Identifying Factors that Predict and Sustain Good Active Support in Group Homes for People with Intellectual Disabilities using Multi-Level Modelling

Em Bould, Christine Bigby, Teresa Iacono, Julie Beadle-Brown

Research output: Contribution to journalMeeting Abstractpeer-review

Abstract

Introduction: Use of Active support increases engagement of people with intellectual disabilities. Embedding it into services has provided difficult. We aimed to identify factors associated with achieving and sustaining good Active Support.

Methods: Data about resident characteristics, quality of active support, strength of practice leadership, and staff and organisational characteristics were collected from group homes over a 7-year period. We present two subsets of data. 1) cross sectional, from 461 different residents from 134 services from 14 organisations collected over 7 years.2) longitudinal, repeated measures from the same 194 residents and 51services in eight organisations, collected over 2 to 7 time points. Data were analysed using hierarchical linear modelling.

Results: The longitudinal data found predictors of sustained good Active Support were higher adaptive behaviour scores, stronger practice leadership, smaller homes (6 or less residents), similarity of residents’ levels adaptive behaviour, and more staff trained in Active Support. Similar predictors were found in the cross-sectional data with the addition of organisation level predictors; smaller number of services managed and greater time implementing Active Support.

Implications: These data set provides for the first-time strong evidence, about the significance of front-line practice leadership to good Active Support and the need to focus attention on the quality of support for people with more severe disabilities
Original languageEnglish
Pages (from-to)710
Number of pages1
JournalJournal of Intellectual Disability Research
Volume63
Issue number7
Publication statusPublished - Jul 2019
Externally publishedYes
EventInternational Association for the Scientific Study of Intellectual and Developmental Disabilities (IASSIDD) World Congress 2019: Future4All - Scottish Event Campus (SEC), Glasgow, United Kingdom
Duration: 6 Aug 20199 Aug 2019
http://www.iassidd2019.com/
https://onlinelibrary.wiley.com/toc/13652788/2019/63/7

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