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The Body Experience Questionnaire for adults with mild intellectual disability or borderline intellectual functioning (BEQ-mb): Development and initial evaluation 成人轻度智障或边缘性智障身体体验问卷(BEQ-mb)的编制与初步评价
IF 1.3 4区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2021-06-18 DOI: 10.3109/13668250.2021.1929879
M. J. Smit, M. Scheffers, C. Emck, J. V. van Busschbach, P. Beek
ABSTRACT Background Body experience is an important facet of psychosocial functioning and health. However, to date no test exists to measure body experience in adults with mild intellectual disability and borderline intellectual functioning (MID-BIF). We therefore adapted the Body Experience Questionnaire (BEQ) to this group, resulting in the BEQ-mb, and evaluated its usability, comprehensibility, and reliability. Method The BEQ-mb was developed in five stages: concept development, focus group, verbal reports, pilot testing, and evaluation. Results The BEQ-mb is applicable in, and comprehensible by, adults with MID-BIF. Internal consistency is good for the total scale and the body awareness and body satisfaction subscales, but low for the body attitude subscale. Test–retest reliability is excellent for the total scale and the subscales. Conclusion The BEQ-mb unlocks new opportunities for clinical examination and research on body experience. Future research is needed to investigate its structural validity.
身体体验是心理社会功能和健康的一个重要方面。然而,到目前为止,还没有任何测试可以测量轻度智力残疾和边缘智力功能(MID-BIF)成年人的身体体验。因此,我们将身体体验问卷(BEQ)适用于这一群体,产生了BEQ mb,并评估了其可用性、可理解性和可靠性。方法BEQ-mb分五个阶段开发:概念开发、焦点小组、口头报告、试点测试和评估。结果BEQ-mb在成人MID-BIF患者中适用,且易于理解。总体量表、身体意识和身体满意度分量表的内部一致性较好,但身体态度分量表的内在一致性较低。测试-重新测试的可靠性在总量表和分量表中都很好。结论BEQ-mb为临床检查和身体体验研究开辟了新的机遇。未来的研究需要调查其结构有效性。
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引用次数: 2
Development of a personalised substance use disorder treatment for people with mild intellectual disabilities or borderline intellectual functioning: An intervention mapping approach 开发一种针对轻度智力残疾或边缘智力功能人群的个性化物质使用障碍治疗方法:干预映射方法
IF 1.3 4区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2021-06-14 DOI: 10.3109/13668250.2021.1925529
Lotte C.F. Gosens, R. Otten, J. de Jonge, A. Schellekens, J. VanDerNagel, R. Didden, E. Poelen
ABSTRACT Background The prevalence of Substance Use Disorder (SUD) in people with Mild Intellectual Disability and Borderline Intellectual Functioning (MID-BIF) is high and evidence-based treatment programs are scarce. The present study describes the development of a personalised SUD treatment for people with MID-BIF. Method The personalised SUD treatment is developed according to the steps of the Intervention Mapping approach, based on literature review, theoretical intervention methods, clinical experience and consultation with experts in the field of addiction and intellectual disability care. Results We developed a treatment manual called Take it Personal!+. Take it Personal!+ aims to reduce substance use, is based on motivational interviewing and cognitive behavior therapy and personalised based on the client’s personality profile. Furthermore, an mHealth application supports the treatment sessions. Conclusion Take it Personal!+ is the first personalised SUD treatment for individuals with MID-BIF. Future research should test the effectiveness of Take it Personal!+ in reducing SU.
