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Adaptive behaviours in children with Down syndrome: A cross-sectional study of developmental trajectories 唐氏综合症儿童的适应行为:发育轨迹的横断面研究
IF 1.3 4区 医学 Q1 Arts and Humanities Pub Date : 2021-09-26 DOI: 10.3109/13668250.2021.1976008
Josefina Bunster, M. Tassé, Marcela Tenorio, Andrés Aparicio, P. Arango
ABSTRACT Background Given the importance of adaptive behaviour (AB) for the identification of intellectual disability and the design of intervention plans for people with Down syndrome (DS), this cross-sectional study explored AB in infants with DS, compared to infants with typical development (TD). Method: we evaluated 60 infants (10–36 months) with ABAS-II (32 with DS, 28 with TD). Using the developmental trajectories method for data analysis, we compared AB between the two groups. Results We found significant differences between groups in most of the skills assessed, in favour of infants with TD. Three different patterns of trajectories were found for the AB and the relation between the groups: (1) no differences (Leisure and Self-Care Skills); (2) differences at the beginning of the trajectory and then a similar slope (Home Living, Self-Direction, Social and Motor Skills); and (3) a similar starting-point with differences in the trajectories (Communication, Community Use, Pre-Academic, and Health and Safety). Conclusions This empirical cross-sectional study contributes to the understanding of the development of AB in children with DS, showing both weak areas and skills that continue improving over time in these early years. Contributions and limitations of the study are discussed.
背景考虑到适应行为(AB)在识别唐氏综合症(DS)患者的智力残疾和设计干预计划中的重要性,本横断面研究探讨了唐氏综合症婴儿的AB,并与典型发育(TD)婴儿进行了比较。方法:对60例(10-36个月)ABAS-II患儿(32例DS, 28例TD)进行评估。采用发育轨迹法进行数据分析,比较两组的AB。结果我们发现各组之间在大多数技能评估方面存在显著差异,这有利于患有TD的婴儿。结果显示,两组学生的休闲技能和自理技能之间存在三种不同的发展轨迹:(1)无差异(休闲技能和自理技能);(2)轨迹开始时的差异,然后是相似的斜率(家庭生活、自我指导、社交和运动技能);(3)起点相似,但轨迹不同(通信、社区使用、学前教育和健康与安全)。本实证横断面研究有助于理解退行性椎体滑移儿童AB的发展,显示出这些早期的薄弱领域和技能随着时间的推移不断提高。讨论了本研究的贡献和局限性。
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引用次数: 1
Susceptibility to peer influence in adolescents with mild-to-borderline intellectual disability: Investigating links with inhibition, Theory of Mind and negative interpretation bias 轻度至边缘智力残疾青少年对同伴影响的易感性:调查与抑制、心理理论和负面解释偏见的联系
IF 1.3 4区 医学 Q1 Arts and Humanities Pub Date : 2021-09-09 DOI: 10.3109/13668250.2022.2066511
Eline Wagemaker, T. Dekkers, A. Bexkens, E. Salemink, J. Zadelaar, H. Huizenga
ABSTRACT Background This preregistered study compares adolescents with mild-to-borderline intellectual disability (MBID) and typically developing (TD) adolescents on their susceptibility to peer influence. To understand why adolescents with MBID are susceptible to peer influence, links with inhibition, Theory of Mind (ToM) and negative interpretation bias are investigated. Method We assessed 163 adolescents (111 MBID, 52 TD 14–19 years; 63% boys) using experimental tasks and self- and/or teacher-reports. Results Adolescents with MBID and TD adolescents did not differ in their susceptibility to peer influence, inhibition, and negative interpretations. On two ToM instruments, adolescents with MBID performed weaker than TD adolescents. In a structural equation model, tested in the MBID group, inhibition, ToM and negative interpretation bias were not related to susceptibility to peer influence. Conclusions This study revealed new insights by strong methods such as the multimethod approach, a full theoretical model testing relations between all constructs simultaneously, and the large sample.
