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Journal of Applied Research in Intellectual Disabilities最新文献

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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
Preliminary feasibility study of a cognitive stimulation therapy programme for older adults with an intellectual disability 针对智障老年人的认知刺激疗法计划的初步可行性研究。
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-14 DOI: 10.1111/jar.13291
Rosemary MacHale, Emma NíNeill, Cathy Wyer, Emma Corley, Brian E. McGuire

Background

Despite the increased risk for people with an intellectual disability developing dementia, post-diagnostic psychosocial supports such as cognitive stimulation therapy (CST) are not routinely offered and there is limited research examining this intervention with people with intellectual disabilities. The aim of this study was to explore the feasibility of CST for older adults with intellectual disability to support active ageing.

Methods

Five client participants attended a 14-session CST group and four staff attended a focus group. Reflexive thematic analysis was used to investigate the client and staff narratives.

Results

Three key themes were generated: (1) Brain Health, (2) Connecting with others, and (3) Barriers and Enablers.

Conclusion

Findings indicated the suitability of CST as a way of supporting active ageing for older adults with intellectual disability. This study adds to the growing knowledge about service provision for older adults and their changing needs as they age and identifies clinical implications such as staff training to support intervention adherence.

背景:尽管智障人士罹患痴呆症的风险增加,但认知刺激疗法(CST)等诊断后社会心理支持并不是常规疗法,而且针对智障人士的干预研究也很有限。本研究的目的是探索认知刺激疗法对智障老年人的可行性,以支持他们积极迈向老年:方法:五名客户参加了一个为期 14 节的 CST 小组,四名工作人员参加了一个焦点小组。研究采用了反思性主题分析法来调查客户和工作人员的叙述:产生了三个关键主题:(1) 大脑健康,(2) 与他人联系,(3) 障碍和促进因素:研究结果表明,CST 适合作为支持智障老年人积极养老的一种方式。这项研究丰富了有关为老年人提供服务的知识,以及老年人随着年龄增长而不断变化的需求,并确定了诸如员工培训以支持坚持干预措施等临床影响。
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引用次数: 0
What does ‘feeling at home’ mean for adults with intellectual disabilities living in group homes in England? 对于生活在英格兰集体之家的智障成人来说,"宾至如归 "意味着什么?
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-14 DOI: 10.1111/jar.13274
Deborah Chinn, Tony Levitan, Andrew Power, Katy Brickley, Shalim Ali

Background

Shared housing for adults with intellectual disabilities with staff support, is a common housing model internationally. We explored an overlooked aspect of group homes, namely the extent to which they enable a sense of ‘feeling at home’ for residents.

Method

A diverse group of 19 housemates participated in a photovoice study. Participants took photos in their homes and discussed them in individual interviews and in groups. Data was analysed using reflexive thematic analysis.

Results

Residents' experience of home was multi-dimensional. ‘Feeling at home’ related to home as a site of identity cultivation (personal home); physical comfort or ‘misfitting’ (physical home) and home as the locus of key relationships (social home).

Conclusion

Achieving a sense of ‘feeling at home’ requires engagement in practices of home-making. Many of our participants required support from staff to engage in these practices. For some housemates their experience of home was conditional and precarious.

背景:在国际上,为智障成人提供有工作人员支持的合住房屋是一种常见的住房模式。我们探讨了集体之家被忽视的一个方面,即集体之家在多大程度上让住户有 "家的感觉":方法:由 19 名不同的住户组成的小组参与了一项照片选择研究。参与者在家中拍照,并在个人访谈和小组讨论中进行讨论。研究采用反思性主题分析法对数据进行分析:结果:居民对家的体验是多方面的。家的感觉 "与以下方面有关:家是身份培养的场所(个人家庭);身体舒适或 "不合适"(物理家庭);家是重要关系的所在地(社会家庭):结论:要获得 "家的感觉",就必须参与营造家的实践。我们的许多参与者需要工作人员的支持才能参与这些活动。对于一些舍友来说,他们对家的体验是有条件的、不稳定的。
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引用次数: 0
Correction to “I think they do not know how to lie:” The perceptions of legal support staff about person with intellectual disabilities/autism in Turkish legal system 更正 "我认为他们不知道如何撒谎:"法律支持人员对土耳其法律系统中智障/自闭症患者的看法。
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-13 DOI: 10.1111/jar.13271

Kaya A, Yıldız G. “I think they do not know how to lie:” The perceptions of legal support staff about person with intellectual disabilities/autism in Turkish legal system. Journal of Applied Research in Intellectual Disabilities. 2023;36(3):516–528.

We apologise very much for this error.

Kaya A, Yıldız G. "我认为他们不知道如何撒谎:"法律支持人员对土耳其法律系统中智障/自闭症患者的看法。智障应用研究期刊》。2023;36(3):516-528.We apologize very much for this error.
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引用次数: 0
How are medical students learning to care for patients with intellectual disabilities? A scoping review 医学生如何学习护理智障患者?范围综述。
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-11 DOI: 10.1111/jar.13290
Hana Anderson, Amy C. Studer

Background

Individuals with intellectual disabilities experience barriers to quality healthcare. To reduce this disparity, equipping medical trainees with the knowledge and skills required for treating this patient population is critical. Our aim is to describe the breadth of instructional interventions and identify gaps in intellectual disability medical education curricula.