摘要背景轻度智力残疾和边缘智力功能(MID-BIF)患者的物质使用障碍(SUD)患病率很高,循证治疗方案很少。本研究描述了针对MID-BIF患者的个性化SUD治疗的发展。方法根据文献综述、理论干预方法、临床经验以及成瘾和智障护理领域专家的咨询,按照干预映射法的步骤,制定个性化的SUD治疗方案。结果我们开发了一本治疗手册,名为Take it Personal!+。针对个人!+旨在减少物质使用,基于动机访谈和认知行为疗法,并根据客户的个性特征进行个性化设置。此外,mHealth应用程序支持治疗会话。结论:把它个人化!+是首个针对MID-BIF患者的个性化SUD治疗。未来的研究应该测试Take it Personal!+的有效性在减少SU方面。
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引用次数: 2
The Attachment Strengths and Needs Interview for parents of children with severe or profound intellectual disabilities: An acceptability and feasibility study 重度或重度智障儿童家长依恋强度与需求访谈:可接受性与可行性研究
IF 1.3 4区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2021-06-05 DOI: 10.3109/13668250.2021.1925528
Sien Vandesande, G. Bosmans, P. Sterkenburg, C. Schuengel, B. Maes
ABSTRACT Background The feasibility and acceptability was explored of the newly-constructed Attachment Strengths and Needs Interview for parents of children with severe or profound intellectual disabilities. Method A partially mixed methods approach (with focus on the quantitative data) was used to clarify parents’ and professionals’ viewpoints regarding the acceptability of the interview through websurvey-ratings. Results Parents generally felt appreciated during or after the interview, were motivated to work on the proposed goals and felt the interview covered their actual needs, but were, however, more neutral on the aspects of reflection and learning. Professionals indicated that the interview gathered sufficient information on most elements of interest at the start of an intervention trajectory, but generally missed information on the origins of parents’ questions and the families’ expectations towards taking part in an intervention. Conclusions The current study showed preliminary support for the feasibility and acceptability of the Attachment Strengths and Needs Interview, as part of a broader intake procedure, to inform attachment-focused interventions for parents of children with disabilities by identifying their strengths and needs.
摘要背景探讨新构建的重度或重度智障儿童家长依恋优势与需求访谈的可行性和可接受性。方法采用部分混合方法(以定量数据为重点),通过网络调查-评分来澄清家长和专业人士对访谈可接受性的看法。结果家长在访谈过程中或访谈结束后普遍感到受到赞赏,有动力去实现所提出的目标,并认为访谈涵盖了他们的实际需求,但在反思和学习方面则较为中立。专业人士指出,在干预轨迹开始时,访谈收集了关于大多数感兴趣元素的足够信息,但通常遗漏了关于父母问题的来源和家庭对参与干预的期望的信息。目前的研究初步支持依恋优势和需求访谈的可行性和可接受性,作为更广泛的接纳程序的一部分,通过确定残疾儿童的优势和需求,为父母提供以依恋为中心的干预措施。
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引用次数: 4
“I hope I’ll outlive him”: A qualitative study of parents’ concerns about being outlived by their child with profound intellectual and multiple disabilities “我希望我能比他活得更久”:一项关于父母担心自己患有严重智力残疾和多重残疾的孩子比自己活得更久的定性研究
IF 1.3 4区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2021-06-02 DOI: 10.3109/13668250.2021.1920377
K. Kruithof, E. Olsman, A. Nieuwenhuijse, D. Willems
ABSTRACT Background The life expectancy of people with profound intellectual and multiple disabilities (PIMD) is increasing and parents express concerns about being possibly outlived by their child with PIMD. However, little is known about the nature of these concerns. Method We interviewed 27 parents of persons with PIMD and analysed the data thematically, to explore parents’ concerns about being outlived by their child. Results Most parents hoped to outlive their child with PIMD and related this to the expectation of a decreased quality of life (QoL) of their child, when they would have passed away. The uncertainty about who would fulfil their parental roles in the future contributed to parents’ concerns and sometimes resulted in feelings of despair. Conclusions Our study provides insight into the nature and gravity of parents’ concerns. The division of parents’ concerns into roles helps to address future care and support gaps for people with PIMD.
