The Recruitment and Retention of Individuals With Intellectual Disability in Randomized Controlled Trials: A Scoping Review.

Background: People with intellectual disabilities face significant health disparities and often encounter barriers in accessing healthcare services. Although research supports the need for reasonable adjustments to improve healthcare access for this population, implementation in acute healthcare set...

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Publicado en:British Journal of Learning Disabilities Vol. 54; no. 2; pp. 171 - 212
Autores principales: Doody, Owen, Murphy, Louise, Ryan, Ruth, Lyons, Rosemary, Tang, Wenyi, Bourke, Lorna
Formato: pictorial research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2026
      vid: 54
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: The Recruitment and Retention of Individuals With Intellectual Disability in Randomized Controlled Trials: A Scoping Review.
      aug:
        au:
          Doody, Owen
          Murphy, Louise
          Ryan, Ruth
          Lyons, Rosemary
          Tang, Wenyi
          Bourke, Lorna
        affil: School of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
      sug:
        subj:
          Research Subject Recruitment
          Research Subject Retention
          Intellectual Disability
          Randomized Controlled Trials
          Human
          Scoping Review
          Healthcare Disparities
          Health Services Accessibility
          Communication
          Discrimination
          Collaboration
          Down Syndrome
          Fragile X Syndrome
          Autism Spectrum Disorder
          Epilepsy
          CINAHL Database
          Medline
          Psycinfo
          Funding Source
      ab: Background: People with intellectual disabilities face significant health disparities and often encounter barriers in accessing healthcare services. Although research supports the need for reasonable adjustments to improve healthcare access for this population, implementation in acute healthcare settings remains limited. Methods: This scoping review was conducted using Arksey and O'Malley's framework. A systematic search was performed across six databases, including MEDLINE and Scopus, to examine recruitment and retention strategies for individuals with intellectual disabilities in randomised controlled trials (RCTs). Results: Out of 78 selected studies, three main themes emerged: recruitment through community and organisational support, tailored communication strategies and relationship‐building approaches to enhance participant engagement. The findings highlight challenges related to ethical concerns, consent processes, gatekeeper access and discrimination. Conclusions: The review emphasises the importance of inclusive strategies in RCTs involving people with intellectual disabilities. It recommends collaborative efforts, targeted training, flexible research protocols, practical support mechanisms, advocacy and dedicated funding to facilitate disability‐specific trials and ensure equitable, evidence‐based healthcare interventions. Summary: Some people with intellectual disability find it hard to take part in research.This can be because: The information is too hard to understand. It is hard to give consent. The research is not easy to join. Some people are not treated fairly.Researchers can do better by: Working with trusted groups like support services and advocacy groups. Using Easy Read, pictures and videos to explain the research. Talking with people in ways that work best for them.It also helps when: People have support from carers or family. Researchers are flexible, like offering online meetings or changing how things are done.To make research better for everyone: More support and money are needed for inclusive research. Researchers should get training on how to work with people with disability. Research rules should be fair and include everyone.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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