Formative evaluation on a physical activity health promotion program for the group home setting

Healthy lifestyle behaviours for people with intellectual disabilities: An exploration of organizational barriers and enablers

“…Hence, individuals operating in a middle management capacity were disempowered by the current organizational culture from encouraging staff to engage in health promotion. Previous studies have also identified a lack of clear policies related to the promotion of physical activity for people with intellectual disabilities (Caton et al., ; Dixon‐Ibarra, Driver, VanVolkenburg, & Humphries, ; Temple & Walkley, ).…”

“…Also Dixon‐Ibarra et al. 's () process evaluation of physical activity health promotion programme within a US context revealed that lack of health promotion buy in and policies reduced fidelity.…”

Qualitative evaluation of a physical activity health promotion programme for people with intellectual disabilities in a group home setting

“…Allowing the programme coordinators to train staff on Menu‐Choice is a method used to make the programme seem acceptable and normative to the staff and residents. See Dixon‐Ibarra, Driver, VanVolkenburg, and Humphries () for greater detail on how key aspects of Goal‐setting Theory and Diffusion Theory were incorporated into the programme design.…”

How frontline staff manage paperwork in group homes for people with intellectual disability: Implications for practice

“…For example, staff leave paperwork incomplete (Victorian Ombudsman, ), out of date, and duplicate the information about one resident in other residents’ paper tools (Victorian Office of the Public Advocate, ). They sometimes capture expected rather than actual events (Quilliam, ), fail to document the daily experiences of residents (Poppes, Van der Putten, & Vlaskamp, ) or simply refuse to complete paperwork (Dixon‐Ibarra, Driver, & VanVolkenburg, ; Totsika, Toogood, Hastings, & Nash, ). Some examples demonstrate staff using paperwork to threaten residents into behaving in particular ways (Hamilton, ) and create unfavourable images of residents by saturating written accounts with negative stories (Nunkoosing & Haydon‐Laurelut, ).…”

“…For example, in their evaluation of a physical activity programme in group homes for people with intellectual disability, Dixon‐Ibarra et al. () considered frontline staffs’ lack of paperwork completion as a significant barrier to programme success. They suggested that future health promotion programs in group homes focus on creating top‐down policy changes that “gain staff buy in” (p. 88) by enforcing their compliance with procedure.…”