674388_Bould,E_2019.pdf (479.71 kB)
Factors associated with increases over time in the quality of Active Support in supported accommodation services for people with intellectual disabilities: A multi-level model
journal contribution
posted on 2020-11-12, 03:02 authored by Emma BouldEmma Bould, Christine BigbyChristine Bigby, Teresa IaconoTeresa Iacono, Julie Beadle-Brown© 2019 The Author(s) Background: Disability support organisations have embraced Active Support, but it has proved difficult to embed in services. Aims: This study aimed to identify the factors associated with increases over time in the quality of Active Support. Method: Data were collected on the predicted variable of the quality of Active Support, and predictor variables of service user, staff and service characteristics, including practice leadership, and composition and size of services from 51 services in 8 organisations over 2–7 time points. Data were analysed using multi-level modelling. Results: There was significant linear change in Active Support scores (group mean centered at the organisational level) over time. Individuals with lower support needs received better Active Support and those with higher support needs experienced greater increases over time. Stronger practice leadership and more staff with training in Active Support were significant predictors of the quality of Active Support. Larger services with seven or more individuals and where there was a very heterogeneous mix of individuals were associated with lower quality of support. Conclusions: Ensuring strong practice leadership, and staff training in Active Support that emphasises the principle of adapting support to each individual's level of ability and preferences are key to delivering high levels of Active Support.
Funding
This study was funded with support from the Australian Research Council Linkage Grant LP13100189 and partner disability services.
Australian Research Council | LP13100189
History
Publication Date
2019-01-01Journal
Research in Developmental DisabilitiesVolume
94Article Number
103477Pagination
12p. (p. 1-12)Publisher
ElsevierISSN
0891-4222Rights Statement
The Author reserves all moral rights over the deposited text and must be credited if any re-use occurs. Documents deposited in OPAL are the Open Access versions of outputs published elsewhere. Changes resulting from the publishing process may therefore not be reflected in this document. The final published version may be obtained via the publisher’s DOI. Please note that additional copyright and access restrictions may apply to the published version.Publisher DOI
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Social SciencesScience & TechnologyLife Sciences & BiomedicineEducation, SpecialRehabilitationEducation & Educational ResearchImplementationEngagementActive SupportPractice leadershipTrainingSupported accommodationMultilevel modelSMALL COMMUNITY HOMESPRACTICE LEADERSHIPIMPLEMENTATIONVARIABLESIMPACTAdultAustraliaCommunity ParticipationDisabled PersonsFemaleHumansIntellectual DisabilityLongitudinal StudiesMaleManagement Quality CirclesMiddle AgedPsychiatric RehabilitationPsychosocial Support SystemsQuality ImprovementQuality of Health CareSocial WorkStaff DevelopmentWork Engagement
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