34% 总费用与生活质量有关,特别是与外部活动和自我保健/休闲服务有关的费用,而不是与人力资源或保健有关的费用。结论:本研究支持BASIQ-PT评估ID患者生活质量的有效性,突出了其实际应用和项目开发的潜力。此外,在未来的分析中,应该考虑影响生活质量的其他因素,例如ID患者与专业人员之间的关系质量。
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引用次数: 0
Exploring the interplay between adaptive behavior, support needs, quality of life, and self-determination with persons with intellectual and developmental disabilities 探索适应行为,支持需求,生活质量和自我决定与智力和发育障碍者之间的相互作用。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-11-01 Epub Date: 2025-10-16 DOI: 10.1016/j.ridd.2025.105126
Clarissa Moreira , Cristina Simões , André Oliveira , Karrie Shogren , Mayumi Haiwara , Armanda Pereira , Pedro Rosário , Rodrigo Gomes , Fernando Gomes , Sofia Santos
This study examined the correlations between adaptive behavior, support needs, quality of life (QOL), and self-determination in adults with intellectual and developmental disabilities (IDD). The sample comprised 80 adults (>18 y, 27 ± 13.8), 40 women and 40 men, with mild and moderate IDD, all institutionalized. Portuguese versions of four instruments were administered: Adaptive Behavior Scale, Supports Intensity Scale, Personal Outcomes Scale, and Self-Determination Inventory. These were administered to better understand how these constructs interact with and influence one another in real-life contexts. The correlations between self-determination and adaptive behavior were weak to moderate, highlighting a more complex and possibly indirect relationship between these two constructs. Self-determination showed negative correlations with support needs, indicating that individuals with more supports need may face more barriers to acting autonomously or making meaningful choices. The findings revealed significant and positive correlations between the core components and essential characteristics of self-determination and various QOL domains. This suggests that individuals who report a higher QOL also tend to demonstrate greater self-determined behavior and are more likely to engage in volitional behavior. Notably, both QOL and support needs emerged as significant and robust predictors of self-determination, underscoring the central role played by contextual and environmental factors in shaping one’s capacity to act with agency. These findings underscore the importance of fostering environments that not only reduce unnecessary support dependence, but also actively promote QOL, autonomy, and meaningful participation. Thus, services and policies can more effectively support the realization of self-determination for people with IDD.
本研究探讨了智力和发育障碍(IDD)成人的适应行为、支持需求、生活质量(QOL)和自我决定之间的相关性。样本包括80名成人(>18 y, 27 ± 13.8),40名女性和40名男性,均患有轻度和中度IDD,均住院治疗。采用葡萄牙语版本的四种工具:适应行为量表、支持强度量表、个人结果量表和自决量表。这些实验是为了更好地理解这些构念在现实生活中是如何相互作用和影响的。自我决定和适应行为之间的相关性介于弱到中等之间,这表明这两个构念之间存在着更为复杂且可能是间接的关系。自我决定与支持需求呈负相关,表明需要更多支持的个体在自主行动或做出有意义的选择时可能面临更多障碍。结果表明,自我决定的核心成分和基本特征与各生活质量域之间存在显著的正相关关系。这表明,报告生活质量较高的个体也倾向于表现出更大的自主行为,更有可能从事意志行为。值得注意的是,生活质量和支持需求都是自我决定的重要而有力的预测因素,强调了背景和环境因素在塑造一个人的能动性行动能力方面所起的核心作用。这些发现强调了培育环境的重要性,不仅要减少不必要的支持依赖,而且要积极促进生活质量、自主性和有意义的参与。因此,服务和政策可以更有效地支持缺碘症患者实现自决。
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引用次数: 0
Preserved phonological but impaired semantic processing in Williams syndrome: Evidence from a word association judgment task 威廉姆斯综合征的语音加工保留但语义加工受损:来自单词联想判断任务的证据。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-11-01 Epub Date: 2025-10-27 DOI: 10.1016/j.ridd.2025.105134
Amandine Hippolyte , Steve Majerus , Nathalie Marec-Breton , Christelle Declercq , Laure Ibernon
Williams syndrome (WS) is a genetic neurodevelopmental disorder affecting intellectual, cognitive, and language development. We re-examined the phonological-semantic imbalance hypothesis by probing phonological and semantic processing abilities within the same task context, in 19 children with WS and 57 typically developing (TD) children. Participants saw pictures pairs, heard their names, and indicated whether the words were related; the words, if related, shared either phonological or semantic features. Using a generalized linear mixed model, results showed that WS children exhibited a stronger preference for phonological associations over semantic associations, compared to TD children, after controlling for general verbal or non-verbal abilities. Both groups showed similar sensitivity to phonological relations, but WS children showed reduced sensitivity to semantic ones. This pattern suggests that WS individuals have a less developed or an atypical semantic network, emphasizing the need for language intervention to focus on semantic levels of processing.
威廉姆斯综合征(WS)是一种影响智力、认知和语言发育的遗传性神经发育障碍。我们对19名WS儿童和57名正常发育(TD)儿童在相同任务情境下的语音和语义加工能力进行了研究,重新验证了语音-语义不平衡假说。参与者看到成对的图片,听到他们的名字,并指出这些单词是否相关;这些词如果有关联,就有共同的语音或语义特征。采用广义线性混合模型,结果表明,在控制了一般语言和非语言能力后,WS儿童比TD儿童更倾向于语音联想而不是语义联想。两组对语音关系的敏感性相似,但WS儿童对语义关系的敏感性降低。这一模式表明WS个体的语义网络不太发达或不典型,强调需要语言干预来关注语义加工水平。
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引用次数: 0
Perspectives on family wellbeing among mothers of children with intellectual disabilities in the Arab World 阿拉伯世界智障儿童母亲对家庭福祉的看法。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1016/j.ridd.2025.105140
Ghaleb Alnahdi , Elsayed Elshabrawi Ahmed Hassanein , Taha R. Adawi

Background

This study investigates Family Quality of Life (FQoL) among mothers of children with intellectual disabilities across three Arab countries: Saudi Arabia, Egypt, and Qatar.

