Characteristics influencing attendance at a primary care health check for people with intellectual disability: an individual participant data meta-analysis

Ware, Robert S. and Lennox, Nicholas G. (2016) Characteristics influencing attendance at a primary care health check for people with intellectual disability: an individual participant data meta-analysis. Research in Developmental Disabilities, 55 235-241. doi:10.1016/j.ridd.2016.04.012


Author Ware, Robert S.
Lennox, Nicholas G.
Title Characteristics influencing attendance at a primary care health check for people with intellectual disability: an individual participant data meta-analysis
Journal name Research in Developmental Disabilities   Check publisher's open access policy
ISSN 1873-3379
0891-4222
Publication date 2016-08
Sub-type Article (original research)
DOI 10.1016/j.ridd.2016.04.012
Open Access Status Not Open Access
Volume 55
Start page 235
End page 241
Total pages 7
Place of publication Kidlington, Oxford, United Kingdom
Publisher Pergamon Press
Collection year 2017
Language eng
Formatted abstract
Background: Health checks benefit adolescents and adults with intellectual disability, however uptake is low despite government–funded incentives.
Aim: To assess the characteristics of people with intellectual disability who, when offered a health check with their primary care physician at no cost, completed the health check.
Methods and procedures: Data from three randomised controlled trials considering health checks in people with intellectual disability living in the community were included in an individual-patient data meta-analysis. The studies used the same health check and the participant characteristics investigated (age, sex, cause of disability, level of disability and socio-economic position) were defined identically, but participants were sourced from different settings: adults living in 24-h supported accommodation, adults living in private dwellings, and school-attending adolescents.
Outcomes and results: In total 715 participants were offered health checks. Compared to participants with Down syndrome, participants with other known causes of disability were more likely not to attend their health check (odds ratio;95%CI) = (2.5;1.4–4.7), as were participants with no known cause of disability (2.3;1.2–4.3). These associations remained significant after adjusting for potentially confounding variables.
Conclusion and implication: Down syndrome was the only characteristic positively associated with health check attendance across all study settings. Future research should focus on strategies to increase health check uptake in this population.
Keyword Health screening
Intellectual disability
Management
Primary care
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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