title: Longitudinal changes in adaptive behaviors of movers and stayers: findings from a controlled research design.
abstract: Reviews of research on deinstitutionalization show that investigators have focused primarily on adaptive behavior changes of "movers," while paying minimal attention to "stayers." Analysis of their research also revealed some methodological problems. We assessed 150 movers and 150 stayers in 1994, before deinstitutionalization began in 1997. We matched samples on seven distinctive variables, which were again assessed at similar intervals of 3, 15, and 27 months after movement. Movers made significant gains in independence and household skills, while stayers incurred losses in social skills and cognitive competencies. Teaching domestic skills and high autonomy were the best predictors of final self-care and multicognitive competencies, after controlling for initial baseline scores.
authors.affiliation: Developmental Disabilities Planning Institute, New Jersey Institute of Technology, Center for Architecture and Building Science Research, 323 Martin Luther King Blvd., Newark, NJ 07102, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Lerman
authors.forename: Dawn Hall
authors.initials: DH
authors.lastname: Apgar
authors.forename: Tameeka
authors.initials: T
authors.lastname: Jordan
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D003071:Cognition; D003688:Deinstitutionalization; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008875:Middle Aged; D026684:Personal Autonomy; D012107:Research Design; D012648:Self Care; D012919:Social Behavior