摘要背景患有严重智力和多重残疾(PIMD)的人的预期寿命正在增加,父母对患有PIMD的孩子可能活得更长表示担忧。然而,人们对这些关切的性质知之甚少。方法我们采访了27名PIMD患者的父母,并对数据进行了主题分析,以探讨父母对孩子寿命延长的担忧。结果大多数父母希望患PIMD的孩子活得更长,并将其与孩子去世时生活质量下降的预期联系起来。未来谁将扮演父母角色的不确定性加剧了父母的担忧,有时还会导致绝望。结论我们的研究提供了对父母担忧的性质和严重性的深入了解。将父母的担忧划分为角色有助于解决PIMD患者未来的护理和支持缺口。
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引用次数: 13
Elementary school students’ attitudes towards peers with disabilities: The role of personal and contextual factors 小学生对残疾同龄人的态度:个人和环境因素的作用
IF 1.3 4区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2021-05-31 DOI: 10.3109/13668250.2021.1920091
I. Di Maggio, M. Ginevra, S. Santilli, L. Nota
ABSTRACT Background: Attitudes of classmates has been considered as one of the major problems in inclusive education, negatively influencing the participation of students with disability in school contexts. The goal of this study was to examine Italian typically developing children's attitudes towards their peers with disabilities. Method: In a sample of 560 elementary school students aged 6 - 11 years old we tested - through multiple regression analysis - the impact of personal and contextual factors, such as sex and age of participants, type of disability of peers with disabilities, experience with peers with disabilities and, in particular, the type of presentation of students with disabilities on attitudes of elementary school students without disability. Results: Results showed that girls and younger students generally hold more positive attitudes towards peers with disabilities. Less accepting attitudes towards peers with behaviour problems than those with intellectual or sensory disabilities were also found. Experience with peers with disabilities in class was not related to attitudes towards disabilities; instead, providing a positive presentation of peers with disabilities associated with their strengths positively impacted attitudes towards disabilities, regardless of sex and age of participants and type of disability of peers. Conclusions: The results of our study suggested the impact of the type of information provided to students about disabilities on their attitudes. Particular emphasis should be given to the way in which children with disabilities are presented to typically developing classmates, and information provided should stimulate a positive image of peers with disabilities.
摘要背景:同学的态度一直被认为是全纳教育的主要问题之一,对残疾学生在学校环境中的参与产生了负面影响。这项研究的目的是调查意大利人对残疾同龄人的态度。方法:在560名6-11岁小学生的样本中,我们通过多元回归分析测试了个人和情境因素的影响,如参与者的性别和年龄、残疾同龄人的残疾类型、与残疾同龄人的经历,特别是,残疾学生的表现类型对无残疾小学生的态度。结果:结果显示,女孩和年龄较小的学生对残疾同龄人普遍持更积极的态度。研究还发现,与智力或感官残疾的同龄人相比,对有行为问题的同龄人的接受态度更低。在课堂上与残疾同龄人相处的经历与对残疾的态度无关;相反,无论参与者的性别和年龄以及同龄人的残疾类型如何,为残疾同龄人提供与其优势相关的积极介绍都会对他们对残疾的态度产生积极影响。结论:我们的研究结果表明,向学生提供的关于残疾的信息类型对他们的态度产生了影响。应特别强调向典型的发展中的同学介绍残疾儿童的方式,所提供的信息应激发残疾同龄人的积极形象。
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引用次数: 11
Psychomotor therapy for individuals with mild intellectual disabilities or borderline intellectual functioning presenting anger regulation problems and/or aggressive behaviour: A qualitative study on clients’ experiences 轻度智力残疾或边缘智力功能存在愤怒调节问题和/或攻击性行为的个体的心理运动疗法:对客户体验的定性研究
IF 1.3 4区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2021-05-16 DOI: 10.3109/13668250.2021.1899561
Tina Bellemans, N. Peters-Scheffer, R. Didden, Romy Traas, J. V. van Busschbach
ABSTRACT Background Psychomotor therapy (PMT) is often applied in Dutch clinical practice to address aggressive behaviour in individuals with mild intellectual disabilities or borderline intellectual functioning. However, the literature on clients’ experiences is lacking. Methods An interpretative phenomenological analysis was used to analyse the semi-structured interviews of seven participants (19–60 years; four male, three female) who completed PMT targeting anger regulation problems. Results According to the participants, becoming aware of increasing tension and/or learning to downregulate the tension were the main goals of PMT. They emphasised both the possibility to learn by doing and the therapeutic alliance as essential to create a safe context, where participants can experiment with alternative behaviour. After completing PMT, participants perceived fewer aggressive outbursts and an increased self-esteem. Conclusions Participants in our sample experienced PMT as being helpful in targeting anger regulation problems and aggressive behaviour. The experiential nature of the program was perceived as a valuable aspect of PMT.
