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Biomedical subjects

D Felce

Publications and source records attributed to D Felce.

48 records · Page 3Linked to original sources
PubMed1981

The capital costs of alternative residential facilities for mentally handicapped people.

This paper examines the capital costs and accommodation provided in three different types of residential facility for mentally handicapped people--a large campus hospital, a small campus hospital and a network of individually-sited hospital units. The findings do not indicate any economy arising from increased size, or from centralization of facilities on a single site. These findings, together with the other research cited, have implications for the design of future residential services.

Adult↗
PubMed1979

Engagement in activities by old people in residential care.

A major task facing the staff of residential homes for the elderly and of geriatric hospitals is to organise the environment so that the best interests of the elderly residents are met. Such organisation will assist each resident to solve particular problems or to meet the therapeutic goals for which the person was admitted. In addition, and equally important, staff will arrange the day-to-day environment to ensure that all residents have the opportunity to engage in a wide range of activities in order to maintain those abilities they possessed upon admission, together with their health and their interest in life. Ideally, too, the staff will include each resident in the deliberations and decisions about his or her therapeutic goals, and will involve all residents in planning their chosen activities or in making changes to encourage greater participation in the activities available.

Activities of Daily Living↗
PubMedDate not supplied

Quality of life: its definition and measurement.

A model of quality of life is proposed that integrates objective and subjective indicators, a broad range of life domains, and individual values. It takes account of concerns that externally derived norms should not be applied without reference to individual differences. It also allows for objective comparisons to be made between the situations of particular groups and what is normative. Considerable agreement exists that quality of life is multidimensional. Coverage may be categorised within five dimensions: physical wellbeing, material wellbeing, social wellbeing, emotional wellbeing, and development and activity. A research agenda is discussed as are the particular problems caused by difficulties in understanding and communicating.

Emotions↗
PubMedDate not supplied

The effectiveness of staff support: evaluating active support training using a conditional probability approach.

Active Support, a package of procedures which includes activity planning, support planning, and training on providing effective assistance, was introduced in five community residences serving 19 adults with severe mental retardation following a multiple baseline design. Real-time observational data were collected on the level of assistance residents received from staff and their engagement in activity. Active Support was shown in a companion paper (Jones et al., 1999) to increase the levels of assistance residents received and their engagement in activity. Increased assistance was particularly experienced by the behaviorally less able and the disparity in activity between the more and less able was reduced. In the analysis presented here, the effectiveness of assistance was evaluated before and after Active Support training by calculating the likelihood of engagement occurring given the occurrence of assistance. This likelihood was represented by the statistic, Yule's Q. Yule's Q significantly increased following Active Support training, an increase that was maintained at follow-up. The increased effectiveness of assistance was related to other research findings on the relationship between staff: resident interaction patterns and resident behavior.

Activities of Daily Living↗
PubMedDate not supplied

The adaptive behavior scale-residential and community (part I): towards the development of a short form.

A potential 24-item short form (SABS) of the 73-item Adaptive Behavior Scale-Residential and Community (Part I) (ABS-RC2; Nihira et al., 1993a, b) was developed, based on data from two diverse UK samples of adults with intellectual disabilities living in residential services (n = 560 and 254). SABS factor and total scores showed good internal reliability in both samples (alpha 0.89-0.98), and were highly correlated with their full ABS-RC2 Part I equivalents (r = 0.97-0.99). Regression equations were calculated for SABS factor and total scores against their full ABS-RC2 Part I equivalents. Levels of agreement between predicted quartile scores (derived from the regression equations) and actual full ABS-RC2 Part I quartile scores were high (kappa 0.75-0.89; percentage agreement 82%-92%). It is concluded that the SABS is a potentially useful research tool, although further work is clearly needed to establish the reliability and cross-cultural validity of the instrument.

Activities of Daily Living↗
PubMedDate not supplied

The effects of initial interval size on the efficacy of DRO schedules of reinforcement.

The differential reinforcement of other behavior (DRO) is a behavior-reduction procedure that has been popular for several years. In classroom settings, it provides reinforcement when a student does not display inappropriate responding for a particular interval of time. Unfortunately, relatively little is known about how to use DRO effectively in applied settings. Most research has been conducted in laboratory settings; the purpose of the present study was to provide a replication of one of those studies. This study examined the effect of the size of the initial DRO interval on the disruptive behavior of students with moderate disabilities. In the first experiment, a group of six students was observed during baseline in two classes. Two different DRO values were then used. In one classroom, it was equal to the mean number of 10-second intervals between disruptions during baseline. In the other classroom, it was twice the mean number during baseline. In the final phase, behavior in both classrooms was put under the same DRO program. In the second experiment, the disruptive behavior of three students was studied in a different design in which both methods of determining the initial DRO value were compared. The results of both experiments showed that an initial DRO value equal to the mean number of intervals between responses in baseline was much more effective than a value twice that size in reducing disruptions.

Behavior Therapy↗
PubMedDate not supplied

A Wessex home from home.

Explore the source record for details and available documents.

Activities of Daily Living↗