Improving Quality of Life and Reducing Behavioral Problems of People With Intellectual and Developmental Disabilities Through Deinstitutionalization.

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Psicothema Pub Date : 2024-05-01 DOI:10.7334/psicothema2023.303

Patricia Navas, Laura Esteban, Victor Arias, Miguel Ángel Verdugo

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引用次数: 0

Abstract

Antecedents: People with intellectual and developmental disability (IDD) with extensive support needs are more likely to live in segregated and highly institutionalized environments. The aim of this study was to analyze changes in functioning and quality of life for people with IDD and extensive support needs after transitioning to ordinary homes in the community.

Method: The sample included 54 adults with IDD and extensive support needs, who were assessed at three time points: before transition, six months later, and one year after transition. The Resident Choice Scale, San Martin Quality of Life Scale, Active Support Participation Measure, and the Behavior Problem section of the Inventory for Client and Agency Planning were administered. Partial least squares-structural equation modeling (PLS-SEM) and t-tests for repeated measures were carried out.

Results: There were significant improvements in decision-making, participation and independence in daily activities and quality of life, as well as a reduction in the presence and intensity of behavioral problems.

Conclusions: The benefits found in this study support transformation processes towards more inclusive services and professional practices that foster people's rights and feeling of belonging to the community.

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通过非机构化改善智力和发育障碍人士的生活质量并减少其行为问题。

前因：需要大量支持的智力和发育障碍（IDD）患者更有可能生活在隔离和高度机构化的环境中。本研究旨在分析有广泛支持需求的智力发育障碍者在过渡到社区普通家庭后，其功能和生活质量的变化：样本包括 54 名患有 IDD 并需要大量支持的成年人，在三个时间点对他们进行了评估：过渡前、六个月后和过渡后一年。对他们进行了 "居民选择量表"、"圣马丁生活质量量表"、"积极支持参与量表 "以及 "客户和机构规划量表 "中的 "行为问题 "部分的评估。对重复测量进行了偏最小二乘法结构方程建模（PLS-SEM）和 t 检验：结果：在决策、日常活动的参与和独立性以及生活质量方面都有明显改善，行为问题的存在和强度也有所降低：本研究发现的益处支持向更具包容性的服务和专业实践转变，以促进人们的权利和对社区的归属感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psicothema PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

6.50

自引率

16.70%

发文量

审稿时长

24 weeks

期刊介绍： La revista Psicothema fue fundada en Asturias en 1989 y está editada conjuntamente por la Facultad y el Departamento de Psicología de la Universidad de Oviedo y el Colegio Oficial de Psicólogos del Principado de Asturias. Publica cuatro números al año. Se admiten trabajos tanto de investigación básica como aplicada, pertenecientes a cualquier ámbito de la Psicología, que previamente a su publicación son evaluados anónimamente por revisores externos. Psicothema está incluida en las bases de datos nacionales e internacionales más relevantes, entre las que cabe destacar Psychological Abstracts, Current Contents y MEDLINE/Index Medicus, entre otras. Además, figura en las listas de Factor de Impacto del Journal Citation Reports. Psicothema es una revista abierta a cualquier enfoque u orientación psicológica que venga avalada por la fuerza de los datos y los argumentos, y en la que encuentran acomodo todos los autores que sean capaces de convencer a los revisores de que sus manuscritos tienen la calidad para ser publicados. Psicothema es una revista de acceso abierto lo que significa que todo el contenido está a disposición de cualquier usuario o institución sin cargo alguno. Los usuarios pueden leer, descargar, copiar, distribuir, imprimir, buscar, o realizar enlaces a los textos completos de esta revista sin pedir permiso previo al editor o al autor, siempre y cuando la fuente original sea referenciada. Para acervos y repositorios, se prefiere que la cobertura se realice mediante enlaces a la propia web de Psicothema. Nos parece que una apuesta decidida por la calidad es el mejor modo de servir a nuestros lectores, cuyas sugerencias siempre serán bienvenidas.