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Journal of applied research in intellectual disabilities : JARID最新文献

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Childhood and Adulthood Predictors of Community Participation by Autistic Adults With and Without Intellectual Disability.
Pub Date : 2025-01-01 DOI: 10.1111/jar.70001
Lauren A Cameron, Bruce J Tonge, Patricia Howlin, Stewart L Einfeld, Roger J Stancliffe, Kylie M Gray

Background: Few studies have explored community participation for autistic adults, with or without intellectual disability. This study aims to investigate how autistic adults participate in the community, and the childhood and adulthood factors that predict community participation in adulthood.

Method: Eighty-four autistic adults (mean age 34 years; 67% with co-occurring intellectual disability) initially recruited as children and adolescents, participated in the current study. Community participation frequency and variety were measured in adulthood. Childhood and adulthood predictors of community participation were investigated.

Results: Participants engaged in the community an average of 18.2 times (range 0-49) over the previous 30-day period, in an average of 6.3 different activities (range 0-13). Childhood and adulthood factors (autism symptoms, intellectual disability, living arrangements) were associated with community participation.

Conclusion: Areas for additional support and resources were identified.

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引用次数: 0
Proxy-report in individuals with intellectual disability: A scoping review. 智力残疾患者的代理报告:范围综述。
Pub Date : 2022-09-01 DOI: 10.1111/jar.13013
Stephanie L Santoro, Karen Donelan, Melissa Constantine

Background: Views can be collected from individuals (self-report) or others on their behalf (proxy-report).

Objective: We aimed to review the literature on methods and statistical approaches used to evaluate observer versus self-report responses from individuals with intellectual disability or Down syndrome.

Methods: A series of key questions related to statistical approaches and data collection methods were formulated a priori to inform the search strategy and review process. These addressed the topics of self-report in individuals with intellectual disability, including Down syndrome. Using the National Library of Medicine database, PubMed, detailed literature searches were performed. The quality of available evidence was then evaluated, the existing literature was summarised, and knowledge gaps and research needs were identified.

Results: Fifty relevant original articles were identified which addressed at least one key question. Study details, including: research design, internal validity, external validity, and relevant results are presented. Review of studies of individuals with intellectual disability which used a variety of statistical approaches showed mixed agreement between self-report and proxy-report.

Conclusion: Few studies identified to-date have used self-report from individuals with Down syndrome, but lessons from the existing intellectual disability literature can guide researchers to incorporate self-report from individuals with Down syndrome in the future.

背景:观点可以从个人(自我报告)或其他人(代理报告)收集。目的:我们旨在回顾用于评估智力残疾或唐氏综合征患者的观察者与自我报告反应的方法和统计方法的文献。方法:先验地制定一系列与统计方法和数据收集方法相关的关键问题,为搜索策略和审查过程提供信息。这些讨论了包括唐氏综合症在内的智力残疾个体的自我报告主题。使用国家医学图书馆数据库PubMed,进行了详细的文献检索。然后评估现有证据的质量,总结现有文献,确定知识差距和研究需求。结果:50篇相关的原创文章被确定,它们至少解决了一个关键问题。研究细节包括:研究设计、内部效度、外部效度,并给出相关结果。对使用各种统计方法的智力残疾个体研究的回顾显示,自我报告和代理报告之间的一致性不一。结论:迄今为止,很少有研究使用唐氏综合征患者的自我报告,但从现有的智力残疾文献中吸取的教训可以指导研究人员在未来将唐氏综合征患者的自我报告纳入研究。
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引用次数: 13
Video-blogs and linguistic simplification for students with intellectual disability. 为智障学生提供视频博客和语言简化服务。
Pub Date : 2022-09-01 Epub Date: 2022-06-20 DOI: 10.1111/jar.13016
Inmaculada Fajardo, Vicenta Ávila, Pablo Delgado, Nadina Gómez-Merino, Ladislao Salmerón

Background: The Internet provides individuals with intellectual disability with access to information and participation in a broader society, but it also presents risks when content is difficult to comprehend. This study aimed to test whether students with intellectual disability enhanced their comprehension of online blogs as a function of the format (text vs. video) and linguistic simplification.

