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Effectiveness of active support for adults with intellectual disability in residential settings: Systematic review and meta-analysis

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. 10.1111/jar.12491

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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 synthesized narratively (RQ2; studies = 10). Results By follow‐up (6 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: 0.32–0.93) 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 organizational readiness appear crucial for maintaining implementation.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Centre for Trials Research (CNTRR)
Publisher: Wiley
ISSN: 1360-2322
Date of Acceptance: 23 May 2018
Last Modified: 25 Oct 2018 10:45
URI: http://orca.cf.ac.uk/id/eprint/116116

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