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Caudill A, Hladik L, Gray M, Dulaney N, Barton K, Rogers J, Noblet N, Ausderau KK. Health Narratives as a Therapeutic Tool for Health Care Access for People with Intellectual and Developmental Disabilities. Occup Ther Health Care 2022:1-18. [PMID: 35867904 PMCID: PMC10501803 DOI: 10.1080/07380577.2022.2099603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 06/06/2022] [Accepted: 07/05/2022] [Indexed: 10/17/2022]
Abstract
Individuals with intellectual and developmental disabilities (IDD) have unique and complex health care needs that require health care access. Barriers, such as decreased health literacy and a lack of experienced physicians working with this population, make access to inclusive health care increasingly difficult. Therefore, it is important for occupational therapists to intentionally create opportunities to improve healthcare access and utilization for this population. This paper describes the collaborative health narrative development process as well as the inclusion of three examples created by co-authors with intellectual or developmental disability.
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Affiliation(s)
- Allison Caudill
- Department of Kinesiology, Occupational Therapy Program, University of Wisconsin at Madison, Madison, WI, USA
| | - Libby Hladik
- Department of Kinesiology, Occupational Therapy Program, University of Wisconsin at Madison, Madison, WI, USA
| | - Megan Gray
- Department of Kinesiology, Occupational Therapy Program, University of Wisconsin at Madison, Madison, WI, USA
| | - Natalie Dulaney
- Department of Kinesiology, Occupational Therapy Program, University of Wisconsin at Madison, Madison, WI, USA
| | - Kayte Barton
- Waisman Center, University of Wisconsin - Madison
| | - John Rogers
- Waisman Center, University of Wisconsin - Madison
| | | | - Karla K. Ausderau
- Department of Kinesiology, Occupational Therapy Program, University of Wisconsin at Madison, Madison, WI, USA
- Waisman Center, University of Wisconsin - Madison
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Santos FH, Zurek J, Janicki MP. Efficacy of Healthy Aging Interventions for Adults With Intellectual and Developmental Disabilities: A Systematic Review. THE GERONTOLOGIST 2022; 62:e235-e252. [PMID: 33220058 DOI: 10.1093/geront/gnaa192] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Indexed: 03/20/2024] Open
Abstract
BACKGROUND AND OBJECTIVES There is a lack of information on intervention strategies employed for health promotion and disease prevention for older adults with intellectual and developmental disabilities (IDDs), who usually experience poorer health compared to their peers without IDDs. We carried out the first systematic review to scrutinize the impact of intrinsic factors (e.g., cognitive, mental, and physical health) on the health status of older adults with IDDs. RESEARCH DESIGN AND METHODS To assess the efficacy of such interventions, we examined 23 articles including prospective "healthy aging" interventions designed for adults with IDDs. Searches were carried out in the databases Web of Science, Scielo, and PsycINFO in April 2020. Articles were organized in thematic areas: (a) physical activity and health nutrition (n = 10), (b) health education and health screening (n = 6), (c) social inclusion and community participation (n = 3), and (d) multicomponents (n = 4). Except for 5 randomized controlled trial studies, the designs were mainly nonrandomized, involving small sample sizes (Nrange = 8-379 participants), and lacking follow-up. RESULTS The studies included 2,398 men and women with IDDs (ranging in age from 18 to 86 years [mean age: 44.3 years]). Overall, intervention outcomes were mostly positive; however, some negative outcomes were reported. DISCUSSION AND IMPLICATIONS In brief, healthy aging interventions for people with IDDs remain scarce, incipient, and sporadic. We recommend that more attention needs to be given to active health promotion with people with IDDs as a program practice among organizations and as a focal public policy among governments.
