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Correction to: “Development of a sexual consent intervention for adolescents with intellectual and developmental disabilities” 更正:"为有智力和发育障碍的青少年制定性同意干预措施"。
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-09-02 DOI: 10.1111/jar.13294

Greene, A., Baugh, M., Sherwood-Laughlin, C., Greathouse, L., Galyan, J., Simic Stanjovic, I., Sangmo, D., Jozkowski, K., Dubie, M., & Chow, A. (2024). Development of a sexual consent intervention for adolescents with intellectual and developmental disabilities. Journal of Applied Research in Intellectual Disabilities, 37(5), e13272. 10.1111/jar.13272

In the original article, first published online on 05 July 2024, one of the co-author's surnames had been spelled incorrectly. The correct spelling is Ivanka Simić Stanojević.

The article has been updated on 12 August 2024 with the correct spelling.

Greene, A., Baugh, M., Sherwood-Laughlin, C., Greathouse, L., Galyan, J., Simic Stanjovic, I., Sangmo, D., Jozkowski, K., Dubie, M., & Chow, A. (2024)。为有智力和发育障碍的青少年制定性同意干预措施》(Development of a sexual consent intervention for adolescents with intellectual and developmental disabilities.智障应用研究期刊》,37(5),e13272。10.1111/jar.13272在 2024 年 7 月 5 日首次在线发表的原文中,合著者之一的姓氏拼写有误。文章已于 2024 年 8 月 12 日更新了正确的拼写。
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引用次数: 0
‘A potentially ticking time bomb’ – barriers for prevention, diagnosis, and treatment of cardiovascular disease in people with intellectual disabilities 潜在的定时炸弹"--智障人士心血管疾病的预防、诊断和治疗障碍
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-29 DOI: 10.1111/jar.13279
Tanja Plasil, Ellen Margrete Iveland Ersfjord, Kim Berge, Line M. Oldervoll

Background

Research suggests that people with intellectual disabilities have a higher risk for cardiovascular disease than the general population. The aim of this study was to identify barriers for the prevention, diagnosis, and treatment of cardiovascular disease for people with intellectual disabilities.

Method

We conducted individual interviews with relatives and general practitioners and focus group interviews with staff working at an assisted home facility, a cardiac ward, an obesity clinic and two rehabilitation centres (n = 33) in Norway. Inductive approach and thematic analysis were used to analyse the data.

Results

We identified barriers on an individual and a structural level. The underlying reason for these barriers is that health problems, such as cardiovascular disease, are regularly overlooked as the condition of intellectual disability overshadows other possible diagnoses.

Conclusion

This focus on intellectual disability rather than other explanations leads to shortcomings in the prevention, diagnoses, and treatment of cardiovascular disease in this group.

背景 研究表明,智障人士罹患心血管疾病的风险高于普通人群。本研究旨在找出智障人士预防、诊断和治疗心血管疾病的障碍。 研究方法 我们对智障人士的亲属和全科医生进行了个别访谈,并对挪威一家辅助家庭机构、一家心脏病房、一家肥胖症诊所和两家康复中心的工作人员(n = 33)进行了焦点小组访谈。采用归纳法和主题分析法对数据进行分析。 结果 我们发现了个人和结构层面的障碍。造成这些障碍的根本原因是,由于智力障碍的状况掩盖了其他可能的诊断,心血管疾病等健康问题经常被忽视。 结论 这种只关注智力残疾而不关注其他原因的做法,导致该群体在心血管疾病的预防、诊断和治疗方面存在缺陷。
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引用次数: 0
The Use of Snoezelen to Support People With Profound Intellectual and Multiple Disabilities: An International Survey Describing the Perspectives of Support Persons 使用 Snoezelen 支持重度智力和多重残疾人士:描述辅助人员观点的国际调查
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-29 DOI: 10.1111/jar.13295
Gemma Testerink, Annet ten Brug, Gerdine Douma, Annette van der Putten

Background

Snoezelen is often used for people with profound intellectual and multiple disabilities, but scarcely evaluated. This study aimed to provide insight into the application and perceived effects of snoezelen from the perspective of support persons.

Method

We conducted an international survey with professionals (n = 130) and relatives (n = 8) supporting people with profound intellectual and multiple disabilities. Information regarding the application and perceived effects was gathered. Content and descriptive analysis were used.

Results

Despite variation, common characteristics were identified regarding purpose, approach and context. Perceived positive effects mostly concerned improved mental health of the person receiving snoezelen (n = 88). A person-centred approach was reported as important element for positive effects.

Conclusions

This study describes the use of snoezelen for people with profound intellectual and multiple disabilities. These insights can be used for future research into working elements and effects of snoezelen and facilitate evidence-based support.

