Informal network members' perspectives and experiences on work for people with intellectual disabilities: A thematic synthesis

Purpose
The level of participation of people with intellectual disabilities (ID) in various forms of work, including daytime
activities, appears to be suboptimal. Informal networks of people with ID constitute crucial forms of support, as they can significantly influence occupational choices and opportunities. This review aims to synthesize existing research for the purpose of examining how informal network members perceive the meaning of employment or daytime activities for their relatives with ID.

Methods
Following the PRISMA guideline, a systematic search of scientific literature published between 1990 and July
2022 was conducted. The qualitative results from twenty-seven studies (qualitative and mixed-method) were analyzed using thematic synthesis.

Results
Four overarching themes and several subthemes were identified: (I) Ensuring customized work for my relative; (II)
The ongoing need to collaborate and share care responsibilities with professionals; (III) The meaning of work for both my relative and myself; and (IV) Achieving full work participation for my relative is neither straightforward nor self-evident.

Conclusions
Informal networks place great value upon customized and sustainable work opportunities for their relatives
with ID, particularly community-based work. While network members play an important role in creating these opportunities, they encounter obstacles resulting from both collaboration difficulties with professionals and employers and public and structural forms of stigma. Researchers, professionals, policy makers, and employers are encouraged to collaborate with individuals with ID as well as their networks to increase the meaningful work opportunities available to them.