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Guillén VM, Verdugo MÁ, Jiménez P, Aguayo V, Amor AM. Support Needs of Children with Autism Spectrum Disorders: Implications for Their Assessment. Behav Sci (Basel) 2023; 13:793. [PMID: 37887443 PMCID: PMC10604162 DOI: 10.3390/bs13100793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 09/16/2023] [Accepted: 09/22/2023] [Indexed: 10/28/2023] Open
Abstract
The construct of support needs has become a key aspect for the diagnostics, classification, and interventional management of autism spectrum disorders (ASDs). However, instruments specifically designed to assess support needs in this population are not available. Currently, the Supports Intensity Scale for Children (SIS-C), which could be administered to assess students with any type of intellectual disability (ID), is the only valid tool able to assess support needs in Spain. Our aim was to verify whether the SIS-C is useful for assessing the support needs of students with ASD, regardless of whether or not they present ID. The participants were subdivided into two groups. One group included students with ASD and ID (n = 248), and the other comprised participants with ASD without an ID (n = 44). The results of the two groups were compared with those reported in the original validation sample of the SIS-C, which involved participants with ID without ASD (n = 566). The results showed that this scale could be useful for assessing support needs in the three subgroups, but it appeared that different standardized norms based on the characteristics of each specific population would be appropriate.
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Affiliation(s)
| | - Miguel Á. Verdugo
- Institute for Community Inclusion and Department of Personality, Assessment, and Psychological Treatments, Universidad de Salamanca, 37005 Salamanca, Spain; (M.Á.V.); (V.A.); (A.M.A.)
| | - Pedro Jiménez
- Institute for Community Inclusion, Universidad de Salamanca, 37005 Salamanca, Spain;
| | - Virginia Aguayo
- Institute for Community Inclusion and Department of Personality, Assessment, and Psychological Treatments, Universidad de Salamanca, 37005 Salamanca, Spain; (M.Á.V.); (V.A.); (A.M.A.)
| | - Antonio M. Amor
- Institute for Community Inclusion and Department of Personality, Assessment, and Psychological Treatments, Universidad de Salamanca, 37005 Salamanca, Spain; (M.Á.V.); (V.A.); (A.M.A.)
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Verdugo MA, Aguayo V, Arias VB, García-Domínguez L. A Systematic Review of the Assessment of Support Needs in People with Intellectual and Developmental Disabilities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E9494. [PMID: 33352974 PMCID: PMC7766556 DOI: 10.3390/ijerph17249494] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Revised: 12/12/2020] [Accepted: 12/16/2020] [Indexed: 01/08/2023]
Abstract
An evaluation of support needs is fundamental to the provision of services to people with intellectual and developmental disabilities. Services should be organized by considering the support that people need to improve their quality of life and enforce their rights as citizens. This systematic review is conducted to analyze the rigor and usefulness of the available standardized tools for assessing support needs, as well as the uses of their results. Several databases were consulted, including Web of Sciences, Scopus, PubMed, ProQuest Central, PsycInfo, ERIC, and CINAHL, and the 86 documents that met the review criteria were organized into four sections: (a) measurement tools, (b) descriptive/correlational studies, (c) predictive studies, and (d) interventions. The results showed that age, level of intellectual disability, adaptive behavior skills, the number and type of associated disabilities, and medical and behavioral needs affected the support needs of people with disabilities. Quality of life outcomes have been predicted by the individual's support needs, explaining a significant percentage of their variability. The findings are useful in guiding assessments and planning interventions. Further research should address the effectiveness of specific support strategies and the development of social policies and indicators for inclusion that involve assessing support needs.
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Affiliation(s)
| | - Virginia Aguayo
- Institute on Community Integration, University of Salamanca, 37005 Salamanca, Spain; (M.A.V.); (V.B.A.); (L.G.-D.)
