The evidence for better health from health assessments: A large clustered randomised controlled trial

Lennox, N., Rey-Conde, T., Bain, C., Purdie, D. and Bush, R. (2004). The evidence for better health from health assessments: A large clustered randomised controlled trial. In: Journal of Intellectual Disability Research. 12th IASSID World Congress, Montpellier, France, (343-343). 14-19 June, 2004. doi:10.1111/j.1365-2788.2004.t01-1-00606.x


Author Lennox, N.
Rey-Conde, T.
Bain, C.
Purdie, D.
Bush, R.
Title of paper The evidence for better health from health assessments: A large clustered randomised controlled trial
Conference name 12th IASSID World Congress
Conference location Montpellier, France
Conference dates 14-19 June, 2004
Proceedings title Journal of Intellectual Disability Research   Check publisher's open access policy
Journal name Journal of Intellectual Disability Research   Check publisher's open access policy
Place of Publication Oxford
Publisher Blackwell Scientific
Publication Year 2004
DOI 10.1111/j.1365-2788.2004.t01-1-00606.x
ISSN 0964-2633
Volume 48
Issue 4-5
Start page 343
End page 343
Total pages 1
Language eng
Abstract/Summary Aim: To test the efficacy of a comprehensive health assessment using the CHAP tool in adults with an intellectual disability (ID). Method: A cluster randomised control design was used. The intervention group received the CHAP, while the control group received usual care. This tool directed carers to gather a health history, which was reviewed by the person’s general practitioner (GP) who completed a medical examination and a healthcare plan. The tool acted as an advocacy tool, a ticket-of-entry to the GPs surgery and educated the GP and the caregiver about the deficits in the healthcare of adults with ID. The healthcare of the participants was followed for one-year after intervention by the collection of data from GP and service providers’ notes. Also interviews were performed with all those involved. Results: We obtained a representative sample of  adults with ID (RR%). We found the intervention group received a significant increase in many health promotion/disease prevention activities e.g. hearing screening was  times and a Pap smear was  times more likely to have occurred in the intervention groups.We also found a trend towards earlier detection of disease. Conclusions: The CHAP process improves the provision of health screening/promotion activities and should be implemented.
Subjects 11 Medical and Health Sciences
Keyword Genetics & Heredity
Clinical Neurology
Psychiatry
Education, Special
Rehabilitation
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status Unknown

 
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Created: Tue, 14 Aug 2007, 00:20:13 EST