摘要背景心理运动疗法(PMT)通常应用于荷兰临床实践,以解决轻度智力残疾或边缘智力功能患者的攻击行为。然而,缺乏关于客户体验的文献。方法采用解释性现象学分析方法,对7名参与者(19-60岁;4名男性,3名女性)的半结构化访谈进行分析,这些参与者完成了针对愤怒调节问题的PMT。结果根据参与者的说法,意识到压力的增加和/或学会下调压力是PMT的主要目标。他们强调,在实践中学习的可能性和治疗联盟对于创造一个安全的环境至关重要,参与者可以在这里尝试替代行为。完成PMT后,参与者感觉到攻击性爆发减少,自尊增强。结论我们样本中的参与者认为PMT有助于解决愤怒调节问题和攻击行为。该项目的体验性质被认为是PMT的一个有价值的方面。
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引用次数: 3
Siblings’ and parents’ perspectives on the future care for their family member with profound intellectual and multiple disabilities: A qualitative study 兄弟姐妹与父母对重度智障与多重智障家庭成员未来照护的看法:一项质性研究
IF 1.3 4区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2021-04-23 DOI: 10.3109/13668250.2021.1892261
K. Kruithof, Lisa IJzerman, A. Nieuwenhuijse, S. Huisman, A. Schippers, D. Willems, E. Olsman
ABSTRACT Background Since the life expectancy of people with profound intellectual and multiple disabilities (PIMD) is increasing, siblings may take over care/support roles from their parents. Method To explore how parents and siblings of persons with PIMD view siblings’ role regarding future care/support for their family member, we interviewed eight parents and 13 siblings of seven persons with PIMD and analysed the data thematically. Results While some parents expected that a future care/support role would burden the sibling unfairly, most siblings anticipated such a role and reported no concerns about this future responsibility. Despite a lack of explicit communication, expectations of parents and siblings regarding future responsibilities corresponded. However, some siblings mentioned the lack of explicit communication made them feel unprepared for the future. Conclusions Explicit family communication may make siblings feel more prepared for the future and decrease the discrepancy between parents’ and siblings’ views regarding an expected future burden.
摘要背景由于患有严重智力和多重残疾(PIMD)的人的预期寿命正在增加,兄弟姐妹可能会接替父母的照顾/支持角色。方法为了探讨PIMD患者的父母和兄弟姐妹如何看待兄弟姐妹在未来照顾/支持其家庭成员方面的作用,我们采访了7名PIMD患者中的8名父母和13名兄弟姐妹,并按主题分析了数据。结果虽然一些父母预计未来的照顾/支持角色会给兄弟姐妹带来不公平的负担,但大多数兄弟姐妹都预料到了这样的角色,并表示对未来的责任没有任何担忧。尽管缺乏明确的沟通,但父母和兄弟姐妹对未来责任的期望是一致的。然而,一些兄弟姐妹提到,缺乏明确的沟通让他们对未来毫无准备。结论明确的家庭沟通可以使兄弟姐妹对未来更有准备,并减少父母和兄弟姐妹对预期未来负担的看法之间的差异。
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引用次数: 9
Editor’s note 编者按
IF 1.3 4区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2021-04-03 DOI: 10.3109/13668250.2021.1902602
Rafat Hussain
An editorial is presented in which editor discusses the World Health Organization that formally declared COVID-19 infections to be a global pandemic on March 11, 2020 Topics include examines the intractable aspects that have been brought into sharper focus deserve repeating and considered inequality and inequity of health and social services for vulnerable groups that are so entrenched that have come to accept them with varying degrees of reluctance
发表了一篇社论,其中编辑讨论了世界卫生组织于3月11日正式宣布新冠肺炎感染为全球大流行,2020年的主题包括审查那些被更加关注的棘手问题,这些问题值得重复和考虑,弱势群体在卫生和社会服务方面的不平等和不平等根深蒂固,以至于在不同程度上不情愿地接受了这些问题
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引用次数: 0
Impact of infection outbreak on people with intellectual disabilities: A scoping review 感染爆发对智障人士的影响:范围界定综述
IF 1.3 4区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2021-04-02 DOI: 10.3109/13668250.2021.1893604