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Affiliation(s)
- Flavia H Santos
- UCD Centre for Disability Studies, University College Dublin, Ireland
| | | | - Matthew P Janicki
- Department of Disability and Human Development, University of Illinois at Chicago, USA
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Borthwick C, Inchley J, Jones J. Health promotion in adults with Down's syndrome: Experiences of caregivers. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2021; 25:312-330. [PMID: 31775568 DOI: 10.1177/1744629519890956] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Individuals with Down's syndrome rely on caregivers to support lifestyle behaviour change. It is therefore important to understand how caregivers put health recommendations into practice. Through conducting semi-structured interviews, the present study sought to understand the facilitators and barriers that caregivers faced when implementing health promotion advice. Five interviews were conducted with paid support staff and four with family carers of individuals attending a specialist multidisciplinary Down's syndrome health promotion screening clinic. Three main themes emerged in their accounts, including active promotion of weight management by caregivers, benefits of working practices such as record keeping and communication channels and the importance of having access to social care services and recreational activities. These findings have important implications for professionals working in specialised healthcare settings who may be able to tailor communication and services to better meet the needs of individuals with Down's syndrome and their caregivers.
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Kim MA, Yi J, Bradbury L, Han KM, Yang J, Lee J. A Photovoice Study: The life experiences of middle-aged adults with intellectual disabilities in Korea. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2021; 34:852-865. [PMID: 33686721 DOI: 10.1111/jar.12870] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Revised: 01/14/2021] [Accepted: 01/25/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND As adults with intellectual disabilities approach older adulthood, they face unique physical and psychosocial challenges. This study explored the lived experiences of middle-aged adults with intellectual disabilities living in their community. METHOD Six sessions of Photovoice were conducted with a purposeful sample of six middle-aged adults with intellectual disabilities in South Korea. Participants were involved with the theme selection, taking photographs related to the themes, group discussion of photo stories and sharing Photovoice outcomes. RESULTS Thematic analysis yielded 11 subthemes under the five major themes selected by the participants: health, free time, time in the centre, family and my future in old age. CONCLUSIONS The study findings showed complex issues middle-aged adults with intellectual disabilities may face in later life, including bereavement and healthy lifestyle concerns. It is important to create a space for meaningful social support and social interactions without stigma.
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Affiliation(s)
- Min Ah Kim
- Department of Social Welfare, Sungkyunkwan University, Seoul, Republic of Korea
| | - Jaehee Yi
- College of Social Work, University of Utah, Salt Lake City, UT, USA
| | - Laura Bradbury
- College of Social Work, University of Utah, Salt Lake City, UT, USA
| | - Ki-Myung Han
- Department of Gerontology, Graduate School of East-West Medical Science, Kyung Hee University, Gyeonggi, Republic of Korea
| | - Jieun Yang
- Therapy Center for Children with Emotional and Behavioral Issues, I-Zone in Seodaemun, Seoul, Republic of Korea
| | - Jinseung Lee
- Woori Daycare Center, Gyeonggi, Republic of Korea
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Al‐Heizan MO, St. John B, DuBois L, Niemeier B, Ausderau KK. Difference in Healthcare Usage, Pharmacy Prescriptions, and Healthcare Cost for Special Olympic Athletes Compared to Non‐athletes with Intellectual Disabilities. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2020. [DOI: 10.1111/jppi.12363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Reina AM, Adams EV, Allison CK, Mueller KE, Crowe BM, van Puymbroeck M, Schmid AA. Yoga for Functional Fitness in Adults with Intellectual and Developmental Disabilities. Int J Yoga 2020; 13:156-159. [PMID: 32669771 PMCID: PMC7336942 DOI: 10.4103/ijoy.ijoy_57_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 01/24/2020] [Accepted: 03/12/2020] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Yoga is an effective intervention to improve functional fitness in adults with and without disabilities, but little research exists regarding yoga's impact on functional fitness for individuals with intellectual and developmental disabilities (IDDs). AIMS The purpose of this study was to examine the benefits of a group yoga intervention on the functional fitness of adults with IDDs. METHODS AND MATERIALS This yoga intervention included 12 sessions of yoga over 7 weeks (60-min sessions twice a week) at a special population recreation and leisure program. The functional fitness test was used to examine physical functioning before and after the yoga intervention. RESULTS AND CONCLUSIONS Eight adults completed the baseline and posttest measures (age mean = 31; standard deviation = 6.55; 50% male). There were significant improvements in lower-body strength (9.00 ± 4.63 vs. 11.50 ± 3.16, P = 0.04, 28% improvement), upper-body strength (11.25 ± 3.54 vs. 14.25 ± 3.37, P = 0.018, 27% improvement), and agility and balance (9.29 ± 4.1 vs. 6.60 ± 1.54, P = 0.036, 29% improvement). Functional fitness often declines for people with IDD at a faster rate than the general population; thus, these significant changes indicate that a yoga intervention may enhance functional fitness for people with IDD. Clinicians or other healthcare providers might consider yoga as a means to improve functional fitness in adults with IDDs.