Method

Data were collected from 373 mothers using the Beach Center Family Quality of Life Scale. Repeated measures ANOVA and multiple regression analyses were conducted to assess differences across FQoL domains and identify associated demographic predictors.

Results

Results reveal varying levels of satisfaction across FQoL domains, with Family Interaction scoring the highest and Emotional Wellbeing the lowest. Factors such as the mother's age, the child's disability severity, and country of residence significantly influence satisfaction levels in some domains.

Conclusion

The findings highlight the importance of culturally responsive supports, particularly in the emotional domain, and suggest that tailored interventions addressing demographic and contextual factors may enhance the well-being of mothers of children with intellectual disabilities in the Arab region.
背景:本研究调查了三个阿拉伯国家(沙特阿拉伯、埃及和卡塔尔)智障儿童母亲的家庭生活质量(FQoL)。方法:采用比奇中心家庭生活质量量表对373名母亲进行问卷调查。采用重复测量方差分析和多元回归分析来评估FQoL域的差异,并确定相关的人口统计学预测因子。结果:结果揭示了不同程度的满意度在FQoL领域,家庭互动得分最高,情绪健康最低。母亲的年龄、儿童的残疾严重程度和居住国等因素在某些领域显著影响满意度水平。结论:研究结果强调了文化响应性支持的重要性,特别是在情感领域,并表明针对人口和环境因素的量身定制的干预措施可能会提高阿拉伯地区智障儿童母亲的福祉。
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引用次数: 0
Math for life: Understanding the contribution of numeracy to the quality of life of adults with mild to profound intellectual disabilities 生活中的数学:理解计算能力对有轻度到重度智力残疾的成年人生活质量的贡献。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2025-11-01 Epub Date: 2025-10-17 DOI: 10.1016/j.ridd.2025.105127
Maëlle Neveu , Guillaume Verdure , Laurent Lefebvre , Audrey Vicenzutto , Romina Rinaldi

Aim

Despite sustained interest in quality of life (QoL) within the field of intellectual disabilities (ID), the contributors to its enhancement remain unclear. This large-scale study (n = 567) aimed to investigate the relationship between numeracy and QoL in adults with ID—according to their severity—and to examine this relationship with regard to other functional academic skills.

Method

Participants included adults with mild, moderate, and severe to profound ID living in supported residential facilities. QoL was assessed using the Personal Outcomes Scale for Adults, encompassing eight dimensions categorised into three high-level factors: independence including self-determination; social participation including interpersonal relationships, social inclusion, and rights; and well-being including emotional, physical, and material well-being. A numeracy scale was designed with items related to the mathematical processing of the Vineland Adaptive Behavior Scales, Second Edition. Partial correlations and linear mixed models were used to not only confirm the existence of a relationship between numeracy and QoL but also investigate whether numeracy can be considered a unique predictor of QoL.

Results

Findings revealed that numeracy is significantly associated with QoL across all levels of ID, even when controlling for literacy, thereby emerging as a unique predictor of personal development, self-determination, and social participation among individuals with mild to moderate ID and of self-determination among those with severe to profound ID.

Conclusion

The results emphasise numeracy’s importance in improving the QoL of adults with ID, highlighting the need to refine its role within the support frameworks designed for this population.
目的:尽管对智力残疾(ID)领域的生活质量(QoL)持续感兴趣,但其提高的贡献者仍不清楚。这项大规模研究(n = 567)旨在根据严重程度调查患有id的成年人的计算能力和生活质量之间的关系,并研究这种关系与其他功能性学术技能的关系。方法:参与者包括轻度、中度、重度到重度的生活在支持性居住设施的成人。生活质量使用成人个人结果量表进行评估,包括八个维度,分为三个高水平因素:独立性,包括自决;社会参与包括人际关系、社会包容和权利;幸福包括情感、身体和物质上的幸福。计算能力量表是设计与项目有关的数学处理Vineland适应行为量表,第二版。部分相关和线性混合模型不仅证实了计算能力和生活质量之间存在关系,而且还研究了计算能力是否可以被认为是生活质量的唯一预测因子。结果:研究结果显示,即使在控制识字的情况下,计算能力也与所有ID水平的生活质量显著相关,从而成为轻度至中度ID个体的个人发展、自我决定和社会参与的独特预测因子,以及严重至深度ID个体的自我决定的独特预测因子。结论:研究结果强调了计算能力在改善ID成人生活质量方面的重要性,强调了在为该人群设计的支持框架中完善其作用的必要性。
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引用次数: 0
期刊
Research in Developmental Disabilities
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