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Arias VB, Aguayo V, Verdugo MA, Amor AM. Differences in the support needs of children with developmental disabilities among groups of medical and behavioral needs. PeerJ 2020; 8:e9557. [PMID: 32983630 PMCID: PMC7500356 DOI: 10.7717/peerj.9557] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 06/25/2020] [Indexed: 01/10/2023] Open
Abstract
Background/Aims Medical and behavioral needs are relevant in organizing and providing support strategies that improve the quality of life for children, along with their families. The present study aims to examine the impact of medical and behavioral needs on the need for support of children with disabilities. Methods Health and education professionals were interviewed using the Supports Intensity Scale-Children’s version to estimate the support needs of 911 children and adolescents (5–16 years) with an intellectual disability, including 55.32% with an additional disability. For data analysis, a model for measuring support needs was specified, consisting of seven support needs factors and three method factors. In estimating the model, four groups of medical and behavioral needs were considered. The factor scores’ means of the groups were compared through t-tests. Results Medical and behavioral needs had an impact on overall support needs. Differences were found in all support domains for medical needs. The greatest influence of behavioral needs was found in the Social and School participation areas but was indistinguishable between the mild and moderate levels of needs. Conclusions Medical and behavioral needs greatly affect the need for support in a child’s daily life, so they need to be considered a priority for support services. The importance of standardized assessments is emphasized to help develop support strategies.
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Affiliation(s)
- Victor B Arias
- Institute on Community Integration, Faculty of Psychology, University of Salamanca, Salamanca, Spain
| | - Virginia Aguayo
- Institute on Community Integration, Faculty of Psychology, University of Salamanca, Salamanca, Spain
| | - Miguel A Verdugo
- Institute on Community Integration, Faculty of Psychology, University of Salamanca, Salamanca, Spain
| | - Antonio M Amor
- Institute on Community Integration, Faculty of Psychology, University of Salamanca, Salamanca, Spain
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Broomfield A, Davison J, Roberts J, Stewart C, Hensman P, Beesley C, Tylee K, Rust S, Schwahn B, Jameson E, Vijay S, Santra S, Sreekantam S, Ramaswami U, Chakrapani A, Raiman J, Cleary MA, Jones SA. Ten years of enzyme replacement therapy in paediatric onset mucopolysaccharidosis II in England. Mol Genet Metab 2020; 129:98-105. [PMID: 31383595 DOI: 10.1016/j.ymgme.2019.07.016] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Revised: 07/26/2019] [Accepted: 07/26/2019] [Indexed: 11/23/2022]
Abstract
The outcome of 110 patients with paediatric onset mucopolysaccharidosis II (MPS II) since the commercial introduction of enzyme replacement therapy (ERT) in England in 2007 is reported. Median length of follow up was 10 years 3 months (range = 1 y 2 m to 18 years 6 month). 78 patients were treated with ERT, 18 had no ERT or disease modifying treatment 7 had haematopoietic stem cell transplant, 4 experimental intrathecal therapy and 3 were lost to follow up. There is clear evidence of improved survival (median age of death of ERT treated (n = 16) = 15.13 years (range = 9.53 to 20.58 y), and untreated (n = 17) = 11.43 y (0.5 to 19.13 y) p = .0005). Early introduction of ERT improved respiratory outcome at 16 years, the median FVC (% predicted) of those in whom ERT initiated <8 years = 69% (range = 34-86%) and 48% (25-108) (p = .045) in those started >8 years. However, ERT appears to have minimal impact on hearing, carpal tunnel syndrome or progression of cardiac valvular disease. Cardiac valvular disease occurred in 18/46 (40%), with progression occurring most frequently in the aortic valve 13/46 (28%). The lack of requirement for neurosurgical intervention in the first 8 years of life suggests that targeted imaging based on clinical symptomology would be safe in this age group after baseline assessments. There is also emerging evidence that the neurological phenotype is more nuanced than the previously recognized dichotomy of severe and attenuated phenotypes in patients presenting in early childhood.
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Affiliation(s)
- A Broomfield
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK.
