Effects of lifestyle change interventions for people with intellectual disabilities: Systematic review and meta‐analysis of randomized controlled trials

Willems, Mariël; Waninge, Aly; Hilgenkamp, Thessa; Empelen, Pepijn van; Krijnen, Wim P.; Schans, Cees P. van der; Melville, Craig

doi:10.1111/jar.12463

Cited by 37 publications

(37 citation statements)

References 44 publications

(74 reference statements)

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“…A category “support from others” was defined in the results since there were many comments about the need of social support from others for the suitability of techniques. This finding confirms the current knowledge that a multidimensional approach is important for lifestyle changes for individuals with mild intellectual disabilities, including tailoring to client characteristics and support from others (Hutzler, & Korsensky, ; National Institute for Health and Clinical Excellence (NICE) ; Willems et al, ).…”

Section: Discussionsupporting

confidence: 84%

Exploration of suitable behaviour change techniques for lifestyle change in individuals with mild intellectual disabilities: A Delphi study

Willems

Waninge

Jong

et al. 2018

Research Intellect Disabil

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Background Promotion of a healthy lifestyle for individuals with mild intellectual disabilities is important. However, the suitability of behaviour change techniques (BCTs) for these individuals is still unclear. Methods A Delphi study was performed using the Coventry, Aberdeen & LOndon – REfined (CALO‐RE) taxonomy of BCTs (n = 40). Health professionals (professional caregivers, behavioural scientists, health professionals, intellectual disability physicians) participated in an online survey to determine whether BCTs were suitable or unsuitable. Comments from participants were analysed qualitatively. Results Consensus was reached for 25 BCTs out of 40.The most suitable BCTs were barrier identification (97%), set graded tasks (97%) and reward effort towards behaviour (95%). No significant differences were found for intergroup effects. Conclusion Regardless of their position and education level, health professionals reached consensus about the suitability of BCTs for individuals with mild intellectual disabilities. Increased use of these BCTs could result in more effective promotion of a healthy lifestyle.

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Section: Discussionsupporting

confidence: 84%

Exploration of suitable behaviour change techniques for lifestyle change in individuals with mild intellectual disabilities: A Delphi study

Willems

Waninge

Jong

et al. 2018

Research Intellect Disabil

Self Cite

View full text Add to dashboard Cite

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“…Willems et al (2018) undertook a further systematic review and meta‐analysis of eight RCTs of lifestyle/obesity change programmes for people with intellectual disabilities. Four studies used physical activity only (Boer & Moss, 2016; Curtin et al, 2013; Melville et al, 2015; Shields & Taylor, 2015) and four studies used physical activity and nutrition together (Beeken et al, 2013, 2015; Marks et al, 2013; McDermott et al, 2012): all these programmes were tailored to this population.…”

Section: Lifestyle/obesity Programmes For People With Intellectual DImentioning

confidence: 99%

An exploration of lifestyle/obesity programmes for adults with intellectual disabilities through a realist lens: Impact of a ‘context, mechanism and outcome’ evaluation

Taggart

Doherty

Chauhan

et al. 2020

Research Intellect Disabil

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Background Obesity is higher in people with intellectual disabilities. Aims There are two aims of this explorative paper. Firstly, using a realist lens, to go beyond ‘what works’ and examine the ‘context, mechanisms and outcomes’ (CMO) of lifestyle/obesity programmes for this population. Second, using a logic model framework to inform how these programmes could be implemented within practice. Method We explored six‐review papers and the individual lifestyle/obesity programmes that these papers reviewed using the CMO framework. Results There were few theoretically underpinned, multi‐component programmes that were effective in the short to long‐term and many failed to explore the ‘context and mechanisms’. We developed a logic model and engaged in two co‐production workshops to refine this model. Discussion Using a realist approach, programmes need to be underpinned by both individual and systems change theories, be multi‐component, have a closer understanding of the interplay of the ‘context and mechanisms’, and co‐designed using a logic model framework.

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“…The existing interventions include adults with multiple types of IDDs and are not DS specific. (Spanos et al ., , Doherty et al ., , Willems et al ., ). We identified one weight management intervention that included only individuals with DS.…”

Section: Introductionmentioning

confidence: 97%

Exploring the effectiveness of an 18‐month weight management intervention in adults with Down syndrome using propensity score matching

Ptomey

Willis

Sherman

et al. 2020

J intellect Disabil Res

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Background Down syndrome (DS) is one of the most common birth defects in the USA associated with high levels of overweight and obesity. Unique characteristics of adults with DS that may contribute to the high levels of obesity are high rates of hypothyroidism, poor muscle tone, altered gait and lower resting metabolic rate. Due to these factors, it is unknown if the same weight management interventions that are effective in adults with intellectual or developmental disability (IDD) without DS are as effective in those with DS. Therefore, the purpose of this secondary analysis was to compare changes in weight, diet and physical activity between participants with DS-related and non-DS-related IDD participating in an 18-month weight management trial. Methods We used propensity score methods to adjust baseline variables of overweight/obese adults with and without DS participating in an 18-month effectiveness trial with 6 months weight loss and 12 months weight maintenance. Participants followed one of two reduced calorie diet plans, obtained 150 min of moderate-vigorous intensity physical activity (MVPA) per week, and logged dietary intake

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Effects of lifestyle change interventions for people with intellectual disabilities: Systematic review and meta‐analysis of randomized controlled trials

Cited by 37 publications

References 44 publications

Exploration of suitable behaviour change techniques for lifestyle change in individuals with mild intellectual disabilities: A Delphi study

Exploration of suitable behaviour change techniques for lifestyle change in individuals with mild intellectual disabilities: A Delphi study

An exploration of lifestyle/obesity programmes for adults with intellectual disabilities through a realist lens: Impact of a ‘context, mechanism and outcome’ evaluation

Exploring the effectiveness of an 18‐month weight management intervention in adults with Down syndrome using propensity score matching

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