Linda Verhaar, Yvette M Dijkxhoorn, Leo de Sonneville, Hanna Swaab
{"title":"A three-years follow-up of extra intensive support for individuals with intellectual disability and severe challenging behaviour in the Netherlands.","authors":"Linda Verhaar, Yvette M Dijkxhoorn, Leo de Sonneville, Hanna Swaab","doi":"10.1177/17446295241252918","DOIUrl":"10.1177/17446295241252918","url":null,"abstract":"<p><p>Adults with Intellectual Disability who show severe challenging behaviour need intensive individual support. If intensive support proves to be insufficient, extra intensive support can be provided in the Netherlands, which is characterized by more time for individual care. The present study evaluates the impact of extra intensive support over time. Client characteristics of adults receiving intensive support (IS, <i>N</i>=70) or extra intensive support (IS+, <i>N</i>=35) are compared and the impact of provided support on challenging behaviour (Developmental Behaviour Checklist-Adults), adaptive behaviour (Vineland II), and Quality of Life (San Martin Scale) is evaluated over a three years period. Compared to adults receiving intensive support, those receiving extra intensive support initially showed higher intensity of challenging behaviour, higher number of mental health diagnoses and stronger focus on goals to reduce challenging behaviour. Over time, intensity of challenging behaviour decreased in adults receiving extra intensive support, although Quality of Life and adaptive functioning did not improve. Results show that the indications for receiving extra intensive support are clear and that the extra support is effective over time. It is concluded that extra individual support is serving those who need this support.</p>","PeriodicalId":46904,"journal":{"name":"Journal of Intellectual Disabilities","volume":" ","pages":"130-147"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xavier Melo, Bruno Simão, Catarina Catela, Isabel Oliveira, Sara Planche, Ana Louseiro, João Luís Marôco, Guillermo R Oviedo, Bo Fernhall, Helena Santa-Clara
{"title":"Home- vs gym-based exercise delivery modes of two multicomponent intensity training regimes on cardiorespiratory fitness and arterial stiffness in adults with intellectual and developmental disability during the COVID-19 pandemic - a randomized controlled trial.","authors":"Xavier Melo, Bruno Simão, Catarina Catela, Isabel Oliveira, Sara Planche, Ana Louseiro, João Luís Marôco, Guillermo R Oviedo, Bo Fernhall, Helena Santa-Clara","doi":"10.1177/17446295241242507","DOIUrl":"10.1177/17446295241242507","url":null,"abstract":"<p><p><b>Background:</b> We compared the effects of home- vs gym-based delivery modes of two 8-week supervised multicomponent intensity training regimes on cardiorespiratory fitness and arterial stiffness in 17 adults with intellectual and developmental disability during the COVID-19 pandemic. <b>Methods</b>: Participants were assigned to sprint interval training or continuous aerobic training, both incorporating resistance training. The intervention started with 8-weeks of online training (M1-M2), 1-month of detraining, plus 8-weeks of gym-based training (M3-M4). <b>Results</b>: Peak oxygen uptake decreased from M1-M2 and increased from M2-M4. Central arterial stiffness decreased between M1-M2, and M1-M4, along with peripheral arterial stiffness. Central systolic blood pressure decreased from M1-M2 only with sprint interval training. <b>Conclusion</b>: Home-based training minimized the negative impact of the lockdown on central arterial stiffness and central blood pressure, but it did not match the benefits on cardiorespiratory fitness and peripheral arterial stiffness of a gym-based intervention, irrespective of the multicomponent intensity training regime. Registered in ClinicalTrials.gov NCT05701943.</p>","PeriodicalId":46904,"journal":{"name":"Journal of Intellectual Disabilities","volume":" ","pages":"66-85"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Louise Lynch, Mary McCarron, Jessica Eustace-Cook, Éilish Burke, Phillip McCallion
{"title":"Physical health effects of sedentary behaviour on adults with an intellectual disability: A scoping review.","authors":"Louise Lynch, Mary McCarron, Jessica Eustace-Cook, Éilish Burke, Phillip McCallion","doi":"10.1177/17446295221107281","DOIUrl":"10.1177/17446295221107281","url":null,"abstract":"<p><p>This literature review was designed to establish the effects of sedentary behaviour on the physical health of adults with an intellectual disability. Sedentary behaviour is defined as any waking behaviour characterized by an energy expenditure of ≤1.5 METs while in a sitting, lying or reclining posture. An extensive search was executed in six databases: EMBASE, Medline, CINAHL, PsycINFO, ASSIA and Web of Science. Following screening, 18 articles remained for inclusion in the review. A thematic analysis using the Braun and Clarke six step process resulted in the identification of seven broad health areas. Studies showed a prevalence of obesity, multimorbidity and metabolic syndrome as well as elevated levels of sedentary behaviour in adults with an intellectual disability. This literature review demonstrated that sedentary behaviour could be a contributor to the poor health which is common in adults with an intellectual disability. However to date the body of evidence does not confirm a cause-and-effect relationship.</p>","PeriodicalId":46904,"journal":{"name":"Journal of Intellectual Disabilities","volume":" ","pages":"167-193"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9427438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alice Maniezki, Vicente Martínez-Tur, Yolanda Estreder, Carolina Moliner, Esther Gracia
