A review of weight loss interventions for adults with intellectual disabilities

Hamilton, Sarah; Hankey, Catherine; Miller, Susan A.; Boyle, S.; Melville, Craig

doi:10.1111/j.1467-789x.2006.00307.x

Cited by 83 publications

(114 citation statements)

References 46 publications

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“…Evidence from interventions with adults with intellectual disability support the involvement of caregivers in the research process as well as the consideration for the context of the lived disability experience (39) . The time required for the formative research and adaptation process was substantially greater compared with similar studies designed for typically developing students.…”

Section: Discussionmentioning

confidence: 99%

Impact of a Smarter Lunchroom intervention on food selection and consumption among adolescents and young adults with intellectual and developmental disabilities in a residential school setting

Hubbard

Bandini²,

Folta³

et al. 2014

Public Health Nutr.

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Objective: To assess whether a Smarter Lunchroom intervention based on behavioural economics and adapted for students with intellectual and developmental disabilities would increase the selection and consumption of fruits, vegetables and whole grains, and reduce the selection and consumption of refined grains. Design: The 3-month intervention took place at a residential school between March and June 2012. The evaluation employed a quasi-experimental, pre-post design comparing five matched days of dietary data. Selection and plate waste of foods at lunch were assessed using digital photography. Consumption was estimated from plate waste. Setting: Massachusetts, USA. Subjects: Students (n 43) aged 11-22 years with intellectual and developmental disabilities attending a residential school. Results: Daily selection of whole grains increased by a mean of 0?44 servings (baseline 1?62 servings, P 5 0?005) and refined grains decreased by a mean of 0?33 servings (baseline 0?82 servings, P 5 0?005). The daily consumption of fruits increased by a mean of 0?18 servings (baseline 0?39 servings, P 5 0?008), whole grains increased by 0?38 servings (baseline 1?44 servings, P 5 0?008) and refined grains decreased by a mean of 0?31 servings (baseline 0?68 servings, P 5 0?004). Total kilojoules and total gram weight of food selected and consumed were unchanged. Fruit (P 5 0?04) and vegetable (P 5 0?03) plate waste decreased. Conclusions: A Smarter Lunchroom intervention significantly increased whole grain selection and consumption, reduced refined grain selection and consumption, increased fruit consumption, and reduced fruit and vegetable plate waste. Nudge approaches may be effective for improving the food selection and consumption habits of adolescents and young adults with intellectual and developmental disabilities.

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Section: Discussionmentioning

confidence: 99%

Impact of a Smarter Lunchroom intervention on food selection and consumption among adolescents and young adults with intellectual and developmental disabilities in a residential school setting

Hubbard

Bandini²,

Folta³

et al. 2014

Public Health Nutr.

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“…The principles of client participation and partnership are central to health promotion and involve a voluntary agreement between client, family and health professional to work towards a set of shared goals (Gillies, 1998). This team-based approach provides opportunities for collaboration and facilitates the development of an understanding of appropriate actions (Hamilton et al, 2007) through facilitating clients, families and health professionals, identifying their health concerns and areas for change (Naidoo and Wills, 2009), and adapting an approach based on their needs. This is essential for effectiveness in promoting, encouraging and supporting weight loss and increased physical activity (Hamilton et al, 2007).…”

Section: Supporting Strategiesmentioning

confidence: 99%

“…The ability to choose and plan healthy and interesting meals of high nutritional value is an essential skill for independent living (Jobling, 2001). Many people with intellectual disability do not meet a balanced diet and experience consistent nutritional impairment (Hamilton et al, 2007). Although knowledge alone is not sufficient for effective change, it is a prerequisite for behavioural change (Illingworth et al, 2003).…”

Section: Educational Change Approachmentioning

confidence: 99%

“…This team-based approach provides opportunities for collaboration and facilitates the development of an understanding of appropriate actions (Hamilton et al, 2007) through facilitating clients, families and health professionals, identifying their health concerns and areas for change (Naidoo and Wills, 2009), and adapting an approach based on their needs. This is essential for effectiveness in promoting, encouraging and supporting weight loss and increased physical activity (Hamilton et al, 2007). As health is a subjective concept influenced by a range of factors, liaison and open communication develops an empowerment approach enabling individuals to meet their own identified problems and mobilise the necessary resources to feel in control (Naidoo and Wills, 2009).…”

