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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
1Research Group Facility Management, Research Centre for Built Environment NoorderRuimte, Hanze University of Applied Sciences, Groningen, the Netherlands.
HERD
|June 12, 2023
Summary
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.
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.
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