Method: Young students with intellectual disability read or watched text and video-blog posts about environment, health, society, and technology in their original version or a linguistically simplified/easy-to-read version. Then, they completed tests that assessed their reading processing (e.g., calibration) and comprehension of blog content.

Results: Participants predicted that they would correctly answer 80% of the comprehension questions, but their average comprehension of the blog posts was 55%, regardless of the condition. Previous levels of students' reading comprehension skills predicted their blog comprehension scores and interacted with format and simplification. Those participants with higher reading comprehension skills learned more from non-simplified than from simplified blog posts while those with lower levels of reading comprehension skills did not benefit from linguistic simplification nor video-blog format although the difference with regard to higher comprehenders was lower in the video and simplified conditions.

Conclusions: Improving reading comprehension abilities of students with intellectual disability is essential to prevent the digital divide while linguistic simplification is not a useful accommodation and even counterproductive for higher reading comprehenders.

背景:互联网为智障人士提供了获取信息和参与更广泛社会的途径,但当内容难以理解时,它也带来了风险。本研究旨在测试智障学生对网络博客的理解是否因格式(文本vs视频)和语言简化而增强。方法:有智力障碍的年轻学生阅读或观看有关环境、健康、社会和技术的文本和视频博客文章的原文或语言简化/易于阅读的版本。然后,他们完成测试,评估他们的阅读处理(例如校准)和对博客内容的理解。结果:参与者预测他们会正确回答80%的理解问题,但他们对博客文章的平均理解是55%,无论条件如何。学生先前的阅读理解能力水平预测了他们的博客理解分数,并与格式和简化相互作用。阅读理解能力较高的被试从非简化的博客文章中学到的东西比从简化的博客文章中学到的东西多,而阅读理解能力较低的被试从语言简化和视频博客格式中没有受益,尽管在视频和简化的条件下,阅读理解能力较高的被试之间的差异较小。结论:提高智力障碍学生的阅读理解能力对于防止数字鸿沟至关重要,而语言简化并不是一种有用的适应方式,甚至会对更高的阅读理解能力产生反作用。
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引用次数: 1
Parents' satisfaction with a Canadian pilot clinic to reduce waiting lists for the assessment and diagnosis of autism spectrum disorder and intellectual disability in young children. 父母对加拿大试点诊所的满意度,该诊所减少了幼儿自闭症谱系障碍和智力残疾评估和诊断的等候名单。
Pub Date : 2022-05-31 DOI: 10.1111/jar.13012
Marjorie Morin, M. Rivard, D. Morin, Catherine Mello, Patrick Coulombe
BACKGROUNDA large body of evidence suggest that parents of young children with autism spectrum disorder or intellectual disability experience low levels of satisfaction with the diagnostic evaluation process. This study sought to document parents' satisfaction with the services of a pilot clinic implemented in Québec, Canada.METHODTwo-hundred fifty-nine (259) parents were recruited following their child's diagnosis. A mixed methods approach was used to investigate parents' satisfaction globally and with specific aspects of the assessment process.RESULTSParents expressed overall high satisfaction with the assessment process. Parental satisfaction with specific aspects of the assessment process was negatively related to paternal stress, fathers' unemployment and household income and positively related to maternal stress.CONCLUSIONSThis pilot clinic could meet parents' needs at this crucial moment in their care and services trajectory. The factors associated with satisfaction in the present study may inform future improvements to its services.
大量证据表明,患有自闭症谱系障碍或智力残疾的幼儿的父母对诊断评估过程的满意度较低。本研究旨在记录父母对加拿大quamezbec试点诊所服务的满意度。方法在儿童确诊后招募259名家长。我们采用了一种混合方法来调查全球范围内家长的满意度以及评估过程的具体方面。结果家长对评估过程的总体满意度较高。父母对评估过程特定方面的满意度与父亲压力、父亲失业和家庭收入负相关,与母亲压力正相关。结论该试点诊所能够满足家长在护理和服务轨迹上的关键时刻的需求。本研究中与满意度相关的因素可能会为未来的服务改进提供信息。
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引用次数: 3
Electronic assistive technology use and supported employment. 电子辅助技术的使用和支持就业。
Pub Date : 2022-05-20 DOI: 10.1111/jar.13005
Parker Heman, D. Rhodes, Carol Cox
