Environmental Modifications and Supports for Participation Among Adults Aging With Intellectual and Developmental Disabilities: A Scoping Review.

Importance: Adults aging with intellectual and developmental disabilities (IDD) continue to face barriers to participation in meaningful occupation; moreover, the increased life expectancy of adults with IDD intensifies the need for age- and environment-specific support. Objective: To map and catego...

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Publicado en:American Journal of Occupational Therapy Vol. 75; no. 4; pp. 1 - 14
Autores principales: Washington, Selena E., Johnson, Khalilah R., Hollenbeck, Jesse M.
Formato: research systematic review tables/charts Journal Article
Publicado: American Occupational Therapy Association Jul/Aug2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2021
      vid: 75
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        atl: Environmental Modifications and Supports for Participation Among Adults Aging With Intellectual and Developmental Disabilities: A Scoping Review.
      aug:
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          Washington, Selena E.
          Johnson, Khalilah R.
          Hollenbeck, Jesse M.
        affil: Selena E. Washington, PhD, OTR/L, is Assistant Professor, Department of Occupational Science and Occupational Therapy, Saint Louis University, St. Louis, MO
      sug:
        subj:
          Social Environment In Old Age
          Social Participation In Old Age
          Support, Psychosocial In Old Age
          Intellectual Disability Psychosocial Factors
          Developmental Disabilities Psychosocial Factors
          Scoping Review
          Aged
          Life Expectancy In Old Age
          Age Factors
          Environmental Exposure
          PubMed
          Universal Design
          Life Style
          Extended Family
          Peer Group
          Caregivers
          Health Personnel
          Health Policy
          Organizational Structure
          Human
          Adult
          Female
          Male
          Environmental Health
          Program Planning
          Technology
          Outcome Assessment
          Early Intervention
          Patient Advocacy
          Occupational Therapy
          Aged: 65+ years
          Adult: 19-44 years
          Female
          Male
      ab: Importance: Adults aging with intellectual and developmental disabilities (IDD) continue to face barriers to participation in meaningful occupation; moreover, the increased life expectancy of adults with IDD intensifies the need for age- and environment-specific support. Objective: To map and categorize transdisciplinary literature on environmental modifications and supports for adults aging with IDD. Data Sources: Studies published between January 1, 2000, and January 1, 2019, identified through PubMed and Scopus. Study Selection and Data Collection: Eleven articles met the inclusion criteria and contained information specific to occupational participation based on environmental modification (e.g., physical space, technology, universal design, type of living setting), social supports (e.g., family members, caretakers, peer groups, health care professionals, policies, organizational infrastructure), or both and adults age ≥35 yr with IDD. Findings: Eleven studies met the criteria for this scoping review. Thematic coding was used to examine the articles within one or more themes: definition of need, environmental risk and assessment, environmental setting, intervention and program planning, use of technology, and bureaucracy. Conclusions and Relevance: This review highlights collective and individual outcomes in the areas of assessment, intervention, and advocacy. Further research is needed within the scope of occupational therapy and disability studies that examines environmental factors and participation outcomes in this population. What This Article Adds: The authors define the interconnectedness of adults aging with IDD and environmental factors, identify barriers to participation, and guide occupational therapy practitioners' logic on how to positively affect environmental change and supports through intervention.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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