研究背景 Snoezelen 经常被用于深度智障和多重残疾人士,但很少有人对其进行评估。本研究旨在从支持者的角度深入了解 snoezelen 的应用和感知效果。 方法 我们对支持深度智障和多重残疾人士的专业人士(130 人)和亲属(8 人)进行了一项国际调查。我们收集了有关应用和感知效果的信息。采用了内容分析和描述性分析。 结果 尽管存在差异,但在目的、方法和背景方面发现了共同特征。感知到的积极效果主要涉及改善接受 snoezelen 的人的心理健康(n = 88)。以人为本的方法被认为是产生积极效果的重要因素。 结论 本研究描述了为深度智力残疾和多重残疾人士使用 snoezelen 的情况。这些见解可用于今后对 snoezelen 工作要素和效果的研究,并促进以证据为基础的支持。
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引用次数: 0
Understanding capabilities, opportunities and motivations to engage in physical activity for adults with intellectual disabilities: A qualitative evidence synthesis 了解智障成人参与体育活动的能力、机会和动机:定性证据综述
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-28 DOI: 10.1111/jar.13258
Sophie C. Westrop, Laura Maenhout, Craig A. Melville, Arlene M. McGarty

Background

There is a paucity of theory-informed physical activity research with adults with intellectual disabilities. This study aimed to address this by synthesising existing literature and applying the COM-B model to understand capabilities, opportunities and motivations.

Methods

A qualitative evidence synthesis was conducted and reported in accordance with PRISMA guidelines and the ENTREQ. Three databases were systematically searched up to and including February 2022. Qualitative research relating to the physical activity of adults with intellectual disabilities were included. Thematic synthesis was conducted with themes mapped onto the COM-B model.

Results

Twenty-five studies were included. Influences of physical activity were identified and mapped onto the COM-B model, which also included COM-B influences of social support provided by caregivers.

Conclusions

There are many complex influences of physical activity for adults with intellectual disabilities. Researchers should consider the influences contributing to caregivers' capacity to support physical activity.

研究背景 针对智障成人的体育活动研究缺乏理论依据。本研究旨在通过综合现有文献并应用 COM-B 模型来了解能力、机会和动机,从而解决这一问题。 方法 根据 PRISMA 指南和 ENTREQ 进行定性证据综述和报告。系统检索了三个数据库,检索时间截至 2022 年 2 月(含)。纳入了与智障成人体育活动相关的定性研究。通过将主题映射到 COM-B 模型上进行了专题综合。 结果 共纳入 25 项研究。确定了体育活动的影响因素,并将其映射到 COM-B 模型中,其中还包括照顾者提供的社会支持的 COM-B 影响因素。 结论 对智障成人进行体育锻炼有许多复杂的影响因素。研究人员应考虑影响照顾者支持体育活动能力的因素。
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引用次数: 0
Easy read health information for people with intellectual disabilities: A linguistic discourse analysis. What happens to language when it is simplified? 为智障人士提供易读的健康信息:语言话语分析。语言简化后会发生什么?
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-28 DOI: 10.1111/jar.13293
Susan Buell, Gabrina Pounds, Peter Langdon, Karen Bunning

Introduction

Easy Read health documents prepared for people with intellectual disabilities are often generated from Standard Texts. Language in Easy Read versions is typically assumed to be simpler. However, simplification of language may have unintended consequences. This study aimed to explore the differences in language used between Easy Read health material and the Standard Text versions of the same material produced for the general population.

Methods

Five Easy Read/Standard Text pairs were sampled and analysed using Systemic Functional Linguistics. This addressed: how people with intellectual disabilities and others were represented by language, the author stance in relation to the reader and the overall organisation of the text.

Results

The Easy Read versions often used language that was less empowering and inclusive.

Conclusion

Increased awareness of author power and better knowledge of the impact of language choice could help to redress these issues.

导言 为智障人士准备的简易阅读健康文件通常由标准文本生成。简易阅读版本中的语言通常被认为比较简单。然而,语言的简化可能会带来意想不到的后果。本研究旨在探讨易读健康材料与为普通人群制作的标准文本版本在语言使用上的差异。 方法 采用系统功能语言学方法对五对《简易读本》/《标准文本》进行抽样和分析。分析涉及:语言如何表现智障人士和其他人、作者与读者的关系以及文本的整体组织。 结果 易读版本所使用的语言往往不那么具有权力性和包容性。 结论 提高对作者权力的认识,更好地了解语言选择的影响,有助于纠正这些问题。
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引用次数: 0
A systematic review and meta-analysis of the effectiveness of interventions targeting the parent–child relationship in families of children with an intellectual disability 针对智障儿童家庭亲子关系的干预措施有效性的系统回顾和荟萃分析。
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-27 DOI: 10.1111/jar.13273
Freya Westlake, Meryl Westlake, Vaso Totsika

Background

The review aimed to investigate the effectiveness of parent–child relationship interventions for families of children with intellectual disability up to 12 years old.