P. Embregts, S. Nijs, W. V. van Oorsouw
ABSTRACT Background One would assume that infection outbreaks such as the COVID-19 pandemic have a deleterious effect upon the physical, mental, and/or social functioning of people with intellectual disabilities (ID). Methods A systematic search of four databases produced 18 articles. General information pertaining to the topics under consideration, information related to infectious diseases and ID were extracted. Results All but one of the studies investigated the impact of infection outbreaks on the physical functioning of people with ID. Although in some instances certain studies briefly reflected on the impact of infection outbreaks on mental or social functioning, there was no empirical data available. Conclusions There is scarce scientific knowledge on the impact of infection outbreaks on the mental and social functioning of people with ID. This underscores the exigency for further psychosocial research to both explore the impact of infection outbreaks and develop strategies to deal with them in the future.
摘要背景假设新冠肺炎大流行等感染疫情对智障人士的身体、心理和/或社会功能产生有害影响。方法对4个数据库进行系统检索,得到18篇文章。提取了与审议中的主题有关的一般信息、与传染病和ID有关的信息。结果除一项研究外,所有研究都调查了感染暴发对ID患者身体功能的影响。尽管在某些情况下,某些研究简要反映了感染爆发对心理或社会功能的影响,但没有可用的经验数据。结论关于感染爆发对ID患者心理和社会功能的影响,科学知识很少。这突出表明,迫切需要进一步的社会心理研究来探索感染爆发的影响,并制定未来应对策略。
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引用次数: 1
Timetabling a transition with dignity: Perspectives of young adults with significant support needs 有尊严地安排过渡的时间表:需要大量支持的年轻人的观点
IF 1.3 4区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2021-03-28 DOI: 10.3109/13668250.2021.1885973
Sarah M. Hart, M. Hill, J. Gaffney
ABSTRACT Background This study investigated transition, or school leaving, as experienced by young adults living in Aotearoa New Zealand who had significant intellectual and developmental disabilities. Method To investigate these typically unheard perspectives, qualitative methods were adapted to individual communication preferences. Personal and contextual intersections were critically analysed using the theoretical framework of the capability approach. The capability approach emphasises individuality and one's freedom of choice to construct a good life of dignity. Results Timetables - schedules of daily activities - were examined using artefactual analysis to make sense of and explain important insights about transition through this pivotal support anchor. Yet, the utility of these artefacts, found to communicate personal capabilities, was underrecognised by those supporting transitions from school. Conclusion This article reports fresh insights into supporting this critical life stage increasing the potential for a transition with dignity.
摘要背景本研究调查了生活在新西兰奥特罗阿的有严重智力和发育障碍的年轻人的过渡或辍学经历。方法为了调查这些典型的未被听到的观点,采用定性的方法来适应个人的沟通偏好。使用能力方法的理论框架批判性地分析了个人和上下文的交叉点。能力观强调人的个性和选择的自由,以建构有尊严的美好生活。时间表-日常活动的时间表-使用人工分析来理解和解释通过这个关键支持锚过渡的重要见解。然而,这些用来传达个人能力的人工制品的效用,却没有得到那些支持从学校过渡的人的认可。本文报告了支持这一关键生命阶段的新见解,增加了有尊严过渡的可能性。
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引用次数: 3
期刊
Journal of Intellectual & Developmental Disability
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