Physical Activity: A Comparison of People with Intellectual Disability in Supported Living and Group Homes
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Purpose : Supported living, characterized by very small, family-like structures, are known to be different in many ways from traditional group homes for people with intellectual and developmental disabilities. It is also known that people with intellectual and developmental disabilities in residential settings fall far below population norms in terms of physical activity and exercise. We tested for differences in physical activity between people in supported living versus group home settings. Our hypothesis was that the more individualized supported living settings might be associated with greater opportunity for people to be involved in active physical movement. Method : Large individual quality of life data sets from three states in the U.S. were available to examine. Each data set had the same item on frequency of events described as“Go to a health or exercise club, spa, or center.” Results : One large state data set permitted division of people into large (5 and 6 person) and small (1 to 4 person) settings, and the difference in physical activity / exercise events was quite different both practically and statistically. In two other states, one system was based almost entirely on a 6 person group home model while the other state’s system was based on small supported living settings. The difference in physical activity / exercise between those two systems was large and significant. Conclusions : There are many reasons to think that small family-like supported living models are superior in quality to the older group home model. These analyses provided one more aspect of evidence that people tend to have better, healthier lives in the newer model of residential support. Physical activity / exercise is crucial for quality of life, both in terms of physical and mental well-being. It is suggested that nations embarking on deinstitutionalization efforts, following the CRPD’s Article 19 dictum, will be well advised to avoid or skip the group home model and proceed directly to supported living models. Running head : Physical Activity and Residential Models
Abstract
Purpose : Supported living, characterized by very small, family-like structures, are known to be different in many ways from traditional group homes for people with intellectual and developmental disabilities. It is also known that people with intellectual and developmental disabilities in residential settings fall far below population norms in terms of physical activity and exercise. We tested for differences in physical activity between people in supported living versus group home settings. Our hypothesis was that the more individualized supported living settings might be associated with greater opportunity for people to be involved in active physical movement. Method : Large individual quality of life data sets from three states in the U.S. were available to examine. Each data set had the same item on frequency of events described as“Go to a health or exercise club, spa, or center.” Results : One large state data set permitted division of people into large (5 and 6 person) and small (1 to 4 person) settings, and the difference in physical activity / exercise events was quite different both practically and statistically. In two other states, one system was based almost entirely on a 6 person group home model while the other state’s system was based on small supported living settings. The difference in physical activity / exercise between those two systems was large and significant. Conclusions : There are many reasons to think that small family-like supported living models are superior in quality to the older group home model. These analyses provided one more aspect of evidence that people tend to have better, healthier lives in the newer model of residential support. Physical activity / exercise is crucial for quality of life, both in terms of physical and mental well-being. It is suggested that nations embarking on deinstitutionalization efforts, following the CRPD’s Article 19 dictum, will be well advised to avoid or skip the group home model and proceed directly to supported living models. Running head : Physical Activity and Residential Models
참고문헌 (14)
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