Methods

Quasi-experimental or randomised controlled trials (RCTs) of interventions targeting the parent–child relationship where ≥50% of children had an intellectual disability were included. Meta-analyses of parent–child relationship outcomes and child outcomes used standardised mean difference as the effect size.

Results

Twenty-seven papers were included (N = 1325). Parent–child relationship outcomes improved significantly (n = 1325; g = 1.08, 95% CI: 0.64, 1.52) with a large effect size that was robust to sensitivity analyses. Child developmental outcomes improved significantly (n = 1082; g = 0.65, 95% CI: 0.23, 1.07), and indicated a large effect size for child socialisation and communication.

Conclusions

Findings suggest that interventions targeting parent–child relationship quality are associated with substantial improvements in parent–child relationship and may improve child outcomes related to socialisation and communication.

背景:本研究旨在调查针对 12 岁以下智障儿童家庭的亲子关系干预措施的有效性:方法:纳入了针对智障儿童比例≥50%的亲子关系干预措施的准实验或随机对照试验(RCT)。亲子关系结果和儿童结果的元分析采用标准化平均差作为效应大小:共纳入 27 篇论文(N = 1325)。亲子关系结果显著改善(n = 1325;g = 1.08,95% CI:0.64, 1.52),效应大小较大,经敏感性分析也很稳健。儿童发展结果有了明显改善(n = 1082;g = 0.65,95% CI:0.23,1.07),儿童社交和沟通方面的效应规模较大:研究结果表明,针对亲子关系质量的干预措施与亲子关系的大幅改善有关,并可改善儿童社会化和沟通的相关结果。
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引用次数: 0
The association between aggressive behaviour and non-suicidal self-injury and shared risk factors in adults with mild intellectual disability 轻度智障成人的攻击性行为和非自杀性自伤之间的关联以及共同的风险因素。
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-27 DOI: 10.1111/jar.13288
Marlieke van Swieten, Peter de Looff, Joanneke VanDerNagel, Robert Didden

Background

Aggressive behaviour (AB) and non-suicidal self-injury (NSSI) are common in people with mild intellectual disability or borderline intellectual functioning, leading to adverse consequences for themselves and those around them.

Method

We investigated the relationship between AB (both total and physical in particular) and NSSI and risk factors in 125 residents in a treatment clinic using incident reports and standard clinical measurements.

Results

There was a weak correlation between AB and NSSI, as well as between impulsivity and total AB, and between coping and AB and NSSI. However, NSSI, impulsivity and coping skills did not predict AB.

Conclusion

Results do not corroborate those of other studies in this area. In future studies impulsivity, coping, aggression and NSSI may be measured using other instruments, and differences between people with and without intellectual disability regarding these variables may be explored.

背景:攻击性行为(AB)和非自杀性自伤(NSSI)在轻度智障或边缘智力功能患者中很常见,会给他们自己和周围的人带来不良后果:方法:我们使用事件报告和标准临床测量方法,对一家治疗诊所的 125 名住院患者进行了调查,以了解 AB(包括总体和肢体伤害)和 NSSI 与风险因素之间的关系:结果:AB 与 NSSI 之间、冲动与总 AB 之间、应对与 AB 和 NSSI 之间存在微弱的相关性。然而,NSSI、冲动性和应对技能并不能预测 AB:结论:研究结果与该领域的其他研究结果并不一致。在今后的研究中,可以使用其他工具来测量冲动性、应对能力、攻击性和 NSSI,并探讨智障人士和非智障人士在这些变量方面的差异。
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引用次数: 0
Attitudes of direct support professionals and management staff towards intellectual disability in specialised services 直接支持专业人员和管理人员对专门服务机构中智障人士的态度。
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-21 DOI: 10.1111/jar.13292
Isabelle Assouline, Diane Morin

Background

Attitudes towards intellectual disability play an important role in the social inclusion and well-being of persons with intellectual disability. Few studies have examined attitudes of staff working in the specialised service industry, which may have an even greater impact. This study aimed to better understand these attitudes.

Methods

A sample of 157 direct support professionals and 38 managers working with persons with intellectual disability completed the Attitudes Toward Intellectual Disability Questionnaire (ATTID; Morin, Rivard, et al. (2013). Journal of Intellectual Disability Research, 57, 279–292). Attitudes were assessed along affective, cognitive, and behavioural dimensions.

Results

Results revealed generally positive attitudes in both groups, but more paternalistic attitudes among managers and less positive attitudes in the general population. Positive attitudes were associated with level of education, frequency and quality of contact, and knowledge about intellectual disabilities.

Conclusion

Workplace training programs addressing the aetiology of intellectual disability and interventions promoting self-determination may help enhance staff attitudes towards intellectual disability.

