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Evaluation of a social network intervention for people with mild to borderline intellectual disabilities
- Authors:
- ASSELT-GOVERTS A. E. van, EMBREGTS P. J. C. M., HENDRIKS A. H. C.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 31(2), 2018, pp.e229-e243.
- Publisher:
- Wiley
Background: Little is known about the effectiveness of interventions aimed at enhancing the social networks of people with intellectual disabilities. This study explores the results of such an intervention. How did the clients with mild to borderline intellectual disabilities and their support workers evaluate the intervention? What did they learn from it? Were there any changes in network characteristics, satisfaction and wishes in relation to networks, participation, loneliness, self-determination or self-esteem? Method: The evaluation of the intervention was explored from several perspectives (i.e. five clients, their six support workers and three trainers), using mixed methods (i.e. interviews and questionnaires). Results: The intervention was positively evaluated by both clients and support workers. Moreover, the analysis revealed the vulnerability of clients and their networks but also the benefits experienced from the intervention, such as decreased loneliness, enhanced social networks, increased awareness, competence, autonomy and increased participation. Conclusion: The indicative level of evidence for the effectiveness of this intervention justifies a larger series of case studies or a larger control trial study. (Publisher abstract)
Contextual variables affecting aggressive behaviour in individuals with mild to borderline intellectual disabilities who live in a residential facility
- Author:
- EMBREGTS P. J. C. M.
- Journal article citation:
- Journal of Intellectual Disability Research, 53(3), March 2009, pp.255-264.
- Publisher:
- Wiley
Aggression is a common type of problem behaviour in clients with mild to borderline intellectual disability who live in a residential facility. This study explored contextual events that elicit aggressive behaviour and variables that were associated with such events. Respondents were 87 direct-care staff members of 87 clients with aggressive behaviour who lived in a residential facility. Staff members completed the Contextual Assessment Inventory (CAI) and a questionnaire on demographic information and types, frequency and severity of aggressive behaviour. Internal consistency of the total CAI was excellent. Both social and task-related events were reported to evoke aggressive behaviour of clients most often. Negative interactions, task characteristics and daily routines relatively often evoked aggressive behaviour while an uncomfortable environment, medication, illness and physiological states (i.e. physical and biological events) evoked aggressive behaviour least often. Mean CAI sub-scale scores were significantly related to gender, IQ and frequency of aggressive behaviour. The present study extends our knowledge regarding events that are associated with an increased probability of aggressive behaviour. Knowledge of these contextual variables may be helpful in designing programmes (e.g. applied behaviour analysis, social skills training and cognitive behavioural therapies) for the management and prevention of aggressive behaviour in clients with mild to borderline intellectual disability who live in a residential facility.