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J Appl Res Intellect Disabil ; 32(5): 1067-1077, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30983088


BACKGROUND: Obesity is common in adults with intellectual disabilities, yet little is known about how weight management interventions are provided for this population. METHODS: Semi-structured interviews were held with 14 healthcare practitioners involved in weight management interventions in an English county. A study topic guide was developed to elicit practitioners' views and experiences of barriers and facilitators to weight management for adults with intellectual disabilities. Responses were analysed using thematic analysis. RESULTS: Several barriers are involved in weight management for people with intellectual disabilities including communication challenges, general practitioners' lack of knowledge and awareness of weight management services, inconsistencies in caring support, resource constraints, wider external circumstances surrounding the individuals and motivational issues. Facilitators include reasonable adjustments to existing weight management services. However, there is a need for specialist weight management provision for people with intellectual disabilities. CONCLUSIONS: This study provides suggestions for future research, policy and practice consideration.

Atitude do Pessoal de Saúde , Acesso aos Serviços de Saúde , Deficiência Intelectual , Pessoas com Deficiência Mental , Obesidade/terapia , Programas de Redução de Peso , Adulto , Comorbidade , Humanos , Deficiência Intelectual/epidemiologia , Obesidade/epidemiologia , Pesquisa Qualitativa
J Appl Res Intellect Disabil ; 31 Suppl 1: 39-51, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28631874


BACKGROUND: Obesity is more prevalent in people with intellectual disabilities and increases the risk of developing serious medical conditions. UK guidance recommends multicomponent weight management interventions (MCIs), tailored for different population groups. METHODS: An integrative review utilizing systematic review methodology was conducted to identify the types of MCIs delivered to adults with intellectual disabilities. FINDINGS: Five studies were identified. All of the studies' MCIs were tailored for adults with intellectual disabilities. Tailoring included measures such as simplified communication tools, individualized sessions, and the presence of carers where appropriate. CONCLUSIONS: Emerging evidence suggests ways in which MCIs can be tailored for adults with intellectual disabilities but, given the few studies identified, it is not possible to recommend how they can be routinely tailored. Further studies are justified for adults with intellectual disabilities at risk of obesity-related conditions.

Comorbidade , Deficiência Intelectual , Obesidade/terapia , Programas de Redução de Peso/métodos , Adulto , Humanos , Deficiência Intelectual/epidemiologia , Obesidade/epidemiologia