背景:对待智障的态度对智障人士的社会融入和福祉起着重要作用。很少有研究对专业服务行业工作人员的态度进行调查,而这可能会产生更大的影响。本研究旨在更好地了解这些态度:157 名直接支持智障人士的专业人员和 38 名管理人员抽样填写了 "对智障人士的态度问卷"(ATTID;Morin、Rivard 等人(2013 年)。智障研究期刊》,57,279-292)。调查从情感、认知和行为三个维度对态度进行了评估:结果显示,两组人的态度普遍积极,但管理人员的态度更家长式,而普通人的态度较不积极。积极态度与教育水平、接触频率和质量以及对智障的了解有关:结论:针对智障病因的工作场所培训计划和促进自决的干预措施可能有助于提高员工对智障的态度。
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引用次数: 0
Including significant others in psychological therapy with people with intellectual disabilities: A national survey of the practice of UK psychologists 让重要他人参与智障人士的心理治疗:英国心理学家实践全国调查。
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-20 DOI: 10.1111/jar.13287
Laura Surley, Dave Dagnan, Kate Lawson, Andrew Jahoda

Background

Talking therapy for people with intellectual disabilities is often specifically adapted. One adaptation is the involvement of significant others in therapy, however, there is no systematic description of the use of this adaptation in routine clinical practice.

Method

An online survey of UK psychologists regarding the inclusion of significant others in individual therapy with people with intellectual disabilities. Data were analysed using qualitative content analysis.

Results

Ninety-five psychologists who work with people with intellectual disabilities provided responses to questions regarding the decision to include significant others in therapy, factors that make including significant others more or less likely and how the role of significant others is explained to them.

Conclusions

Psychologists consider a range of factors in deciding the involvement of significant others. We discuss implications for training of therapists working with people with intellectual disabilities, issues of consent and how the roles of significant others are understood.

背景:针对智障人士的谈话疗法通常会进行特别调整。其中一种调整方式是让重要他人参与治疗,然而,目前还没有系统地描述这种调整方式在常规临床实践中的使用情况:方法:对英国心理学家进行在线调查,了解他们将重要他人纳入智障人士个体治疗的情况。采用定性内容分析法对数据进行分析:95名从事智障人士工作的心理学家回答了有关在治疗中纳入重要他人的决定、使纳入重要他人的可能性增大或减小的因素以及如何向他们解释重要他人的作用等问题:心理学家在决定是否让重要他人参与治疗时会考虑一系列因素。我们讨论了对智障人士治疗师培训的影响、同意问题以及如何理解重要他人的角色。
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引用次数: 0
Item-validity analysis of the SED-S in a multicentre study of adults with intellectual disabilities 智障成人多中心研究中的 SED-S 项目有效性分析。
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-15 DOI: 10.1111/jar.13275
Hauke Hermann, Annemieke Witte, Gloria Kempelmann, Brian F. Barrett, Sandra Zaal, Jolanda Vonk, Filip Morisse, Anna Pöhlmann, Paula S. Sterkenburg, Tanja Sappok

Background

Valid and reliable instruments for measuring emotional development are critical for a proper diagnostic assignment in individuals with intellectual disabilities. This exploratory study examined the psychometric properties of the items on the Scale of Emotional Development—Short (SED-S).

Method

The sample included 612 adults with intellectual disabilities (Mage = 37.35, SDage = 13.27; 59.8% males). Item validity analysis comprising sensitivity and specificity rates and discriminatory power were determined.

Results

The relative mean frequency of ‘yes’ answers to all 200 items was 29.5%. The mean sensitivity rate was 67.5% and the mean specificity rate was 79.3%. Most items (85.0%) showed good discriminatory power with the adjacent stage(s), especially between SED-1, SED-2, SED-3 and SED-4. Particularly in SED-4 some items showed weaknesses in the differentiation between these stages.

Discussion

This study adds to previous validation studies by showing that most SED-S items have psychometrically sound properties.

背景:有效而可靠的情绪发展测量工具对于正确诊断智障人士至关重要。这项探索性研究考察了情绪发展量表-短表(SED-S)项目的心理测量特性:样本包括 612 名成年智障人士(平均年龄 = 37.35 岁,最小年龄 = 13.27 岁;59.8% 为男性)。结果:"是 "和 "否 "的相对平均频率分别为 0.5%和 0.5%:所有 200 个项目中,回答 "是 "的相对平均频率为 29.5%。平均灵敏度为 67.5%,平均特异度为 79.3%。大多数项目(85.0%)对相邻阶段显示出良好的区分能力,尤其是在 SED-1、SED-2、SED-3 和 SED-4 之间。特别是在 SED-4 阶段,一些项目在区分这些阶段方面存在不足:讨论:本研究对之前的验证研究进行了补充,表明大多数 SED-S 项目具有良好的心理测量学特性。
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引用次数: 0
期刊
Journal of Applied Research in Intellectual Disabilities
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