Method

Using scoping review methods, the intellectual disability programmes described in 27 articles were evaluated and their coverage of the six core competencies on disability for health care education was examined.

Results

The most frequently represented core competencies were disability conceptual frameworks, professionalism and communication, and clinical assessment, which were, in most programmes, fulfilled by activities involving individuals with intellectual disabilities. Uneven competency coverage warrants consideration.

Conclusions

Considerable variabilities exist in medical school curricula on intellectual disabilities. Using core competencies on disability for health care education for curricular design and evaluation would provide a coherent training experience in this important area.

背景:智障人士在获得优质医疗服务方面存在障碍。为了缩小这种差距,让医学学员掌握治疗这类患者所需的知识和技能至关重要。我们的目的是描述教学干预措施的广度,并找出智障医学教育课程中的不足之处:方法:采用范围审查方法,对 27 篇文章中描述的智障课程进行了评估,并检查了这些课程对医疗保健教育中有关残疾的六项核心能力的覆盖情况:结果:最常见的核心能力是残疾概念框架、专业精神和沟通以及临床评估,在大多数课程中,这些能力都是通过有智障人士参与的活动来实现的。能力覆盖面的不均衡值得考虑:结论:医学院的智障课程存在很大差异。在课程设计和评估中使用残疾医疗保健教育的核心能力将为这一重要领域提供连贯的培训体验。
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引用次数: 0
Medicaid long-term services and supports and caregiving needs of caregivers of individuals with intellectual and developmental disabilities 医疗补助长期服务和支持,以及智力和发育障碍人士护理人员的护理需求。
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-05 DOI: 10.1111/jar.13289
Ariana M. Mastrogiannis, Caren Steinway, Telmo C. Santos, Jack Chen, John Berens, Thomas Davis, Michelle Cornacchia, Jason Woodward, Ilka Riddle, Brittany Spicer, Charmaine Wright, Lee A. Lindquist, Sophia Jan

Background

Long-term care services are funded primarily by Medicaid long-term services and support in the United States, where eligibility is based on care needs of the individual with intellectual and developmental disability alone. Impact of Medicaid waiver services on self-reported caregiver needs is not well understood.

Method

Caregivers (n = 405) of individuals with intellectual and developmental disabilities across four states (NY, OH, TX, and PA) completed an online survey.

Results

Caregivers reported a moderate degree of burden and susceptibility of stress-induced health breakdown. Despite controlling for the activities of daily living of the care recipient, caregivers of individuals with Medicaid Waiver services reported greater difficulty managing medications (p = .013) and finding paid help (p < .001) than caregivers of individuals without services.

背景:在美国,长期护理服务的资金主要来自医疗补助计划(Medicaid)的长期服务和支持,其资格仅基于智力和发育障碍患者的护理需求。医疗补助计划减免服务对照顾者自述需求的影响尚不十分清楚:方法:四个州(纽约州、俄亥俄州、德克萨斯州和宾夕法尼亚州)的智力和发育障碍人士的照顾者(n = 405)完成了一项在线调查:结果:照护者报告了中等程度的负担和由压力引起的健康崩溃的易感性。尽管对接受护理者的日常生活活动进行了控制,但接受医疗补助豁免服务的个人的护理者表示在管理药物(p = .013)和寻找有偿帮助(p = .013)方面遇到了更大的困难。
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引用次数: 0
Feasibility and acceptability of a culinary nutrition programme for adults with mild-to-moderate intellectual disability: FLIP Food and Lifestyle Information Programme 针对轻度至中度智障成人的烹饪营养计划的可行性和可接受性:FLIP 食品和生活方式信息计划。
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-05 DOI: 10.1111/jar.13281
R. C. Asher, V. A. Shrewsbury, B. Innes, A. Fitzpatrick, S. Simmonds, V. Cross, A. Rose, E. Hinton, C. E. Collins

Background

Culinary nutrition education can support improved diet-related health and wellbeing. This pre-post pilot study aimed to assess feasibility and acceptability of an eight-session culinary nutrition programme, the Food and Lifestyle Information Programme (FLIP), for adults with mild-to-moderate intellectual disability. A secondary aim was to evaluate preliminary programme effectiveness.

Method

Participants were recruited through a disability service provider. Feasibility measures were: recruitment and retention; implementation; engagement and participation; adverse outcomes; and feasibility of outcome measures. Acceptability was assessed using an interactive process evaluation. Effectiveness measures included cooking frequency, cooking and food skill confidence and diet quality.

Results

Six of eight participants completed the intervention with high attendance and programme engagement. FLIP was well received by participants and support workers. No adverse outcomes occurred. Diet quality was feasible to assess.

Conclusions

Findings can inform content, delivery and evaluation of future culinary nutrition programmes for adults with mild-to-moderate intellectual disability.

