Implementation of a group‐based physical activity programme for ageing adults with ID: a process evaluation

Abstract

The hampering factors that are revealed in this study and the facilitating activities that were part of the implementation plan may be used by care provider services for (ageing) people with ID and other groups of people with cognitive and/or physical deficits, such as frail elderly people or people with dementia when developing and or preparing implementation of health promotion programmes.

Effects of lifestyle change interventions for people with intellectual disabilities: Systematic review and meta‐analysis of randomized controlled trials

“…Heterogeneity was statistically non‐significant ( I 2 = 0%, Tau 2 = <0.0001, p = .78). Sensitivity analysis found that the decrease in waist circumference became non‐significant when two studies were individually left out of the meta‐analysis (Bergström et al., : p = .1948; Van Schijndel‐Speet, Evenhuis, Van Wijck, & Echteld, ; Van Schijndel‐Speet, Evenhuis, Van Wijck, Van Empelen et al., : p = .0746).…”

“…However, outcome measures from the ICF categories “environmental factors” and “participation” were often neglected and personal outcome measures were mostly used by a single study. This is surprising, because previous research found that environmental barriers, support from others and personal motivation are relevant to healthy lifestyles for people with intellectual disabilities (Kuijken, Naaldenberg, Nijhuis‐van der Sanden, & Schrojenstein‐Lantman de Valk, ; Van Schijndel‐Speet, Evenhuis, Van Wijck, & Echteld, ; Van Schijndel‐Speet, Evenhuis, Van Wijck, Van Empelen et al., ). In addition, persons with intellectual disabilities experience a healthy lifestyle as more than just functional and do relate more personal, environmental and participation factors to a healthy lifestyle (Kuijken et al., ).…”

“…Adults with intellectual disabilities experience greater health risks compared to the general population, including overweight and obesity (Melville, Hamilton, Hankey, Miller, & Boyle, ; Waninge et al., ; Yamaki, ), physical inactivity (Hilgenkamp, Reis, van Wijck, & Evenhuis, ; Peterson, Janz, & Lowe, ) and high levels of sedentary behaviour (Melville et al., ). An unhealthy lifestyle is a risk factor for a shorter life expectancy (Bittles et al., ; Melville et al., ; Patja, Iivanainen, Vesala, Oksanen, & Ruoppila, ), diminished quality of life (Pett et al., ) and higher dependence in performing activities in daily living (Hilgenkamp, Van Wijck, & Evenhuis, ; Van Schijndel‐Speet, Evenhuis, Van Wijck, & Echteld, ; Van Schijndel‐Speet, Evenhuis, Van Wijck, Van Empelen, & Echteld, ). To reduce health inequalities and improve the health of people with intellectual disabilities, promotion of healthier lifestyles is important (Alesi & Pepi, ).…”

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

“…This is important as strong health promotion policy and leadership is vital to ensure that managers and staff are committed to health promotion (Dixon-Ibarra et al, 2016;Durlak & DuPre, 2008). Strong leadership is important to ensure intervention fidelity and sustainable outcomes for participants (Humphries, Traci, & Seekins, 2009;Van Schijndel-Speet, Evenhuis, van Wijck, & Echteld, 2014).…”

Exploration of suitable behaviour change techniques for lifestyle change in individuals with mild intellectual disabilities: A Delphi study

“…The present authors ascertained that the BCTs that were considered to be most suitable for changing lifestyle behaviour were as follows: barrier identification, set graded tasks, reward effort towards behaviour, motivational interviewing and action planning. According to the literature, suitable BCTs for individuals with mild intellectual disabilities may need to target monitoring of behaviour (Hutzler & Korsensky, ), self‐efficacy (Bodde & Seo, ; Kuijken et al, ; Mallet, Guillard, Huillard, Dubertret, & Limosin, ; Young, Naji, & Kroll, ) and rewards towards behaviour (Skinner, ; Temple, ; Van Schijndel‐Speet, Evenhuis, Wijck, & Echteld, ); these need to be combined with social support (Bodde & Seo, ; Kuijken et al, ; Mallet et al, ; Young et al, ). Less suitable BCTs may be those targeting an increase in knowledge and understanding or appealing to executive functioning (Kuijken et al, ).…”