Institute on Community Integration, Department of Personality, Assessment, and Psychological Treatments, Faculty of Psychology, University of Salamanca, Salamanca, Spain.
Institute on Community Integration, Department of Education, Faculty of Education, University of Cantabria, Santander, Spain.
J Intellect Disabil Res. 2019 Dec;63(12):1413-1427. doi: 10.1111/jir.12683. Epub 2019 Sep 5.
This study assessed the equivalence of the measurement of support needs between children with intellectual disability (ID) and children with intellectual and motor disabilities (IMD) and compared both groups in the different domains of support.
The Supports Intensity Scale-Children's Version was used to assess the support needs of 713 children with ID and 286 children with IMD, mainly associated with cerebral palsy.
The results supported measurement invariance between the group of ID and IMD, which allowed to conduct comparison between them. Children with IMD scored higher on support needs than did children without IMD, suggesting that children with IMD needed more support than their peers without motor impairments. Furthermore, the ID levels interacted with motor impairments: at the highest levels of ID, groups tended to be similar in support needs, with high scores and low variability. The greatest differences were found in the domains of Home and Community activities.
This study points to the across-condition of the construct of support needs in populations with intellectual and developmental disabilities. However, additional mobility impairments should be considered during the evaluation and planning of systems of support. In this regard, the Supports Intensity Scale-Children's Version might have limitations when discriminating between samples with high support needs.
本研究评估了智障（ID）儿童和智力和运动障碍（IMD）儿童之间支持需求测量的等效性，并比较了两组在不同支持领域的情况。
使用支持强度量表-儿童版评估了 713 名 ID 儿童和 286 名主要与脑瘫相关的 IMD 儿童的支持需求。
结果支持 ID 和 IMD 组之间的测量不变性，这允许对它们进行比较。与无 IMD 的儿童相比，有 IMD 的儿童在支持需求方面得分更高，这表明 IMD 儿童比没有运动障碍的同龄人需要更多的支持。此外，ID 水平与运动障碍相互作用：在最高 ID 水平下，两组在支持需求方面趋于相似，得分较高且变化较小。最大的差异出现在家庭和社区活动领域。
本研究表明，在智力和发育障碍人群中，支持需求的结构具有跨条件的特点。然而，在评估和规划支持系统时，应考虑额外的移动障碍。在这方面，支持强度量表-儿童版在区分高支持需求样本时可能存在局限性。
