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An Analysis of Independent Engagement of Persons with Profound Multiple Handicaps

  • Andrew Adlem (a1), Lucius Arco (a1) and Carolyn Ngan (a1)


This study examined independent engagement in leisure activities of six institutionalised persons with profound multiple handicaps. Independent engagement was defined as manipulating leisure materials in the absence of concurrent resident-staff interactions. A 10-month intervention comprised leisure materials enrichment, assignment of staff duties including leisure activities manager, staff training and supervision. A time-series reversal design with momentary time sampled observations was used. Results showed increases and maintenance of not only engagement accompanied by staff interaction, but also of independent engagement. Resident-staff interaction was also increased and maintained. Problems and directions for future research are discussed.


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PO Box 441, West Perth WA 6005


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