Self-management interventions for people with intellectual disabilities: A systematic review

PATIENT EDUCATION AND COUNSELING

卷:103

Review

Sandjojo, Janice^1,2,3  Eltringham, Emma G.¹  Gebhardt, Winifred A.^1,2  Zedlitz, Aglaia M. E. E.^1,2  Embregts, Petri J. C. M.⁴  Evers, Andrea W. M.^1,2,5 

[1] Leiden Univ, Inst Psychol, Hlth Med & Neuropsychol Unit, Leiden, Netherlands

[2] Leiden Univ, Leiden Inst Brain & Cognit LIBC, Leiden, Netherlands

[3] Raamwerk, Noordwijkerhout, Netherlands

[4] Tilburg Univ, Tilburg Sch Social & Behav Sci, Tranzo, Tilburg, Netherlands

[5] Leiden Univ, Dept Psychiat, Med Ctr, Leiden, Netherlands

关键词: Behavioural change technique;    Intellectual disabilities;    Intervention;    Review;    Self-Management;   

DOI  :  10.1016/j.pec.2020.06.009

来源: Elsevier

【 摘 要 】

Objective: People with intellectual disabilities (ID) often experience difficulties managing their affairs. This study reviewed self-management interventions for people with mild to moderate ID, studying interventions' effectiveness and applied behavioural change techniques (BCTs). Methods: A systematic literature search was conducted in PubMed, PsychINFO, Web of Science, Embase, Emcare, Cochrane, and ProQuest. Data were extracted on study, intervention, and participant characteristics, and results. Results: Of the 681 studies retrieved, 36 met the inclusion criteria. Most studies used case study designs and small samples. There were eight randomised controlled trials and one non-randomised study. Studies were mostly of moderate quality (Mixed Methods Appraisal Tool). Twenty-two interventions targeted a singular practical skill for a specific context. In allinterventions, the provider applied several BCTs; in 13 studies participants were also trained to apply BCTs themselves. In all studies, improvements in self-management were reported, which mostly maintained over time (n = 20). If measured, generalisation to other settings was also found. Conclusions: Future studies should aim for a higher methodological quality and couldconsider targeting more generic self-management and a wider application of BCTs by people with ID themselves. (C) 2020 Elsevier B.V. All rights reserved.

【 授权许可】

Free