A socially and statistically significant proportion of the increased risk of poorer well-being among mothers of children with IDs may be attributed to their increased risk of socio-economic disadvantage.

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Background This paper reviews recent research to provide an updated perspective on the effectiveness of parent training interventions for parents with intellectual disability. The degree to which these studies meet previous recommendations for future research is explored, particularly with regard to the influence of context on intervention outcomes. Materials and Methods Seven studies are reviewed, which have been published in the peer-reviewed literature since 1994. Results Evidence from this review supports the use of individually administered home-based behavioural intervention for parents with intellectual disability. However, the effect of parent training interventions on child outcomes and the generalization of parenting skills is rarely investigated. Contextual factors that may be associated with intervention success (or failure) are also neglected. Conclusions There is reasonable evidence of the effectiveness of parent training for parents with intellectual disability. However, investigators have yet to determine the influence of immediate or more distal contextual factors on intervention outcomes. This presents a significant gap in the literature in contrast to other areas of parenting intervention research where the influence of family and the broader community context has been shown to influence the effectiveness of parent training interventions.

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Background Loneliness is significantly related to health and wellbeing. However, there is little information on the prevalence of loneliness among people with disability or the association between disability, loneliness and wellbeing. Objective/hypothesis For a nationally representative sample of adults (age 16–64) with/without disability, to examine exposure to three indicators of low social connectedness (loneliness, low perceived social support, social isolation), and to evaluate the association between low social connectedness and wellbeing. To test whether disability status moderated the relationship between low social connectedness and wellbeing. Methods Secondary analysis of data from three annual rounds of the cross-sectional English Community Life Survey (CLS) 2016–19. Results People with disability experienced loneliness, low perceived social support and social isolation at significantly higher rates than people without disability. Effect sizes were significantly greater for loneliness. Disability was associated with lower wellbeing. With one exception, low social connectedness was associated with lower wellbeing. Again, effect sizes were significantly greater for loneliness. The prevalence of loneliness was highest among adults with disability who were younger, economically inactive, living in rented or other accommodation, living alone and with low levels of access to environmental assets. There was no evidence that disability status moderated the association between exposure to low social connectedness and low wellbeing. Conclusions Loneliness was a particularly significant driver of poor wellbeing among people with disability. The relative independence between different indicators of social connectedness suggests that interventions to reduce loneliness will need to do more than simply increase rates of social contact or social support.