Rush University Medical Center College of Nursing, 600 S. Paulina St. #1080, Chicago, IL 60612, USA.
Res Nurs Health. 2012 Dec;35(6):610-23. doi: 10.1002/nur.21497. Epub 2012 Jul 2.
Social problem-solving programs have shown success in reducing aggressive/challenging behaviors among individuals with intellectual disabilities in clinical settings, but have not been adapted for health promotion in community settings. We modified a social problem-solving program for the community setting of the group home. Multiple sequential methods were used to seek advice from community members on making materials understandable and on intervention delivery. A committee of group home supervisory staff gave advice on content and delivery. Cognitive interviews with individuals with intellectual disabilities and residential staff provided input on content wording and examples. Piloting the program provided experience with content and delivery. The process provides lessons on partnering with vulnerable populations and community stakeholders to develop health programs.
社会问题解决计划已在临床环境中显示出减少智障个体攻击/挑战性行为的成功,但尚未在社区环境中适应健康促进。我们修改了一个社会问题解决计划,以适应团体之家的社区环境。采用多种连续方法向社区成员征求有关使材料易懂和干预措施实施的建议。团体之家监督人员委员会就内容和实施提供建议。智障人士和住宿工作人员的认知访谈提供了内容措辞和示例方面的投入。方案试点提供了内容和实施方面的经验。这一过程提供了与弱势群体和社区利益相关者合作制定健康方案的经验教训。