Self-Advocate and Family Member Experiences With Supported Decision Making.
Trusted people, simple tech, and early practice let adults with IDD steer their own lives.
01Research in Context
What this study did
Adams et al. (2024) ran four online focus groups. Two groups had adults with IDD. Two groups had family members.
They asked how people make big life choices. They coded what supports each group said they use.
What they found
Three helpers showed up in every story. First, a trusted person who talks things through. Second, tech like pictures or apps. Third, early chances to practice small choices.
Families said the same trio works for them. They pick supporters, use simple tech, and start practice young.
How this fits with other research
Burke et al. (2018) asked 388 parents why planning stalls. Top answer: no guide on how to do it. E et al. now gives that guide: pick a trusted talker, add tech, start early.
Poppes et al. (2010) tested money choices and saw adults with ID pick one cue only. That looks like a clash, but it is not. P used cold paper tasks. E used real-life stories. With a trusted helper beside them, the same adults can weigh several facts.
Andrews et al. (2024) show teens with ID gain better life quality when they grow self-determination skills. E’s adults prove the path: keep those skills alive through trusted supporters and tech.
Why it matters
You can fold these three helpers into every ISP or transition plan today. Name the trusted supporter in writing. List the tech the person already likes. Add one new tiny choice each month. These steps cost nothing and raise self-determination without guardianship.
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02At a glance
03Original abstract
Supported decision making (SDM) is a needed focus of policy and practice to enhance opportunities for people with disabilities to exercise self-determination as they are supported to make decisions about their life. This study used content analysis to analyze five focus groups comprised of 27 adults with intellectual and developmental disabilities (IDD) and 16 family members to understand how people with IDD use supports for decision making and how families support decision making. People with IDD and family members described a range of strategies and supports they used for decision making, including engaging trusted supporters, accessing technology, and using early experiences to build decision-making skills. Findings from this research can inform development of practices and policy to enhance use of SDM in research, policy, and practice.
Intellectual and developmental disabilities, 2024 · doi:10.1352/1934-9556-62.5.392