Implementation of Annual Health Assessments for Adults With Intellectual Disabilities: An Integrative Review.
People with intellectual disabilities (ID) face health inequalities, often arising from undiagnosed health conditions. An annual health assessment (or health check) administered by a primary care provider can be a systematic method of identifying these health conditions and initiating treatment and...
| Publicado en: | Journal of Policy & Practice in Intellectual Disabilities Vol. 22; no. 2; pp. 1 - 13 |
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| Autores principales: | , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2025
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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=186226729&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186226729 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17411122 0KS jtl: Journal of Policy & Practice in Intellectual Disabilities issn: 17411122 maglogo: Y pubinfo: dt: Jun2025 vid: 22 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 186226729 186226729 186226729 10.1111/jppi.70010 186226729 ppf: 1 ppct: 12 formats: tig: atl: Implementation of Annual Health Assessments for Adults With Intellectual Disabilities: An Integrative Review. aug: au: Breau, Genevieve Tiwari, Ritika Ravindran, Shaiyini Gijssel, Esther Bakker‐van affil: School of Human Sciences, Faculty of Education, Health, and Human Sciences, University of Greenwich, London, UK sug: subj: Persons with Intellectual Disabilities Psychosocial Factors Health Screening Health Services Accessibility Program Implementation Preventive Health Care Primary Health Care Human Systematic Review Implementation Science Attitude of Health Personnel Physician's Role Time Factors Health Resource Utilization Adolescence Adult Models, Theoretical Adolescent: 13-18 years Adult: 19-44 years ab: People with intellectual disabilities (ID) face health inequalities, often arising from undiagnosed health conditions. An annual health assessment (or health check) administered by a primary care provider can be a systematic method of identifying these health conditions and initiating treatment and management, leading to better health outcomes. While these health checks are recommended in many countries, including the United Kingdom (UK), they have not been administered to all adults with ID. In light of this, the barriers and facilitators to systematic implementation have not been systematically studied. The aim of this Integrative review was to identify the barriers and facilitators to the systematic implementation of health checks, using the Consolidated Framework for Implementation Research (CFIR). This model has been used in implementation research and is useful in determining the levels of healthcare interaction that are involved in the delivery of this intervention. We identified 35 peer‐reviewed primary research articles that met inclusion criteria. The barriers and facilitators to health check implementation were extracted and coded according to the individual involved, whether it was a barrier or facilitator, and the domains and constructs of the CFIR model. We concluded that most factors related to the physician's role, as well as many factors related to the intervention itself. Some of these facilitators included the perceived efficacy of the health check intervention and the belief that it provides more comprehensive care. Some of the barriers include additional time that is necessary to implement the intervention and a lack of resources. Future interventions could train physicians and target some structural health system barriers to implementing health checks, and further research with physicians, patients, and carers is needed. This research may confirm the barriers and facilitators to health check implementation and explore methods to promote health checks. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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