A randomised controlled trial of two interventions to improve the healthcare of people with ID living in the community

Taylor, Miriam, Lennox, Nicholas G., Bain, Christopher J., Rey-Conde, Therese Frances, Boyle, Frances M., Purdie, David M. and Ware, Robert S. (2008). A randomised controlled trial of two interventions to improve the healthcare of people with ID living in the community. In: A. J. Holland, Journal of Intellectual Disability Research. Special Issue: People with Intellectual Disabilities: Citizens in the World. 13th World Congress of the Interntaional Association for the Scientific Study of Intellectual Disabilities, Cape Town, South Africa, (750-750). 25-30 August, 2008. doi:10.1111/j.1365-2788.2008.01091.x


Author Taylor, Miriam
Lennox, Nicholas G.
Bain, Christopher J.
Rey-Conde, Therese Frances
Boyle, Frances M.
Purdie, David M.
Ware, Robert S.
Title of paper A randomised controlled trial of two interventions to improve the healthcare of people with ID living in the community
Conference name 13th World Congress of the Interntaional Association for the Scientific Study of Intellectual Disabilities
Conference location Cape Town, South Africa
Conference dates 25-30 August, 2008
Proceedings title Journal of Intellectual Disability Research. Special Issue: People with Intellectual Disabilities: Citizens in the World   Check publisher's open access policy
Journal name Journal of Intellectual Disability Research   Check publisher's open access policy
Place of Publication Oxford, United Kingdom
Publisher Blackwell Scientific
Publication Year 2008
Sub-type Poster
DOI 10.1111/j.1365-2788.2008.01091.x
Open Access Status
ISSN 0964-2633
Editor A. J. Holland
Volume 52
Issue 8-9
Start page 750
End page 750
Total pages 1
Language eng
Formatted Abstract/Summary
Aim:  People with intellectual disability who live in the community often have poor health.

Method:
  A cluster randomized controlled trial of interventions were performed with adults with intellectual disability living in the community. Interventions were the comprehensive health assessment (CHAP), the health advocacy diary (Ask), a combination of the two and control. Participants were randomized in clusters by general medical practitioner, and clusters were matched by key characteristics. Outcomes of interest were health promotion and disease prevention activities such as vision and hearing testing, otoscopies and Papanicolau smears. Data was recorded at baseline and 1 year after the intervention.

Results:
  There were differences in strength of outcomes of the four groups. The strongest results were seen in groups who used the CHAP. It had a positive impact on vaccination – influenza (OR: 7.89, CI: 1.66–37.55) and Hepatitis A (OR: 4.88; CI: 1.52-15.62); testing – hearing (OR: 6.34, CI: 2.28-17.58) and vision (OR 3.90, CI: 1.63-9.35); and weight management (OR: 3.39, CI: 1.58-7.24). No strong changes occurred in measured outcomes in groups who used the Ask diary alone. However, there was strong face validity and strong support for its use amongst participants.

Conclusions:
  This study confirms other work that the health assessment program (CHAP) improves healthcare outcomes in adults with intellectual disability living in the community. The use of the Ask health advocacy diary did not improve the measured health outcomes although it may contribute towards better health in the long term. 
Keyword Intellectual disabilities
Health assessments
Comprehensive Health Assessment Program
Health Advocacy Diary
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status Unknown

 
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Created: Tue, 31 Mar 2009, 18:39:30 EST by Dell Hele on behalf of School of Medicine