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Challenging Behavior in Context: A Case Study on How People, Space, and Activities Interact.

Berit Ann Roos1,2,3, Mark Mobach1,4, Ann Heylighen3

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Challenging behaviors in individuals with intellectual impairments are influenced by their environment. Routinely collected data can reveal how space, people, and activities impact these behaviors, informing better living environments.

Keywords:
architectureautismchallenging behaviorcontextintellectual impairmentinteraction

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Area of Science:

  • Intellectual Disability Research
  • Environmental Psychology
  • Healthcare Data Analysis

Background:

  • Challenging behaviors in individuals with intellectual impairments are linked to environmental context, including spatial factors.
  • Research in this area is difficult due to communication challenges and sensory sensitivities in this population.

Purpose of the Study:

  • To understand the interaction between challenging behaviors and spatial environments in individuals with intellectual impairments.
  • To explore the utility of routinely collected data for studying this resident-space interaction.

Main Methods:

  • A single-case study was conducted in a Dutch intensive care facility.
  • Routinely collected healthcare data were analyzed for time-space configurations.
  • Sensitizing concepts included space, people, and activities as contexts for resident interaction.

Main Results:

  • Direct and indirect interactions between residents and their environment were observed.
  • Spatial context intensely impacts residents' senses and perceived stress.
  • People (caregivers, co-residents) and activity transitions significantly influence challenging behaviors.

Conclusions:

  • Living environments should offer choices in proximity to caregivers and distance from co-residents.
  • Environments that lower transition thresholds and enhance predictability are beneficial.
  • These environmental modifications can support individuals with intellectual impairments exhibiting challenging behaviors.