Predicting Injuries in Adults With Intellectual Disabilities in Supported Living: Development and Validation of Risk Assessment Tools.

IF 1.9

Journal of applied research in intellectual disabilities : JARID Pub Date : 2026-05-01 DOI:10.1111/jar.70253

Evangelia Petropoulou, Dawn A Skelton, Janet Finlayson

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Abstract

Background: Adults with intellectual disabilities experience disproportionately high injury rates, yet risk prediction in community-supported living remains underdeveloped. This study aimed to identify risk and protective factors and develop validated, population-specific screening tools.

Method: A longitudinal cohort study of 536 adults with intellectual disabilities in supported accommodation in Scotland examined 68 intrinsic and extrinsic variables across retrospective (30-month) and prospective (12-month) periods. Multivariate logistic regression identified key predictors.

Results: Independent risk factors for injury and fall-related injury included poor balance or coordination, polypharmacy, use of antiepileptic and antipsychotic medications, and restlessness. Protective factors included family co-residence and a diagnosed heart condition. Two tools, the Risk Injury Assessment Tool and Risk Fall-Injury Assessment Tool, demonstrated moderate-to-good predictive validity, particularly in excluding low-risk individuals.

Conclusions: This study provides the first validated tools to assess injury and fall-related injury risk in adults with intellectual disabilities in community settings, supporting more equitable, preventive care.

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在支持生活中预测智力残疾成人的伤害：风险评估工具的开发和验证。

背景：智力残疾的成年人经历了不成比例的高伤害率，但社区支持生活的风险预测仍然不发达。本研究旨在确定风险和保护因素，并开发有效的、针对人群的筛查工具。方法：对苏格兰536名智力残疾成人进行纵向队列研究，在回顾性（30个月）和前瞻性（12个月）期间检查了68个内在和外在变量。多元逻辑回归确定了关键预测因素。结果：损伤和跌倒相关损伤的独立危险因素包括平衡或协调能力差、多药、使用抗癫痫和抗精神病药物以及躁动不安。保护因素包括家庭同居和确诊的心脏病。两种工具，风险伤害评估工具和风险跌倒伤害评估工具，显示出中等到良好的预测有效性，特别是在排除低风险个体时。结论：本研究提供了第一个有效的工具来评估社区环境中智力残疾成人的伤害和跌倒相关伤害风险，支持更公平的预防性护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of applied research in intellectual disabilities : JARID

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