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Affiliation(s)
- Anita M Reina
- Department of Health Promotion and Behavior, College of Public Health, University of Georgia, Athens, GA, USA
| | - Em V Adams
- Department of Parks, Recreation, and Tourism Management, College of Behavioral, Social, and Health Sciences, Clemson University, Clemson, SC, USA
| | - Claire K Allison
- Department of Parks, Recreation, and Tourism Management, College of Behavioral, Social, and Health Sciences, Clemson University, Clemson, SC, USA
| | - Kaitlin E Mueller
- Department of Parks, Recreation, and Tourism Management, College of Behavioral, Social, and Health Sciences, Clemson University, Clemson, SC, USA
| | - Brandi M Crowe
- Department of Parks, Recreation, and Tourism Management, College of Behavioral, Social, and Health Sciences, Clemson University, Clemson, SC, USA
| | - Marieke van Puymbroeck
- Department of Parks, Recreation, and Tourism Management, College of Behavioral, Social, and Health Sciences, Clemson University, Clemson, SC, USA
| | - Arlene A Schmid
- Department of Occupational Therapy, College of Health and Human Sciences, Colorado State University, Fort Collins, CO, USA
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Cortés-Amador S, Carrasco JJ, Sempere-Rubio N, Igual-Camacho C, Villaplana-Torres LA, Pérez-Alenda S. Effects of a vestibular physiotherapy protocol on adults with intellectual disability in the prevention of falls: A multi-centre clinical trial. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2018; 32:359-367. [DOI: 10.1111/jar.12531] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Revised: 06/04/2018] [Accepted: 08/28/2018] [Indexed: 11/27/2022]
Affiliation(s)
| | - Juan J. Carrasco
- Department of Physiotherapy; University of Valencia; Valencia Spain
- Intelligent Data Analysis Laboratory; University of Valencia; Valencia Spain
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Chow BC, Choi PHN, Huang WYJ. Physical Activity and Physical Fitness of Adults with Intellectual Disabilities in Group Homes in Hong Kong. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15071370. [PMID: 29966299 PMCID: PMC6068912 DOI: 10.3390/ijerph15071370] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/29/2018] [Revised: 06/27/2018] [Accepted: 06/27/2018] [Indexed: 01/27/2023]
Abstract
Adults with intellectual disabilities (ID) typically have a sedentary lifestyle and higher rates of overweight and obesity. This study describes the habitual daily physical activity (PA) and the health-related physical fitness (PF) of adults with mild and moderate ID who resided in four group homes and worked in sheltered workshops. We also assessed the contribution of PF variables towards PA levels and sedentary behavior of this population subgroup. Adults with mild and moderate ID (N = 114) were assessed on PF tests (percent body fat, waist and hip circumferences, 6-min walk (6MWT), arm curl, and sit and reach). PA and sedentary behavior on weekdays were determined using Actigraph accelerometers. Results showed these adults averaged 2% of their daily time (or 10 min) engaged in moderate-to-vigorous PA (MVPA) and 67% of the time (495 min) being sedentary. No significant differences between mild and moderate ID were found for any PA or PF variable. Linear multiple regression analyses showed 6MWT to be the only significant PF variable contributing to the variance of PA and sedentary behavior. In conclusion, adults with ID reside in group home have low PA and low fitness levels. Among fitness variables, the walking test (i.e., cardiovascular fitness) had the highest positive association with participants’ daily PA, MVPA, and negative association with sedentary behavior. Future intervention studies in promoting PA and fitness for adults with ID are warranted.
