Communication difficulties in adults with Intellectual Disability: Results from a national cross-sectional study.


Journal

Research in developmental disabilities
ISSN: 1873-3379
Titre abrégé: Res Dev Disabil
Pays: United States
ID NLM: 8709782

Informations de publication

Date de publication:
Feb 2020
Historique:
received: 04 09 2019
revised: 13 12 2019
accepted: 13 12 2019
pubmed: 25 12 2019
medline: 18 11 2020
entrez: 25 12 2019
Statut: ppublish

Résumé

People with an intellectual disability (ID) are vulnerable to communication impairments, with consequences for employment, education, and social participation. To identify the communication skills of a population of adults (40+ years) with ID and explore relationships between individual and environmental factors and communication skills. Data from a sample of 601 adults with ID was selected from the Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing (IDS-TILDA) addressing communication characteristics, demographics, co-morbidities, challenging behaviours, and social participation. A multiple regression model and a decision-making tree were built to identify factors related to communication abilities. Overall, 57.9 % of participants experienced communication difficulties, with 23.5 % reporting severe difficulties. Only 75.1 % of participants communicated verbally; more than half found communicating with professionals and non-familiar partners difficult. Level of ID, low social participation, challenging behaviours, and diagnosis of Down syndrome were significantly associated with communication difficulties. Communication difficulties are prevalent in adults with ID and are influenced by complex factors. Interventions to enhance interaction and quality of life of individuals with ID should consider communication opportunities, needs, and barriers.

Sections du résumé

BACKGROUND BACKGROUND
People with an intellectual disability (ID) are vulnerable to communication impairments, with consequences for employment, education, and social participation.
AIMS OBJECTIVE
To identify the communication skills of a population of adults (40+ years) with ID and explore relationships between individual and environmental factors and communication skills.
METHODS AND PROCEDURES METHODS
Data from a sample of 601 adults with ID was selected from the Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing (IDS-TILDA) addressing communication characteristics, demographics, co-morbidities, challenging behaviours, and social participation. A multiple regression model and a decision-making tree were built to identify factors related to communication abilities.
OUTCOMES AND RESULTS RESULTS
Overall, 57.9 % of participants experienced communication difficulties, with 23.5 % reporting severe difficulties. Only 75.1 % of participants communicated verbally; more than half found communicating with professionals and non-familiar partners difficult. Level of ID, low social participation, challenging behaviours, and diagnosis of Down syndrome were significantly associated with communication difficulties.
CONCLUSIONS AND IMPLICATIONS CONCLUSIONS
Communication difficulties are prevalent in adults with ID and are influenced by complex factors. Interventions to enhance interaction and quality of life of individuals with ID should consider communication opportunities, needs, and barriers.

Identifiants

pubmed: 31874425
pii: S0891-4222(19)30224-0
doi: 10.1016/j.ridd.2019.103557
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

103557

Informations de copyright

Copyright © 2019 Elsevier Ltd. All rights reserved.

Auteurs

Martine Smith (M)

Department of Clinical Speech and Language Studies, Trinity College Dublin, Dublin, Ireland. Electronic address: mmsmith@tcd.ie.

Beatrice Manduchi (B)

Department of Clinical Speech and Language Studies, Trinity College Dublin, Dublin, Ireland.

Éilish Burke (É)

School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.

Rachael Carroll (R)

School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.

Philip McCallion (P)

School of Social Work, Temple University, Philadelphia, USA.

Mary McCarron (M)

School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.

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Classifications MeSH