a Department of Psychiatry and Mental Health , University of Cape Town , Observatory, Cape Town , South Africa.
b Department of Clinical Child and Family Studies and Amsterdam Public Health Research Institute (APH) , Faculty of Behavior and Movement Sciences , Amsterdam , The Netherlands.
Assist Technol. 2019;31(2):98-105. doi: 10.1080/10400435.2017.1371813. Epub 2017 Nov 2.
Persons with an intellectual disability (ID) are at risk of developing separation anxiety (SA) and, if left untreated, this can be a risk factor for the development of psychopathology. The effects of an intervention, namely technology assisted therapy for SA (TTSA), were examined on the SA, challenging behavior, psychosocial functioning, and quality of life (QOL) experienced by moderate to mild intellectually and visually disabled adults. This study aimed to determine whether TTSA reduces SA and challenging behavior in persons with ID and visual impairment, and if this results in increased psychosocial functioning and QOL. A pre-experimental within-group design with randomized multiple baselines and staggered intervention start-points was used (n = 6). The variables were monitored with standardized instruments. The frequencies of each participant's use of the technology and the frequency and intensity of their behavior were recorded over time. Results indicate that the SA and challenging behavior experienced by the participants decreased significantly and their psychosocial functioning and QOL increased significantly. The conclusions are that TTSA has the potential to be a valid intervention to address SA in adults with visual and moderate to mild IDs.
智障人士(ID)有发展分离焦虑(SA)的风险,如果得不到治疗,这可能成为心理病理学发展的一个风险因素。本研究旨在确定技术辅助治疗 SA(TTSA)是否可以减少中度至轻度智力和视力障碍成年人的 SA 和挑战性行为,并增加他们的社会心理功能和生活质量(QOL)。本文研究了一种干预措施,即技术辅助治疗 SA(TTSA),对中度至轻度智力和视力障碍成年人的 SA、挑战性行为、社会心理功能和生活质量(QOL)的影响。本研究采用了预实验性的组内设计,包括随机多基线和交错干预起点(n=6)。使用标准化工具监测变量。随着时间的推移,记录每个参与者使用技术的频率以及他们行为的频率和强度。结果表明,参与者的 SA 和挑战性行为显著减少,他们的社会心理功能和生活质量显著提高。结论是,TTSA 有可能成为一种有效的干预措施,以解决有视力和中度至轻度 ID 的成年人的 SA。