title: A more "normal" life: residents', family, staff, and managers' experience of active support at a residential facility for people with physical and intellectual impairments.
abstract: BACKGROUND
  Active support (AS) has gained popularity as an approach for assisting people with intellectual disability to engage more fully in everyday activities. Although research has identified changes in the extent that residents are engaged in meaningful activities, the experience of stakeholders such as residents, staff, and family in AS is underexplored.
  
  
  METHODS
  A general inductive approach was used to analyse focus group and interview transcripts of residents (n = 4), staff (n = 13), and family (n = 2) about their experience of involvement in an AS pilot project at one residential care facility in New Zealand.
  
  
  RESULTS
  Three superordinate themes common to all stakeholders' experiences emerged: "living normal lives," "caring means doing with," and "engaging with risk."
  
  
  CONCLUSIONS
  Transitioning to AS had been enriching but at times challenging for all stakeholders. Valuing resident autonomy and preparedness for greater exposure to risk are significant considerations in the implementation of AS.
authors.affiliation: University of Otago, Dunedin, New Zealand. fi.graham@otago.ac.nz
authors.forename: Fiona
authors.initials: F
authors.lastname: Graham
authors.forename: K Anne
authors.initials: KA
authors.lastname: Sinnott
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Snell
authors.forename: Rachelle
authors.initials: R
authors.lastname: Martin
authors.forename: Claire
authors.initials: C
authors.lastname: Freeman
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001291:Attitude of Health Personnel; D005190:Family / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008607:Intellectual Disability / Q000523:psychology* / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D009520:New Zealand; D017060:Patient Satisfaction; D026684:Personal Autonomy; D012112:Residential Facilities; D012944:Social Support