Search results for ‘Subject term:"learning disabilities"’ Sort:
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A survey of dietary problems of adults with learning disabilities in the community
- Authors:
- STEWART Lynette, BEANGE Helen, MACKERRAS Dorothy
- Journal article citation:
- Mental Handicap Research, 7(1), 1994, pp.41-50.
- Publisher:
- BIMH Publications
Reports the results of an Australian survey, which identified a need for specific nutrition education programmes, in concert with proper nutritional assessment and dietary intervention.
Exploration of suitable behaviour change techniques for lifestyle change in individuals with mild intellectual disabilities: A Delphi study
- Authors:
- WILLEMS Mariel, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 32(3), 2019, pp.543-557.
- Publisher:
- Wiley
Background: Promotion of a healthy lifestyle for individuals with mild intellectual disabilities is important. However, the suitability of behaviour change techniques (BCTs) for these individuals is still unclear. Methods: A Delphi study was performed using the Coventry, Aberdeen & LOndon – REfined (CALO‐RE) taxonomy of BCTs (n = 40). Health professionals (professional caregivers, behavioural scientists, health professionals, intellectual disability physicians) participated in an online survey to determine whether BCTs were suitable or unsuitable. Comments from participants were analysed qualitatively. Results: Consensus was reached for 25 BCTs out of 40.The most suitable BCTs were barrier identification (97%), set graded tasks (97%) and reward effort towards behaviour (95%). No significant differences were found for intergroup effects. Conclusion: Regardless of their position and education level, health professionals reached consensus about the suitability of BCTs for individuals with mild intellectual disabilities. Increased use of these BCTs could result in more effective promotion of a healthy lifestyle.
Fighting fit? An evaluation of health practitioner input to improve healthy living and reduce obesity for adults with learning disabilities
- Authors:
- CHAPMAN Melanie J., CRAVEN Michael J., CHADWICK Darren D.
- Journal article citation:
- Journal of Intellectual Disabilities, 9(2), June 2005, pp.131-144.
- Publisher:
- Sage
- Place of publication:
- London
People with learning disabilities are at high risk of obesity and consequent health risks. This study aimed to (1) describe levels of obesity for adults supported by learning disability services, and to (2) evaluate the effectiveness of health practitioner input with individuals with learning disabilities. Body mass index (BMI) was measured at 6 month intervals and change in BMI over time was compared between a non-input group and a group receiving practitioner input to improve healthy living. Initially 35 percent of the non-input sample was classified as clinically obese. Mean BMI increased over time for the non-input group at first, but decreased for the group that received practitioner input. The differences in weight change between the two groups reached statistical significance with a greater weight reduction in the input group. Implications for service provision are discussed.
No specialists needed?
- Author:
- RICHARDSON Malcolm
- Journal article citation:
- Nursing Times, 23.3.94, 1994, p.67.
- Publisher:
- Nursing Times
Raises concern that privately run homes for people with learning disabilities living in the community sometimes neglect nursing interventions and skills.
A qualitative exploration of participants’ experiences of taking part in a walking programme: perceived benefits, barriers, choices and use of intervention resources
- Authors:
- MITCHELL Fiona, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 31(Supplement S1), 2018, pp.110-121.