| | - J Davison
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - J Roberts
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK
| | - C Stewart
- Department of Inherited Metabolic Disorders, Birmingham Women's and Children's Hospital Foundation Trust, Steelhouse Lane, Birmingham, UK
| | - P Hensman
- Department of Physiotherapy, Royal Manchester Children's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK
| | - C Beesley
- Regional Genetics Laboratories, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - K Tylee
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK
| | - S Rust
- Department of Psychology, Royal Manchester Children's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK
| | - B Schwahn
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK
| | - E Jameson
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK
| | - S Vijay
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - S Santra
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - S Sreekantam
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - U Ramaswami
- Lysosomal Disorders Unit, Institute of Immunity and Transplantation, Royal Free London NHS Foundation Trust, Pond Street, London NW32QG, UK
| | - A Chakrapani
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - J Raiman
- Department of Inherited Metabolic Disorders, Birmingham Women's and Children's Hospital Foundation Trust, Steelhouse Lane, Birmingham, UK
| | - M A Cleary
- Metabolic Medicine Unit, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK
| | - S A Jones
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation Trust, Manchester M13 9WL, UK
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Aguayo V, Verdugo MA, Arias VB, Guillen VM, Amor AM. Assessing support needs in children with intellectual disability and motor impairments: measurement invariance and group differences. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2019; 63:1413-1427. [PMID: 31486142 DOI: 10.1111/jir.12683] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Revised: 07/18/2019] [Accepted: 08/02/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND This study assessed the equivalence of the measurement of support needs between children with intellectual disability (ID) and children with intellectual and motor disabilities (IMD) and compared both groups in the different domains of support. METHOD The Supports Intensity Scale-Children's Version was used to assess the support needs of 713 children with ID and 286 children with IMD, mainly associated with cerebral palsy. RESULTS The results supported measurement invariance between the group of ID and IMD, which allowed to conduct comparison between them. Children with IMD scored higher on support needs than did children without IMD, suggesting that children with IMD needed more support than their peers without motor impairments. Furthermore, the ID levels interacted with motor impairments: at the highest levels of ID, groups tended to be similar in support needs, with high scores and low variability. The greatest differences were found in the domains of Home and Community activities. CONCLUSIONS This study points to the across-condition of the construct of support needs in populations with intellectual and developmental disabilities. However, additional mobility impairments should be considered during the evaluation and planning of systems of support. In this regard, the Supports Intensity Scale-Children's Version might have limitations when discriminating between samples with high support needs.
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Affiliation(s)
- V Aguayo
- Institute on Community Integration, Department of Personality, Assessment, and Psychological Treatments, Faculty of Psychology, University of Salamanca, Salamanca, Spain
| | - M A Verdugo
- Institute on Community Integration, Department of Personality, Assessment, and Psychological Treatments, Faculty of Psychology, University of Salamanca, Salamanca, Spain
| | - V B Arias
- Institute on Community Integration, Department of Personality, Assessment, and Psychological Treatments, Faculty of Psychology, University of Salamanca, Salamanca, Spain
| | - V M Guillen
- Institute on Community Integration, Department of Education, Faculty of Education, University of Cantabria, Santander, Spain
| | - A M Amor
- Institute on Community Integration, Department of Personality, Assessment, and Psychological Treatments, Faculty of Psychology, University of Salamanca, Salamanca, Spain
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Aguayo V, Arias VB, Verdugo MÁ, Amor AM. Measuring support needs in children with motor disability: Validity and utility of the Supports Intensity Scale (SIS-C). RESEARCH IN DEVELOPMENTAL DISABILITIES 2019; 95:103509. [PMID: 31675653 DOI: 10.1016/j.ridd.2019.103509] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Revised: 06/10/2019] [Accepted: 10/01/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND It is unknown whether the Supports Intensity Scale-Children's version (SIS-C) is valid and useful to assess support needs for children with motor and intellectual disabilities. AIMS (a) To assess the structural validity of the SIS-C using factor analyses in a sample of children with motor disabilities; and (b) to analyze the SIS-C's reliability and its discriminative capacity in children with different levels of motor function. METHODS AND PROCEDURES A cross-sectional design was used to assess 210 children (aged 5-16 years). Among them, 88% had an intellectual disability and 84% had cerebral palsy, with variations in mobility (Gross Motor Function Classification System; level V: 56.19%), handling of objects (Manual Ability Classification System; level V: 38.09%), and communicating (Communication Function Classification System; level V: 42.86%). OUTCOMES AND RESULTS The model with seven support needs factors and three method factors showed the best fit. The support needs model was reliable and indicated high convergent validity. However, the SIS-C scores showed a strong ceiling effect in children with more significant limitations in gross and fine motor functions. CONCLUSIONS AND IMPLICATIONS The seven-dimensional model of support needs could be replicated in children with motor disabilities. However, the usefulness of SIS-C is limited in discriminating between children with greater restrictions in mobility and handling of objects.