背景:烹饪营养教育有助于改善与饮食相关的健康和福祉。本试验性研究旨在评估针对轻度至中度智障成人的八节烹饪营养课程 "食物和生活方式信息课程(FLIP)"的可行性和可接受性。次要目的是评估计划的初步效果:方法:通过残疾服务提供商招募参与者。可行性措施包括:招募和保留;实施;参与和参加;不良后果;以及结果测量的可行性。可接受性采用互动过程评估法进行评估。效果测量包括烹饪频率、烹饪和食物技能信心以及饮食质量:结果:八名参与者中有六名完成了干预,出席率和计划参与度都很高。FLIP深受参与者和支持人员的欢迎。没有出现不良后果。饮食质量的评估是可行的:研究结果可为今后针对轻度至中度智障成人的烹饪营养计划的内容、实施和评估提供参考。
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引用次数: 0
Exploring the experience of working relationships for support workers of adults with intellectual disabilities 探索智障成人辅助工作者的工作关系经验。
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-02 DOI: 10.1111/jar.13285
Rachel D'Sa, Ian Fletcher, Stephen Field

Background

Research suggests that a better awareness of how staff who directly support people with intellectual disabilities experience their working relationships, will contribute to understanding staff wellbeing and the quality of care they offer. This study aimed to gain insights into the lived experiences of support workers in supported living services in England.

Method

Six support workers participated in semi-structured interviews, about their working relationships with service-users and colleagues. Data was analysed using interpretative phenomenological analysis.

Results

Six interconnected themes emerged: The essence of good relationships; a trusting relationship as the vehicle for meeting service-users' needs; belonging to the support team; the organisational context of relationships; the social context of relationships; ‘a fine balancing act’.

Conclusions

The findings provide insights into staff wellbeing, indicating that developing supportive, trusting relationships with both service-users and colleagues, plays an important role in delivering effective care. Potential implications for service providers are discussed.

背景:研究表明,更好地了解直接支持智障人士的工作人员如何体验他们的工作关系,将有助于了解工作人员的福祉和他们所提供的护理质量。本研究旨在深入了解英格兰辅助生活服务机构中辅助人员的生活经历:方法:六名辅助人员参加了半结构化访谈,了解他们与服务对象和同事的工作关系。研究采用解释现象学分析方法对数据进行分析:结果:出现了六个相互关联的主题:良好关系的本质;信任关系是满足服务使用者需求的载体;支持团队的归属感;关系的组织背景;关系的社会背景;"微妙的平衡":结论:研究结果提供了对员工福祉的见解,表明与服务对象和同事建立支持性的信任关系,在提供有效护理方面发挥着重要作用。本文还讨论了对服务提供者的潜在影响。
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引用次数: 0
The home literacy environment of school-age autistic children with high support needs 有高度支持需求的学龄自闭症儿童的家庭识字环境。
IF 2.1 3区 医学 Q2 PSYCHOLOGY, EDUCATIONAL Pub Date : 2024-08-01 DOI: 10.1111/jar.13284
Marleen F. Westerveld, Stephanie A. Malone, Sally Clendon, Rachael Bowen, Georgia Hayley, Jessica Paynter

Background

As a group, autistic children with high support needs (with adaptive functioning in the range of an intellectual disability) are at risk of significant literacy difficulties. We investigated the parent-reported home literacy environment of this group of children.

Method

Sixty-two parents of autistic children (4.5 to 18.25 years) attending an autism-specific school completed a home literacy survey reporting on their child's: (1) alphabet knowledge, (2) interest in reading, (3) activities/interactions around books, (4) reading ability, and (5) writing ability.

Results

We found significant positive correlations between parent-reported child interest in reading and literacy-related interactions and skills, but not with child age. Children using spoken words to communicate obtained significantly greater scores on four home-literacy subscales, but not on reading interest.

Conclusions

A better understanding of the home literacy activities of autistic children with high-support needs is needed to inform educational practices aimed at promoting literacy development in this vulnerable population.

背景:作为一个群体,需要高度支持的自闭症儿童(其适应功能在智力残疾的范围内)有可能出现严重的识字困难。我们对这一儿童群体的家长报告的家庭识字环境进行了调查:62名就读于自闭症特殊学校的自闭症儿童(4.5至18.25岁)的家长填写了一份家庭识字调查表,报告了他们孩子的以下情况:(1) 字母知识,(2) 阅读兴趣,(3) 围绕书籍开展的活动/互动,(4) 阅读能力,以及 (5) 书写能力:我们发现,家长报告的儿童阅读兴趣与识字相关的互动和技能之间存在明显的正相关,但与儿童的年龄无关。使用口语交流的儿童在四个家庭识字分量表上的得分明显更高,但在阅读兴趣上的得分却不高:我们需要更好地了解需要高度支持的自闭症儿童的家庭识字活动,以便为旨在促进这一弱势群体识字发展的教育实践提供信息。
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引用次数: 0
期刊
Journal of Applied Research in Intellectual Disabilities
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