Background Self-rated participation is a clinically relevant
intervention outcome for people with mild intellectual
disability. The aim of this systematic review was to
analyse empirical studies that explored relationships
between either environmental factors or individual characteristics
and aspects of participation in young adults
with mild intellectual disability.
Method Four databases were used, 756 abstracts examined
and 24 studies were evaluated in-depth.
Results Four aspects of participation were found:
involvement, perceptions of self, self-determination and
psychological well-being. Reported environmental factors
were: social support, choice opportunity, living conditions,
school, work and leisure, attitudes, physical
availability and society. Reported individual characteristics
were adaptive and social skills.
Conclusions There is a relative lack of studies of factors
influencing self-rated participation and existing studies
are difficult to compare because of disparity regarding
approaches, conceptual frameworks, etc. For adequate
interventions, it seems important to study how profiles
of participation are influenced by different patterns of
environmental factors and individual characteristics.
Keywords: adaptive behaviour, environmental factors,
ICF, self rating
2008. Vol. 21, 277-291 p.