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Affiliation(s)
- Bik C Chow
- Department of Physical Education, Hong Kong Baptist University, Kowloon Tong, Hong Kong.
| | - Peggy H N Choi
- Department of Sports and Recreation Management, Technological and Higher Education Institute of Hong Kong, Chai Wan, Hong Kong.
| | - Wendy Y J Huang
- Department of Physical Education, Hong Kong Baptist University, Kowloon Tong, Hong Kong.
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Folch A, Salvador‐Carulla L, Vicens P, Cortés MJ, Irazábal M, Muñoz S, Rovira L, Orejuela C, González JA, Martínez‐Leal R. Health indicators in intellectual developmental disorders: The key findings of the
POMONA
‐
ESP
project. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2018; 32:23-34. [DOI: 10.1111/jar.12498] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2017] [Revised: 05/24/2018] [Accepted: 05/25/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Annabel Folch
- Intellectual Disability and Developmental Disorders Research Unit (UNIVIDD) ‐ Fundació Villablanca IISPV Universitat Rovira i Virgili Reus Spain
- Department of Psychology Universitat Rovira i Virgili Tarragona Spain
| | - Luis Salvador‐Carulla
- Centre for Mental Health Research Research School of Population Health ANU College of Health and Medicine Australian National University Canberra ACT Australia
| | - Paloma Vicens
- Department of Psychology Universitat Rovira i Virgili Tarragona Spain
- Research Center in Behavioral Assessment (CRAMC) Universitat Rovira i Virgili Tarragona Spain
- Laboratory of Toxicology and Environmental Health Universitat Rovira i Virgili Tarragona Spain
| | - Maria José Cortés
- Intellectual Disability and Developmental Disorders Research Unit (UNIVIDD) ‐ Fundació Villablanca IISPV Universitat Rovira i Virgili Reus Spain
- Centre of Biomedical Research Network on Mental Health (CIBERSAM) Madrid Spain
| | - Marcia Irazábal
- Parc Sanitari Sant Joan de Déu Sant Boi de Llobregat Spain
- Faculty of Education Universitat de Barcelona Barcelona Spain
| | | | - Lluís Rovira
- Intellectual Disability and Developmental Disorders Research Unit (UNIVIDD) ‐ Fundació Villablanca IISPV Universitat Rovira i Virgili Reus Spain
| | - Carmen Orejuela
- Intellectual Disability and Developmental Disorders Research Unit (UNIVIDD) ‐ Fundació Villablanca IISPV Universitat Rovira i Virgili Reus Spain
| | - Juan A. González
- Asociación en Favor de las Personas con Discapacidad Intelectual de Córdoba‐ APROSUB Córdoba Spain
| | - Rafael Martínez‐Leal
- Intellectual Disability and Developmental Disorders Research Unit (UNIVIDD) ‐ Fundació Villablanca IISPV Universitat Rovira i Virgili Reus Spain
- Department of Psychology Universitat Rovira i Virgili Tarragona Spain
- Centre of Biomedical Research Network on Mental Health (CIBERSAM) Madrid Spain
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Wróblewska I, Zborowska I, Dąbek A, Susło R, Wróblewska Z, Drobnik J. Health status, health behaviors, and the ability to perform everyday activities in Poles aged ≥65 years staying in their home environment. Clin Interv Aging 2018. [PMID: 29535509 PMCID: PMC5840273 DOI: 10.2147/cia.s152456] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Background The incidence of chronic diseases increases with age; about 73% of people who are aged ≥60 years suffer from at least 1 chronic disease, and among those older than 70 years, chronic diseases afflict more than >84% of the population. According to epidemiological data, at least 4 chronic disease types coexist in senior citizens, causing their disability. These are mainly cardiovascular diseases; motor system diseases; ophthalmological, auditory, neurological, and mental diseases; and mental impairment. They worsen or limit self-dependence in everyday activities. The process begins with complex activities and advances with age. At first, functional performance deficits are discreet; then, they may gradually lead to complete dependence on other people or institutions. Objective This study aimed to assess the relationship between diseases and health behaviors, as well as the everyday functioning of people aged ≥65 years staying in their home environment. Methods The research involved 504 elderly people. The inclusion criteria were age (≥65 years) and staying in one's own home environment. The direct interview technique was applied, as well as use of proprietary interview questionnaire and standardized tools used in geriatrics: Barthel scale, measuring performance in everyday activities, and the Instrumental Activities of Daily Living scale, assessing complex everyday activities. Results The most frequent disease among the responders was arterial hypertension (77.58%), followed by degenerative joint disease (62.10%), and