Supporting active engagement of adults with intellectual disabilities in lifestyle modification interventions: a realist evidence synthesis of what works, for whom, in what context and why.
Background: Lifestyle modification interventions for adults with intellectual disabilities have had, to date, mixed effectiveness. This study aimed to understand how lifestyle modification interventions for adults with intellectual disabilities work, for whom they work and in what circumstances. Met...
| Publicado en: | Journal of Intellectual Disability Research Vol. 68; no. 4; pp. 293 - 317 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175945497&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175945497 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09642633 EUL jtl: Journal of Intellectual Disability Research issn: 09642633 maglogo: Y pubinfo: dt: Apr2024 vid: 68 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 175945497 175540399 175945497 175945497 10.1111/jir.13120 175945497 ppf: 293 ppct: 24 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Supporting active engagement of adults with intellectual disabilities in lifestyle modification interventions: a realist evidence synthesis of what works, for whom, in what context and why. aug: au: Westrop, S. C. Rana, D. Jaiswal, N. Wu, O. McGarty, A. M. Melville, C. Ells, L. Lally, P. McEwan, M. Harris, L. Germeni, E. affil: Mental Health and Wellbeing, School of Health & Wellbeing, University of Glasgow, Glasgow, UK sug: subj: Intellectual Disability In Adulthood Persons with Disabilities Psychosocial Factors Life Experiences Support, Psychosocial Patient Participation Life Style Changes Human Systematic Review Program Development Medline Embase CINAHL Database Psycinfo Behavioral Changes Health Behavior Interpersonal Relations Smoking Physical Activity Alcohol Drinking Diet Funding Source Adult Adult: 19-44 years ab: Background: Lifestyle modification interventions for adults with intellectual disabilities have had, to date, mixed effectiveness. This study aimed to understand how lifestyle modification interventions for adults with intellectual disabilities work, for whom they work and in what circumstances. Methods: A realist evidence synthesis was conducted that incorporated input from adults with intellectual disabilities and expert researchers. Following the development of an initial programme theory based on key literature and input from people with lived experience and academics working in this field, five major databases (MEDLINE, EMBASE, CINAHL, PsycINFO and ASSIA) and clinical trial repositories were systematically searched. Data from 79 studies were synthesised to develop context, mechanism and outcome configurations (CMOCs). Results: The contexts and mechanisms identified related to the ability of adults with intellectual disabilities to actively take part in the intervention, which in turn contributes to what works, for whom and in what circumstances. The included CMOCs related to support involvement, negotiating the balance between autonomy and behaviour change, fostering social connectedness and fun, accessibility and suitability of intervention strategies and delivery and broader behavioural pathways to lifestyle change. It is also essential to work with people with lived experiences when developing and evaluating interventions. Conclusions: Future lifestyle interventions research should be participatory in nature, and accessible data collection methods should also be explored as a way of including people with severe and profound intellectual disabilities in research. More emphasis should be given to the broader benefits of lifestyle change, such as opportunities for social interaction and connectedness. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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