Effects of a self-management training for people with intellectual disabilities.
Janice Sandjojo, Aglaia M E E Zedlitz, Winifred A Gebhardt and 3 others
PMID 30353637WHAT IT FOUND
Overall independence did not change after a self-management training, but participants made progress on personal goals and support needs were lower at follow-up.
Key findings
01Overall independence did not change during the study.
02Participants made progress on personal goals, and 26 of 52 goals were attained.
03Support needs were significantly lower at the 6-month and 12-month follow-ups than at the start of training.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study had no control group, so it cannot show that the training caused the changes rather than time, usual care or other events. Only 17 people started, and most had mild intellectual disabilities, so results may not apply to people with more severe disabilities or to different settings. The sample was small, and one participant dropped out after the training began. Personal tutors and support staff provided most outcome information, and no process evaluation was done, so it is unclear how well the training was delivered or how much support network involvement occurred. Participants moved housing about 8 months after the training started, which was stressful and could have affected their functioning. The independence questionnaires did not include all personal goals, so success on chosen goals might not show up in overall independence scores.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not conclude that the training caused the goal progress or reduced support needs. The study had no control group, and a stressful move to different housing may have affected participants' functioning.