Page 61 - Post-traumatic stress disorder in adults with mild intellectual disability: Screening, assessment, and brief intensive EMDR therapy

Development and evaluation of TS-ID
and treatment of adults with MID-BIF. In both focus groups, the TS-ID adult
version was presented to the participants, after which they were asked
what their overall impression was and what they thought of its coverage. As
a result, the instruction in part one of the TS-ID adult version was clarified,
and in this section, the wording of three original events were modified, such
as ‘placed out of home’ was changed into ‘placed out of home or placed
in crisis care’, and the wording of five events was simplified. For example,
‘dying of someone important to you’ was reworded into ‘death of someone
important to you’. The instructions for scoring the questions in part two
have also been clarified. The two questions in section three were modified
to better fit the participants. For example, ‘daycare’ was added to ‘school or
work’. Next, the TS-ID adult version was piloted with five adults with MID-BIF
in which the ‘think aloud’ method (Lundgrén-Laine & Salanterä, 2010) was
used to assess how they interpreted each question of the TS-ID. This was
done by asking participants to speak out when answering the questions.
The researcher observed carefully to determine whether the thought that
was spoken aloud corresponded to the content of the question and the
answer given. No further adjustments were made after pilot testing the
adult TS-ID version.
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Development of the proxy version of the Trauma Screener-Intellectual
disability
The TS-ID proxy version is adapted from the KJTS caregiver report version.
We adapted the KJTS caregiver report version based on the input from two
focus groups and the clinical expertise of the first and third authors on trauma
and PTSD in adults with MID-BIF. Focus group one consisted of two parents
of adults with MID-BIF and focus group two consisted of two professional
caregivers who supported people with MID-BIF. Several adaptations were
made. In the adapted version the word ‘child’ has been replaced. For
example, ‘How often did your child suffer from the following feelings …’ has
been changed to ‘How often did the person you are completing this list for
suffer from the following feelings …’. The instructions in part one of the TS-
ID adult versions have been clarified. In this section, three new events are
added to the list of events and the three original events are expanded. For
example, ‘Experienced parents, or other family members hitting each other,
kicking, throwing objects, or destroying things’, which now also includes
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