Lifestyle Approaches for People With Intellectual Disabilities: A Systematic Multiple Case Analysis
| Autor: | Cees P. van der Schans, Ruud van Wijck, Aly Waninge, Henderika A. Steenbergen, Johan de Jong |
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| Přispěvatelé: | Extremities Pain and Disability (EXPAND), Health Psychology Research (HPR), SMART Movements (SMART), Participation and Health of Persons with Intellectual and Visual Disabilities, Healthy Ageing, Allied Health Care and Nursing, Healthy Lifestyle, Sports and Physical Activity |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Program evaluation 030506 rehabilitation health promotion IMPACT Physical fitness Psychological intervention netherlands lifestyles Intellectual disabilities 0302 clinical medicine PROGRAMS Health care Intellectual disability 030212 general & internal medicine implementation General Nursing HEALTH-PROMOTION INTERVENTIONS lifestyle interventions education.field_of_study Health Policy females General Medicine leefstijlen sustainability Combined Modality Therapy verstandelijk gehandicapten intellectual disability gezondheid Female dietetics Diet Healthy 0305 other medical science health care organizations males Population HEART-RATE lifestyle approaches 03 medical and health sciences Quality of life (healthcare) Nursing medicine Humans Healthy Lifestyle education Exercise business.industry RE-AIM FRAMEWORK ADULTS medicine.disease INDIVIDUALS Health promotion PHYSICAL-ACTIVITY physiology Quality of Life physical fitness Geriatrics and Gerontology business Delivery of Health Care Program Evaluation |
| Zdroj: | Journal of the American Medical Directors Association, 18(11), 980-987.e3. ELSEVIER SCIENCE INC Journal of the American Medical Directors Association, 18(11), 980-987. Elsevier Health Issues SIRG 2017 Conference in Belfast |
| ISSN: | 1525-8610 |
| Popis: | Background: Health care organizations supporting individuals with intellectual disabilities (IDs) carry out a range of interventions to support and improve a healthy lifestyle. However, it is difficult to implement an active and healthy lifestyle into daily support. The presence of numerous intervention components, multiple levels of influence, and the explicit use of theory are factors that are considered to be essential for implementation in practice. A comprehensive written lifestyle policy provides for sustainability of a lifestyle approach. It is unknown to what extent these crucial factors for successful implementation are taken into consideration by health care organizations supporting this population.Aim: To analyze the intervention components, levels of influence, explicit use of theory, and conditions for sustainability of currently used lifestyle interventions within lifestyle approaches aiming at physical activity and nutrition in health care organizations supporting people with ID.Methods: In this descriptive multiple case study of 9 health care organizations, qualitative data of the lifestyle approaches with accompanying interventions and their components were compiled with a newly developed online inventory form.Results: From 9 health care organizations, 59 interventions were included, of which 31% aimed to improve physical activity, 10% nutrition, and 59% a combination of both. Most (49%) interventions aimed at the educational component and less at daily (19%) and generic activities (16%) and the evaluation component (16%). Most interventions targeted individuals with ID and the professionals whereas social levels were underrepresented. Although 52% of the interventions were structurally embedded, only 10 of the 59 interventions were theory-driven.Conclusion: Health care organizations could improve their lifestyle approaches by using an explicit theoretical basis by expanding the current focus of the interventions that primarily concentrate on their clients and professionals toward also targeting the social and external environment as well as the introduction of a written lifestyle policy. This policy should encompass all interventions and should be the responsibility of those in the organization working with individuals with ID. In conclusion, comprehensive, integrated, and theory-driven approaches at multiple levels should be promoted. |
| Databáze: | OpenAIRE |
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