Exercising autonomy—The effectiveness and meaningfulness of autonomy support interventions engaged by adults with intellectual disability. A mixed‐methods review.
Background: The United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) recommend all disabled people receive support to develop their autonomy. Subsequently, evolving models for supported decision‐making and informed consent present guidance to enable autonomy support, which h...
| Publicado en: | British Journal of Learning Disabilities Vol. 51; no. 3; pp. 307 - 324 |
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| Autores principales: | , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=169783188&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 169783188 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13544187 F04 jtl: British Journal of Learning Disabilities issn: 13544187 maglogo: Y pubinfo: dt: Sep2023 vid: 51 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 169783188 155900750 169783188 169783188 10.1111/bld.12464 169783188 ppf: 307 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Exercising autonomy—The effectiveness and meaningfulness of autonomy support interventions engaged by adults with intellectual disability. A mixed‐methods review. aug: au: Carey, Eileen Ryan, Ruth Sheikhi, Ali Dore, Liz affil: Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland sug: subj: Intellectual Disability In Adulthood Autonomy Education Support, Psychosocial In Adulthood Persons with Disabilities Education Outcomes of Education Human Systematic Review Multimethod Studies Adult CINAHL Database Psycinfo Checklists Decision Making Human Rights Self Concept Adult: 19-44 years ab: Background: The United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) recommend all disabled people receive support to develop their autonomy. Subsequently, evolving models for supported decision‐making and informed consent present guidance to enable autonomy support, which have relevance to people with intellectual disabilities. To date, reviews have explored how adults with intellectual disabilities exercise their autonomy or factors impacting the development of their self‐determination. This review aimed to establish the effectiveness of 'autonomy support interventions' engaged by adults with intellectual disability and the meaning of these interventions to this cohort. Methods: A systematic search of Cinahl Complete, PsychINFO and Scopus databases was undertaken. The search was limited to studies published between 2000 and 2020. Identified citations were uploaded to EndNote X9, duplicates removed, search outputs imported into Covidence and titles and abstracts screened. Data were extracted using an amended JBI data extraction Tool. The search strategy is reported in the adapted PRISMA flow diagram. Findings: Twelve studies were included in the mixed methods review. Critical appraisal was undertaken using the Crowe Critical Appraisal Tool. These findings identified varied and creative autonomy support interventions utilised across ordinary activities with adults with intellectual disabilities. Conclusion: This review identifies the essential components of how autonomy support interventions can enhance ordinary experiences for adults with intellectual disabilities while enabling them to develop skill sets to be more self‐directed in the choices they make. Accessible summary: All adults should have 'freedom' and 'right to choose' meaning to have 'autonomy'.We wanted to find out about autonomy support interventions used by adults with intellectual disabilities to live their own lives, how good these interventions are and what they mean to these adults.We searched online and found 12 studies with autonomy support interventions used in different ways.Adults with intellectual disabilities reported this type of autonomy support was good. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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