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Updated: Dec 27, 2025

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
Severe developmental disability and the transition to adulthood
Jessica N Hoyle1, James N Laditka1, Sarah B Laditka1
1Department of Public Health Sciences, University of North Carolina at Charlotte, 9201 University City Boulevard, Charlotte, NC, 28223, USA.
Individuals with serious developmental disabilities face significant challenges in adulthood, including lower educational attainment and higher rates of assault, crime, and chronic health conditions. Targeted support is crucial during this transition to improve outcomes.
Area of Science:
- Public Health
- Developmental Psychology
- Sociology
Background:
- Developmental disabilities are chronic conditions with limited research on outcomes during the critical transition to adulthood.
- Support systems available in childhood often diminish, leaving young adults vulnerable.
Purpose of the Study:
- To examine the associations between serious developmental disabilities and health, behaviors, and well-being in adulthood.
- To identify disparities faced by individuals with developmental disabilities as they transition to adulthood.
Main Methods:
- Utilized the Panel Study of Income Dynamics (1968-2017), including its Child Development Supplement and Transition into Adulthood Supplement.
- Followed a national sample from childhood through age 28, defining developmental disabilities through multiple sources.
- Employed statistical analyses including Chi-square tests and logistic regression, adjusting for demographic and socioeconomic factors.
Main Results:
- At ages 18-21, 8.2% of the sample had serious developmental disabilities.
- Compared to peers without disabilities, those with developmental disabilities were significantly more likely to lack high school graduation, experience physical or sexual assault, face criminal arrests, smoke, be sedentary, obese, have diabetes, and report work disability.
Conclusions:
- Findings highlight critical areas for intervention and support during the transition to adulthood for individuals with serious developmental disabilities.
- Promoting education, self-direction, safety, and overall well-being is essential for this population.
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