Journal of Applied Research in Intellectual Disabilities最新文献

{"title":"An Ongoing Process: The Implementation of an Intervention for People With Profound Intellectual and Multiple Disabilities Over Time","authors":"Josien Schaafsma,&nbsp;Annet ten Brug,&nbsp;Annette van der Putten","doi":"10.1111/jar.70098","DOIUrl":"https://doi.org/10.1111/jar.70098","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The “Programma Perspectief” intervention aims to provide optimal support to people with profound intellectual and multiple disabilities. Knowledge concerning intervention fidelity is outdated and scarce as is typical for the support of persons with special needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An survey amongst care professionals (<i>n</i> = 62) yielded data on the application of core elements of the intervention (vision, methodical approach, and collaboration) in practise, as well as on implementation barriers and facilitators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Vision and methodical approach are reflected in practise. A positive association was found between the number of perceived barriers and time since implementation. Over time, more barriers emerged at organisational level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results reveal the importance of attending to implementation, even after years. Further research should focus on developing focused implementation strategies to enhance the sustainability of the analysed intervention, thereby guaranteeing the quality of support provided to people with profound intellectual and multiple disabilities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144635437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital Psychological Wellbeing Interventions for Family Carers of Children and Adults With Intellectual and Developmental Disabilities: A Systematic Review","authors":"Magda M. Apanasionok,&nbsp;Andreas Paris,&nbsp;Joanna Griffin,&nbsp;Richard P. Hastings,&nbsp;Ellie Finch,&nbsp;Debbie Austin,&nbsp;Samantha Flynn","doi":"10.1111/jar.70081","DOIUrl":"https://doi.org/10.1111/jar.70081","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This review explored (1) what digital psychological wellbeing interventions for family carers of people with intellectual and developmental disabilities were reported in the literature, (2) evidence about their effectiveness, (3) factors affecting their implementation and (4) experiences of family carers who attend them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Seven databases were searched using search terms related to intellectual and developmental disabilities, carer role, wellbeing and digital delivery formats. Data from 23 studies were synthesised narratively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Identified interventions were categorised in five broad groups: mind–body, relaxation, mindfulness and acceptance; psychoeducation and support groups; positive thinking and self-compassion; spiritual; and expressive writing. Only 43% of included studies met seven (100%) or six (85%) quality indicators based on the Mixed Methods Appraisal Tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There is a developing literature on digital interventions for family carers of people with intellectual and developmental disabilities. Digital supports will likely become more important with continuing technological advances and increasing need.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144598449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Barriers to Mammography Access for Women With Intellectual Disabilities: A Meta-Synthesis of the Perspectives of Four Stakeholder Groups","authors":"Adam Pitt,&nbsp;Suzanne Hodge","doi":"10.1111/jar.70095","DOIUrl":"https://doi.org/10.1111/jar.70095","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Breast cancer is as frequent in women with intellectual disabilities as the general population, but the mammography uptake rate for women with intellectual disabilities is almost a third lower. This meta-synthesis aimed to explore physical and psychosocial barriers to mammography access for women with intellectual disabilities from the perspectives of the women themselves, healthcare professionals, paid carers and family members.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A systematic search of six databases yielded 12 papers for thematic synthesis review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three analytic themes were developed: (i) knowing what to expect; (ii) knowing who will assume responsibility and (iii) making adjustments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Mammography screening elicits anxiety from both women with intellectual disabilities and their supporters (whether paid, family or healthcare professional). A formulation-based approach to mammography attendance may help to provide tailored information to women with intellectual disabilities, whilst easing the pressures placed upon their support network and healthcare professionals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144598713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Phenomenon of Pain in Adults With Intellectual Disability: A Qualitative Systematic Review","authors":"Alice Trainer,&nbsp;S. J. Summers,&nbsp;Alan Bowman","doi":"10.1111/jar.70093","DOIUrl":"https://doi.org/10.1111/jar.70093","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>People with intellectual disability are vulnerable to developing and experiencing pain, indeed more pain, due to comorbidities and secondary conditions. Their pain may also be underestimated or poorly managed, due to difficulties with verbal and non-verbal communication. Improved understanding could have positive implications for pain assessment and management practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This systematic review synthesised findings from seven qualitative studies regarding the phenomenon of pain for people with intellectual disability, using a meta-ethnographic approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings offer different perspectives about the recognition of multiple causes of pain, individual differences in the expression of pain, and decision-making about the assessment and treatment of pain. A tentative model is presented.