| Summary: | Intensive Interaction (11) is an approach to communication which is frequently used in intellectual disability (ID) settings. Given its increasing use it is important to understand the current field of research that exists for the approach. Similarly, as II is a two-way approach it is vital to understand the impact on carers and their experiences as this may influence the way they support people with ID. The systematic review looked at the quantitative and qualitative research into 11. Nineteen studies into the use of II with clinical populations and 7 studies into practitioners' use of II and their perspectives on using the approach were reviewed in relation to their methodological strengths and limitations. Positive social and communication developments were found for people with severe-profound ID. Practitioners identified positive outcomes for themselves in using II and barriers to its implementation. However, the methodology employed by many of the studies was weak and further research utilising more robust designs would be beneficial. The empirical paper employed a qualitative Interpretative Phenomenological Approach methodology exploring the experiences of paid carers' in their relationships with people with profound intellectual and multiple disabilities (PIMD) through using II Three super-ordinate themes captured their experience of the relationship; facing and overcoming personal challenges to pursue a relationship, moving from the invisible to the visible: seeing the person and being with the person. Three super-ordinate themes emerged capturing their experiences of these relationships in the service and professional context; positive impact on job role, difficulties between the relationship and the wider service and coping with difficulties. Further research is required to understand how to train and support carers to cope with the challenges within the relationship and in the wider service.
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