Mariël Willems1, Thessa I M Hilgenkamp2, Else Havik3, Aly Waninge3, Craig A Melville4. 1. Research Group Healthy Ageing, Allied Health Care and Nursing, Hanzehogeschool Groningen, P.O. Box 3109, 9701 DC Groningen, The Netherlands. Electronic address: m.willems@pl.hanze.nl. 2. Intellectual Disability Medicine, Department of General Practice, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands. 3. Research Group Healthy Ageing, Allied Health Care and Nursing, Hanzehogeschool Groningen, P.O. Box 3109, 9701 DC Groningen, The Netherlands. 4. Institute of Health and Wellbeing, College of Medical Veterinary and Life Sciences, University of Glasgow, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow G12 0XH, United Kingdom.
Abstract
BACKGROUND: People with intellectual disabilities (ID) experience more health problems and have different lifestyle change needs, compared with the general population. AIMS: To improve lifestyle change interventions for people with ID, this review examined how behaviour change techniques (BCTs) were applied in interventions aimed at physical activity, nutrition or physical activity and nutrition, and described their quality. METHODS AND PROCEDURES: After a broad search and detailed selection process, 45 studies were included in the review. For coding BCTs, the CALO-RE taxonomy was used. To assess the quality of the interventions, the Physiotherapy Evidence Database (PEDro) scale was used. Extracted data included general study characteristics and intervention characteristics. OUTCOMES AND RESULTS: All interventions used BCTs, although theory-driven BCTs were rarely used. The most frequently used BCTs were 'provide information on consequences of behaviour in general' and 'plan social support/social change'. Most studies were of low quality and a theoretical framework was often missing. CONCLUSION AND IMPLICATIONS: This review shows that BCTs are frequently applied in lifestyle change interventions. To further improve effectiveness, these lifestyle change interventions could benefit from using a theoretical framework, a detailed intervention description and an appropriate and reliable intervention design which is tailored to people with ID.
BACKGROUND:People with intellectual disabilities (ID) experience more health problems and have different lifestyle change needs, compared with the general population. AIMS: To improve lifestyle change interventions for people with ID, this review examined how behaviour change techniques (BCTs) were applied in interventions aimed at physical activity, nutrition or physical activity and nutrition, and described their quality. METHODS AND PROCEDURES: After a broad search and detailed selection process, 45 studies were included in the review. For coding BCTs, the CALO-RE taxonomy was used. To assess the quality of the interventions, the Physiotherapy Evidence Database (PEDro) scale was used. Extracted data included general study characteristics and intervention characteristics. OUTCOMES AND RESULTS: All interventions used BCTs, although theory-driven BCTs were rarely used. The most frequently used BCTs were 'provide information on consequences of behaviour in general' and 'plan social support/social change'. Most studies were of low quality and a theoretical framework was often missing. CONCLUSION AND IMPLICATIONS: This review shows that BCTs are frequently applied in lifestyle change interventions. To further improve effectiveness, these lifestyle change interventions could benefit from using a theoretical framework, a detailed intervention description and an appropriate and reliable intervention design which is tailored to people with ID.
Authors: A Overwijk; T I M Hilgenkamp; C P van der Schans; W P Krijnen; K Vlot-van Anrooij; A A J van der Putten; A Waninge Journal: BMC Health Serv Res Date: 2022-01-02 Impact factor: 2.655
Authors: Susan Walsh; Josephine Hegarty; Elaine Lehane; Dawn Farrell; Laurence Taggart; Louise Kelly; Laura Sahm; Maria Corrigan; Maria Caples; Anne Marie Martin; Sabin Tabirca; Mark A Corrigan; Mairin O'Mahony Journal: Eur J Cancer Care (Engl) Date: 2022-04-07 Impact factor: 2.328