BACKGROUNDLevel of electronic assistive technology use by people with intellectual disabilities is lower than for other disability groups.METHODSIn this mixed-methods exploratory study during the pandemic, staff (online survey) and executive administration (focus group) from a regional supported employment service provider in the Midwest US were surveyed about use of and barriers to use of electronic assistive technology for their clients with intellectual disabilities.RESULTSForty percent of staff reported 'not' using any of the assistive technologies with their clients. Executive administration perceived that they should be providing technology resources to clients and staff. Both groups rated expense, access, and complexity as barriers to assistive technology use at the client's worksite.CONCLUSIONSIdentifying the types of assistive technologies that can be most easily accessed and most cost-effective, including lower-cost consumer market devices, as employment supports for people with intellectual disabilities may be a first step in helping to overcome perceived barriers to use.
背景智力残疾者使用电子辅助技术的水平低于其他残疾群体。方法在这项混合方法的探索性研究中,对来自美国中西部地区支持就业服务提供商的工作人员(在线调查)和行政管理人员(焦点小组)进行了调查,了解他们的智力残疾客户使用电子辅助技术的情况和使用障碍。结果:40%的员工表示“没有”对客户使用任何辅助技术。行政部门认为他们应该向客户和员工提供技术资源。两组都认为费用、访问和复杂性是在客户工作场所使用辅助技术的障碍。结论确定最容易获得和最具成本效益的辅助技术类型,包括成本较低的消费市场设备,作为智障人士的就业支持,可能是帮助他们克服使用障碍的第一步。
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引用次数: 0
Living arrangements and satisfaction of current arrangement among autistic adults reported by autistic individuals or their caregivers. 由自闭症个体或其照顾者报告的自闭症成人的生活安排和当前安排的满意度。
Pub Date : 2022-05-15 DOI: 10.1111/jar.13003
Wei Song, Stacy Nonnemacher, Kaitlin K Miller, K. Anderson, L. Shea
BACKGROUNDLiving arrangements is an essential component of the social environments for autistic adults. The need to understanding the status and experience of living arrangements has been highlighted.AIMThis study examined living arrangements and satisfaction with current arrangements of autistic adults reported by autistic adults or caregivers of autistic adults.METHODSThis study used data from a statewide survey of autistic adults or caregivers.RESULTSOlder autistic adults and those employed and had higher financial resources were more likely to live alone or with a roommate or spouse than to live with family or in a supervised setting. Correlates of greater satisfaction included being young, either men or women (vs. non-binary adults), public insurance, fewer service needs, no or one mental health diagnosis (vs. two or more), no psychiatric emergency room or hospitalisation history, and living with a roommate or spouse (vs. living with family).CONCLUSIONThis cross-sectional study adds to the literature on the status of living arrangements and satisfaction with living arrangements among autistic adults. Future research is needed to investigate contributing factors to the satisfaction of living arrangements and quality of life among autistic adults.
生活安排是自闭症成年人社会环境的重要组成部分。人们强调需要了解生活安排的现状和经验。目的:本研究调查了自闭症成年人或自闭症成年人的照顾者报告的自闭症成年人的生活安排和对现有安排的满意度。方法:本研究使用的数据来自全州范围内对自闭症成年人或照顾者的调查。结果自闭症成年人和有工作且经济条件较好的人独居或与室友或配偶生活的可能性大于与家人或在监督下生活的可能性。满意度较高的相关因素包括年轻、男性或女性(与非二元成年人相比)、公共保险、服务需求较少、没有或只有一种精神健康诊断(与两种或更多)、没有精神急诊室或住院史、与室友或配偶住在一起(与与家人住在一起相比)。结论本横断面研究增加了有关自闭症成人生活安排现状和生活安排满意度的文献。未来的研究需要调查影响自闭症成年人对生活安排和生活质量满意度的因素。
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引用次数: 2
Where to next? Experiences of adults with intellectual disability after they complete a university program. 接下来要去哪里?智力残疾成人在完成大学课程后的经历。
Pub Date : 2022-04-26 DOI: 10.1111/jar.13000
Charlotte Gobec, F. Rillotta, P. Raghavendra
BACKGROUNDAdults with intellectual disability who attended higher education programs have reported increasing self-determination, developing social skills and forming relationships. However, there is limited evidence about what adults with intellectual disability do after they complete such programs. This study investigated the experiences of adults with intellectual disability after they completed an inclusive higher education university program in Australia.MATERIALS & METHODSThis qualitative study used a phenomenological approach. Semi-structured interviews were conducted with adults with intellectual disability who had completed the program (N = 6). Data were thematically analysed and interpreted using Bronfenbrenner's ecological systems theory.RESULTSParticipants developed lasting connections with mentors and staff but not with peers. Some participants accessed more opportunities, returned to study, increased topic-specific knowledge, and developed life skills; however, others faced challenges with transition from the program.DISCUSSIONFindings highlight a need to explore ways to enhance the transition from the program to the wider university environment and/or employment. Suggestions for practice are provided to help inform future development of inclusive higher education programs for adults with intellectual disability.CONCLUSIONWith appropriate support adults with intellectual disability can experience positive post-university outcomes and opportunities; however, limited social interaction with informal supports such as peers, challenges the inclusive model.
据报道,参加过高等教育项目的智力残疾成年人的自决权、社交技能和人际关系都有所提高。然而,关于智力残疾的成年人在完成这些项目后做了什么,证据有限。本研究调查了智力残疾成人在澳大利亚完成包容性高等教育课程后的经历。材料与方法本定性研究采用现象学方法。对完成该项目的智力残疾成人(N = 6)进行了半结构化访谈。使用Bronfenbrenner的生态系统理论对数据进行了主题分析和解释。结果参与者与导师和员工建立了持久的联系,但与同龄人却没有。一些参与者获得了更多的机会,重新学习,增加了特定主题的知识,并发展了生活技能;然而,其他人面临着从项目过渡的挑战。讨论结果强调有必要探索如何加强从项目到更广泛的大学环境和/或就业的过渡。为今后智障成人包容性高等教育项目的发展提供了实践建议。结论在适当的支持下,智力残疾成人可以获得积极的大学后成就和机会;然而,与同伴等非正式支持的有限社会互动挑战了包容性模式。
{"title":"Where to next? Experiences of adults with intellectual disability after they complete a university program.","authors":"Charlotte Gobec, F. Rillotta, P. Raghavendra","doi":"10.1111/jar.13000","DOIUrl":"https://doi.org/10.1111/jar.13000","url":null,"abstract":"BACKGROUND\u0000Adults with intellectual disability who attended higher education programs have reported increasing self-determination, developing social skills and forming relationships. However, there is limited evidence about what adults with intellectual disability do after they complete such programs. This study investigated the experiences of adults with intellectual disability after they completed an inclusive higher education university program in Australia.\u0000\u0000\u0000MATERIALS & METHODS\u0000This qualitative study used a phenomenological approach. Semi-structured interviews were conducted with adults with intellectual disability who had completed the program (N = 6). Data were thematically analysed and interpreted using Bronfenbrenner's ecological systems theory.\u0000\u0000\u0000RESULTS\u0000Participants developed lasting connections with mentors and staff but not with peers. Some participants accessed more opportunities, returned to study, increased topic-specific knowledge, and developed life skills; however, others faced challenges with transition from the program.\u0000\u0000\u0000DISCUSSION\u0000Findings highlight a need to explore ways to enhance the transition from the program to the wider university environment and/or employment. Suggestions for practice are provided to help inform future development of inclusive higher education programs for adults with intellectual disability.\u0000\u0000\u0000CONCLUSION\u0000With appropriate support adults with intellectual disability can experience positive post-university outcomes and opportunities; however, limited social interaction with informal supports such as peers, challenges the inclusive model.","PeriodicalId":73610,"journal":{"name":"Journal of applied research in intellectual disabilities : JARID","volume":"130 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73951864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Interventions for health-related physical fitness and overweight and obesity in children with intellectual disability: Systematic review and meta-analysis. 智力残疾儿童健康相关体质、超重和肥胖的干预措施:系统回顾和荟萃分析
Pub Date : 2022-04-20 DOI: 10.1111/jar.12999
Aiwei Wang, Yang Gao, Jingjing Wang, T. Brown, Yan Sun, Siyue Yu, T. K. Tong, L. Zhong, S. S. Fong, F. Dutheil, J. Baker
