一个持续的过程：随着时间推移对重度智力残疾和多重残疾人士实施干预措施。
An Ongoing Process: The Implementation of an Intervention for People With Profound Intellectual and Multiple Disabilities Over Time.
作者信息
Schaafsma Josien, Ten Brug Annet, van der Putten Annette
机构信息
Faculty of Behavioural and Social Sciences, Department of Pedagogy and Educational Sciences, Basic Unit of Inclusive and Special Needs Education, University of Groningen, Groningen, the Netherlands.
出版信息
J Appl Res Intellect Disabil. 2025 Jul;38(4):e70098. doi: 10.1111/jar.70098.
INTRODUCTION
The "Programma Perspectief" intervention aims to provide optimal support to people with profound intellectual and multiple disabilities. Knowledge concerning intervention fidelity is outdated and scarce as is typical for the support of persons with special needs.
METHODS
An survey amongst care professionals (n = 62) yielded data on the application of core elements of the intervention (vision, methodical approach, and collaboration) in practise, as well as on implementation barriers and facilitators.
RESULTS
Vision and methodical approach are reflected in practise. A positive association was found between the number of perceived barriers and time since implementation. Over time, more barriers emerged at organisational level.
CONCLUSIONS
The results reveal the importance of attending to implementation, even after years. Further research should focus on developing focused implementation strategies to enhance the sustainability of the analysed intervention, thereby guaranteeing the quality of support provided to people with profound intellectual and multiple disabilities.
引言
“Perspectief计划”干预旨在为重度智力和多重残疾人士提供最佳支持。与干预保真度相关的知识陈旧且匮乏，这在特殊需求人群的支持方面很常见。
方法
对护理专业人员（n = 62）进行的一项调查得出了关于干预核心要素（愿景、方法和协作）在实践中的应用数据，以及实施障碍和促进因素的数据。
结果
愿景和方法在实践中得到体现。发现感知到的障碍数量与实施后的时间之间存在正相关。随着时间的推移，组织层面出现了更多障碍。
结论
结果表明即使在数年之后关注实施也很重要。进一步的研究应侧重于制定有针对性的实施策略，以提高所分析干预措施的可持续性，从而确保为重度智力和多重残疾人士提供的支持质量。
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