circulatory failure (43.23%). Lower functional performance was associated with circulatory failure, cerebral stroke, atherosclerosis, Alzheimer's disease, diabetes, Parkinson's disease, degenerative joint disease, and bronchial asthma. Performance worsening significantly influenced the frequency of hospitalizations, with a mean score of 4.31 per person. Medical rehabilitation was practiced by 18.65% of the responders. Conclusion Circulatory failure, cerebral stroke, atherosclerosis, bronchial asthma, diabetes, degenerative joint disease, Parkinson's disease, and Alzheimer's disease negatively affect functional performance in elderly people. Hospitalization rates increase with lowering independence in everyday functioning. Future research is needed with regard to the relationship between the practiced rehabilitation and independence in everyday functioning of the elderly.
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Affiliation(s)
- Izabela Wróblewska
- Institute of Gerontology, Faculty of Health Sciences, Wrocław Medical University, Wrocław, Poland.,Faculty of Natural Sciences and Technology, Karkonosze College, Jelenia Góra, Poland
| | - Iwona Zborowska
- Institute of Gerontology, Faculty of Health Sciences, Wrocław Medical University, Wrocław, Poland
| | - Anna Dąbek
- Institute of Gerontology, Faculty of Health Sciences, Wrocław Medical University, Wrocław, Poland
| | - Robert Susło
- Institute of Gerontology, Faculty of Health Sciences, Wrocław Medical University, Wrocław, Poland
| | - Zuzanna Wróblewska
- Faculty of Natural Sciences and Technology, Karkonosze College, Jelenia Góra, Poland
| | - Jarosław Drobnik
- Institute of Gerontology, Faculty of Health Sciences, Wrocław Medical University, Wrocław, Poland
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Roll AE. Health promotion for people with intellectual disabilities - A concept analysis. Scand J Caring Sci 2017; 32:422-429. [DOI: 10.1111/scs.12448] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2016] [Accepted: 01/22/2017] [Indexed: 10/19/2022]
Affiliation(s)
- Anne E. Roll
- University of Wisconsin-Madison School of Nursing; Madison WI USA
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12
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Renfro M, Bainbridge DB, Smith ML. Validation of Evidence-Based Fall Prevention Programs for Adults with Intellectual and/or Developmental Disorders: A Modified Otago Exercise Program. Front Public Health 2016; 4:261. [PMID: 27999771 PMCID: PMC5138240 DOI: 10.3389/fpubh.2016.00261] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2016] [Accepted: 11/03/2016] [Indexed: 12/14/2022] Open
Abstract
INTRODUCTION Evidence-based fall prevention (EBFP) programs significantly decrease fall risk, falls, and fall-related injuries in community-dwelling older adults. To date, EBFP programs are only validated for use among people with normal cognition and, therefore, are not evidence-based for adults with intellectual and/or developmental disorders (IDD) such as Alzheimer's disease and related dementias, cerebral vascular accident, or traumatic brain injury. BACKGROUND Adults with IDD experience not only a higher rate of falls than their community-dwelling, cognitively intact peers but also higher rates and earlier onset of chronic diseases, also known to increase fall risk. Adults with IDD experience many barriers to health care and health promotion programs. As the lifespan for people with IDD continues to increase, issues of aging (including falls with associated injury) are on the rise and require effective and efficient prevention. METHODS A modified group-based version of the Otago Exercise Program (OEP) was developed and implemented at a worksite employing adults with IDD in Montana. Participants were tested pre- and post-intervention using the Center for Disease Control and Prevention's (CDC) Stopping Elderly Accidents Deaths and Injuries (STEADI) tool kit. Participants participated in progressive once weekly, 1-h group exercise classes and home programs over a 7-week period. Discharge planning with consumers and caregivers included home exercise, walking, and an optional home assessment. RESULTS Despite the limited number of participants (n = 15) and short length of participation, improvements were observed in the 30-s Chair Stand Test, 4-Stage Balance Test, and 2-Minute Walk Test. Additionally, three individuals experienced an improvement in ambulation independence. Participants reported no falls during the study period. DISCUSSION Promising results of this preliminary project underline the need for further study of this modified OEP among adults with IDD. Future multicenter study should include more participants in diverse geographic regions with longer lengths of participation and follow-up.
