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Enhancing capacity to make sexuality-related decisions in people with an intellectual disability
- Authors:
- DUKES E., McGUIRE B.E.
- Journal article citation:
- Journal of Intellectual Disability Research, 53(8), August 2009, pp.727-734.
- Publisher:
- Wiley
An intervention was applied to the area of sexual knowledge in order to determine if capacity for people with learning disabilities to make sexuality-related decisions could be improved. The study adopted a single subject design using multiple baseline method with four adults with a moderate intellectual disability. The intervention consisted of individually tailored sex education. Treatment was offered to each participant twice weekly for a 10-week period on a one-to-one basis. The Sexual Consent and Education Assessment was used for measurement purposes. The SCEA K-Scale (knowledge) and the S-Scale (safety practices) were administered weekly throughout the baseline, treatment and post-treatment phases of the study. Staff concerns were also assessed using the SCEA Inappropriate Sexual Behaviour Scale. All four participants improved their decision-making capacity in all targeted areas as measured by improvements in K-Scale and S-Scale scores. Staff concerns were not increased as indicated by results on the Inappropriate Sexual Behaviour Scale. Six-month follow-up data for three of the participants showed maintenance of scores on the S-Scale and some decay in scores on the K-Scale from post-intervention performance.