Lifestyle approaches for people with intellectual disabilities: a systematic multiple case analysis

Henderika Annegien Steenbergen, Cees P. van der Schans, Ruud van Wijck, Johan de Jong, Aly Waninge

Research output: Contribution to journalReview articleAcademicpeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)980-987
JournalJournal of the American Medical Directors Association
Volume18
Issue number11
DOIs
Publication statusPublished - 1 Nov 2017

Keywords

  • physiology
  • females
  • health promotion
  • dietetics
  • lifestyles
  • intellectual disability
  • males
  • netherlands
  • physical fitness

Cite this

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title = "Lifestyle approaches for people with intellectual disabilities: a systematic multiple case analysis",
abstract = "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.",
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Lifestyle approaches for people with intellectual disabilities : a systematic multiple case analysis. / Steenbergen, Henderika Annegien; van der Schans, Cees P.; van Wijck, Ruud; de Jong, Johan; Waninge, Aly.

In: Journal of the American Medical Directors Association, Vol. 18, No. 11, 01.11.2017, p. 980-987.

Research output: Contribution to journalReview articleAcademicpeer-review

TY - JOUR

T1 - Lifestyle approaches for people with intellectual disabilities

T2 - a systematic multiple case analysis

AU - Steenbergen, Henderika Annegien

AU - van der Schans, Cees P.

AU - van Wijck, Ruud

AU - de Jong, Johan

AU - Waninge, Aly

N1 - Copyright © 2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

PY - 2017/11/1

Y1 - 2017/11/1

N2 - 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.

AB - 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.

KW - physiology

KW - females

KW - health promotion

KW - dietetics

KW - lifestyles

KW - intellectual disability

KW - males

KW - netherlands

KW - physical fitness

KW - verstandelijk gehandicapten

KW - leefstijlen

KW - gezondheid

UR - http://www.mendeley.com/research/lifestyle-approaches-people-intellectual-disabilities-systematic-multiple-case-analysis

U2 - 10.1016/j.jamda.2017.06.009

DO - 10.1016/j.jamda.2017.06.009

M3 - Review article

VL - 18

SP - 980

EP - 987

JO - Journal of the American Medical Directors Association

JF - Journal of the American Medical Directors Association

SN - 1525-8610

IS - 11

ER -