Autonomy support in people with mild-to-borderline intellectual disability: Testing the Health Care Climate Questionnaire-Intellectual Disability

Noud Frielink, Carlo Schuengel, Petri J.C.M. Embregts

Research output: Scientific - peer-reviewArticle

Abstract

Background: Autonomy support in people with intellectual disability (ID) is an important yet understudied topic. Psychometrically sound instruments are lacking. This study tested the factor structure and reliability of an instrument for assessing the extent people with intellectual disability perceive their support staff as autonomy supportive. Method: In a single wave, 185 adults with mild-to-borderline intellectual disability filled in an adapted version of the Health Care Climate Questionnaire (i.e., HCCQ-ID). Forty of them participated in a second wave to determine test-retest-reliability. The HCCQ-ID consists of 15 items on a 5-point Likert scale. Results: The expected one-factor structure was found. Internal consistency (α = 0.93) and test–retest reliability (r =.85) were good. The score distribution was skewed towards high satisfaction. Conclusions: The factor structure and reliability of the HCCQ-ID were supported for people with mild-to-borderline intellectual disability. Given the homogeneous factor structure and the high reliability, the number of items may be further optimized.

Original languageEnglish
Pages (from-to)159-163
Number of pages5
JournalJournal of Applied Research in Intellectual Disabilities
Volume31
Issue number1
DOIs
StatePublished - 1 Jan 2018

Cite this

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title = "Autonomy support in people with mild-to-borderline intellectual disability: Testing the Health Care Climate Questionnaire-Intellectual Disability",
abstract = "Background: Autonomy support in people with intellectual disability (ID) is an important yet understudied topic. Psychometrically sound instruments are lacking. This study tested the factor structure and reliability of an instrument for assessing the extent people with intellectual disability perceive their support staff as autonomy supportive. Method: In a single wave, 185 adults with mild-to-borderline intellectual disability filled in an adapted version of the Health Care Climate Questionnaire (i.e., HCCQ-ID). Forty of them participated in a second wave to determine test-retest-reliability. The HCCQ-ID consists of 15 items on a 5-point Likert scale. Results: The expected one-factor structure was found. Internal consistency (α = 0.93) and test–retest reliability (r =.85) were good. The score distribution was skewed towards high satisfaction. Conclusions: The factor structure and reliability of the HCCQ-ID were supported for people with mild-to-borderline intellectual disability. Given the homogeneous factor structure and the high reliability, the number of items may be further optimized.",
keywords = "autonomy support, factor structure, intellectual disability, reliability, self-determination theory",
author = "Noud Frielink and Carlo Schuengel and Embregts, {Petri J.C.M.}",
year = "2018",
month = "1",
doi = "10.1111/jar.12371",
volume = "31",
pages = "159--163",
journal = "Journal of Applied Research in Intellectual Disabilities",
issn = "1360-2322",
publisher = "Wiley",
number = "1",

}

TY - JOUR

T1 - Autonomy support in people with mild-to-borderline intellectual disability

T2 - Journal of Applied Research in Intellectual Disabilities

AU - Frielink,Noud

AU - Schuengel,Carlo

AU - Embregts,Petri J.C.M.

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: Autonomy support in people with intellectual disability (ID) is an important yet understudied topic. Psychometrically sound instruments are lacking. This study tested the factor structure and reliability of an instrument for assessing the extent people with intellectual disability perceive their support staff as autonomy supportive. Method: In a single wave, 185 adults with mild-to-borderline intellectual disability filled in an adapted version of the Health Care Climate Questionnaire (i.e., HCCQ-ID). Forty of them participated in a second wave to determine test-retest-reliability. The HCCQ-ID consists of 15 items on a 5-point Likert scale. Results: The expected one-factor structure was found. Internal consistency (α = 0.93) and test–retest reliability (r =.85) were good. The score distribution was skewed towards high satisfaction. Conclusions: The factor structure and reliability of the HCCQ-ID were supported for people with mild-to-borderline intellectual disability. Given the homogeneous factor structure and the high reliability, the number of items may be further optimized.

AB - Background: Autonomy support in people with intellectual disability (ID) is an important yet understudied topic. Psychometrically sound instruments are lacking. This study tested the factor structure and reliability of an instrument for assessing the extent people with intellectual disability perceive their support staff as autonomy supportive. Method: In a single wave, 185 adults with mild-to-borderline intellectual disability filled in an adapted version of the Health Care Climate Questionnaire (i.e., HCCQ-ID). Forty of them participated in a second wave to determine test-retest-reliability. The HCCQ-ID consists of 15 items on a 5-point Likert scale. Results: The expected one-factor structure was found. Internal consistency (α = 0.93) and test–retest reliability (r =.85) were good. The score distribution was skewed towards high satisfaction. Conclusions: The factor structure and reliability of the HCCQ-ID were supported for people with mild-to-borderline intellectual disability. Given the homogeneous factor structure and the high reliability, the number of items may be further optimized.

KW - autonomy support

KW - factor structure

KW - intellectual disability

KW - reliability

KW - self-determination theory

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