{"title":"Relations between justice and trust in professionals working with persons with intellectual disability.","authors":"Alice Maniezki, Vicente Martínez-Tur, Yolanda Estreder, Carolina Moliner, Esther Gracia","doi":"10.1177/17446295251319383","DOIUrl":"https://doi.org/10.1177/17446295251319383","url":null,"abstract":"<p><p>This study explores how the way families treat professionals (interpersonal justice) and the trust professionals have in families relate to each other over time in organizations for persons with intellectual disabilities. Interpersonal justice is based on kindness, courtesy, respect, and dignity. Trust is an attitude reflecting the extent to which one party in a relationship believes the other to be trustworthy. We studied data from 179 professionals, measuring interpersonal justice and trust three times with a separation of four weeks. Our findings highlighted a double spiral model in which interpersonal justice and trust strengthen each other, acting as key drivers of dynamic processes. Specifically, interpersonal justice at one point in time (T1) was associated with trust at a later point (T2), which then was related to interpersonal justice again (T3). Similarly, trust at an earlier time (T1) was linked to interpersonal justice later (T2), which subsequently encouraged greater trust (T3).</p>","PeriodicalId":46904,"journal":{"name":"Journal of Intellectual Disabilities","volume":" ","pages":"17446295251319383"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of the patient profile and health interventions offered by a multidisciplinary Intellectual Disability health team.","authors":"Dominic Bull, Pankaj Garg, Teresa Lai, Natasha Reid, Bridget Farrell, Catherine O'Hea, Shanti Raman","doi":"10.1177/17446295251319127","DOIUrl":"https://doi.org/10.1177/17446295251319127","url":null,"abstract":"<p><p>Specialised Intellectual Disability Health Teams enhance access to health services and improve intersectoral coordination. This study reviewed the profiles and healthcare recommendations for children and young adults with Intellectual Disability. Data was collected from clinical records and analysed using relevant statistical tests. Most children were referred for challenging behaviours, with 13.9% lacking a disability funding plan, and 60% requiring changes in medication. Three-quarters reported functional improvement at six months. A logistic regression model explained 55% of the variance in six-month outcomes, identifying adherence to team recommendations as a significant factor (p < 0.0001). This study highlights the patient profile of a Specialised Intellectual Disability Health Team, identifies gaps in care plans, and emphasises the importance of addressing complex social determinants to ensure effective enactment of these recommendations in partnership with families, ultimately improving outcomes for children and young adults with Intellectual Disability.</p>","PeriodicalId":46904,"journal":{"name":"Journal of Intellectual Disabilities","volume":" ","pages":"17446295251319127"},"PeriodicalIF":1.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Employment situation and the formation of stigmatising attitudes towards people with intellectual disabilities.","authors":"Roger Bennett, Rohini Vijaygopal","doi":"10.1177/17446295251319386","DOIUrl":"https://doi.org/10.1177/17446295251319386","url":null,"abstract":"<p><p>This study questioned whether knowledge of the employment situation of a person with an intellectual disability affected stigmatising attitudes towards that individual among a sample of 507 people who did not have intellectual disabilities. A hypothetical individual with a mild intellectual disability was described as either (i) in paid employment, or (ii) living entirely on state social security benefits. Sample members, none of whom were themselves intellectually disabled, unemployed, or living on social security benefits, completed a questionnaire concerning their attitudes towards the person. Many participants who were informed that a person with an intellectual disability worked for a living exhibited more positive attitudes towards the individual than participants advised that the person relied on welfare. The results suggest the existence of a \"welfare slur\" among some sample members. The level of an observer's self-reported social status impacted on the favorability of certain attitudes.</p>","PeriodicalId":46904,"journal":{"name":"Journal of Intellectual Disabilities","volume":" ","pages":"17446295251319386"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacqueline M van Tuyll van Serooskerken, Agnes M Willemen, Petri Jcm Embregts, Carlo Schuengel
{"title":"Change in self-determination-related constructs in persons with severe or profound intellectual and multiple disabilities in the context of transitions.","authors":"Jacqueline M van Tuyll van Serooskerken, Agnes M Willemen, Petri Jcm Embregts, Carlo Schuengel","doi":"10.1177/17446295251317759","DOIUrl":"https://doi.org/10.1177/17446295251317759","url":null,"abstract":"<p><p><b>Background:</b> This study explored the changes in self-determination-related constructs during transitions in the lives of persons with severe or profound intellectual and multiple disabilities. <b>Method:</b> Questionnaires about autonomy support, basic psychological need expressions, and subjective well-being were filled out twice by family caregivers who foresaw an important transition in the near future (<i>N</i> = 40; pre-post design). <b>Results:</b> Average changes in outcomes across a period of 6-13 months were not statistically significant. Reliable change was observed for 5.6 to 24% of individuals, depending on the outcome variable. Caregiver engagement in and period of impact of the transition, as well as prior expectations, were not associated with these changes. <b>Conclusions:</b> Self-determination-related constructs appear robust against life transitions for most persons with complex support needs. From the caregivers' perspective, improvements and deteriorations were unexpected, underscoring the need for a better understanding of the role of context for self-determination in this population.</p>","PeriodicalId":46904,"journal":{"name":"Journal of Intellectual Disabilities","volume":" ","pages":"17446295251317759"},"PeriodicalIF":1.5,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Savitha Sundar, Patricia Bowyer, Asha Vas, Patricia Laverdure, Elaine Cox
