Abstract
Background: State-level factors have not been examined in research on choice, despite findings of between-state differences. Aims: To examine both individual and state-level factors associated with choice. Methods and procedures: We used multilevel modeling to explore two choice scales, support-related and everyday choice, based on the National Core Indicators (NCI) data from 2013-14. Outcomes and Results: At the individual level, milder ID, greater mobility, fewer problem behaviors, answering questions independently, communicating verbally, and living in a non-agency setting, particularly independent settings, were associated with more choice for both scales. State-level factors overall explained variance for both scales, but were more strongly associated with support-related choice. A higher proportion of people with IDD living independently within the state predicted more support-related choice. High cost of living within a state predicted less everyday choice. Higher proportion of people living with family and lower proportion being served within a state predicted more everyday choice. Conclusions and implications: These findings suggest further study of choice in relation to policies that: (1) increase independent living for individuals with IDD, and (2) assist individuals/families living in high cost states. State differences on important QOL outcomes are likely to be associated with economic and system-based factorsbeyond individual differences.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 77-90 |
| Number of pages | 14 |
| Journal | Research in Developmental Disabilities |
| Volume | 83 |
| DOIs | |
| State | Published - Dec 1 2018 |
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Keywords
- Choice
- Community living
- Cost of living
- Intellectual disability
- Residence type
- State factors
PubMed: MeSH publication types
- Journal Article
Cite this
Association of state-level and individual-level factors with choice making of individuals with intellectual and developmental disabilities. / Houseworth, James; Stancliffe, Roger J.; Tichá, Renáta.
In: Research in Developmental Disabilities, Vol. 83, 01.12.2018, p. 77-90.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Association of state-level and individual-level factors with choice making of individuals with intellectual and developmental disabilities
AU - Houseworth, James
AU - Stancliffe, Roger J.
AU - Tichá, Renáta
PY - 2018/12/1
Y1 - 2018/12/1
N2 - Background: State-level factors have not been examined in research on choice, despite findings of between-state differences. Aims: To examine both individual and state-level factors associated with choice. Methods and procedures: We used multilevel modeling to explore two choice scales, support-related and everyday choice, based on the National Core Indicators (NCI) data from 2013-14. Outcomes and Results: At the individual level, milder ID, greater mobility, fewer problem behaviors, answering questions independently, communicating verbally, and living in a non-agency setting, particularly independent settings, were associated with more choice for both scales. State-level factors overall explained variance for both scales, but were more strongly associated with support-related choice. A higher proportion of people with IDD living independently within the state predicted more support-related choice. High cost of living within a state predicted less everyday choice. Higher proportion of people living with family and lower proportion being served within a state predicted more everyday choice. Conclusions and implications: These findings suggest further study of choice in relation to policies that: (1) increase independent living for individuals with IDD, and (2) assist individuals/families living in high cost states. State differences on important QOL outcomes are likely to be associated with economic and system-based factorsbeyond individual differences.
AB - Background: State-level factors have not been examined in research on choice, despite findings of between-state differences. Aims: To examine both individual and state-level factors associated with choice. Methods and procedures: We used multilevel modeling to explore two choice scales, support-related and everyday choice, based on the National Core Indicators (NCI) data from 2013-14. Outcomes and Results: At the individual level, milder ID, greater mobility, fewer problem behaviors, answering questions independently, communicating verbally, and living in a non-agency setting, particularly independent settings, were associated with more choice for both scales. State-level factors overall explained variance for both scales, but were more strongly associated with support-related choice. A higher proportion of people with IDD living independently within the state predicted more support-related choice. High cost of living within a state predicted less everyday choice. Higher proportion of people living with family and lower proportion being served within a state predicted more everyday choice. Conclusions and implications: These findings suggest further study of choice in relation to policies that: (1) increase independent living for individuals with IDD, and (2) assist individuals/families living in high cost states. State differences on important QOL outcomes are likely to be associated with economic and system-based factorsbeyond individual differences.
KW - Choice
KW - Community living
KW - Cost of living
KW - Intellectual disability
KW - Residence type
KW - State factors
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UR - http://www.scopus.com/inward/citedby.url?scp=85051827934&partnerID=8YFLogxK
U2 - 10.1016/j.ridd.2018.08.008
DO - 10.1016/j.ridd.2018.08.008
M3 - Article
VL - 83
SP - 77
EP - 90
JO - Research in Developmental Disabilities
JF - Research in Developmental Disabilities
SN - 0891-4222
ER -