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香港轻度智力障碍成年人的自主能力、决策(不)一致与个人幸福感。

Self-Determination Competencies, (Dis)Agreement in Decision-Making, and Personal Well-Being of Adults with Mild Intellectual Disabilities in Hong Kong.

机构信息

Department of Social Work, Chinese University of Hong Kong, Hong Kong, China.

Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, China.

出版信息

Int J Environ Res Public Health. 2021 Oct 13;18(20):10721. doi: 10.3390/ijerph182010721.

DOI:10.3390/ijerph182010721
PMID:34682467
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8536139/
Abstract

BACKGROUND

The self-determination of people with an intellectual disability (ID) in the contexts of adulthood and Chinese culture is under-examined in the field of ID, even though the concept of self-determination has vigorously developed in recent decades. This study examined the relationship between self-determination competencies and the personal well-being of adults with mild ID in Hong Kong, as well as their personal goals and decision-making (dis)agreements with their significant others.

METHODS

We interviewed 170 participants using the AIR Self-Determination Scale-Chinese Version (AIR SDS-C) and the Personal Well-Being-Intellectual Disability (Cantonese) (PWI-C), along with a self-constructed questionnaire.

RESULTS

When the demographic characteristics were controlled, self-determination competencies correlated positively with personal well-being (r = 0.313, < 0.001), diverse personal goals were identified, and agreement with significant others was dominant in both daily and major decision-making.

CONCLUSIONS

A positive correlation between self-determination and personal well-being was confirmed in a Chinese population with mild ID. These findings expand the understanding of the types of personal goals and agreement patterns of people with mild ID and yield implications for further research and practices.

摘要

背景

尽管自主性概念在最近几十年得到了大力发展,但在智障人士领域,成人背景下智障人士的自主性及其与重要他人在个人目标和决策方面的(不)一致仍鲜有研究。本研究考察了香港轻度智障成年人的自主性能力与其个人幸福感之间的关系,以及他们的个人目标和决策(不)一致情况。

方法

我们使用自主能力评定量表-中文版(AIR SDS-C)和个人幸福感-智障(粤语)(PWI-C)以及自制问卷对 170 名参与者进行了访谈。

结果

在控制了人口统计学特征后,自主性能力与个人幸福感呈正相关(r = 0.313,<0.001),确定了多样化的个人目标,并且在日常和重大决策中,与重要他人的意见一致占主导地位。

结论

在轻度智障的中国人群中,自主性与个人幸福感之间存在正相关关系。这些发现扩展了对轻度智障人士个人目标类型和一致模式的理解,并为进一步的研究和实践提供了启示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9bf/8536139/907ddf7e550a/ijerph-18-10721-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9bf/8536139/907ddf7e550a/ijerph-18-10721-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9bf/8536139/907ddf7e550a/ijerph-18-10721-g001.jpg

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Self-Determination in People with Intellectual Disability: The Mediating Role of Opportunities.智力残疾人士的自决权:机会的中介作用。
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