Section: Supporting Strategiesmentioning

confidence: 99%

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Health promotion for people with intellectual disability and obesity

Doody

2012

Br J Nurs

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Obesity is a significant health problem for people with intellectual disability, as they report a 59% higher rate of obesity as compared with those in the general population (Centres for Disease Control and Prevention, 2006). Causes are multifactorial and obesity leads to a higher risk of developing chronic conditions, such as diabetes and heart disease. While the risks of these conditions generally increase with age, people with an intellectual disability are at risk of developing them earlier owing to their higher levels of obesity. Client groups with mild intellectual disability residing in a group home or family home are at a higher risk of obesity than those in institutional care, mainly owing to increased independence and available choices. Healthcare services have predominantly focused on the primary disability rather than on prevention or reduction of secondary health conditions. As health promotion enables people to gain control over their lives, it is essential to address the health concern of obesity for people with intellectual disability. This article highlights the issues in health care faced by people with an intellectual disability and aspects that health professionals need to consider when engaging in health promotion for those who are obese.

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“…It is likely that multi-component weight management interventions that involve carers could have considerable impact on process and potentially on actual weight loss for adults with ID (2) . To date no studies have explored the role of carers in supporting adults with ID and obesity during a weight loss programme.…”

mentioning

confidence: 99%

Carers' perspectives on a weight loss intervention for obese adults with intellectual disabilities: a qualitative study

et al. 2011

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The prevalence of obesity rates has been reported to be higher in adults with Intellectual Disabilities (ID) than in the general population (1) . It is likely that multi-component weight management interventions that involve carers could have considerable impact on process and potentially on actual weight loss for adults with ID (2) . To date no studies have explored the role of carers in supporting adults with ID and obesity during a weight loss programme. The aims of the present study were (i) to explore perceptions of carers supporting adults with ID as they participated in a 6-month multi-component weight loss intervention (TAKE 5), (ii) to identify strategies that carers and participants adopt to overcome barriers to changes in lifestyle, and (iii) to record carers' perceptions of the acceptability and utility of the multicomponent weight loss intervention.TAKE 5 is a multi-component weight loss intervention that is consistent with recommendations included in current clinical guidelines (3) . TAKE 5 comprised nine individual sessions delivered to fifty-four adults ( ‡ 18 years) with ID and obesity (BMI ‡ 30 kg/m 2 ), involving carers (paid carers or family carers) to support the participants where appropriate. The TAKE 5 intervention aimed for a 5 % weight loss from initial body weight after 6 months. A purposive sampling method was used to incorporate the experiences of twenty-four carers who were paid (n 16) or family carers (n 8) and who supported participants who successfully achieved a 5 % weight loss (n 12) or did not (n 12). One to one semi-structured interviews were conducted and later transcribed verbatim at week 24. The transcripts were analysed using ATLAS ti 5.2 software, alongside a 'thematic analysis' (4) as a qualitative analytical method.The main themes that emerged on analysis were carers' perceptions on participants' health; barriers and facilitators in weight loss and carers' perceptions of the multi-component weight loss intervention. Carers described the weight loss as being beneficial to participants' health. Furthermore, they discussed their efforts to encourage and aid participants to improve their diet and physical activity. However, lack of sufficient support and poor communication among carer colleagues were identified as being inhibitory. The need for resources tailored to aid weight loss among adults with ID was also highlighted.This study identified specific facilitators and barriers experienced by carers during the process of supporting obese adults with ID to lose weight. Future research should utilise these findings to develop appropriate and effective weight management interventions for this group.

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A review of weight loss interventions for adults with intellectual disabilities

Cited by 83 publications

References 46 publications

Impact of a Smarter Lunchroom intervention on food selection and consumption among adolescents and young adults with intellectual and developmental disabilities in a residential school setting

Impact of a Smarter Lunchroom intervention on food selection and consumption among adolescents and young adults with intellectual and developmental disabilities in a residential school setting

Health promotion for people with intellectual disability and obesity

Carers' perspectives on a weight loss intervention for obese adults with intellectual disabilities: a qualitative study

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