scholarly journals Improving procedural fidelity of behavioural interventions for people with intellectual and developmental disabilities: A systematic review

2019 ◽  
Vol 32 (4) ◽  
pp. 762-778
Author(s):  
Lucy Brady ◽  
Ciara Padden ◽  
Peter McGill
Keyword(s):  
Systematic Review ◽  
Developmental Disabilities ◽  
Intellectual And Developmental Disabilities ◽  
Behavioural Interventions ◽  
Procedural Fidelity

scholarly journals Commentary on “Consumer behaviour analysis and non-adoption of behavioural interventions: implications for managerial action”

2019 ◽  
Vol 24 (3) ◽  
pp. 108-112
Author(s):  
Julie Beadle-Brown ◽  
Jill Bradshaw
Keyword(s):  
Developmental Disabilities ◽  
Design Methodology ◽  
Consumer Behaviour ◽  
Intellectual And Developmental Disabilities ◽  
Process Of Change ◽  
Behavioural Interventions ◽  
Content Type ◽  
Behaviour Analysis ◽  
Managerial Action

Purpose The purpose of this paper is to reflect on the difficulties highlighted by Ntinas around supporting change in services for people with intellectual and developmental disabilities. Design/methodology/approach This commentary examines what is needed for change and reflects on staff culture. Findings The authors propose that it is not sensible to separate the culture of a service from the implementation of person-centred approaches and attempt to map how the concepts overlap and are interconnected. Originality/value Whilst some elements of culture are clearly important in order to start the process of change, other elements will change as an intervention is introduced and embedded.

scholarly journals Caring for people with intellectual and developmental disabilities: how can it be experienced and percieved by registered nurses?

2021 ◽  
Author(s):  
◽  
Marie Appelgren
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Developmental Disabilities ◽  
Registered Nurses ◽  
Home Health Care ◽  
Home Health ◽  
Intellectual And Developmental Disabilities ◽  
Diverse Range ◽  
Qualitative Descriptive ◽  
The Right

Registered nurses [RNs] are within the frontline of professional nursing and are expected to provide a diverse range of health care services to a varied and heterogenic group of patients. They are bound by a code of ethics that mandates that nurses respect all human rights regardless of the patient’s abilities or functional status. However, research implies that RNs do not feel adequately prepared to support patients with intellectual and developmental disabilities [IDD], and that patients with IDD are often misinterpreted and misunderstood in care. Gaining in-depth knowledge about how RNs can experience nursing for this group of patients is therefore of great importance. The overall aim of this thesis was to describe, appraise, integrate and synthesise knowledge concerning nursing for patients with IDD. A further aim was to explore and describe Swedish RNs’ perceptions of providing care for patients with IDD within a home health care setting. This thesis consisted of two studies designed to investigate various aspects of nursing and caring for patients with IDD. Paper I was a systematic review using a meta-ethnographic approach, and Paper II was an interview study using a qualitative descriptive, interpretive design. Data was collected by systematic data base searches (Paper I), and by individual interviews (Paper II). The systematic review comprised 202 RNs (Paper I) and the qualitative descriptive study comprised 20 RNs. In the systematic review, data was analysed by a Line of Argument Synthesis [LOAs] as described by Noblit and Hare (1988), while the data in Paper II was analysed by content analysis. Nurses’ experiences and perceptions of nursing patients with an IDD could be understood from 14 LOAs. Six of these were interpreted to reflect a tentatively more distinctive and unique conceptualisation of RNs’ experience of nursing for this group of patients. The remaining eight LOAs were interpreted to reflect a conceptualisation of nursing per se that is a universal experience regardless of context or patient group (Paper I). In Paper II, the nurse’s perceptions were interpreted to be reflected by three overarching categories: Nursing held hostage in the context of care, Care dependant on intuition and proven experience and Contending for the patient’s right to adequate care. Absence of understanding and knowledge about IDD might be an explanation for the “otherness” that still appears to surround this group of patients. Concentrating on the person behind the disabilities label as well as on abilities instead of disabilities could be a reasonable approach in nursing care for patients with IDD. Thus, implementing nursing models focusing on person-centred care could support RNs to moderate the health and care inequalities that are still present among patients with IDD (Paper I). As a result of the home health care context and its organisation, the RNs perceived themselves as unable to provide care in accordance with their professional values. Not mastering the available augmentative and alternative communication tool additionally meant having to provide care based on second-hand information from support staff. The RNs also perceived that caring for this group of patients involved a daily battle for the patient’s rights to receive the right care at the right place and time and by the right person (Paper II). Hence, a broad base of evidence on what actually works best in clinical practice for this group of patients, particularly in the home care context, is still needed.

Effectiveness of Virtual Reality on Employment Training for Young Adults with Autism and Intellectual and Developmental Disabilities: A Systematic Review

2021 ◽  
Author(s):  
Lin Sun
Keyword(s):  
Systematic Review ◽  
Virtual Reality ◽  
Young Adults ◽  
Developmental Disabilities ◽  
Vocational Rehabilitation ◽  
Future Research ◽  
Single Subject ◽  
Intellectual And Developmental Disabilities ◽  
Adults With Autism ◽  
Young Adults With Autism

The purpose of this study was to conduct a systematic review of the effectiveness of virtual reality on vocational rehabilitation for young adults with autism and intellectual and developmental disabilities (IDD). An electronic search was conducted among peer-reviewed English journals published from 1994 to 2018. Databases included CINAHL (Cumulative Index to Nursing and Allied Health Literature), MEDLINE, PsycINFO, Web of Science, EBSCO, and Scopus. Six primary studies employing group experimental (Gersten et al., 2005) or single-subject design (Horner et al., 2005) or pre-post design met the inclusion criteria. Each study was assessed for the presence and clarity of quality indicators according to Reichow et al.’s (2008) framework and definition. Results suggested that the use of virtual reality in vocational rehabilitation for young adults with autism and intellectual and developmental disabilities (IDD) “have established evidence-based practice”. Limitations, as well as implications for future research, practices, and policy, are discussed.

scholarly journals The pursuit of the magic pill: the overuse of psychotropic medications in children with intellectual and developmental disabilities in the USA

2018 ◽  
Vol 28 (04) ◽  
pp. 365-368
Author(s):  
J. L. McLaren ◽  
J. D. Lichtenstein
Keyword(s):  
Developmental Disabilities ◽  
Psychotropic Medications ◽  
Evidence Based ◽  
Intellectual And Developmental Disabilities ◽  
Prescribing Practices ◽  
Evidence Based Practices ◽  
Behavioural Interventions ◽  
The Usa ◽  
Practical Guidelines ◽  
Challenging Behaviours

AbstractChildren with intellectual and developmental disabilities (IDD) are likely to receive high-risk prescribing practices, such as polypharmacy, long-term use of psychotropic medications, and overuse of antipsychotics. Behavioural interventions, such as applied behavioural analysis, are evidence-based practices for children with IDD and should be the first-line treatment. Short-term use of psychotropic medications may be helpful in reducing the severity and frequency of challenging behaviours while evidence-based behavioural interventions are pursued. In this essay, we offer practical guidelines for better care.

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