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Effectiveness of Active Support for adults with intellectual disability in residential settings: Systematic review and meta‐analysis

Flynn, S; Totsika, V; Hastings, RP; Hood, K; Toogood, S; Felce, D; (2018) Effectiveness of Active Support for adults with intellectual disability in residential settings: Systematic review and meta‐analysis. Journal of Applied Research in Intellectual Disabilities , 31 (6) pp. 983-998. 10.1111/jar.12491. Green open access

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Abstract

Background: The review examined the effectiveness of Active Support (RQ1) and stakeholders’ experiences of the model (RQ2). / Method: Data were meta‐analysed (RQ1; studies = 14) and synthesized narratively (RQ2; studies = 10). / Results: By follow‐up (6 months post‐training), effect sizes (RQ1) for resident total activity engagement were significant and ranged from small (d = 0.33, 95% CIs: 0.10–0.50) to large (Tau‐U = 0.95, 95% CIs: 0.64–1.25) depending on study design. Follow‐up changes in staff assistance were moderate (d = 0.56, 95% CIs: 0.23–0.89; Tau‐U 0.63, 95% CIs: 0.32–0.93) and large for quality of support (d = 1.03, 95% CIs: 0.61–1.44). Other outcomes did not change. / Conclusions: Active Support was more effective following complete staff training, in larger settings, at lower staff‐to‐resident ratios and with less experienced staff. Active Support training and outcomes were valued by staff and residents (RQ2), and staff experienced increased job satisfaction. Lower staff turnover and organizational readiness appear crucial for maintaining implementation.

Type: Article
Title: Effectiveness of Active Support for adults with intellectual disability in residential settings: Systematic review and meta‐analysis
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/jar.12491
Publisher version: https://doi.org/10.1111/jar.12491
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Active Support, engagement, intellectual disability, meta‐analysis, residential living, systematic review
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10122673
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