- Publisher:
- Wiley
Background: Adults with intellectual disabilities (ID) experience significant inequalities and tend to be more sedentary and less physically active than the wider population. Walking programmes are an effective way to increase physical activity (PA) but have not been used in studies involving adults with intellectual disabilities. Method: Nineteen adults with intellectual disabilities participated in semistructured interviews or focus groups exploring their experiences of taking part in a walking programme (Walk Well). Data were coded using thematic analysis. Results: Four overarching themes emerged: perceived benefits of taking part in the programme, perceived drawbacks/ barriers, walking choices and using the Walk Well resources. While there was not a significant increase in walking for all, the participants reported positive experiences of taking part in the programme. Self-monitoring proved difficult for some, particularly reading the daily step count recorded on the pedometer and writing it in the diary. Carers also played an important role in facilitating and preventing behaviour change in adults with intellectual disabilities. Conclusion: Additional barriers prevent many adults with intellectual disabilities from participating in PA. Capturing participant experiences provides important information for designing effective and equitable health improvement programmes. (Publisher abstract)
An inpatient Healthy Living Group
- Authors:
- ROSE Lexy, BREEN Olivia, WEBB Zillah
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 8(2), 2014, pp.128-137.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to evaluate the usefulness of a Healthy Living Group (HLG) for individuals with learning disabilities and mental health problems in an inpatient setting. Design/methodology/approach: Seven sessions were developed. Each session focussed on a different aspect of healthy living, and used psychoeducation and practical skill building to enable individuals to create personalised healthy living plans. Quantitative post-intervention measures and a qualitative focus group were used to determine group participants’ learning and enjoyment. Findings: Principles about healthy living were successfully taught in an enjoyable way to individuals with learning disabilities. Factors that enhanced learning and those that created barriers to developing healthy living plans are explored. Practical implications: Individuals with learning disabilities and mental health problems can be supported to develop personalised healthy living plans. Recommendations for further adaptations to the group structure are made, in order to enable others to run successful groups. Originality/value: The HLG is the first of its kind to be developed for individuals with learning disabilities. (Edited publisher abstract)
Physical health in mental health: final report of a scoping group
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2009
- Pagination:
- 70p.
- Place of publication:
- London
This is the final report of a scoping group that aimed to explore a range of issues concerning the general health of people with mental health problems with a view to making recommendations to the Council of the Royal College of Psychiatrists. The report begins by introducing the scoping group, its key recommendations and an overview of physical health in mental health care. Part two looks at the physical health standards in place in four services: West London Mental Health Trust; psychiatry of intellectual disability; forensic psychiatric services; children and young people with mental health problems. Part three describes examples of interventions in physical healthcare. These include psychotropic prescribing; promoting healthy lifestyles in psychiatric services; an action plan to improve the physical health of patients in psychiatric services.
A healthy outlook?
- Author:
- HUNTER Mark
- Journal article citation:
- Learning Disability Today, 9(4), June 2009, pp.26-27.
- Publisher:
- Pavilion
- Place of publication:
- Hove
This article is about implementation of annual health checks for people with learning disabilities. While not yet mandatory, GPs are being offered extra payments to ensure that patients with learning disabilities receive an annual health check. Some of the difficulties with providing primary care to people with learning disabilities are discussed. GPs and practice staff need to make "reasonable adjustments" in terms of lowering thresholds for intervention and taking carers' concerns seriously. While there is no room for complacency examples of good practice continue to emerge. The article describes the use of health facilitators to aid communication in south Birmingham PCT and development of a local enhanced service, that includes annual health checks and health action plans, in Westminster.
A pilot of a gerontological advanced practice nurse preventive intervention
- Authors:
- HAHN Joan Earle, ARONOW Harriet Udin
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 18(2), June 2005, pp.131-142.
- Publisher:
- Wiley
Persons with an intellectual and developmental disability frequently face barriers in accessing preventive services in community-based health care systems. This American study presents a description of an advanced practice nurse (APN) intervention used in a pilot study that explored the feasibility of using an in-home preventive model based on a comprehensive geriatric assessment with persons ageing with an intellectual and developmental disability. The APN intervention was fully provided to a sub-sample (n = 70) of 201 participants with an intellectual and developmental disability enrolled in a programme called 'Stay Well and Healthy!' The APN intervention included an initial home visit for a comprehensive geriatric assessment with follow-up home visits to review health status and assess adherence with recommendations and provide education and support to promote health and prevent functional decline. Advanced practice nurses identified a number of active health-related problems for persons ageing with an intellectual and developmental disability that had potential effects on function and survival. The majority of recommendations were for clinical preventive services and self-care for health-related issues. This study showed that there were problems consistent with persons ageing with an intellectual and developmental disability and older adults without disability. The in-home preventive APN intervention to promote healthy ageing and reduce health disparities in this population is feasible, needed, and warrants further study.
Healthy ageing - adults with intellectual disabilities: biobehavioural issues
- Authors:
- THORPE L., DAVIDSON P., JANICKI M.
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 14(3), 2001, pp.218-228.
- Publisher:
- Wiley
This report has been prepared by the Ageing Special Interest Research Group of the International Association for the Scientific Study of Intellectual Disabilities (IASSID) in collaboration with the Department of Mental of Health and Substance Dependence and the Programme on Ageing and Health, World Health Organisation (WHO), Geneva, Switzerland.