Service Delivery

Family Resilience Affecting Well-Being of Families With a Child With Profound Intellectual and Multiple Disabilities.

Lahaije et al. (2024) · Intellectual and developmental disabilities 2024
★ The Verdict

Family resilience is a quick-to-measure lever that raises quality of life for parents of children with profound disabilities.

✓ Read this if BCBAs serving children with profound ID or multiple disabilities in home, clinic, or school settings.
✗ Skip if Practitioners who work only with typically developing clients or brief consultation cases.

01Research in Context

01

What this study did

The team sent a short survey to parents who have a child with profound intellectual and multiple disabilities. They asked two questions: how strong is your family resilience, and how good is your family quality of life?

No therapy was given. The parents simply filled out the forms at home.

02

What they found

Parents who rated their family resilience higher also rated their family quality of life higher. The link was clear and positive.

03

How this fits with other research

Gur et al. (2024) asked the same two questions in autism families and got the same answer: higher resilience goes with higher quality of life. Their numbers even showed that family quality of life explains most of the resilience score, so the studies echo each other.

Giofrè et al. (2014) looked earlier at mixed disability families. They found social support and money problems predict family success, not child behavior. The new study keeps the focus on parent-level factors, updating the list to include resilience itself.

Bolbocean et al. (2022) checked families before and during COVID-19. Family quality of life stayed steady, hinting that resilience can buffer crisis. The new survey shows the same buffer works in everyday life, not just during a pandemic.

04

Why it matters

You already track prompt fading and data sheets. Add one more line: ask parents to rate family resilience at intake and every six months. If the score is low, write goals that build support networks, teach advocacy, or link to respite funds. Small boosts here can lift the whole family’s quality of life, making your behavior plans easier to carry out at home.

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Add the 10-item Family Resilience Assessment to your parent intake packet and set a calendar alert to re-score it every six months.

02At a glance

Intervention
not applicable
Design
survey
Sample size
64
Population
intellectual disability
Finding
positive

03Original abstract

Persons with profound intellectual and multiple disabilities (PIMD) have pervasive support needs, which are often managed by their families. By being resilient and positively adapting to this challenge, families may maintain a positive family quality of life (FQOL). We therefore aimed to understand how families with a child with PIMD experience their family resilience, and if and how it affects their FQOL. Participants were 64 parents of a person with PIMD from 44 families. Total family resilience, as well as most subscales received positive scores, and also had a significant positive effect on FQOL. These results provide more insight into the family dynamics of families with a child with PIMD, which should inform policies, and provided services for these families.

Intellectual and developmental disabilities, 2024 · doi:10.1352/1934-9556-62.2.101