BACKGROUNDPoor health-related physical fitness (HRPF) and overweight and obesity are common health problems for children with intellectual disability. This study aimed to review existing lifestyle intervention studies, and identify effective strategies for this population.METHODSA systematic search was undertaken in three databases. The random-effects model was used to pool the weighted results by inverse variance methods, and the I2 statistic was applied to assess heterogeneity among the included studies.RESULTSMost of the identified interventions (27/29) adopted physical activity (PA). For obesity-related outcomes, the results showed no significant effect of PA studies on reducing obesity. For HRPF outcomes, significant effects were found on 6-min walk distance (51.86 m, 95% CI [16.49, 87.22], p < .05).CONCLUSIONSPA is the predominant intervention component adopted and may contribute to improving cardiopulmonary fitness; but the lack of research limits our ability to draw any confirmed conclusion on obesity-related outcomes and other HRPF outcomes.
背景:健康相关体质差(HRPF)、超重和肥胖是智力残疾儿童常见的健康问题。本研究旨在回顾现有的生活方式干预研究,并为这一人群确定有效的策略。方法对3个数据库进行系统检索。采用随机效应模型通过反方差法对加权结果进行汇总,采用I2统计量评价纳入研究间的异质性。结果大多数干预措施(27/29)采用身体活动(PA)。对于肥胖相关的结果,结果显示PA研究对减少肥胖没有显著影响。对于HRPF结果,6分钟步行距离有显著影响(51.86 m, 95% CI [16.49, 87.22], p < 0.05)。结论spa是采用的主要干预成分,可能有助于改善心肺健康;但缺乏研究限制了我们对肥胖相关结果和其他HRPF结果得出任何确认结论的能力。
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引用次数: 4
A feasibility study on social competence intervention for Chinese adolescents and adults with comorbid autism spectrum disorder and intellectual disability. 社会能力干预对中国青少年和成人自闭症谱系障碍和智力残疾的可行性研究。
Pub Date : 2022-04-11 DOI: 10.1111/jar.12998
Brenda Tsang, C. Leung, R. W. S. Chan
BACKGROUNDSocial competence training for individuals with comorbid autistic spectrum disorder (ASD) and intellectual disability was scarce and had methodological limitations in sample sizes and outcome measures.AIMSThe current study addressed the limitations and reported a social competence intervention for adolescents and adults with ASD and intellectual disability in Hong Kong, the CBT-CSCA (Mild Intellectual Disability).MATERIALS & METHODSThirty-three participants (aged 14-44 years, with an FSIQ 55-70) completed the 15-session intervention in a community centre. A pre-post intervention design was employed. Outcome measures included proxy-ratings on participants' social competence, autistic symptoms and behavioural problem, and participants' weekly self-evaluation on knowledge acquisition and confidence in applying skills.RESULTSSignificant improvements were shown in proxy-reported negative social behaviours, autistic symptoms and overall behavioural problems. Participants also reported satisfactory knowledge gain and confidence in applying content learnt after each session.DISCUSSIONThe CBT-CSCA (Mild Intellectual Disability) is based on an established model and validated studies on ASD population. It demonstrated its applicability and emerging effectiveness in individuals with ASD and mild intellectual disability.CONCLUSIONThe study supports that social competence training remains a centrality intervention approach for individuals with ASD and intellectual disability.
背景自闭症谱系障碍(ASD)和智力残疾患者的社会能力训练很少,并且在样本量和结果测量方面存在方法学上的局限性。目的:本研究针对香港青少年和成人ASD和智力障碍患者的社会能力干预,即CBT-CSCA (Mild intellectual disability,轻度智力障碍)。材料与方法33名参与者(年龄14-44岁,FSIQ 55-70)在社区中心完成了15个疗程的干预。采用干预前-干预后设计。结果测量包括对参与者的社交能力、自闭症症状和行为问题的代理评分,以及参与者每周对知识获取和应用技能信心的自我评估。结果代理报告的负面社会行为、自闭症症状和整体行为问题均有显著改善。参与者还报告了令人满意的知识收获和在每次学习后应用所学内容的信心。CBT-CSCA(轻度智力残疾)是基于一个已建立的模型和对ASD人群的验证研究。它证明了它在ASD和轻度智力残疾患者中的适用性和新出现的有效性。结论社会能力训练对ASD和智力障碍患者仍然是一种中心性干预方法。
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引用次数: 1
A person-centred approach to implementation of psychosocial interventions with people who have an intellectual disability and dementia-A participatory action study. 以人为本的方法对智障和痴呆患者实施社会心理干预——参与性行动研究。
Pub Date : 2021-01-01 Epub Date: 2020-08-18 DOI: 10.1111/jar.12795
Karen Watchman, Kate Mattheys, Michael McKernon, Heather Strachan, Federico Andreis, Jan Murdoch

