Self-Determination Skills in Ageing Women With Intellectual Disabilities

IF 1.2 4区医学 Q3 EDUCATION, SPECIAL

British Journal of Learning Disabilities Pub Date : 2024-11-12 DOI:10.1111/bld.12630

Izaskun Álvarez-Aguado, Vanessa Vega Córdova, Miguel Roselló-Peñaloza, Félix González-Carrasco, Maryam Farhang, Karla Campaña Vilo, Herbert Spencer, Felipe Muñoz La Rivera, Leyre Álvarez Aguado

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Abstract

Background

Women with intellectual disabilities confront distinct challenges as they age, compounded by cognitive and adaptive constraints. These challenges encompass heightened health risks, barriers to social support and susceptibility to violence, underscoring the critical role of self-determination in enhancing their quality of life.

Method

This quantitative study utilised a scale based on the Functional Model of Self-Determination to assess self-determination levels in 218 Chilean women aged 45 to 80 with intellectual disabilities. The research also explored potential personal and environmental factors influencing these levels.

Findings

Employed participants and those in supportive family environments demonstrated higher self-determination levels. Moreover, women without mental health issues exhibited advanced skills in self-regulation, empowerment and self-realisation. Significant disparities were noted based on varying levels of intellectual disability, types of support received and socioeconomic status, highlighting the necessity for tailored and diversified support systems.

Conclusion

Developing personalised support programs that address individual and contextual differences is crucial. Despite limitations, this study emphasises the urgency for inclusive public policies aimed at eliminating socioeconomic and cultural barriers, thereby fostering environments conducive to community engagement and autonomous decision-making.

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老年智障妇女的自我决定能力

随着年龄的增长，智力残疾妇女面临着独特的挑战，加上认知和适应方面的限制。这些挑战包括健康风险增加、获得社会支持的障碍和易受暴力侵害，突出了自决在提高其生活质量方面的关键作用。方法采用基于自我决定功能模型的量表，对218名45 ~ 80岁智利智障女性的自我决定水平进行定量研究。该研究还探讨了影响这些水平的潜在个人和环境因素。研究结果：有工作的参与者和在支持性家庭环境中的参与者表现出更高的自决水平。此外，没有精神健康问题的妇女在自我调节、赋权和自我实现方面表现出先进的技能。报告指出，不同程度的智力残疾、接受的支持类型和社会经济地位存在显著差异，强调需要量身定制和多样化的支持系统。针对个人和环境差异制定个性化的支持计划至关重要。尽管存在局限性，但本研究强调了制定包容性公共政策的紧迫性，旨在消除社会经济和文化障碍，从而营造有利于社区参与和自主决策的环境。

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

British Journal of Learning Disabilities EDUCATION, SPECIAL-

CiteScore

2.30

自引率

20.00%

发文量

期刊介绍： The British Journal of Learning Disabilities is an interdisciplinary international peer-reviewed journal which aims to be the leading journal in the learning disability field. It is the official Journal of the British Institute of Learning Disabilities. It encompasses contemporary debate/s and developments in research, policy and practice that are relevant to the field of learning disabilities. It publishes original refereed papers, regular special issues giving comprehensive coverage to specific subject areas, and especially commissioned keynote reviews on major topics. In addition, there are reviews of books and training materials, and a letters section. The focus of the journal is on practical issues, with current debates and research reports. Topics covered could include, but not be limited to: Current trends in residential and day-care service Inclusion, rehabilitation and quality of life Education and training Historical and inclusive pieces [particularly welcomed are those co-written with people with learning disabilities] Therapies Mental health issues Employment and occupation Recreation and leisure; Ethical issues, advocacy and rights Family and carers Health issues Adoption and fostering Causation and management of specific syndromes Staff training New technology Policy critique and impact.