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

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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
JournalJournal of Applied Research in Intellectual Disabilities
Volume31
Issue number1
DOIs
Publication statusPublished - 2018

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intellectual
autonomy
disability
climate
health care
Delivery of Health Care
questionnaire
Disabled Persons
Surveys and Questionnaires
staff

Keywords

  • INTERVENTION
  • INTRINSIC MOTIVATION
  • SELF-DETERMINATION THEORY
  • TRIAL
  • autonomy support
  • factor structure
  • intellectual disability
  • reliability
  • self-determination theory

Cite this

@article{a7075cabf2854f1e830556f315b5a376,
title = "Autonomy support in people with mild to borderline intellectual disability: Testing the Health Care Climate Questionnaire-Intellectual Disability (HCCQ-ID)",
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 = "INTERVENTION, INTRINSIC MOTIVATION, SELF-DETERMINATION THEORY, TRIAL, autonomy support, factor structure, intellectual disability, reliability, self-determination theory",
author = "N. Frielink and C. Schuengel and P.J.C.M. Embregts",
year = "2018",
doi = "10.1111/jar.12371",
language = "English",
volume = "31",
pages = "159--163",
journal = "Journal of Applied Research in Intellectual Disabilities",
issn = "1360-2322",
publisher = "Wiley-Blackwell",
number = "1",

}

TY - JOUR

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

T2 - Testing the Health Care Climate Questionnaire-Intellectual Disability (HCCQ-ID)

AU - Frielink, N.

AU - Schuengel, C.

AU - Embregts, P.J.C.M.

PY - 2018

Y1 - 2018

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 - INTERVENTION

KW - INTRINSIC MOTIVATION

KW - SELF-DETERMINATION THEORY

KW - TRIAL

KW - autonomy support

KW - factor structure

KW - intellectual disability

KW - reliability

KW - self-determination theory

U2 - 10.1111/jar.12371

DO - 10.1111/jar.12371

M3 - Article

VL - 31

SP - 159

EP - 163

JO - Journal of Applied Research in Intellectual Disabilities

JF - Journal of Applied Research in Intellectual Disabilities

SN - 1360-2322

IS - 1

ER -