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Effectiveness of active support for adults with intellectual disability in residential settings : systematic review and meta-analysis
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Flynn, Samantha, Totsika, Vasiliki, Hastings, Richard P., Hood, Kerry, Toogood, Sandy and Felce, David (2018) Effectiveness of active support for adults with intellectual disability in residential settings : systematic review and meta-analysis. Journal of Applied Research in Intellectual Disabilities, 31 (6). pp. 983-998. doi:10.1111/jar.12491 ISSN 1468-3148.
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Official URL: https://doi.org/10.1111/jar.12491
Abstract
Background
The review examined the effectiveness of Active Support (RQ1) and stakeholders’ experiences of the model (RQ2).
Method
Data were meta-analysed (RQ1; Studies=14) and synthesised narratively (RQ2; Studies=10).
Results
By follow-up (six-months post-training), effect sizes (RQ1) for resident total activity engagement were significant and ranged from small (d=0.33, 95% CIs: 0.10, 0.50) to large (Tau-U=0.95, 95% CIs: 0.64, 1.25) depending on study design. Follow-up changes in staff assistance were moderate (d=0.56, 95% CIs: 0.23, 0.89; Tau-U 0.63, 95% CIs: 0.32 to 0.93) and large for quality of support (d=1.03, 95% CIs: 0.61, 1.44). Other outcomes did not change.
Conclusions
Active Support was more effective following complete staff training, in larger settings, at lower staff-to-resident ratios, and with less experienced staff. Active Support training and outcomes were valued by staff and residents (RQ2), and staff experienced increased job satisfaction. Lower staff turnover and organisational readiness appear crucial for maintaining implementation.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Social Sciences > Centre for Educational Development, Appraisal and Research (CEDAR) | ||||||||
| Library of Congress Subject Headings (LCSH): | Intellectual disability -- Residential treatment | ||||||||
| Journal or Publication Title: | Journal of Applied Research in Intellectual Disabilities | ||||||||
| Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||||
| ISSN: | 1468-3148 | ||||||||
| Official Date: | November 2018 | ||||||||
| Dates: |
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| Volume: | 31 | ||||||||
| Number: | 6 | ||||||||
| Page Range: | pp. 983-998 | ||||||||
| DOI: | 10.1111/jar.12491 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Reuse Statement (publisher, data, author rights): | This is the peer reviewed version of the following article: Flynn S, Totsika V, Hastings RP, Hood K, Toogood S, Felce D. Effectiveness of Active Support for adults with intellectual disability in residential settings: Systematic review and meta‐analysis. J Appl Res Intellect Disabil. 2018;31:983–998. https://doi.org/10.1111/jar.12491, which has been published in final form at https://doi.org/10.1111/jar.12491 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Date of first compliant deposit: | 24 May 2018 | ||||||||
| Date of first compliant Open Access: | 27 June 2020 | ||||||||
| RIOXX Funder/Project Grant: |
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