Centre for Parenting, Child Welfare and Disabilities, K.U.Leuven, Leuven, Belgium.
J Intellect Disabil Res. 2012 Feb;56(2):167-78. doi: 10.1111/j.1365-2788.2011.01448.x. Epub 2011 Jul 5.
Multisensory storytelling (MSST) is an individualised activity for people with profound intellectual and multiple disabilities (PIMD) in which a story is being told with an emphasis on sensory experiences and social interaction. MSST is a promising approach, but needs more empirical research evidence. In general, there is a lack of research about staff interaction during specific activities with people with PIMD. In the present study, we explored the possibility to describe staff interactive style during MSST making use of a global coding instrument.
Twenty dyads of a person with PIMD and a professional caregiver participated in an observation study. The caregivers received training in MSST and told a multisensory story to their client once a week, for a period of 10 weeks. The first, fifth and last session were recorded on video. Staff interactive style was coded using an adapted version of the Maternal Behavior Rating Scale, with a consensus rating procedure.
Professional caregivers scored moderately on the Maternal Behavior Rating Scale. Repeated measures analyses showed no change in time. We did not find a relationship between staff interactive style and client or staff characteristics.
The Maternal Behavior Rating Scale contributes to our understanding of staff interactive style during activities with people with PIMD. Specifically for MSST, the moderate scores on the interactive style dimensions were unexpected, because the individualised MSST activity created an optimal situation for high-quality interaction with people with PIMD. Because the interactive style did not improve through the repetition of the activity either, these results might point to a need for staff training in achieving high-quality interaction during activities like MSST.
多感官故事讲述（MSST）是一种针对严重智力和多重残疾（PIMD）人群的个性化活动，强调感官体验和社交互动。MSST 是一种很有前途的方法，但需要更多的实证研究证据。一般来说，对于 PIMD 人群在特定活动中的员工互动研究较少。在本研究中，我们探索了使用全局编码工具描述 MSST 期间员工互动风格的可能性。
20 对 PIMD 患者及其专业护理人员参与了观察研究。护理人员接受了 MSST 培训，并在 10 周内每周为其客户讲述一次多感官故事。第一、五和最后一次会议都被录像记录。使用经改编的母亲行为评定量表（Maternal Behavior Rating Scale）及其共识评分程序，对员工互动风格进行编码。
专业护理人员在母亲行为评定量表上的得分中等。重复测量分析显示时间没有变化。我们没有发现员工互动风格与客户或员工特征之间的关系。
母亲行为评定量表有助于我们理解 PIMD 人群活动期间的员工互动风格。特别是对于 MSST，互动风格维度的中等得分出乎意料，因为个性化的 MSST 活动为与 PIMD 人群进行高质量互动创造了最佳条件。由于通过活动的重复也没有提高互动风格，这些结果可能表明需要对员工进行培训，以在类似 MSST 的活动中实现高质量的互动。
