Improving Quality of Life Outcomes in Supported Accommodation for People with Intellectual Disability: What Makes a Difference?

Background: The quality of life (QOL) of people with intellectual disability living in supported accommodation services is variable, influenced by many possible factors. Various frameworks have attempted to identify these factors without assigning value, direction of influence or relative impact on...

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Vydáno v:Journal of applied research in intellectual disabilities Ročník 31; číslo 2; s. e182 - e200
Hlavní autoři: Bigby, Christine, Beadle‐Brown, Julie
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Wiley-Blackwell 01.03.2018
Wiley Subscription Services, Inc
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ISSN:1360-2322, 1468-3148, 1468-3148
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Abstract Background: The quality of life (QOL) of people with intellectual disability living in supported accommodation services is variable, influenced by many possible factors. Various frameworks have attempted to identify these factors without assigning value, direction of influence or relative impact on outcomes. Methods: A realist review of the literature aimed to expose different propositions about variables influencing QOL outcomes and review the strength of supporting evidence for these, to identify their relative influence. Evidence was reviewed for and against each of five clusters. Results: Evidence was strongest for the presence of staff practices (use of Active Support), front-line management practice (use of practice leadership), culture (enabling and motivating), human resources policies and practice (that support front-line leaders and recruitment of staff with the right values), adequate resources, and small, dispersed and homelike settings. Conclusions: The evidence informs policy and practice but in some clusters remains limited, warranting further research which measures outcomes on all QOL domains.
AbstractList The quality of life (QOL) of people with intellectual disability living in supported accommodation services is variable, influenced by many possible factors. Various frameworks have attempted to identify these factors without assigning value, direction of influence or relative impact on outcomes.BACKGROUNDThe quality of life (QOL) of people with intellectual disability living in supported accommodation services is variable, influenced by many possible factors. Various frameworks have attempted to identify these factors without assigning value, direction of influence or relative impact on outcomes.A realist review of the literature aimed to expose different propositions about variables influencing QOL outcomes and review the strength of supporting evidence for these, to identify their relative influence. Evidence was reviewed for and against each of five clusters.METHODSA realist review of the literature aimed to expose different propositions about variables influencing QOL outcomes and review the strength of supporting evidence for these, to identify their relative influence. Evidence was reviewed for and against each of five clusters.Evidence was strongest for the presence of staff practices (use of Active Support), front-line management practice (use of practice leadership), culture (enabling and motivating), human resources policies and practice (that support front-line leaders and recruitment of staff with the right values), adequate resources, and small, dispersed and homelike settings.RESULTSEvidence was strongest for the presence of staff practices (use of Active Support), front-line management practice (use of practice leadership), culture (enabling and motivating), human resources policies and practice (that support front-line leaders and recruitment of staff with the right values), adequate resources, and small, dispersed and homelike settings.The evidence informs policy and practice but in some clusters remains limited, warranting further research which measures outcomes on all QOL domains.CONCLUSIONSThe evidence informs policy and practice but in some clusters remains limited, warranting further research which measures outcomes on all QOL domains.
The quality of life (QOL) of people with intellectual disability living in supported accommodation services is variable, influenced by many possible factors. Various frameworks have attempted to identify these factors without assigning value, direction of influence or relative impact on outcomes. A realist review of the literature aimed to expose different propositions about variables influencing QOL outcomes and review the strength of supporting evidence for these, to identify their relative influence. Evidence was reviewed for and against each of five clusters. Evidence was strongest for the presence of staff practices (use of Active Support), front-line management practice (use of practice leadership), culture (enabling and motivating), human resources policies and practice (that support front-line leaders and recruitment of staff with the right values), adequate resources, and small, dispersed and homelike settings. The evidence informs policy and practice but in some clusters remains limited, warranting further research which measures outcomes on all QOL domains.
BackgroundThe quality of life (QOL) of people with intellectual disability living in supported accommodation services is variable, influenced by many possible factors. Various frameworks have attempted to identify these factors without assigning value, direction of influence or relative impact on outcomes.MethodsA realist review of the literature aimed to expose different propositions about variables influencing QOL outcomes and review the strength of supporting evidence for these, to identify their relative influence. Evidence was reviewed for and against each of five clusters.ResultsEvidence was strongest for the presence of staff practices (use of Active Support), front‐line management practice (use of practice leadership), culture (enabling and motivating), human resources policies and practice (that support front‐line leaders and recruitment of staff with the right values), adequate resources, and small, dispersed and homelike settings.ConclusionsThe evidence informs policy and practice but in some clusters remains limited, warranting further research which measures outcomes on all QOL domains.
Background: The quality of life (QOL) of people with intellectual disability living in supported accommodation services is variable, influenced by many possible factors. Various frameworks have attempted to identify these factors without assigning value, direction of influence or relative impact on outcomes. Methods: A realist review of the literature aimed to expose different propositions about variables influencing QOL outcomes and review the strength of supporting evidence for these, to identify their relative influence. Evidence was reviewed for and against each of five clusters. Results: Evidence was strongest for the presence of staff practices (use of Active Support), front-line management practice (use of practice leadership), culture (enabling and motivating), human resources policies and practice (that support front-line leaders and recruitment of staff with the right values), adequate resources, and small, dispersed and homelike settings. Conclusions: The evidence informs policy and practice but in some clusters remains limited, warranting further research which measures outcomes on all QOL domains.
Author Beadle‐Brown, Julie
Bigby, Christine
Author_xml – sequence: 1
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  fullname: Beadle‐Brown, Julie
  organization: Living with Disability Research Centre La Trobe University Bundoora Vic. Australia, Tizard Centre Kent University Kent UK
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Issue 2
Keywords service quality
supported accommodation
outcomes
intellectual disability
variables influencing quality of support
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Snippet Background: The quality of life (QOL) of people with intellectual disability living in supported accommodation services is variable, influenced by many...
The quality of life (QOL) of people with intellectual disability living in supported accommodation services is variable, influenced by many possible factors....
BackgroundThe quality of life (QOL) of people with intellectual disability living in supported accommodation services is variable, influenced by many possible...
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StartPage e182
SubjectTerms Assisted living facilities
Culture
Evidence
Humans
Intellectual disabilities
Intellectual Disability
Leadership
Literature Reviews
Methods
Personnel Policy
Quality of Life
Quality of service
Residential Facilities
Residential Institutions
Resources
Title Improving Quality of Life Outcomes in Supported Accommodation for People with Intellectual Disability: What Makes a Difference?
URI http://eric.ed.gov/ERICWebPortal/detail?accno=EJ1168797
https://www.ncbi.nlm.nih.gov/pubmed/27778426
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https://www.proquest.com/docview/1835667007
Volume 31
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