OTOtherJournal of intellectual disability research : JIDR2019

Development of the Leiden Independence Questionnaire for Support Staff: a measure of staff behaviour regarding promoting independence of people with intellectual disabilities.

J Sandjojo, W A Gebhardt, A M E E Zedlitz and 4 others

PMID 30515912

WHAT IT FOUND

Support staff self-report behaviours that promote independence in adults with intellectual disability grouped into three areas: coordinating goals and communication, encouraging and tailoring support, and letting clients solve tasks themselves.

It measures staff behaviour, not client outcomes.

Key findings

01A 22-item questionnaire was developed to assess how support staff promote independence in people with intellectual disability.

02The items grouped into three staff behaviour areas: communication and coordination, positive encouragement and tailoring, and supporting independent performance.

03The three sub-scales had Cronbach's alpha values of 0.92, 0.79 and 0.76 in this sample.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The measure is based on staff self-report, so answers may be subjective or socially desirable; staff may overestimate how much they promote independence. The sample was 142 support staff from two care organisations, so it may not represent other services or countries. Participants worked with adults with moderate to mild intellectual disability without significant physical impairments, so it may not apply to people with severe intellectual disability or significant physical impairments. This was an initial validation only; the 22-item factor structure needs replication, and other reliability and validity properties, including sensitivity to change, were not tested. The 7-point scale had few responses in the lowest three categories. The low categories were less discriminating.

Declared interests

The authors declared no conflicts of interest. Funding was provided by Raamwerk and Leiden University, and the paper states this funding had no influence on data collection, analysis, interpretation, report writing, or the decision to submit.

The easy way to misread this

Do not read the three staff behaviour areas as evidence that changing staff behaviour improves independence in people with intellectual disability. The study measured staff self-report and did not test client outcomes or an intervention.

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