Pay Attention to Hypertension (PAtH): Findings from a cardiovascular health promotion intervention for adults with intellectual disabilities participating in Special Olympics programming

IF 2.1 2区医学 Q1 EDUCATION, SPECIAL

Journal of Intellectual Disability Research Pub Date : 2024-10-16 DOI:10.1111/jir.13189

R. E. Ponce-Alcala, A. Cuerrier, L. Sanzone, T. Delmas, K. Roberge, A. Van Hulst

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引用次数: 0

Abstract

Background

Cardiovascular disease (CVD) affects adults globally. People with intellectual disabilities (PWID) may be at higher risk of CVD and associated risk factors (e.g. obesity, hypertension, and diabetes). We developed Pay Attention to Hypertension (PAtH), a cardiovascular health promotion intervention, and tested its impact on changes in blood pressure (BP), lifestyle behaviours and health-related empowerment among PWID.

Methods

PAtH was developed with a Special Olympics community organisation that supports PWID in developing self-confidence and social skills through participation in sports. The 6-month intervention consisted of 1-h individualised virtual sessions delivered monthly by nursing students/novice nurses. Sessions covered specific themes, including monitoring BP, adopting healthy lifestyles and managing stress, and were individually tailored to the capacities and needs of participants. A single group pre–post-intervention design was used to assess the intervention's effects among participants who completed the intervention and data collection. Data included baseline and follow-up BP measurements from 7-day logbooks and questionnaires assessing lifestyle behaviours [physical activity (PA), screen time and diet], and health-related empowerment.

Results

Seventy-four participants were included in the analyses. Between baseline and follow-up, there were no changes in systolic and diastolic BP, PA or leisure screen time. The proportion of participants who reported adding salt when cooking decreased from baseline to follow-up (19.7% vs. 12.7%, P = 0.034), and we found improvements for several items measuring health-related empowerment (P ≤ 0.003).

Conclusion

Improvements in health-related empowerment were found following PAtH. More intensive interventions may be needed to result in changes in lifestyle behaviours and BP. The integration of adapted cardiovascular health promotion initiatives within well-established community organisations such as Special Olympics is a promising avenue to contribute to cardiovascular health promotion among PWID.

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关注高血压（PAtH）：针对参加特奥会的智障成人的心血管健康促进干预研究结果。

背景：心血管疾病（CVD）影响着全球的成年人。智障人士患心血管疾病及相关风险因素（如肥胖、高血压和糖尿病）的风险可能更高。我们开发了 "关注高血压"（PAtH）这一心血管健康促进干预措施，并测试了其对智障人士血压（BP）变化、生活方式行为和健康相关能力的影响：PAtH是与一个特奥会社区组织合作开发的，该组织支持残疾人通过参加体育运动培养自信心和社交技能。为期 6 个月的干预措施包括由护理专业学生/新护士每月提供 1 小时的个性化虚拟课程。课程涵盖特定主题，包括监测血压、采用健康的生活方式和管理压力，并根据参与者的能力和需求量身定制。采用单组前后干预设计，对完成干预和数据收集的参与者进行干预效果评估。数据包括基线和随访血压测量值（来自 7 天记录本）、生活方式行为评估问卷（体育活动、屏幕时间和饮食）以及与健康相关的赋权：结果：74 名参与者参与了分析。从基线到随访期间，收缩压和舒张压、体力活动或休闲屏幕时间均无变化。从基线到随访期间，报告在烹饪时加盐的参与者比例有所下降（19.7% vs. 12.7%，P = 0.034），我们还发现，衡量健康相关能力的几个项目有所改善（P ≤ 0.003）：结论：PAtH治疗后，健康相关能力有所提高。结论：PAtH 治疗后，与健康相关的能力有所提高，但可能需要进行更深入的干预，才能改变生活方式和血压。将经过调整的心血管健康促进措施纳入特奥会等成熟的社区组织，是促进残疾人心血管健康的一个很有前景的途径。

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来源期刊

Journal of Intellectual Disability Research Multiple-

CiteScore

5.60

自引率

5.60%

发文量

期刊介绍： The Journal of Intellectual Disability Research is devoted exclusively to the scientific study of intellectual disability and publishes papers reporting original observations in this field. The subject matter is broad and includes, but is not restricted to, findings from biological, educational, genetic, medical, psychiatric, psychological and sociological studies, and ethical, philosophical, and legal contributions that increase knowledge on the treatment and prevention of intellectual disability and of associated impairments and disabilities, and/or inform public policy and practice. Expert reviews on themes in which recent research has produced notable advances will be included. Such reviews will normally be by invitation.