Person-Directed Staffing and Quality of Life: Links Between Staff Choice, Perceived Staff Stability and Community Participation for Individuals With IDD in the United States

IF 2.2 3区医学 Q2 PSYCHOLOGY, EDUCATIONAL

Journal of Applied Research in Intellectual Disabilities Pub Date : 2026-06-25 DOI:10.1111/jar.70265

James Houseworth, Renáta Tichá, Roger J. Stancliffe, Sandra L. Pettingell, Yi-Chen Wu

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引用次数: 0

Abstract

Background and Aims

Direct support professionals (DSPs) are essential to individuals with intellectual and developmental disabilities (IDD), yet staff turnover remains a significant concern. This study examined whether individuals with IDD in the United States are involved in choosing their staff, how they perceive staff turnover and whether perceived staff stability is associated with quality of life.

Methods

Data from the 2022–2023 National Core Indicators–In Person Survey were analysed to assess relationships between staff choice, perceived staff stability and outcomes related to everyday choice, support-related choice and alignment of community activities with personal preferences.

Results

Individuals involved in choosing their staff were more likely to report greater staff stability. Perceived staff stability was associated with better alignment between community participation and personal preferences but was not significantly associated with choice-making outcomes.

Conclusion

Findings support person-directed service models and highlight the value of involving individuals with IDD in staffing decisions to promote staff stability and person-centred community participation.

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以人为本的人员配备和生活质量：美国IDD患者的员工选择、员工稳定性和社区参与之间的联系

背景和目的直接支持专业人员（dsp）对智力和发育障碍（IDD）患者至关重要，但人员流动仍然是一个重大问题。这项研究调查了美国的IDD患者是否参与选择他们的员工，他们如何看待员工更替，以及员工稳定性是否与生活质量有关。方法分析来自2022-2023年国家核心指标亲自调查的数据，以评估员工选择、感知员工稳定性和日常选择相关结果、支持相关选择以及社区活动与个人偏好的一致性之间的关系。结果参与选择员工的个人更有可能报告更大的员工稳定性。感知到的员工稳定性与社区参与和个人偏好之间更好的一致性相关，但与决策结果没有显著相关性。结论：研究结果支持以人为本的服务模式，并强调了让IDD患者参与人员配置决策以促进人员稳定性和以人为本的社区参与的价值。

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

Journal of Applied Research in Intellectual Disabilities Multiple-

CiteScore

4.70

自引率

12.50%

发文量

期刊介绍： JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.