A New Screening Tool for Rapid Diagnosis of Functional and Environmental Factors Influencing Adults with Intellectual Disabilities
Abstract
:1. Introduction
- (1)
- The Vineland Adaptive Behavior Scale (VABS) [17];
- (2)
- The Rapid Assessment for Developmental Disabilities, Second Edition (RADD-2);
- (3)
- (4)
Aim of the Study
2. Materials and Methods
2.1. Ethics
2.2. Participants
2.3. Setting
Changes during COVID-19 and after (September 2020–June 2022)
2.4. Materials
Functional Screening Tool for Adults with Intellectual Disabilities (FST-ID)
2.5. Procedure
3. Results
3.1. Use of Assistive Devices
3.2. Phase One: Psychometric Values of the New Tool (FST-ID) (September 2019–September 2020)
3.3. Phase Two: Using the FST ID during 22 Months of the Pandemic (September 2020–June 2022)
3.3.1. Functional Changes for 76 Adults with ID
3.3.2. Functional Changes According to Disability Level
3.3.3. Functional Changes According to Type of Day-Care
3.3.4. Functional Changes According to Type of Residence
3.3.5. Environmental Changes for 76 Adults with ID
4. Discussion
5. Conclusions
6. Limitations of the Study
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A
Communications and Academics (CON) | Score |
---|---|
Communications: communicates well with everyone (4), communicates reasonably well with some people (3), maintains limited communication with few people (2), rarely communicates with the human environment (1), does not seem to communicate (0). | |
Language and speech: fluent and coherent (4), short but clearly understandable sentences (3), most speech is not clear (2), single words, many unclear (1), does not seem to speak at all (0). | |
Writing (by hand or with the assistance of a switch, a spelling board, etc.): complete, entire stories (4), writes sentences (3), writes words (2), copies few words or letters (1), does not write (0). | |
Comprehension: understands everything (4), understands daily/related issues (3), understands most instructions (2), understands few/basic instructions (1), does not understand instructions (0). | |
Reading: reads short stories (4), reads short sentences (3), reads at least 5 words (2), identifies letters (1), not able to read (0). | |
Practical activities of daily living (ADL) and self-care | |
Mobility: walks, sits, and lies down independently (4), is mostly independent but uses walker or wheelchair (3), needs mild supervision in transitions (2), needs extensive support in transitions (1), needs complete support in all ADL (0). | |
Falls: Walks independently without any falls in the past year (4), lost their balance last year but did not fall (3), fell several times this year (2), fell several times this week (1), needs constant support/supervision to prevent falls (0). | |
Daily activities (preparing a beverage, organizing a desk or classroom, throwing out the garbage, putting things back in their place): completely independent (4), needs mild supervision and verbal direction during ADL (3), need physical assistance in a small number of activities (2), needs assistance in most activities (1), needs full support to perform these activities at all (0). | |
Leisure activities (draws, flips pages through a newspaper, strings beads, plants a plant): completely independent (4), needs only supervision and light verbal direction (3), needs a little physical and mostly verbal support (2), needs extensive physical & verbal support to participate (1), is unable to perform these activities at all (0). | |
Eating and drinking: independent (4), needs food to be cut (3), needs mild assistance and/or mostly independent with special cutlery (2), needs to be fed completely (1), enteral feeding only (0). | |
Food consistency: ordinary (4), cut into small pieces (3), chopped (2), blended (1), food blended and beverage with thickening agent (0). | |
Mealtime behavior: ordinary (4), mild supervision only (3), custom eating environment and group supervision (2), staff member provides personal supervision due to challenges (1), does not eat in the setting (0). | |
Toileting: completely independent (4), independent but needs verbal reminders (3), needs assistance only in wiping or during menstrual period (2); partial control of urination or soiling (may alert caregiver) (1), no control at all/wears diapers continuously (0). | |
Dressing: completely independent (4), needs mild assistance (mostly verbal) (3), needs moderate assistance (with shoelaces, buttons, and zippers) (2), mostly not independent (1), does not dress independently (0). | |
Self-care and hygiene (washes hands, awareness of deodorant, menstrual products, bad breath, etc.): independent (4), needs mild assistance/reminders (3), needs moderate assistance (2), does almost everything with assistance (1), full support (0). | |
Social and emotional (SOC) | |
Participation in activities: full (4), generally participates (3), sometimes participates (2), rarely participates (1), does not participate in any activity (0). | |
Challenging behavior (shouts, spits, pinches, pushes, hits, undresses, insults): regular behavior (4) rarely (3), sometimes (2), most of the time (1), all the time (0). | |
Total score for all clusters (GAC) | |
Use of assistive devices | |
Use of assistive device: wheelchair, walker, crutches, helmet, custom/medical shoes, support belt, braces, corset, communications device, glasses, hearing aid, false teeth, custom cutlery, other. | |
Environmental changes | |
Did any of the following occur recently: Change in staff, change in family, change in class/place of residence/isolation, change in schedule, change in medication. Other (specify): _____________. |
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Ben David, N.; Lotan, M.; Moran, D.S. A New Screening Tool for Rapid Diagnosis of Functional and Environmental Factors Influencing Adults with Intellectual Disabilities. Diagnostics 2022, 12, 2991. https://doi.org/10.3390/diagnostics12122991
Ben David N, Lotan M, Moran DS. A New Screening Tool for Rapid Diagnosis of Functional and Environmental Factors Influencing Adults with Intellectual Disabilities. Diagnostics. 2022; 12(12):2991. https://doi.org/10.3390/diagnostics12122991
Chicago/Turabian StyleBen David, Nophar, Meir Lotan, and Daniel Sender Moran. 2022. "A New Screening Tool for Rapid Diagnosis of Functional and Environmental Factors Influencing Adults with Intellectual Disabilities" Diagnostics 12, no. 12: 2991. https://doi.org/10.3390/diagnostics12122991