背景本研究比较了轻度至边缘性智力障碍青少年(MBID)和典型发育障碍青少年(TD)对同伴影响的易感性。为了理解为什么MBID青少年容易受到同伴影响,研究了抑制、心理理论(ToM)和负面解释偏见的联系。方法对163名青少年进行评估,其中MBID 111例,TD 52例,14-19岁;(63%男生)使用实验任务和自我和/或教师报告。结果MBID青少年和TD青少年在同伴影响、抑制和消极解释的易感性方面无显著差异。在两项ToM测试中,MBID青少年表现弱于TD青少年。在结构方程模型中,在MBID组中测试,抑制,ToM和负面解释偏差与同伴影响易感性无关。本研究通过多方法方法、完整的理论模型同时检验所有结构之间的关系以及大样本等强有力的方法揭示了新的见解。
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引用次数: 3
A survey of Registered Nurses’ educational experiences and self-perceived capability to care for people with intellectual disability and/or autism spectrum disorder 注册护士护理智障及/或自闭症谱系障碍患者的教育经历及自我认知能力调查
IF 1.3 4区 医学 Q1 Arts and Humanities Pub Date : 2021-08-31 DOI: 10.3109/13668250.2021.1967897
A. Cashin, Amy Pracilio, Thomas Buckley, Michelle L. Kersten, J. Trollor, J. Morphet, V. Howie, Ken Griffin, N. Wilson
ABSTRACT Aims and Objectives To survey the educational experience of Registered Nurses in Australia, at undergraduate, post graduate and continuing professional development levels. Background It has been previously demonstrated that nurses feel unprepared to care for people with intellectually disability and/or autism spectrum disorder in mainstream clinical settings. Specific undergraduate pre-registration curricula content in this domain has been identified to be low in volume, and in the absence of any studies to determine it, it has been presumed that it has diminished over time. Methods A cross-sectional survey of Australian Registered Nurses using a descriptive survey tool. Results The level of education undertaken related to intellectual disability and autism spectrum disorder has been consistently low across time and it predates the move from pre-registration hospital based training to the tertiary sector. A relationship was identified between the experience of education and self-reported preparedness, comfort and knowledge to care for people with intellectual disability and/or autism spectrum disorder. Conclusion Increased educational preparation for nurses to care for people with intellectual disability and/or autism is indicated.
摘要目的和目的调查澳大利亚注册护士在本科、研究生和持续专业发展阶段的教育经历。之前的研究表明,护士对在主流临床环境中照顾智力残疾和/或自闭症谱系障碍患者感到措手不及。在这一领域的具体本科注册前课程内容已被确定为数量较少,并且在没有任何研究来确定它的情况下,已经假定它随着时间的推移而减少。方法采用描述性调查工具对澳大利亚注册护士进行横断面调查。结果与智力残疾和自闭症谱系障碍相关的教育水平长期以来一直较低,这早于从以医院为基础的预注册培训向高等教育部门的转变。教育经历与自我报告的照顾智力残疾和/或自闭症谱系障碍患者的准备程度、舒适度和知识之间存在关系。结论应加强对护理智力残疾和/或自闭症患者的教育准备。
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引用次数: 15
eHealth content-sharing and emotional support among Italian parents of children with Down Syndrome: A qualitative report 唐氏综合症患儿意大利父母的电子健康内容共享和情感支持:一份定性报告
IF 1.3 4区 医学 Q1 Arts and Humanities Pub Date : 2021-08-17 DOI: 10.3109/13668250.2021.1964153
Valentina Boursier, Francesca Gioia, Federica Coppola, A. Schimmenti
ABSTRACT Parents of children with special healthcare needs search the Internet to learn about and share health-related information. Indeed, online communities (OCs) often increase knowledge and skills, decreasing feelings of isolation and distress. The current study explored the content and functioning of an Italian OC comprising parents of children with Down Syndrome. Following a netnographic method, data were analysed through the Latent Thematic Analysis. Five main themes emerged: the e-group, the child, prescriptive knowhow, being a parent, and personal experience across time. The findings illustrated the complex relationship between parents and children with Down Syndrome within the OC, exploring psychological themes recurring in parents of children with Down Syndrome. Within the e-group, special children and parental challenges can be described, sharing concerns, conflicting emotions, and experience-based information, countering Down Syndrome difficulties and social isolation. Clinicians and healthcare professionals should consider the OCs-related advantages to enhance the healthcare of parents and children with Down Syndrome.
