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Assessment of Challenging Behavior Exhibited by People with Intellectual and Developmental Disabilities: A Systematic
Juliana Reyes-Martín1,2, David Simó-Pinatella1, Josep Font-Roura3
1Facultat de Psicologia, Ciències de l'Educació i de l'Esport, Blanquerna, Ramon Llull University, 08022 Barcelona, Spain.
Summary
This review identifies 24 high-quality instruments for assessing challenging behaviors in individuals with intellectual and developmental disabilities (IDDs). Interventions supporting positive behavior significantly reduce these challenging behaviors.
Area of Science:
- Psychology
- Behavioral Science
- Disability Studies
Background:
- Challenging behavior in individuals with intellectual and developmental disabilities (IDDs) necessitates effective assessment for intervention.
- Standardized instruments are crucial for accurately measuring and understanding these behaviors.
Purpose of the Study:
- To systematically review and analyze standardized instruments specifically designed for assessing challenging behavior in individuals with IDDs.
- To identify instruments with robust psychometric properties and diverse utilities.
Main Methods:
- A comprehensive literature search identified 141 relevant articles.
- Articles were categorized into original instrument studies, validation studies, relational studies, and intervention studies.
- Focus was placed on instruments exclusively assessing challenging behavior.
Main Results:
- Twenty-four instruments were identified, demonstrating generally high-quality psychometric properties.
- These instruments offer utilities beyond simple observation or diagnostic categorization.
- Factors such as age, adaptive behavior level, disability type, autism spectrum disorder, and medication may influence challenging behavior.
- Positive behavior support and professional/caregiver training interventions effectively reduced challenging behaviors.
Conclusions:
- Validated instruments are essential for designing effective evaluation and intervention protocols for challenging behaviors in IDDs.
- Understanding associated variables can inform targeted support strategies.
- Intervention research highlights the efficacy of positive behavior support and training.
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