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Modification of motivational interviewing for use with people with mild intellectual disability and challenging behaviour
- Authors:
- FRIELINK Noud, EMBREGTS Petri
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 38(4), 2013, pp.279-291.
- Publisher:
- Taylor and Francis
Background: Motivational interviewing is a promising method to increase treatment motivation for people with mild intellectual disability and challenging behaviour. The purpose of the present study was to identify how professionals could adapt motivational interviewing techniques for use with clients. Method: The authors conducted semistructured qualitative interviews and focus groups with 26 clients, parents, and professionals. A general inductive approach led to the identification of multiple core themes. Results: The authors recommend several modifications to accommodate motivational interviewing for use with clients: adapt to language level, adjust to cognitive abilities, and control for social desirability of responding. In addition, certain characteristics of professionals were also found to be critical for effective motivational interviewing: trustworthiness, engagement, acceptance, empathy, and honesty. Conclusions: Concrete recommendations for the adaptation of the motivational interviewing techniques for use with people with mild intellectual disability and challenging behaviour are identified. Certain characteristics of professionals are also critical for maximising the treatment motivation of clients. (Publisher abstract)
Autonomy support in people with mild-to-borderline intellectual disability: testing the Health Care Climate Questionnaire-Intellectual Disability
- Authors:
- FRIELINK Noud, SCHUENGEL Carlo, EMBREGTS Petri J.C.M.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 31(1), 2018, pp.159-163.
- Publisher:
- Wiley
Background: Autonomy support in people with intellectual disability (ID) is an important yet understudied topic. Psychometrically sound instruments are lacking. This study tested the factor structure and reliability of an instrument for assessing the extent people with intellectual disability perceive their support staff as autonomy supportive. Method: In a single wave, 185 adults with mild-to-borderline intellectual disability filled in an adapted version of the Health Care Climate Questionnaire (i.e., HCCQ-ID). Forty of them participated in a second wave to determine test-retest-reliability. The HCCQ-ID consists of 15 items on a 5-point Likert scale. Results: The expected one-factor structure was found. Internal consistency (α = 0.93) and test–retest reliability (r = .85) were good. The score distribution was skewed towards high satisfaction.Conclusions: The factor structure and reliability of the HCCQ-ID were supported for people with mild-to-borderline intellectual disability. Given the homogeneous factor structure and the high reliability, the number of items may be further optimised. (Edited publisher abstract)
eHealth in support for daily functioning of people with intellectual disability: views of service users, relatives, and professionals on both its advantages and disadvantages and its facilitating and impeding factors
- Authors:
- FRIELINK Noud, OUDSHOORN Cathelijn E. M., EMBREGTS Petri J.C.M.
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 46(2), 2021, pp.115-125.
- Publisher:
- Taylor and Francis
Background: The use of eHealth in support for daily functioning of service users with intellectual disability (ID) is a rather unexplored domain. Therefore, the current study identified the a) level of familiarity, b) advantages/disadvantages, and c) facilitating/impeding factors for the use of eHealth in support for daily functioning of people with ID according to service users, relatives, and professionals. Method: Four focus groups and one semi-structured qualitative interview were conducted. Results: Participants were familiar with numerous eHealth applications. Benefits were related to service users (e.g., increased independency) and relatives/professionals (e.g., providing more efficient support). Adequate informing and involving all stakeholders and centrally positioning the needs and possibilities of service users were reported as important facilitators. Contrary, impeding factors were malfunctioning Internet, expenses of eHealth, and lack of proper IT-support. Conclusions: The results provide imperative information for future eHealth implementations and to direct its use more specifically to people with ID. (Edited publisher abstract)