摘要有特殊医疗保健需求的儿童的父母在互联网上搜索以了解和分享与健康相关的信息。事实上,在线社区(OC)通常会增加知识和技能,减少孤独感和痛苦感。目前的研究探讨了由唐氏综合症儿童父母组成的意大利OC的内容和功能。根据网络图方法,通过潜在专题分析对数据进行分析。出现了五个主要主题:电子团体、孩子、规定的专业技能、为人父母以及个人经历。研究结果说明了OC中父母和唐氏综合症儿童之间的复杂关系,探讨了唐氏综合症患儿父母反复出现的心理主题。在电子小组中,可以描述特殊的儿童和父母的挑战,分享担忧、矛盾的情绪和基于经验的信息,对抗唐氏综合症的困难和社会孤立。临床医生和医疗保健专业人员应考虑强迫症的相关优势,以加强唐氏综合症父母和儿童的医疗保健。
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引用次数: 3
Patterns of group home culture in organisations supporting people with intellectual disabilities: A cross-sectional study 支持智障人士的组织中的团体家庭文化模式:一项横断面研究
IF 1.3 4区 医学 Q1 Arts and Humanities Pub Date : 2021-08-17 DOI: 10.3109/13668250.2021.1954482
Lincoln Humphreys, C. Bigby, T. Iacono, E. Bould
ABSTRACT Background Organisational culture in group homes for people with intellectual disabilities has been identified as an influence on service delivery and staff behaviour. The aim was to examine patterns of culture across group homes in disability organisations. Method The Group Home Culture Scale (GHCS) was used to measure staff perceptions of culture. Data were available from 260 staff who worked across 58 group homes managed by eight organisations. Using scatterplots and measures of dispersion, the scores on the seven GHCS subscales were examined for patterns of integrated (i.e., similarities) and differentiated (i.e., variability) culture within the organisations. Results Patterns of differentiated culture were found in six organisations for one or more GHCS subscales. Patterns of integrated culture were found in three organisations for one subscale. In two organisations, patterns of both integrated and differentiated culture were found. Conclusions The findings contribute to the conceptualisation of and research into organisational culture in group homes, with implications for changing and maintaining culture.
摘要背景智障人士集体之家的组织文化已被确定为对服务提供和员工行为的影响。其目的是研究残疾组织中团体之家的文化模式。方法采用团体家庭文化量表(GHCS)测量员工的文化感知。数据来自于在八个组织管理的58个集体之家工作的260名员工。使用散点图和离散度测量,对七个GHCS分量表的得分进行了检查,以了解组织内的整合(即相似性)和差异化(即可变性)文化模式。结果在6个组织中发现了一个或多个GHCS分量表的差异文化模式。在一个分量表的三个组织中发现了整合文化的模式。在两个组织中,发现了融合和差异文化的模式。结论这些发现有助于对集体之家组织文化的概念化和研究,对改变和维护文化具有启示意义。
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引用次数: 1
Forming and supporting circles of support for people with intellectual disabilities – a comparative case analysis 智障人士支持圈的形成与支持——个案比较分析
IF 1.3 4区 医学 Q1 Arts and Humanities Pub Date : 2021-08-14 DOI: 10.3109/13668250.2021.1961049
T. Araten-Bergman, C. Bigby
ABSTRACT Background Building Circles of Support is an innovative strategy for developing natural support networks. This study explored some of the ambiguity in the conceptualisations, operational elements, and perceived outcomes of Circles of Support programs. Method A comparative case study of three Australian Circles of Support programs was conducted. Data included document review and qualitative interviews with 27 key stakeholders. Qualitative analysis of the data from each program was analysed using categories of the program logic as a conceptual framework, followed by cross-case analysis to identify commonalities and differences. Results Findings show conceptual variability between programs, which shared similar overarching intents but differed in program, strategies, target population and outcomes, which were shaped by the missions of the organisation of which they were part. Conclusion Findings can inform the future design and evaluation of programs to support the development of informal support network for people with intellectual disabilities.
