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识别旨在促进智障人士社区参与的干预措施中所蕴含的概念化内容和变革理论:一项范围综述。

Identifying conceptualizations and theories of change embedded in interventions to facilitate community participation for people with intellectual disability: A scoping review.

作者信息

Bigby Christine, Anderson Sian, Cameron Nadine

机构信息

Living with Disability Research Centre, LaTrobe University, Bundoora, Vic., Australia.

出版信息

J Appl Res Intellect Disabil. 2018 Mar;31(2):165-180. doi: 10.1111/jar.12390. Epub 2017 Aug 11.

Abstract

BACKGROUND

Little progress has been made towards community participation of people with intellectual disability despite it being a policy aim since the 1980s. We aimed to identify the features of programmes designed to support community participation.

METHOD

A scoping review was conducted of peer-reviewed literature between 2000 and 2015, about interventions to support community participation for adults with intellectual disability.

RESULTS

A small body of evidence relates to the design and effectiveness of interventions to enhance community participation. Seventeen studies reported programmes reflecting three conceptualizations of community participation (as social relationships, as convivial encounter and as belonging) that used strategies such as active mentoring, facilitative support worker practice and arts-based programmes.

CONCLUSIONS

Studies showed the diverse and person-centred nature of community participation and demonstrated the need for larger-scale studies of promising interventions that include details of costs, and strategies to guide implementation of policies to support community participation.

摘要

背景

尽管自20世纪80年代以来,让智障人士参与社区活动一直是一项政策目标,但在这方面进展甚微。我们旨在确定旨在支持社区参与的项目的特点。

方法

对2000年至2015年间同行评审的文献进行了范围审查,内容涉及支持成年智障人士社区参与的干预措施。

结果

有少量证据涉及增强社区参与的干预措施的设计和有效性。17项研究报告了反映社区参与的三种概念化(作为社会关系、作为欢乐相遇和作为归属感)的项目,这些项目采用了积极指导、促进性支持工作者实践和基于艺术的项目等策略。

结论

研究表明社区参与具有多样性和以人为本的性质,并表明需要对有前景的干预措施进行更大规模的研究,包括成本细节以及指导支持社区参与政策实施的策略。

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