Development of a community life engagement fidelity scale to assess and improve day services and supports

IF 1.2 Q3 REHABILITATION

Journal of Vocational Rehabilitation Pub Date : 2023-04-20 DOI:10.3233/jvr-230014

J. Sulewski, Oliver Lyons, Ngai Kwan

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引用次数: 0

Abstract

BACKGROUND: Despite an increase in supported employment, a large and growing number people with intellectual and developmental disabilities (IDD) still participate in non-work day services. Quality day services that lead to community life engagement (CLE) play an important role in both leading to and complementing competitive integrated employment. OBJECTIVE: Building off guideposts developed in previous research, we aimed to develop and test a new instrument, the CLE Fidelity Scale, for service providers to assess whether their day services and supports are well-designed to support CLE. METHODS: The research involved four steps: item generation based on existing instruments, a self-advocate review panel and Delphi panel for content adequacy assessment, piloting the instrument with service providers, and internal consistency assessment and factor analysis of the pilot data. RESULTS: The end product of these four activities was an 18-item CLEFS that loaded onto three components. The CLEFS also displayed strong content validity (CVR over 0.5 for all items) and interrater reliability (average α=.837), CONCLUSION: The CLEFS can be a useful tool for service providers and state agencies seeking to assess and improve day services and supports.

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制定社区生活参与保真度量表，以评估和改善日常服务和支持

背景:尽管支持就业有所增加，但仍有大量智力和发育障碍者(IDD)参加非工作日服务。促进社区生活参与的优质日间服务在促进和补充竞争性综合就业方面发挥着重要作用。目的:在先前研究的基础上，我们旨在开发和测试一种新的工具，CLE保真度量表，用于服务提供者评估他们的日常服务和支持是否设计良好，以支持CLE。方法:研究分为四个步骤:基于现有工具的项目生成，自我倡导评审小组和德尔菲小组进行内容充分性评估，与服务提供商进行工具试点，以及试点数据的内部一致性评估和因子分析。结果:这四项活动的最终产物是一个18项的CLEFS，加载到三个组件上。CLEFS还显示出较强的内容效度(所有项目的CVR均超过0.5)和互信度(平均α=.837)。结论:CLEFS可以成为服务提供者和国家机构寻求评估和改善日常服务和支持的有用工具。

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来源期刊

Journal of Vocational Rehabilitation REHABILITATION-

CiteScore

1.70

自引率

33.30%

发文量

期刊介绍： The Journal of Vocational Rehabilitation will provide a forum for discussion and dissemination of information about the major areas that constitute vocational rehabilitation. Periodically, there will be topics that are directed either to specific themes such as long term care or different disability groups such as those with psychiatric impairment. Often a guest editor who is an expert in the given area will provide leadership on a specific topic issue. However, all articles received directly or submitted for a special issue are welcome for peer review. The emphasis will be on publishing rehabilitation articles that have immediate application for helping rehabilitation counselors, psychologists and other professionals in providing direct services to people with disabilities.