{"title":"Interventions and measures of social inclusion for students with extensive support needs in K-12 schools: A scoping review.","authors":"Savitha Sundar, Patricia Bowyer, Asha Vas, Patricia Laverdure, Elaine Cox","doi":"10.1177/17446295241310517","DOIUrl":"https://doi.org/10.1177/17446295241310517","url":null,"abstract":"<p><p>This scoping review explores (a) how k-12 schools facilitate social inclusion, specifically for students with extensive support needs (ESN) and (b) how those intervention approaches are measured. Given the cross-disciplinary nature of the topic, the search entailed ten different databases that identified 540 articles. Eight articles met the inclusion criteria and were included in this review. The approaches used to facilitate social inclusion for students with ESN are summarized as those that involve (a) comprehensive multi-level interventions, (b) peer-mediated interventions, and (c) collaborative consultation and planning with teachers. The scoping review identified three primary constructs that assess social inclusion, namely, social interactions, participation (academic and social), and social validity of the interventions used. The scoping review underscores the complexity of the concept of social inclusion and poses a challenge to identify a unifying measure of social inclusion for students with ESN.</p>","PeriodicalId":46904,"journal":{"name":"Journal of Intellectual Disabilities","volume":" ","pages":"17446295241310517"},"PeriodicalIF":1.5,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Justin MacLochlainn, Jill Manthorpe, Paula McFadden, Rachel Naylor, Heike Schroder, Susan McGrory, Patricia Nicholl, Denise Currie, Karen Kirby, John Mallett
{"title":"The COVID-19 pandemic's impact on UK social workers working with people with learning disabilities: A mixed methods study.","authors":"Justin MacLochlainn, Jill Manthorpe, Paula McFadden, Rachel Naylor, Heike Schroder, Susan McGrory, Patricia Nicholl, Denise Currie, Karen Kirby, John Mallett","doi":"10.1177/17446295251315525","DOIUrl":"https://doi.org/10.1177/17446295251315525","url":null,"abstract":"<p><p>The impact of the COVID-19 pandemic on the health and wellbeing of social workers working with people with learning disabilities has not been fully explored. This paper reports findings from a large United Kingdom study that surveyed health and care workers in six phases of the pandemic and shortly thereafter (2020-23) relating to 310 social workers who worked with people with learning disabilities. Mann-Whitney U tests revealed that these social workers experienced a decline in wellbeing over the pandemic period, but this lessened as time passed. Logistic regression showed that social worker wellbeing predicted intentions to leave their profession. This study offers an evidence-based foundation to guide retention policies in learning disability social work, aiming to stabilise the sector and preserve essential experience for workforce planning.</p>","PeriodicalId":46904,"journal":{"name":"Journal of Intellectual Disabilities","volume":" ","pages":"17446295251315525"},"PeriodicalIF":1.5,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kumaresan Cithambaram, Deirdre Corby, Liz Hartnett, David Joyce, Lynn Swinburne, Kristi Egere, Sean Healy
{"title":"Population-based cancer screening access needs of disabled people: A qualitative evidence synthesis.","authors":"Kumaresan Cithambaram, Deirdre Corby, Liz Hartnett, David Joyce, Lynn Swinburne, Kristi Egere, Sean Healy","doi":"10.1177/17446295241308708","DOIUrl":"https://doi.org/10.1177/17446295241308708","url":null,"abstract":"<p><strong>Background: </strong>Cancer is one of the most common causes of mortality among disabled people, and population-based screening is an effective method to identify some cancers early; however, its uptake is lower among the disabled population. There is a lack of evidence regarding why they access less, and their need to access population-based screening programmes.</p><p><strong>Aim: </strong>To synthesise evidence of the experience of accessing population-based screening programmes for disabled people.</p><p><strong>Method: </strong>A qualitative evidence synthesis (QES) was carried out by searching electronic databases including Medline, CINAHL, Web of Science Core Collection, and Scopus. Grey literature was also searched for. The search yielded 32 relevant publications.</p><p><strong>Results: </strong>The findings are based on Levesque's conceptual framework. Several factors affect the accessibility of screening services, including people's perceptions, family support, affordability, literacy, and accessibility.</p><p><strong>Conclusion: </strong>Screening services need to acknowledge the needs of disabled people and integrate reasonable accommodations to facilitate their needs.</p>","PeriodicalId":46904,"journal":{"name":"Journal of Intellectual Disabilities","volume":" ","pages":"17446295241308708"},"PeriodicalIF":1.5,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}