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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Veröffentlicht in:Journal of applied research in intellectual disabilities Jg. 31; H. 2; S. e182 - e200
Hauptverfasser: Bigby, Christine, Beadle‐Brown, Julie
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England Wiley-Blackwell 01.03.2018
Wiley Subscription Services, Inc
Schlagworte:
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
service quality
supported accommodation
outcomes
intellectual disability
variables influencing quality of support
ISSN:1360-2322, 1468-3148, 1468-3148
Online-Zugang:Volltext
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Zusammenfassung: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.
Bibliographie:ObjectType-Article-1
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ISSN:1360-2322
1468-3148
1468-3148
DOI:10.1111/jar.12291