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There are only a small number of qualitative studies examining this topic. Further research is needed to fully understand pain for people with intellectual disability. Recognition should be given to the impact of wider factors on the pain experience.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70093","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144589719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Personal Wellbeing, Choice and NDIS Individualised Planning and Support for People With Intellectual Disabilities","authors":"Vivienne Riches,&nbsp;Trevor Parmenter,&nbsp;Gisselle Gallego,&nbsp;Ziad Al-Rubaie,&nbsp;Mary-Ann O'Donovan,&nbsp;Patricia O'Brien","doi":"10.1111/jar.70085","DOIUrl":"https://doi.org/10.1111/jar.70085","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Australia's National Disability Insurance Scheme (NDIS) funds individualised supports to increase choice and control. The relationship between NDIS individualised funding, outcomes for wellbeing and exercising choice and control for people with intellectual disability has been unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Adult NDIS participants with intellectual disability (<i>N</i> = 62) completed a longitudinal survey with validated instruments exploring personal wellbeing and choice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Personal wellbeing scores were generally positive, with the mean comparable to that found for a similar population over a decade ago. High choice and control were evident for most individuals over everyday matters, but not key life decisions. Living environment and physical and/or mental and emotional health status were associated with the level of satisfaction with personal wellbeing and everyday choice and control.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There is need to better support people with intellectual disability to exercise choice and control over key life decisions and to address disparities in choice and wellbeing associated with living environment, physical and mental and emotional health and future security.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70085","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144598655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Supporters to Increase Participation in Qualitative Research Interviews by People With Intellectual Disabilities","authors":"Sarah A. Hall,&nbsp;Roger J. Stancliffe,&nbsp;Lynda Lahti Anderson","doi":"10.1111/jar.70094","DOIUrl":"https://doi.org/10.1111/jar.70094","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Researchers need to hear directly from individuals with intellectual disabilities to better understand their experiences and perspectives. However, much inclusive research uses interviews and focuses mainly on people with greater communication skills. One priority is to expand the research techniques used to be more inclusive of people with higher support needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Qualitative analysis of interview transcripts identified themes related to a support person's roles in assisting individuals' interview participation. Quantitative analysis identified factors related to the co-creation of responses, including turn-taking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Supporters helped participants to convey knowledge about the individuals' experiences. They provided encouragement and informational support. Supporters helped explain interview questions and co-create answers. These supporters played a supportive role and did not overpower or silence the responses of research participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Including supporters chosen by research participants with intellectual disabilities as a support person during qualitative research interviews may be an effective tool in inclusive research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144598661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three Years on From “Stay at Home”: Perspectives of People With Intellectual Disabilities About the Ongoing Impact of the COVID-19 Pandemic","authors":"Jodie Rawles,&nbsp;Sue Caton,&nbsp;Dawn Cavanagh,&nbsp;Chris Hatton,&nbsp;Richard P. Hastings,&nbsp;the Coronavirus and People with Learning Disabilities Study Team","doi":"10.1111/jar.70076","DOIUrl":"https://doi.org/10.1111/jar.70076","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>People with intellectual disabilities were disproportionately negatively affected during the COVID-19 pandemic, but there has been limited research about the perceived longer-term impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected through a two-stage narrative interview process with eight adults with intellectual disabilities. Participants told their storey about their lives at the time of the first lockdown in 2020, what their lives were like 3 years later, and what they hoped for the future. A second interview filled any gaps in the narrative. Data were analysed thematically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes were identified: navigating disruptions to meaningful activities; unique challenges associated with residing in group-living environments; anger at the Government; barriers to moving forward.