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Affiliation(s)
- Mindy Renfro
- MonTECH/Rural Institute, University of Montana , Missoula, MT , USA
| | | | - Matthew Lee Smith
- College of Public Health, Institute of Gerontology, The University of Georgia, Athens, GA, USA; Texas A&M School of Public Health, College Station, TX, USA
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McKenzie K, Martin L, Ouellette-Kuntz H. Frailty and Intellectual and Developmental Disabilities: a Scoping Review. Can Geriatr J 2016; 19:103-112. [PMID: 27729949 PMCID: PMC5038926 DOI: 10.5770/cgj.19.225] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Background Individuals with intellectual and developmental disabilities (IDD) are both living longer than in previous generations and experiencing premature aging. Improved understanding of frailty in this aging population may inform community supports and avoid negative outcomes. Methods The objective of this study was to review the literature on frailty and IDD and determine areas for future research and application. The methodological framework for a scoping review as developed by H. Arksey and L. O’Malley was applied to identify and select original studies published since 2000. Results Seventeen studies were identified; these were based on the work of researchers from four research programs. The studies utilized six measures of frailty, including two frailty indices, the VFQ-ID(-R), the frailty phenotype, and the frailty marker. Frailty was equally studied as an outcome and as predictor for other outcomes (e.g., mobility, falls, care intensity, institutionalization, and survival). Conclusions There is evidence of a growing interest in the measurement of frailty in aging adults with IDD. As in the general population, frailty in this group is associated with many negative outcomes. While a few measures have emerged, more work is required to replicate results, validate tools, and test the feasibility of applying frailty measures in practice and to inform policy.
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Affiliation(s)
| | - Lynn Martin
- Department of Health Sciences, Lakehead University, Thunder Bay, ON, Canada
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Brown M, Jacobstein D, Yoon IS, Anthony B, Bullock K. Systemwide Initiative Documents Robust Health Screening for Adults With Intellectual Disability. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2016; 54:354-365. [PMID: 27673736 DOI: 10.1352/1934-9556-54.5.354] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
It is well documented that adults with intellectual disability (ID) experience higher rates of a series of health conditions compared to their peers without disability. These health conditions include cardiovascular disease, obesity, diabetes, gastrointestinal disorders, and psychiatric and behavioral disorders. With life expectancy approximating the general population, adults with ID are also now experiencing health conditions related to aging, further increasing their risk for diminished function and well-being. This increased morbidity poses new challenges in geriatric healthcare planning for this population. Relatively simple health prevention practices, such as the implementation of a health screening tool, can substantially increase disease detection and clinical activities directed toward improved health outcomes for people with ID. This study examines data collected from the District of Columbia Developmental Disabilities Administration's (DC DDA's) health screening component of its Health and Wellness Standards. Findings are presented, along with recommendations and implications for improving preventive health screening practices in the ID population.
