为智障人士开发病人和公众参与培训课程:莱斯特郡的经验

Samuel Tromans, Rosie Marten, Prabhleen Jaggi, Gemma Lewin, Cath Robinson, Anna Janickyj, Karishma Joshi, Dave Clarke, Reza Kiani, Satheesh Gangadharan
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引用次数: 0

摘要

在研究参与的背景之外,智力残疾人士在研究中缺乏有意义的参与。在与智障人士一起工作时,有必要制定适应的方法,以促进患者和公众的参与,同时考虑到他们的神经发育功能水平。在这篇文章中,我们描述了一个为智障人士开发的病人和公众参与课程,该课程由与该小组合作的专业人员开发,随后在英国莱斯特郡进行了试点。课程的不同版本是为不同程度的神经发育功能和沟通障碍的学生参与者开发的。对于课程的第一部分(“什么是研究?”),途径1(轻度智力残疾)和途径2(中度智力残疾)的学生在课程后的平均知识测试分数相对于课程前都有显著增加(p≤0.05),两个途径组的平均信心测试分数均无显著增加。对于课程的第二部分(“你对研究的参与”),大多数参与者同意或强烈同意“我觉得这很有趣”(途径1:9名学生中有8名[89%];途径2:8 / 10的学生[80%]),但较少的学生对“我想在未来参与研究”的陈述给出了相同的回答(途径1:2 / 9的学生[22%];途径2:8 / 10的学生[80%])。本培训课程提供了一个模板,为参与研究的智障人士提供基础培训,但需要在更大的不同人口统计学和神经发育特征的学生样本中进行进一步评估。
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Developing a Patient and Public Involvement Training Course for People with Intellectual Disabilities: The Leicestershire Experience
Abstract There is a lack of meaningful involvement of people with intellectual disability in research, outside of the context of study participation. There is a need to develop adapted means of facilitating Patient and Public Involvement when working with people with intellectual disability, that takes account for their level of neurodevelopmental functioning. In this article we describe a Patient and Public Involvement course developed for people with intellectual disability, developed by professionals working with this group, which was subsequently piloted in Leicestershire UK. Different versions of the course were developed for student participants with different levels of neurodevelopmental functioning and communication impairment. For Part 1 of the course (‘What is Research?’), students from Pathway 1 (mild intellectual disability) and Pathway 2 (moderate intellectual disability) both had significantly increased ( p ≤ 0.05) mean knowledge test scores post-course relative to pre-course, with non-significant increases in mean confidence test scores for both pathway groups. For Part 2 of the course (‘Your Involvement in Research’), most participants agreed or strongly agreed with the statement ‘I found this interesting’ (Pathway 1: 8 of 9 students [89%]; Pathway 2: 8 of 10 students [80%]), but less students provided equivalent responses to the statement ‘I want to be involved in research in the future’ (Pathway 1: 2 of 9 students [22%]; Pathway 2: 8 of 10 students [80%]). This training course provides a template to provide basic training for people with intellectual disability with respect to research involvement, but requires further evaluation in larger student samples of diverse demographic and neurodevelopmental characteristics.
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