eprintid: 10204317 rev_number: 9 eprint_status: archive userid: 699 dir: disk0/10/20/43/17 datestamp: 2025-02-05 10:25:13 lastmod: 2025-02-05 10:25:13 status_changed: 2025-02-05 10:25:13 type: article metadata_visibility: show sword_depositor: 699 creators_name: van Herwaarden, A creators_name: Peters-Scheffer, NC creators_name: Mulders, M creators_name: Totsika, V creators_name: Didden, R title: Effectiveness of Active Support on the quality of life and well-being of people with moderate to mild intellectual disabilities ispublished: pub divisions: UCL divisions: B02 divisions: C07 divisions: D79 divisions: FH7 keywords: Active support, Intellectual disability, Meaningful engagement, Quality of life, Well-being, Humans, Quality of Life, Intellectual Disability, Male, Female, Adult, Middle Aged, Social Support, Social Participation, Aged, Severity of Illness Index, Young Adult note: © 2025 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/) abstract: Active Support is a support model designed to enhance quality of life through activity engagement in people with intellectual disabilities. The aim of the current study was to investigate whether implementation of Active Support affected quality of life, well-being, and activity engagement of residents with mild to moderate intellectual disabilities, using a cluster randomised controlled design. Fourteen services were recruited, and Active Support was implemented after conducting baseline assessments. Residents in both the intervention group (n = 47) and the control group (n = 38) reported on their Quality of Life, eudaimonic well-being, and activity engagement at pretest and at follow-up 9 months after pretest. Level of Active Support implementation was monitored by observing the quality of support and practice leadership. Active Support had a significant effect on independence and well-being, two subscales of quality of life. Residents in the intervention group showed a significantly larger increase on social activity engagement compared to the control group. There were no significant interaction terms for other resident outcomes. For the intervention group, there was a significant increase in quality of support. Findings indicated significant impact on some aspects of quality of life, though not all. Suggestions for future research are therefore discussed. What this paper adds?: Active Support is a support model that is increasingly adopted across several countries. Although there is considerable evidence that Active Support increases activity engagement for people with an intellectual disability, there are very few randomised controlled trials to test effectiveness, and the impact of Active Support on overall quality of life has never been examined. To address these gaps, the current study therefore evaluated the impact of Active Support on quality of life and resident well-being using a randomised controlled trial. This evaluation of Active Support contributes to the existing body of knowledge on the support model, strengthening its evidence base for people with moderate to mild intellectual disability. date: 2025-02-01 date_type: published publisher: Elsevier BV official_url: https://doi.org/10.1016/j.ridd.2025.104925 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 2357881 doi: 10.1016/j.ridd.2025.104925 medium: Print-Electronic pii: S0891-4222(25)00009-5 lyricists_name: Totsika, Vasiliki lyricists_id: VTOTS67 actors_name: Totsika, Vasiliki actors_id: VTOTS67 actors_role: owner full_text_status: public publication: Research in Developmental Disabilities volume: 157 article_number: 104925 event_location: United States issn: 0891-4222 citation: van Herwaarden, A; Peters-Scheffer, NC; Mulders, M; Totsika, V; Didden, R; (2025) Effectiveness of Active Support on the quality of life and well-being of people with moderate to mild intellectual disabilities. Research in Developmental Disabilities , 157 , Article 104925. 10.1016/j.ridd.2025.104925 <https://doi.org/10.1016/j.ridd.2025.104925>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10204317/7/Totsika_1-s2.0-S0891422225000095-main.pdf