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Role of multidimensional evaluations in the support of school trajectories of children with mild to moderate intellectual disability

Published online by Cambridge University Press:  13 August 2021

N. Touil*
Affiliation:
Filière Défiscience, HOSPICES CIVILS DE LYON, Bron, France
A. Curie
Affiliation:
Service De Neurologie Pédiatrique, HOSPICES CIVILS DE LYON, Bron, France
M.-P. Reymond
Affiliation:
Filière Défiscience, HOSPICES CIVILS DE LYON, Bron, France
F. Subtil
Affiliation:
Pôle De Santé Publique, Service De Biostatistiques, HOSPICES CIVILS DE LYON, BRON, France
S. Roche
Affiliation:
Service De Biostatistiques, HOSPICES CIVILS DE LYON, Bron, France
S. Gaillard
Affiliation:
Epicime-cic 1407 De Lyon, HOSPICES CIVILS DE LYON, BRON, France
B. Kassai
Affiliation:
Epicime-cic 1407 De Lyon, HOSPICES CIVILS DE LYON, BRON, France
V. Des Portes
Affiliation:
Service De Neurologie Pédiatrique, HOSPICES CIVILS DE LYON, Bron, France
*
*Corresponding author.

Abstract

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Introduction

There is a lack of objective evaluation with validated tools in school children with intellectual disability (ID). Standardized and validated tools, allowing children evaluations and follow-up, exist but are poorly used. Our action-study wishes to develop evaluation practices to better adapt to the specific needs of children with ID.

Objectives

We evaluated the multidimensional profiles (cognitive, adaptative and behavioral) of children with ID attending regular or adapted school system.

Methods

School children, aged 5 to 13 years old, with mild to moderate ID were enrolled in this French cohort study. The multidimensional evaluation consisted of a school evaluation grid proposed by the French educational system, a scale of school needs (GEVA-sco), an intellectual assessment (WISC IV), a behavior adaptative scale (Vineland II) and a behavior rating scale (the French Nisonger Child Behavior Rating Form (Nisonger CBRF)). The results of this multidimensional assessment were analyzed.

Results

Between November 2014 and June 2016, 121 children were enrolled, 3 children were lost to follow-up. Analysis was performed on 118 children. Seventy one (60.2 %) were male. Fifty-two (44.1%) were aged 6 to 9 years. Sixty-eight (57.6%) children were in regular schools and 50 (42.4%) in adapted schools. Children in regular schools had a higher mean IQ score (57.5) than children in adapted schools (43.5). The adaptative behavior profile of children in regular school is less severe than in children in adapted schools.

Conclusions

Multidimensional evaluations allow optimizing and personalizing support. Evaluation of adaptative behavior is more informative than cognitive profile which does not differentiate between children skills

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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