比較中老年與非中老年智障服務使用者支持需求與生活品質

Using Supports Intensity Scale (SIS) and Personal Outcomes Scale (POS) as assessment tools to compare the support needs and quality of life (QoL) between two groups of service users with intellectual disability (ID), namely those aged ＜45 and ≧45, as well as to examine the impact factors of their support needs and QoL. Face-to-face interviews with adults with ID in 37 service units (institutions, community living units under 6 residents, day activity centers, etc.) between April and July in 2012; 784 adults with ID completed the interview. The regression analysis used SIS and POS as the dependent variables; gender, age, whether having multiple disabilities (MD), ADL, IADL, and service models served as the independent variables. The results indicated that the group aged ≧45 had significantly higher scores in SIS and lower scores in POS in comparison with the group aged ＜45. Regression analyses found that ageing adults (≧45) with MD and/or low ADL functioning scores had significantly lower SIS scores in comparison to those who do not have MD and/or high ADL scores. Those with high ADL and IADL scores, and residing in community living units had significantly higher POS scores than those who had low ADL and IADL scores and reside in institutions. The support needs and QoL of ageing adults with ID, particularly those living in institutions with MD and low ADL scores, should be the first priority in providing care.