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积极支持培训、员工援助以及美国智力和发育障碍个体的参与:随机对照试验。

Active Support Training, Staff Assistance, and Engagement of Individuals With Intellectual and Developmental Disabilities in the United States: Randomized Controlled Trial.

机构信息

Xueqin Qian, Sheryl A. Larson, and Renáta Tichá, Institute on Community Integration, University of Minnesota, Minneapolis; Roger Stancliffe, University of Sydney, Lidcombe, NSW, 1825, Australia; and Sandra L Pettingell, Institute on Community Integration, University of Minnesota, Minneapolis.

出版信息

Am J Intellect Dev Disabil. 2019 Mar;124(2):157-173. doi: 10.1352/1944-7558-124.2.157.

DOI:10.1352/1944-7558-124.2.157
PMID:30835526
Abstract

Two non-U.S. quasi-experimental studies reported Active Support training was associated with increased engagement in individuals with IDD, but no randomized controlled trials (RCTs) exist. We evaluated effects of Active Support training on staff assistance, and social and nonsocial engagement in 75 individuals with intellectual and developmental disabilities (IDD) in U.S. group homes. We detected no significant effects of active support training. Individuals with more skills and less challenging behavior engaged more in nonsocial activities. Younger individuals with more skills living in homes with fewer staff changes were more socially engaged. Factors associated with nonsocial engagement mirrored those reported in Qian, Tichá, Larson, Stancliffe, & Wuorio, (2015) . Staffing-related implementation challenges and statistical power limited our ability to detect differences.

摘要

两项非美国的准实验研究报告称,积极支持培训与智障人士的参与度增加有关,但目前尚无随机对照试验(RCT)。我们评估了积极支持培训对美国群体家庭中 75 名智障人士的员工协助、社会和非社会参与的影响。我们没有发现积极支持培训有显著效果。技能更多、行为挑战更少的个体更多地参与非社会活动。技能更多、生活在员工变动较少的家庭中的年轻个体更具社交性。与非社会参与相关的因素反映了 Qian、Tichá、Larson、Stancliffe 和 Wuorio(2015)的报告。人员配备相关的实施挑战和统计能力限制了我们发现差异的能力。

相似文献

1
Active Support Training, Staff Assistance, and Engagement of Individuals With Intellectual and Developmental Disabilities in the United States: Randomized Controlled Trial.积极支持培训、员工援助以及美国智力和发育障碍个体的参与:随机对照试验。
Am J Intellect Dev Disabil. 2019 Mar;124(2):157-173. doi: 10.1352/1944-7558-124.2.157.
2
Transforming staff practice through active support.通过积极支持转变员工的工作方式。
J Intellect Dev Disabil. 2011 Sep;36(3):156-66. doi: 10.3109/13668250.2011.598499.
3
Responsiveness to staff support: evaluating the impact of individual characteristics on the effectiveness of active support training using a conditional probability approach.对员工支持的反应:使用条件概率方法评估个体特征对积极支持培训效果的影响。
J Intellect Disabil Res. 2002 Nov;46(Pt 8):594-604. doi: 10.1046/j.1365-2788.2002.00433.x.
4
Opportunity and the promotion of activity among adults with severe intellectual disability living in community residences: the impact of training staff in active support.机会与居住在社区住所中的重度智力残疾成年人活动的促进:对工作人员进行积极支持培训的影响
J Intellect Disabil Res. 1999 Jun;43 ( Pt 3):164-78. doi: 10.1046/j.1365-2788.1999.00177.x.
5
The impact of individual and organisational factors on engagement of individuals with intellectual disability living in community group homes: a multilevel model.个体和组织因素对居住在社区集体家庭中的智障人士参与度的影响:一个多层次模型。
J Intellect Disabil Res. 2015 Jun;59(6):493-505. doi: 10.1111/jir.12152. Epub 2014 Jul 25.
6
Interactive training for active support: perspectives from staff.
J Intellect Dev Disabil. 2008 Sep;33(3):225-38. doi: 10.1080/13668250802283348.
7
Implementation of active support in Victoria, Australia: an exploratory study.澳大利亚维多利亚州积极支持措施的实施:一项探索性研究。
J Intellect Dev Disabil. 2013 Mar;38(1):48-58. doi: 10.3109/13668250.2012.753996. Epub 2013 Jan 28.
8
Interactive training.互动式培训。
J Intellect Dev Disabil. 2008 Sep;33(3):215-24. doi: 10.1080/13668250802292596.
9
Effectiveness of the 'Who's Challenging Who' support staff training intervention to improve attitudes and empathy towards adults with intellectual disability and challenging behaviours: study protocol for a cluster randomised controlled trial.“谁在挑战谁”支持人员培训干预措施对改善针对成年智障人士及挑战性行为的态度和同理心的效果:一项整群随机对照试验的研究方案
Trials. 2017 Oct 5;18(1):460. doi: 10.1186/s13063-017-2175-1.
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Engagement in meaningful activity and "active support" of people with intellectual disabilities in residential care.在寄宿照料中让智障人士参与有意义的活动并给予“积极支持”。
Res Dev Disabil. 2002 Sep-Oct;23(5):342-52. doi: 10.1016/s0891-4222(02)00135-x.

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