Community-based public transportation training with the integration of assistive technology: A pilot program for young adults with intellectual disability

2021 ◽  
pp. 1-13
Author(s):  
Alora McDonnell ◽  
Sara Benham ◽  
Catherine Fleming ◽  
Amy Raphael

BACKGROUND: Young adults with an intellectual disability require transportation to participate in work and leisure, however reports on specific public transportation training programs, use of assistive technology supports, and outcomes are limited. OBJECTIVE: This pilot study was designed to explore if a transportation training program which utilized technology aids decreased the amount travel assistance required. A secondary objective was to observe and describe the specific assistive technology utilized while traveling within the community. METHODS: Eight individualized training sessions were administered within the community with the integration of technology aids and travel skill training through a facilitated learning model. The Pre & Post Travel Training Test was administered pre-test and post-test. RESULTS: The paired t test (n= 10) revealed a significant increase in scores upon post-test (p= 0.00011), indicating a decrease in assistance required for travel. The most preferred technology aid was individualized, printed Google Maps directions (60%) followed by smartphone Apps (40%) and visual social stories (40%). CONCLUSIONS: All participants increased independence in public transportation travel skills. Ample opportunity to trial low to high technology aids should be considered. Through this initial pilot, possible greater availability of access to work and community opportunities may result after community-based transportation training.

2014 ◽  
Vol 29 (3) ◽  
pp. 15-29 ◽  
Author(s):  
James C. Collins ◽  
Joseph B. Ryan ◽  
Antonis Katsiyannis ◽  
Mitchell Yell ◽  
David E. Barrett

Author(s):  
Hsiu-Yueh Liu ◽  
Ping-Ho Chen ◽  
Wun-Jyun Chen ◽  
Shan-Shan Huang ◽  
Jen-Hao Chen ◽  
...  

An oral hygiene board game was designed as an intervention tool and applied to explore the effectiveness for the oral health related knowledge (OHK) score and plaque index (PI) of adults with intellectual disability (ID). This one-group pre/post-test design study was conducted in a residential long-term care facility for 42 participants. The study had one pre-test (baseline) and three post-tests evaluated in both control and intervention stages, respectively. The participants participated in a 60-min oral hygiene board game twice a week during the intervention stage. Total OHK score and PI of the participants were recorded to determine the effectiveness of intervention. There were no differences in OHK score and PI between the two stages at baseline. The results in intervention stage demonstrated a significant gradual increase and reduction in the OHK score when compared with the control stage. A statistically significant improvement in the OHK score and PI (42.29% and −33.28%, respectively) at the end of intervention between two stages was recorded. This study proved a board game is deemed an effective education method applicable to promote the OHK and skills of ID adults.


2020 ◽  
Vol 09 (04) ◽  
pp. 172-176
Author(s):  
Derryl Miller ◽  
Marcia Felker ◽  
Mary Ciccarelli

AbstractConsensus statements and clinical reports exist to guide the transition of youth from pediatric to adult healthcare services. Across the range of youth with no chronic health conditions to those with the most complex disabilities, the standards of practice continue to vary broadly across the country and internationally. Youth and young adults with combined conditions of epilepsy with intellectual disability are a small subset of the total population of young adults who share common needs. These include a system of supports that supplement each person's limitations in autonomy and self-management. Caregivers play significant roles in their lives, whether they are family members or paid direct service providers. Medical decision making and treatment adherence require specific adaptations for patients whose independence due to disability is unlikely. Key issues related to tuberous sclerosis complex, neurofibromatosis, and Rett and Sturge–Weber syndromes will be highlighted.


Autism ◽  
2021 ◽  
pp. 136236132110183
Author(s):  
Nicole L Matthews ◽  
Kyla Christenson ◽  
Sarah Kiefer ◽  
Christopher J Smith

This study examined adaptive functioning, strategies used to develop adaptive functioning skills, and areas where additional services could benefit autistic young adults without intellectual disability. Participants were 21 autistic young adults and at least one parent of each young adult. Quantitative analyses replicated previous reports of an adaptive functioning disadvantage relative to intellectual functioning such that adaptive functioning standard scores were significantly lower than intelligence quotient scores. Qualitative analysis utilized grounded theory methodology and yielded a conceptual model describing the nature and development of adaptive functioning in this demographic. Together, findings provide a more nuanced understanding of the gap between intellectual and adaptive functioning in autistic young adults without intellectual disability. Lay abstract Adaptive functioning describes the age-appropriate skills necessary for independent living. Research suggests that autistic children, adolescents, and adults who do not have an intellectual disability demonstrate adaptive functioning challenges relative to their intellectual ability. Thus, even though many of these individuals have the intellectual capacity to excel in mainstream educational and vocational settings, their adaptive functioning challenges may serve as an obstacle to independence. The research on adaptive functioning in autistic adults is focused on statistical analysis of standardized assessments (e.g. parent-report on multiple choice questionnaires). Qualitative research that examines the narratives of young adults and their parents is needed to better understand adaptive functioning in young adults and their resulting service needs. This study combined statistical analysis of standardized assessments with qualitative analysis of interview responses from autistic young adults without intellectual disability and their parents. Findings replicated previous reports of adaptive functioning challenges and identified influences on adaptive functioning development, consequences of independence, and service needs. Taken together, findings indicate the need for interventions and services that facilitate adaptive functioning development in autistic adolescents and young adults and provide insight into potential intervention targets and strategies.


Author(s):  
Ashley M. Jenkins ◽  
Diane Burns ◽  
Rhonda Horick ◽  
Brittany Spicer ◽  
Lisa M. Vaughn ◽  
...  

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