Instrumental Support: Accounts from Adults with Intellectual and Developmental Disabilities

IF 1.5 4区 医学 Q2 EDUCATION, SPECIAL
Catherine Keiling Arnold, Sarah Parker Harris
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Abstract

This qualitative study used an inclusive and participatory research approach to examine the perspectives of people with intellectual and developmental disabilities (IDD) on instrumental supports. Instrumental supports include concrete and direct ways people assist others in solving a problem or accomplishing a task, including helping to access and navigate formal supports and services. Natural supporters play essential roles in setting up and maintaining formal supports for individuals with IDD. Family members that provide instrumental support are responsible for integrating the formal and informal supports for the best mix of supports based on the person with IDD’s needs and preferences. This study examined the instrumental support people with IDD received from and gave to their families related to physical support, healthy living, financial support, and navigating formal services. Thirty virtual interviews were conducted using the dyadic interview method with 10 adults with IDD and 10 family members who they chose. Findings showed that people with IDD received natural supports from their family in numerous areas including physical help, support to be healthy, and financial support. Also, families helped with formal supports by navigating the system of services for people with IDD. In addition to receiving support from their families, people with IDD also provided some reciprocal support to their families, specifically in the areas of physical help and healthy living. Implications for practice and policy are shared along with directions for future research.

Abstract Image

工具性支持:来自智力和发育障碍成人的叙述
本定性研究采用包容性和参与式研究方法,考察智力和发育障碍 (IDD) 患者对工具性支持的看法。工具性支持包括人们帮助他人解决问题或完成任务的具体而直接的方式,其中包括帮助他们获得和使用正式的支持和服务。自然支持者在为患有 IDD 的个人建立和维护正式支持方面发挥着至关重要的作用。提供工具性支持的家庭成员负责整合正式和非正式支持,以便根据智障人士的需求和偏好提供最佳的支持组合。本研究考察了智障人士从其家人那里获得的和给予的与身体支持、健康生活、经济支持和正规服务导航相关的工具性支持。研究人员采用二元访谈法对 10 名智障成人和他们选择的 10 名家庭成员进行了 30 次虚拟访谈。调查结果显示,智障人士在身体帮助、健康支持和经济支持等多个方面得到了家人的自然支持。此外,家人还通过引导智障人士服务体系来帮助他们获得正式支持。除了从家人那里获得支持外,智障人士还向家人提供了一些互惠支持,特别是在身体帮助和健康生活方面。本文分享了对实践和政策的启示,以及未来研究的方向。
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来源期刊
CiteScore
3.40
自引率
5.60%
发文量
54
期刊介绍: The Journal of Developmental and Physical Disabilities is an interdisciplinary forum for the publication of original research and clinical reports from a variety of fields serving persons with developmental and physical disabilities. Submissions from researchers, clinicians, and related professionals in the fields of psychology, rehabilitation, special education, kinesiology, counseling, social work, psychiatry, nursing, and rehabilitation medicine are considered. Investigations utilizing group comparisons as well as single-case experimental designs are of primary interest. In addition, case studies that are of particular clinical relevance or that describe innovative evaluation and intervention techniques are welcome. All research and clinical reports should contain sufficient procedural detail so that readers can clearly understand what was done, how it was done, and why the strategy was selected. Rigorously conducted replication studies utilizing group and single-case designs are welcome irrespective of results obtained. In addition, systematic reviews, meta-analyses, and theoretical discussions that contribute substantially to understanding the problems and strengths of persons with developmental and physical disabilities are considered for publication. Authors are encouraged to preregister empirical studies, replications, systematic reviews, and meta-analyses in a relevant public database and to include such information with their submission to the journal. Authors are also encouraged, where possible and applicable, to deposit data that support the findings of their research in a public repository (see detailed “Research Data Policy” module in the journal’s Instructions for Authors). In response to the need for increased clinical and research endeavors with persons with developmental and physical disabilities, the journal is cross-categorical and unbiased methodologically.
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