ABSTRACT

This study aimed to conduct a systematic literature review of prior research as a foundational step toward developing programs to reduce restrictive interventions in service settings for individuals with developmental disabilities. Following the PRISMA guidelines, relevant studies were identified and selected, and a total of 18 studies on restrictive intervention reduction were analyzed. General research trends were analyzed based on study characteristics, including publication years and countries in which the studies were conducted. In addition, the analysis focused on the types of restrictive interventions targeted for reduction, demographic characteristics of service users, study settings, and the key components of restrictive intervention reduction programs: (a) human rights, (b) service user participation, (c) organizational leadership for reduction, (d) training and education, (e) data collection and analysis, (f) post-intervention review, (g) proactive and reactive strategies, and (h) program effectiveness. The findings indicated that research on restrictive intervention reduction programs has been conducted primarily in the United States and the United Kingdom and has increased notably since the 2010s. Services were primarily provided to adults with developmental disabilities, and the primary type of restrictive intervention targeted for reduction was physical restraint. In addition, detailed information was reported on data collection and analysis, the implementation of proactive and reactive strategies, and training and education as key components of restrictive intervention reduction programs. In contrast, relatively limited information was reported regarding post-intervention review, organizational leadership for reduction, and service user participation. Based on these findings, this study identified the key components of restrictive intervention reduction programs to support the minimization of restrictive interventions in service settings for individuals with developmental disabilities in South Korea.

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