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评估轻度至边缘智力障碍人群寻求支持的自主连续体。

Evaluating the self-determination continuum towards seeking support among people with mild to borderline intellectual disabilities.

机构信息

Department of Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands.

Section of Clinical Child and Family Studies, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, Amsterdam, Netherlands, 1081 BT, The Netherlands.

出版信息

J Intellect Disabil Res. 2021 Apr;65(4):348-360. doi: 10.1111/jir.12819. Epub 2021 Feb 10.

Abstract

BACKGROUND

Providing professional support for people with mild to borderline intellectual disabilities (IDs) is supposed to support their autonomous participation in society and, in turn, enhance their well-being and quality of life. However, the motivation for seeking support may differ for people with mild to borderline IDs, varying in the extent to which the person's autonomy is self-determined. The present study tested the association between different types of motivation for seeking support and well-being.

METHOD

Adults with mild to borderline IDs (N = 154) participated in a cross-sectional survey. Researchers administered the Self-Regulation Questionnaire - Support - II (SRQ-S-II) and a life satisfaction questionnaire. To determine the test-retest reliability of the SRQ-S-II, 30 participants completed a follow-up questionnaire.

RESULTS

The motivations cited by people with mild to borderline IDs for seeking support ranged from amotivation to intrinsic motivation. Multiple regression analysis indicated that the model explained 56.6% of the variance, with intrinsic motivation (β = 0.361, P < 0.001) and identified motivation (β = 0.381, P = 0.001) proving to be significant predictors in terms of explaining the highest percentage of variance in well-being. Amotivation (β = -0.247, P = 0.004) and introjected motivation (β = -0.145, P = 0.03) contributed significantly to the model with negative beta coefficients. Finally, reliability measures (Cronbach's alphas, MacDonald's omegas and test-retest reliabilities) indicated that all types of motivation for seeking support could be reliably assessed.

CONCLUSIONS

The results of the present study showed that people with mild to borderline IDs displayed the full range of types of motivations for seeking support and, moreover, that it was associated with well-being. Studying these motivational states, and increasing our awareness of what motivates this population to seek support, can aid the design of more effective support that respects self-determination and well-being. The SRQ-S-II is thus an important instrument for understanding the role of support in promoting well-being.

摘要

背景

为轻度至边缘智力障碍者(ID)提供专业支持,旨在支持他们自主参与社会,并进而提高他们的幸福感和生活质量。然而,对于轻度至边缘 ID 人群来说,寻求支持的动机可能有所不同,这取决于个人自主的程度。本研究测试了寻求支持的不同类型的动机与幸福感之间的关联。

方法

154 名轻度至边缘智力障碍的成年人参与了横断面调查。研究人员采用自我调节问卷-支持-第二版(SRQ-S-II)和生活满意度问卷对参与者进行测试。为了确定 SRQ-S-II 的测试-重测信度,30 名参与者完成了一份随访问卷。

结果

轻度至边缘智力障碍者寻求支持的动机范围从动机缺乏到内在动机。多元回归分析表明,该模型解释了 56.6%的方差,内在动机(β=0.361,P<0.001)和认同动机(β=0.381,P=0.001)被证明是解释幸福感最高百分比方差的显著预测因素。动机缺乏(β=-0.247,P=0.004)和内摄动机(β=-0.145,P=0.03)的负β系数对模型也有显著贡献。最后,可靠性度量(Cronbach's alphas、MacDonald's omegas 和测试-重测信度)表明,寻求支持的所有类型的动机都可以进行可靠评估。

结论

本研究结果表明,轻度至边缘智力障碍者表现出寻求支持的动机类型的全范围,而且这些动机与幸福感相关。研究这些动机状态,并提高我们对促使这一人群寻求支持的动机的认识,可以帮助设计更有效的支持,从而尊重自主和幸福感。因此,SRQ-S-II 是理解支持在促进幸福感方面作用的重要工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e7/7986397/e2ef3e3096bc/JIR-65-348-g001.jpg

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