Support Staff's Interactions With Adults With Intellectual Disability Who Use Augmentative and Alternative Communication
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Signing rate of support workers and individuals with intellectual disabilities
研究概览
简要总结
This exploratory and observational study focuses on adults with an intellectual disability (ID) and their support workers. Two groups of clients are observed: clients using Key Word Signing, and clients using aided Augmentative and Alternative Communication (AAC). Approximately half of adults with ID is estimated to experience communication difficulties. AAC supports them in their daily communication aiming at optimal participation in society. Current communication models, such as Participation Model (Beukelman & Mirenda, 2005) and International Classification of Functioning, Disability and Health (WHO, 2001), regard both client-related and environmental factors as important elements of communication. A substantial part of the environmental factors is made up of the communication partners' characteristics. In daycare and residential services for adults with ID the support worker is an important communication partner .
详细描述
This study aims to:
- with regard to teaching Key Word Signing (KWS), a specific form of AAC, to support workers:
Analyse the relation between training method, support workers' attitude, and short and long term sign knowledge. 2. with regard to the use of manual signs in everyday communication between support workers and adults with ID:
- Identity the support workers' characteristics that may influence the quality/quantity of the communication between adults with ID who use manual signs and their support worker.
- Analyse the nature of this influence as well as any possible interaction effects with the clients' characteristics.
- Assess whether an existing instrument, designed for measuring interactions between parents and children with cerebral palsy using AAC, may be used with adults client and support workers.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •uses AAC with client
- •client has congenital intellectual disability
- •supports client for at least 6 months
排除标准
- •client has dementia symptoms
- •client has severe, non-corrected visual impairment
- •client has diagnosed autism
结局指标
主要结局
Signing rate of support workers and individuals with intellectual disabilities
时间窗: Three observation sessions over period of 2 weeks per participant, 2 years for all participants
Proportion: number of signed utterances divided by total number (spoken + exclusively spoken) of utterances
Sign imitation rate support workers and individuals with intellectual disabilities
时间窗: Three observation sessions over period of 2 weeks per participant, 2 years for all participants
Proportion: number of manual sign imitations divided by total number manual signs produced
次要结局
- Explicit Attitude of direct care staff towards manual signs(One testing per participant, over period of 6 months for all participants)
- Implicit Attitude of direct care staff working in towards manual signs(One testing per participant, over period of 6 months for all participants)
- Communicative functions of individuals with intellectual disabilities(Three observation sessions over period of 2 weeks per participant, 2 years for all participants)