Article

Project TEAM (Teens making Environment and Activity Modifications) teaches
transition-age young people with developmental disabilities, including those with
co-occurring intellectual or cognitive disabilities, to identify and resolve
environmental barriers to participation. We examined its effects on young
people's attainment of participation goals, knowledge, problem-solving,
self-determination, and self-efficacy. METHOD: We used a quasi-experimental,
repeated measures design (initial, outcome, 6-week follow-up) with two groups:
(1) Project TEAM (28 males, 19 females; mean age 17y 6mo); and (2) goal-setting
comparison (21 males, 14 females; mean age 17y 6mo). A matched convenience sample
was recruited in two US states. Attainment of participation goals and goal
attainment scaling (GAS) T scores were compared at outcome. Differences between
groups for all other outcomes were analyzed using linear mixed effects models.
RESULTS: At outcome, Project TEAM participants demonstrated greater knowledge
(estimated mean difference: 1.82; confidence interval [CI]: 0.90, 2.74) and
ability to apply knowledge during participation (GAS: t[75]=4.21; CI: 5.21,
14.57) compared to goal-setting. While both groups achieved significant
improvements in knowledge, problem-solving, and self-determination, increases in
parent reported self-determination remained at 6-week follow-up only for Project
TEAM (estimated mean difference: 4.65; CI: 1.32, 7.98). Significantly more
Project TEAM participants attained their participation goals by follow-up
(Project TEAM=97.6%, goal-setting=77.1%, p=0.009). INTERPRETATION: Both
approaches support attainment of participation goals. Although inconclusive,
Project TEAM may uniquely support young people with developmental disabilities to
act in a self-determined manner and apply an environmental problem-solving
approach over time. WHAT THIS PAPER ADDS: Individualized goal-setting, alone or
during Project TEAM (Teens making Environment and Activity Modifications) appears
to support attainment of participation goals. Project TEAM appears to support
young people with developmental disabilities to apply an environmental
problem-solving approach to participation barriers. Parents of young people with
developmental disabilities report sustained changes in self-determination 6 weeks
after Project TEAM.
CI - (c) 2018 Mac Keith Press.

Langue : ANGLAIS