对为支持需求高和低的成年人提供积极支持过程中的沟通情况进行的探索。
An exploration of communication within active support for adults with high and low support needs.
作者信息
Iacono Teresa, Bould Emma, Beadle-Brown Julie, Bigby Christine
机构信息
Living with Disability Research Centre, La Trobe University, Bendigo, Vic., Australia.
Living with Disability Research Centre & Tizard Centre, University of Kent, Canterbury, UK.
出版信息
J Appl Res Intellect Disabil. 2019 Jan;32(1):61-70. doi: 10.1111/jar.12502. Epub 2018 Jun 27.
BACKGROUND
The aim was to explore the relationship between quality of active support and communication support for people in group homes with high and low support needs.
METHODS
Data from 182 service users, 20-81 years (mean = 40), 89 with high support needs, were observed to have either good (n = 142) or poor (n = 40) communication support. Measures were of quality of active support, engagement and staff contact; field notes provided examples of good and poor communication supports.
RESULTS
We found a relationship between the quality of communication support and active support. Receiving good communication was associated with higher levels of engagement. Field notes included some examples of appropriate communication supports, but limited use of augmentative and alternative communication (AAC).
CONCLUSIONS
Staff show limited use of appropriate communication with people having high support needs who require AAC. Strategies to improve quality of practice are discussed.
背景
目的是探讨对支持需求高和低的集体家庭中的人员而言，积极支持质量与沟通支持之间的关系。
方法
观察了182名年龄在20至81岁（平均年龄 = 40岁）的服务使用者的数据，其中89人支持需求高，这些使用者被观察到接受了良好（n = 142）或不良（n = 40）的沟通支持。测量指标包括积极支持的质量、参与度和工作人员接触情况；实地记录提供了良好和不良沟通支持的示例。
结果
我们发现沟通支持质量与积极支持之间存在关联。获得良好沟通与更高的参与度相关。实地记录包括一些适当沟通支持的示例，但辅助和替代沟通（AAC）的使用有限。
结论
工作人员对需要AAC的高支持需求者使用适当沟通的情况有限。讨论了提高实践质量的策略。
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