关键词: Delphi study adults with mild intellectual disabilities sex education sexual health sexual support

来  源:   DOI:10.1111/jir.13172

Abstract:
BACKGROUND: Providing appropriate sexual support and education for adults with mild intellectual disabilities (IDs) is a source of considerable debate, resulting in diverse, non-funded and potentially adverse practices. This study aims to identify a consensus among experts regarding what conditions are conducive to successful sexual support and education for adults with mild IDs.
METHODS: A Delphi study was conducted with 13 experts, including experts-by-experience, relatives, support staff, psychologists and sexologists. Qualitative data on the conditions for sexual support and education were gathered in the first round and thematically analysed. In the following three quantitative rounds, consensus was achieved using Likert-type response scales and participants\' feedback.
RESULTS: Round 1 resulted in 82 conditions on six themes: \'the necessary attitude\', \'requirements\', \'approach to delivering sexual support and education\', \'appropriate providers\', \'settings and timing\' and \'effective collaboration with the network\'. In the following three quantitative rounds, the experts reached consensus on 68 conditions distributed across the six themes.
CONCLUSIONS: The six themes highlight conducive conditions for successful sexual support and education for adults with mild IDs, emphasising the significance of a safe and supportive environment, comprehensive educational programmes, and the promotion of autonomy and protection. The consensus-based findings have distinct implications for practice and future research.
摘要:
背景:为患有轻度智力障碍(ID)的成年人提供适当的性支持和教育是相当大的争论的来源,导致多样化,无资金和潜在的不利做法。这项研究旨在确定专家之间关于哪些条件有利于轻度ID成年人成功的性支持和教育的共识。
方法:与13位专家进行了Delphi研究,包括经验专家,亲戚,支持人员,心理学家和性学家。在第一轮中收集了有关性支持和教育条件的定性数据,并进行了主题分析。在接下来的三轮定量中,使用Likert型反应量表和参与者反馈达成共识。
结果:第1轮在六个主题上得出82个条件:\'必要的态度\',\'要求\',“提供性支持和教育的方法”,\'适当的提供者\',\'设置和定时\'和\'与网络的有效协作\'。在接下来的三轮定量中,专家们就分布在六个主题中的68个条件达成了共识。
结论:六个主题突出了对患有轻度ID的成年人进行成功的性支持和教育的有利条件,强调安全和支持性环境的重要性,全面的教育计划,促进自治和保护。基于共识的发现对实践和未来的研究具有独特的意义。
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