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Affiliation(s)
- Virginia Aguayo
- Institute on Community Integration, University of Salamanca, Spain.
| | - Victor B Arias
- Institute on Community Integration, University of Salamanca, Spain
| | | | - Antonio M Amor
- Institute on Community Integration, University of Salamanca, Spain
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Gomes-Machado ML, Santos FH, Schoen T, Chiari B. Effects of Vocational Training on a Group of People with Intellectual Disabilities. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2016. [DOI: 10.1111/jppi.12144] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Arnkelsson G, Sigurdsson T. The Validity of the Supports Intensity Scale for Adults With Motor Disability. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2016; 121:139-150. [PMID: 26914468 DOI: 10.1352/1944-7558-121.2.139] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
We argue that the construct of support needs as used in the field of intellectual disability (ID) offers applicability for persons with motor disabilities. To explore the validity of the Supports Intensity Scale (SIS) in groups other than ID, we studied the criterion validity for persons with motor disability in a population sample. The SIS showed excellent criterion validity, explaining 62-69% of the variance depending on different combinations of variables suggested by the literature. A distinctive pattern of support needs specific to motor disability was evident, supporting the sensitivity of the SIS for this population. In conclusion, the SIS is found to be an appropriate and valid instrument for assessing support needs in persons with motor disabilities.
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Hahn EA, Garcia SF, Lai JS, Miskovic A, Jerousek S, Semik P, Wong A, Heinemann AW. Measuring Access to Information and Technology: Environmental Factors Affecting Persons With Neurologic Disorders. Arch Phys Med Rehabil 2016; 97:1284-94. [PMID: 26903144 DOI: 10.1016/j.apmr.2016.01.027] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2015] [Revised: 01/19/2016] [Accepted: 01/29/2016] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To develop and validate a patient-reported measure of access to information and technology (AIT) for persons with spinal cord injury, stroke, or traumatic brain injury. DESIGN A mixed-methods approach was used to develop items, refine them through cognitive interviews, and evaluate their psychometric properties. Item responses were evaluated with the Rasch rating scale model. Correlational and analysis-of-variance methods were used to evaluate construct validity. SETTING Community-dwelling individuals participated in telephone interviews or traveled to the academic medical centers where this research took place. PARTICIPANTS Individuals with a diagnosis of spinal cord injury, stroke, or traumatic brain injury (aged ≥18y, English speaking) participated in cognitive interviews (n=12 persons), field testing of the items (n=305 persons), and validation testing of the final set of items (n=604 persons). INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES A set of items to measure AIT for people with disabilities. RESULTS A user-friendly multimedia touchscreen was used for self-administration of the items. A 23-item AIT measure demonstrated good evidence of internal consistency reliability, and content and construct validity. CONCLUSIONS This new AIT measure will enable researchers and clinicians to determine to what extent environmental factors influence health outcomes and social participation in people with disabilities. The AIT measure could also provide disability advocates with more specific and detailed information about environmental factors to lobby for elimination of barriers.
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Affiliation(s)
- Elizabeth A Hahn
- Department of Medical Social Sciences and Center for Patient-Centered Outcomes, Northwestern University Feinberg School of Medicine, Chicago, IL.
| | - Sofia F Garcia
- Department of Medical Social Sciences and Center for Patient-Centered Outcomes, Northwestern University Feinberg School of Medicine, Chicago, IL
| | - Jin-Shei Lai
- Department of Medical Social Sciences and Center for Patient-Centered Outcomes, Northwestern University Feinberg School of Medicine, Chicago, IL
| | - Ana Miskovic
- Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago, Chicago, IL
| | - Sara Jerousek
- Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago, Chicago, IL
| | - Patrick Semik
- Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago, Chicago, IL
| | - Alex Wong
- Department of Occupational Therapy and Neurology, Washington University School of Medicine, St. Louis, MO
| | - Allen W Heinemann
- Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago, Chicago, IL; Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL
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Verdugo MA, Guillén VM, Arias B, Vicente E, Badia M. Confirmatory factor analysis of the supports intensity scale for children. RESEARCH IN DEVELOPMENTAL DISABILITIES 2016; 49-50:140-152. [PMID: 26707926 DOI: 10.1016/j.ridd.2015.11.022] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2015] [Revised: 09/22/2015] [Accepted: 11/24/2015] [Indexed: 06/05/2023]
Abstract
Support needs assessment instruments and recent research related to this construct have been more focused on adults with intellectual disability than on children. However, the design and implementation of Individualized Support Plans (ISP) must start at an early age. Currently, a project for the translation, adaptation and validation of the supports intensity scale for children (SIS-C) is being conducted in Spain. In this study, the internal structure of the scale was analyzed to shed light on the nature of this construct when evaluated in childhood. A total of 814 children with intellectual disability between 5 and 16 years of age participated in the study. Their support need level was assessed by the SIS-C, and a confirmatory factor analysis (CFA), including different hypotheses, was carried out to identify the optimal factorial structure of this scale. The CFA results indicated that a unidimensional model is not sufficient to explain our data structure. On the other hand, goodness-of-fit indices showed that both correlated first-order factors and higher-order factor models of the construct could explain the data obtained from the scale. Specifically, a better fit of our data with the correlated first-order factors model was found. These findings are similar to those identified in previous analyses performed with adults. Implications and directions for further research are discussed.
