From Institutional Care to Community Living: Family Caregivers' Decisions and the Theory of Planned Behaviour

Abstract

Background: Family caregivers of adults with intellectual‐developmental disabilities face complex choices regarding transitions from institutional care to community living. This study examined factors associated with caregivers' decision‐making using an extended Theory of Planned Behaviour (TPB).

Method: Seventy‐seven legal guardians from 19 institutions completed questionnaires assessing TPB components. Consent to the transition was assessed 6–12 months later. Data were analyzed using regression and an exploratory CHAID analysis.

Results: Attitudes and perceived behavioural control were related to behavioural intention, which was associated with consent. Emotional attitudes showed a stronger relationship with intention than cognitive attitudes, whereas subjective norms were related to neither intention nor consent. Exploratory CHAID identified similar patterns and possible additional associations with consent.

Conclusions: The findings support the TPB as a useful framework for understanding caregivers' decisions and suggest that emotional responses and perceived behavioural control may be important considerations when supporting caregivers throughout the transition process.

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BibTeX RIS

BibTeX

@article{barlevkotler2026from,
  title = {{From Institutional Care to Community Living: Family Caregivers' Decisions and the Theory of Planned Behaviour}},
  author = {Lital Barlev‐Kotler and Arie Rimmerman},
  journal = {Journal of applied research in intellectual disabilities : JARID},
  year = {2026},
  month = nov,
  doi = {10.1111/jar.70339},
  url = {https://europepmc.org/article/PMC/PMC13754527},
  note = {CC BY-NC-ND},
}

RIS

TY  - JOUR
TI  - From Institutional Care to Community Living: Family Caregivers' Decisions and the Theory of Planned Behaviour
AU  - Lital Barlev‐Kotler
AU  - Arie Rimmerman
PY  - 2026
DA  - 2026/11/01
JO  - Journal of applied research in intellectual disabilities : JARID
DO  - 10.1111/jar.70339
UR  - https://europepmc.org/article/PMC/PMC13754527
AB  - Background: Family caregivers of adults with intellectual‐developmental disabilities face complex choices regarding transitions from institutional care to community living. This study examined factors associated with caregivers' decision‐making using an extended Theory of Planned Behaviour (TPB).  Method: Seventy‐seven legal guardians from 19 institutions completed questionnaires assessing TPB components. Consent to the transition was assessed 6–12 months later. Data were analyzed using regression and an exploratory CHAID analysis.  Results: Attitudes and perceived behavioural control were related to behavioural intention, which was associated with consent. Emotional attitudes showed a stronger relationship with intention than cognitive attitudes, whereas subjective norms were related to neither intention nor consent. Exploratory CHAID identified similar patterns and possible additional associations with consent.  Conclusions: The findings support the TPB as a useful framework for understanding caregivers' decisions and suggest that emotional responses and perceived behavioural control may be important considerations when supporting caregivers throughout the transition process.
SN  - 1360-2322
SN  - 1468-3148
ER  -

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