Background: Numbers of people with an intellectual disability and dementia present a global health and social challenge with associated need to reduce stress or agitation and improve quality of life in affected individuals. This study aimed to identify effectiveness of psychosocial interventions in social care settings and, uniquely, explore use of photovoice methodology to develop dialogue about dementia.

Methods: This mixed-method participatory action study used individualised goal-setting theory with 16 participants with intellectual disability and dementia, and 22 social care staff across 11 sites. Five co-researchers with intellectual disability were part of an inclusive research team collecting data using existing and bespoke tools including photovoice. Analysis used descriptive and inferential statistics and framework analysis.

Results: Seventy four percentage of individual goals met or exceeded expectations with reduction in some "as required" medication. Qualitative findings include themes of enabling care and interventions as tools for practice. Photovoice provided insight into previously unreported fears about dementia.

Conclusions: Individualized psychosocial interventions have potential to reduce distress or agitation.

背景:智力残疾和痴呆患者的数量构成了全球健康和社会挑战,需要减少受影响个体的压力或躁动,提高生活质量。本研究旨在确定社会护理环境中社会心理干预的有效性,并独特地探索使用光声方法来开展关于痴呆症的对话。方法:这项混合参与式行动研究采用个性化目标设定理论,在11个地点的16名智障和痴呆患者和22名社会护理人员中进行。五名智力残疾的共同研究人员是一个包容性研究团队的一部分,他们使用现有的和定制的工具(包括photovoice)收集数据。分析采用描述性统计、推理统计和框架分析。结果:74%的个人目标达到或超过了预期,减少了一些“按需”用药。定性发现包括使护理和干预措施成为实践工具的主题。Photovoice提供了以前未被报道的对痴呆症的恐惧的见解。结论:个体化社会心理干预有可能减少痛苦或躁动。
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引用次数: 9
期刊
Journal of applied research in intellectual disabilities : JARID
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