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The themes identified reflect powerful emotional memories of challenging experiences during the COVID-19 pandemic. Life continues to be difficult for many due to ongoing difficulties in getting the right support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144573860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Father Involvement in the Lives of Their Children With Intellectual and Developmental Disabilities in the UK","authors":"Emma Langley","doi":"10.1111/jar.70091","DOIUrl":"https://doi.org/10.1111/jar.70091","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Father involvement in parenting has received scarce attention in the disability field. This qualitative study explored the involvement, roles and responsibilities of fathers of individuals with Intellectual and Developmental Disabilities (aged 5–24 years).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Thirteen fathers participated in online, semi-structured interviews. Fathers were asked to describe their involvement in caregiving, their roles and responsibilities, and the factors that had an impact on these domains.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fathers were involved in the direct and indirect care of their child, and provided support for their partner and any siblings, alongside work commitments. A range of individual, interpersonal and contextual factors impacted their involvement and parenting role.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Fathers play an important role in the lives of children with Intellectual and Developmental Disabilities. Ways in which services could improve the quantity and quality of paternal involvement in parenting are discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70091","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hear Our Voice: A Photo-Elicitation Study to Explore the Social Participation of Older People With Mild/Moderate Intellectual Disability","authors":"Zuyu Wang,&nbsp;Andrew Sommerlad,&nbsp;Joan K. Monin,&nbsp;Angela Hassiotis,&nbsp;Gill Livingston","doi":"10.1111/jar.70083","DOIUrl":"https://doi.org/10.1111/jar.70083","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>People with intellectual disability are more socially isolated than the general population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To explore the social participation experiences and enablers and barriers of older people with mild/moderate intellectual disability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following co-production of the research with an advocacy group, we purposively recruited people aged over 50 with mild/moderate intellectual disability, using photo-elicitation methods and qualitative interviews, analysed thematically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We recruited 14 participants (5 women) from London, UK. Themes were (1) negotiating social belonging in a world of barriers, (2) obstacles go beyond intellectual disability, (3) support must be tailored and personalised. Their experiences of discrimination made them afraid to go out and often to mix with people without disabilities. However, they enjoyed socialising, appreciating variety, social connection and learning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>People with intellectual disability wished to socialise but encountered multiple obstacles. Such barriers limit meaningful community engagement and inclusivity, underscoring the need for interventions to combat isolation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70083","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Reproductive Injustice in the Access of Motherhood for Women With Intellectual Disabilities: A Narrative Literature Review","authors":"Coralie Mercerat,&nbsp;Laura Pacheco,&nbsp;Marjorie Aunos,&nbsp;Marie-Marthe Cousineau,&nbsp;Ami Goulden,&nbsp;Michelle Swab,&nbsp;Bethany Brenton,&nbsp;Sibusiso Moyo","doi":"10.1111/jar.70086","DOIUrl":"https://doi.org/10.1111/jar.70086","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Even though becoming a parent and forming meaningful relationships are considered fundamental rights, research shows that there are significant barriers for people with intellectual disabilities within these social roles, as they are still seen as unfit for parenthood. Given limited research knowledge about the reproductive trajectories of women with intellectual disabilities, this paper presents the results of a narrative literature review on reproductive injustices against women with intellectual disabilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted in-depth research within the scientific literature to better understand the reproductive injustice experienced by women with intellectual disabilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-two publications were included in this narrative literature review. The main results are related to the nature and actors involved in the reproductive injustice and six types of discourses underpinning the non-consensual contraception, including sterilisation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings have implications for future community-based research and intersectoral policies and practices that promote agency and relational autonomy of women with intellectual disabilities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}