构建支持圈是发展自然支持网络的一种创新策略。本研究探讨了支持圈项目的概念、操作要素和感知结果中的一些模糊性。方法对澳大利亚三个支持圈项目进行案例比较研究。数据包括文件审查和对27个关键利益相关者的定性访谈。使用程序逻辑的类别作为概念框架,对每个程序的数据进行定性分析,然后进行跨案例分析以确定共性和差异。结果研究结果显示,项目之间的概念差异,这些项目具有相似的总体意图,但在项目、策略、目标人群和结果方面存在差异,这些差异是由它们所属组织的使命形成的。结论研究结果可为智障人士非正式支持网络的设计和评价提供参考。
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引用次数: 3
Decision-making in people with mild intellectual disability: Relations with intelligence and a measure of executive functioning 轻度智障人士的决策:与智力的关系和执行功能的测量
IF 1.3 4区 医学 Q1 Arts and Humanities Pub Date : 2021-08-10 DOI: 10.3109/13668250.2021.1945416
Agnieszka Fusińska-Korpik, Michal Gacek
ABSTRACT Background In this study we aimed to explore how intelligence and executive functioning are related to decision-making regarding social situations in persons with mild ID. Method We studied 80 vocational school students with mild ID; the controls were 80 students of a similar age. We assessed decision-making ability with the Important Life Decisions Task. Intelligence was assessed with the Wechsler Adult Intelligence Scale – Revised (WAIS-R), and executive functioning with the Wisconsin Card Sorting Test (WCST). Results The WAIS-R Verbal Comprehension and the Memory/Freedom From Distractibility factors predicted the decision-making score. Executive functioning was not related to decision-making. There was no interaction between the group and other variables. Conclusions Verbal intellectual abilities and abilities related to short-term memory and attention play an important role in decision-making regarding social situations. The difference in performance between persons with ID and the control group should be regarded as quantitative and not qualitative.
背景在本研究中,我们旨在探讨轻度ID患者的智力和执行功能如何与社会情境中的决策相关。方法对80名中职学生轻度人格障碍进行调查;对照组是80名年龄相仿的学生。我们用重要人生决策任务来评估决策能力。用韦氏成人智力量表(WAIS-R)评估智力,用威斯康辛卡片分类测验(WCST)评估执行功能。结果WAIS-R语言理解和记忆/免于分心因素预测决策得分。执行功能与决策无关。该组与其他变量之间没有相互作用。结论言语智力能力、短期记忆和注意相关能力在社会情境决策中起重要作用。ID患者与对照组之间的表现差异应被视为定量而非定性。
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引用次数: 0
Parental strategies that support adults with intellectual disabilities to explore decision preferences, constraints and consequences 支持智障成年人探索决策偏好、制约因素和后果的父母策略
IF 1.3 4区 医学 Q1 Arts and Humanities Pub Date : 2021-08-04 DOI: 10.3109/13668250.2021.1954481
C. Bigby, J. Douglas, Elizabeth Smith, T. Carney, Shih-Ning Then, Ilan Wiesel
ABSTRACT Background Supporting participation in decision making is complex, dynamic and multifactorial. The aim of this study was to understand more about the difficulties parents of adults with intellectual disabilities experienced in providing decision support and their strategies for resolving them. Method Participants were 23 parents who regularly provided decision support for their adult with intellectual disabilities. Most of the adults (19) lived at home. Parents participated in semi-structured interviews at least three times during the study. We applied a social-constructionist theoretical perspective and a template approach for analysis. Results Findings fell into three core categories, making the right decision, factors that made decision support difficult, and strategies to manage uncertainty, which included controlling, influencing, expanding the adult’s horizons and enabling risk. Conclusions The knowledge gained will help in building the capacity of parents to provide decision support that better understands and respects the will and preferences of the person they support.