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Affiliation(s)
- Marisa Brown
- Marisa Brown, Diane Jacobstein, and Irene Seyoung Yoon, Georgetown University Center for Child and Human Development, University Center for Excellence in Developmental Disabilities; Bruno Anthony, Georgetown University Center for Child and Human Development; and Kim Bullock, Georgetown University, Department of Family Medicine
| | - Diane Jacobstein
- Marisa Brown, Diane Jacobstein, and Irene Seyoung Yoon, Georgetown University Center for Child and Human Development, University Center for Excellence in Developmental Disabilities; Bruno Anthony, Georgetown University Center for Child and Human Development; and Kim Bullock, Georgetown University, Department of Family Medicine
| | - Irene Seyoung Yoon
- Marisa Brown, Diane Jacobstein, and Irene Seyoung Yoon, Georgetown University Center for Child and Human Development, University Center for Excellence in Developmental Disabilities; Bruno Anthony, Georgetown University Center for Child and Human Development; and Kim Bullock, Georgetown University, Department of Family Medicine
| | - Bruno Anthony
- Marisa Brown, Diane Jacobstein, and Irene Seyoung Yoon, Georgetown University Center for Child and Human Development, University Center for Excellence in Developmental Disabilities; Bruno Anthony, Georgetown University Center for Child and Human Development; and Kim Bullock, Georgetown University, Department of Family Medicine
| | - Kim Bullock
- Marisa Brown, Diane Jacobstein, and Irene Seyoung Yoon, Georgetown University Center for Child and Human Development, University Center for Excellence in Developmental Disabilities; Bruno Anthony, Georgetown University Center for Child and Human Development; and Kim Bullock, Georgetown University, Department of Family Medicine
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McKenzie K, Ouellette-Kuntz H, Martin L. Frailty as a Predictor of Institutionalization Among Adults With Intellectual and Developmental Disabilities. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2016; 54:123-135. [PMID: 27028254 DOI: 10.1352/1934-9556-54.2.123] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Adults with intellectual and developmental disabilities (IDD) frequently become frail earlier than the general population, resulting in higher care needs. This population is at risk for institutionalization, or re-institutionalization, into long-term care (LTC). Using a retrospective cohort design to follow 3,034 individuals (18-99 years) living in Ontario, Canada, and assessed with the Resident Assessment Instrument-Home Care, individuals were characterized with a frailty index (FI) for persons with IDD. Survival analyses determined differences in rates of admission to LTC and survival in the community. Frail individuals had greater rates of admission than non-frail individuals, adjusted HR = 2.19, 95% CI [1.81, 2.64]. The FI predicts institutionalization.
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Affiliation(s)
- Katherine McKenzie
- Katherine McKenzie, Department of Public Health Sciences, Queen's University, Kingston, Ontario, Canada
| | - Hélène Ouellette-Kuntz
- Hélène Ouellette-Kuntz, Department of Public Health Sciences, Queen's University & Ongwanada, Kingston, Ontario, Canada; and
| | - Lynn Martin
- Lynn Martin, Department of Health Sciences, Lakehead University, Thunder Bay, Ontario, Canada
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Lakhan R. Profile of Social, Environmental and Biological Correlates in Intellectual Disability in A Resource-Poor Setting in India. Indian J Psychol Med 2015; 37:311-6. [PMID: 26664079 PMCID: PMC4649822 DOI: 10.4103/0253-7176.162957] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Intellectual disability (ID) is a major public health issue in India. Social, environmental and biological factors all contribute to the nation's high rate of ID. OBJECTIVE We aimed to investigate the distribution, differences and the association of social, environmental and biological factors with different types of ID in a mixed (tribal and non-tribal) population in India. MATERIALS AND METHODS Secondary data was collected during a community-based rehabilitation project and analyzed with descriptive statistics: Frequency, percentage and χ(2). RESULTS Poverty, low levels of parental education and a family history of epilepsy and ID were all associated in both tribal and non-tribal populations (P < 0.05). CONCLUSION The outcome of this study may be helpful in planning public health initiatives that aim to reduce the burden of ID in mixed populations.
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Affiliation(s)
- Ram Lakhan
- Department of Epidemiology and Biostatistics, School of Health Sciences, College of Public Service, Jackson State University, Jackson, Mississippi, USA
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