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Affiliation(s)
- Miguel A Verdugo
- Institute on Community Integration (INICO), University of Salamanca, Avda. de la Merced, 109-131, 37005 Salamanca, Spain.
| | - Verónica M Guillén
- Institute on Community Integration (INICO), University of Salamanca, Avda. de la Merced, 109-131, 37005 Salamanca, Spain.
| | - Benito Arias
- Department of Psychology, University of Valladolid, Campus Miguel Delibes, Paseo de Belen 1, 47011 Valladolid, Spain.
| | - Eva Vicente
- Institute on Community Integration (INICO), University of Salamanca, Avda. de la Merced, 109-131, 37005 Salamanca, Spain.
| | - Marta Badia
- Institute on Community Integration (INICO), University of Salamanca, Avda. de la Merced, 109-131, 37005 Salamanca, Spain.
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Thompson JR, DeSpain S. Community Support Needs. EVIDENCE-BASED PRACTICES IN BEHAVIORAL HEALTH 2016. [DOI: 10.1007/978-3-319-26583-4_7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Arnkelsson G, Sigurdsson T. The validity of the Supports Intensity Scale for adults with psychiatric disabilities. RESEARCH IN DEVELOPMENTAL DISABILITIES 2014; 35:3665-3671. [PMID: 25262011 DOI: 10.1016/j.ridd.2014.09.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2014] [Revised: 09/03/2014] [Accepted: 09/04/2014] [Indexed: 06/03/2023]
Abstract
Although the Supports Intensity Scale (SIS) was developed for persons with intellectual and developmental disabilities, we argue for its applicability for people with psychiatric disabilities. Previous empirical evidence for the criterion-related validity of SIS for this population is limited, based on only two studies with participants from the same Mexican state. In a nationwide study we found that SIS explained between 48 and 51% of the variance in the dependent measure, indicating very good validity. The profile of individual support needs showed sensitivity to activities relatively specific to people with psychiatric disabilities, further indicating the validity of the scale. Overall, we find SIS to be valid and appropriate instrument for assessing the support needs of this population.
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Affiliation(s)
| | - Tryggvi Sigurdsson
- State Diagnostic and Counselling Centre, Digranesvegi 5, IS-200 Kopavogur, Iceland.
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Chou YC, Lee YC, Chang SC, Yu APL. Evaluating the supports intensity scale as a potential assessment instrument for resource allocation for persons with intellectual disability. RESEARCH IN DEVELOPMENTAL DISABILITIES 2013; 34:2056-2063. [PMID: 23603067 DOI: 10.1016/j.ridd.2013.03.013] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2012] [Revised: 03/08/2013] [Accepted: 03/11/2013] [Indexed: 06/02/2023]
Abstract
This study evaluated the potential of using the Supports Intensity Scale (SIS) for resource allocation for people with intellectual disabilities (ID) in Taiwan. SIS scores were compared with those obtained from three tools that are currently used in Taiwan for homecare services: the medical diagnosis issued by local authorities and two scales measuring Activities of Daily Life (ADL) and Instrumental Activities of Daily Life (IADL). Data were collected on 139 persons with ID aged 16 or older. The correlation between SIS subscales and the other three tools were calculated and compared. Six subscales of the SIS demonstrated adequate reliability and validity and had higher correlations with the IADL than the ADL and medical diagnosis. The results of these analyses suggest that the SIS can be used as a reference tool for resources allocation in this population in Taiwan.
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Affiliation(s)
- Yueh-Ching Chou
- Institute/Research Center of Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan.
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