支持参与决策是复杂的、动态的和多因素的。本研究的目的是更多地了解智力残疾成年人的父母在提供决策支持方面遇到的困难及其解决策略。方法参与者为23名定期为智力残疾成年人提供决策支持的父母。大多数成年人(19岁)住在家里。在研究期间,家长们至少参加了三次半结构化访谈。我们运用社会建构主义的理论视角和模板方法进行分析。结果研究结果分为三个核心类别,即做出正确的决定、使决策支持困难的因素和管理不确定性的策略,包括控制、影响、扩大成年人的视野和促成风险。结论所获得的知识将有助于培养父母提供决策支持的能力,更好地理解和尊重他们所支持的人的意愿和偏好。
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引用次数: 8
A qualitative investigation of support workers’ experiences of the impact of the COVID-19 pandemic on Dutch migrant families who have children with intellectual disabilities 新冠肺炎大流行对有智力残疾儿童的荷兰移民家庭影响的支持人员体验的定性调查
IF 1.3 4区 医学 Q1 Arts and Humanities Pub Date : 2021-07-26 DOI: 10.3109/13668250.2021.1947210
P. Geuijen, Laura Vromans, P. Embregts
ABSTRACT Background The COVID-19 pandemic significantly affected families who have children with intellectual disabilities (ID). Our aim was to explore the pandemic’s impact on Dutch migrant families who have children with ID, by interviewing these families’ support workers. Method A descriptive qualitative methodology was employed, which resulted in semi-structured telephone interviews with 34 support workers. We selected interview transcripts that pertained to 27 Dutch migrant families who have children with ID and identified themes and subthemes using thematic analysis. Results Two main themes related to the pandemic emerged: (1) Work of support workers during the COVID-19 pandemic and (2) Impact of the COVID-19 pandemic upon migrant families who have children with ID. Conclusion The present study demonstrates that support workers particularly struggled to stay in touch with migrant families who have children with ID during the COVID-19 pandemic. Therefore, support workers should tailor their support to the needs of migrant families.
摘要背景新冠肺炎疫情严重影响了有智力残疾儿童的家庭。我们的目的是通过采访这些家庭的支持人员,探讨疫情对有身份证孩子的荷兰移民家庭的影响。方法采用描述性定性方法,对34名护工进行半结构化电话访谈。我们选择了27个有身份证孩子的荷兰移民家庭的访谈记录,并使用主题分析确定了主题和子主题。结果出现了与大流行相关的两个主要主题:(1)新冠肺炎大流行期间支持工作者的工作和(2)新冠肺炎大流行对有身份证子女的移民家庭的影响。因此,护工应根据移民家庭的需要提供适当的支持。
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引用次数: 4
Childhood experience, family support and parenting by people with intellectual disability 智力残疾者的童年经历、家庭支持和养育子女
IF 1.3 4区 医学 Q1 Arts and Humanities Pub Date : 2021-06-19 DOI: 10.3109/13668250.2021.1929880
D. McConnell, Rahel More, Laura Pacheco, Marjorie Aunos, Lyndsey Hahn, M. Feldman
ABSTRACT Background Parents with intellectual disability, like all other parents, are embedded in networks of capability-enhancing and/or capability-inhibiting relationships. This study investigated links between how parents with intellectual disability experienced their upbringing, continuity and discontinuity in familial relationships, and their assessments of their own parenting. Method Structured interviews, incorporating scales and open-ended questions, were conducted with 91 parents in receipt of specialist services for people with intellectual disability, including 82 mothers and 9 fathers. Results Most participants (81%) had experienced at least one form of childhood abuse or household adversity. Participants who recalled a more positive upbringing, including less adversity and more parental care, tended to have stronger support networks and reported greater parenting role satisfaction and emotional warmth in their interactions with their own children. Conclusion The results highlight the need to understand parenting by people with intellectual disability in biographical and relational context.
摘要背景智力残疾的父母和所有其他父母一样,都嵌入了能力增强和/或能力抑制关系的网络中。这项研究调查了智力残疾父母如何经历他们的成长、家庭关系的连续性和不连续性,以及他们对自己养育子女的评估之间的联系。方法采用量表和开放式问题相结合的结构化访谈方法,对91名接受智力残疾专家服务的父母进行了访谈,其中包括82名母亲和9名父亲。结果大多数参与者(81%)至少经历过一种形式的童年虐待或家庭逆境。参与者回忆起更积极的成长经历,包括更少的逆境和更多的父母关怀,他们往往拥有更强大的支持网络,并在与自己孩子的互动中报告了更高的育儿角色满意度和情感温暖。结论研究结果强调了在传记和关系背景下理解智障人士养育子女的必要性。
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引用次数: 6
期刊
Journal of Intellectual & Developmental Disability
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