A school-based mentoring program developing healthy behaviors of adolescents with intellectual and developmental disabilities: A pilot feasibility study

An, Jihoun; DuBose, Katrina D.; Decker, James T.; Hatala, Lauren E.

doi:10.1016/j.dhjo.2019.03.012

Cited by 13 publications

(7 citation statements)

References 18 publications

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“…Intervention studies included non-randomised (56%) and randomised trials (44%) clinical trials. Clinical trials included in the present scoping review were focused on increasing physical activity (n = 36) [ 114 , 119 , 133 , 136 , 146 , 148 , 149 , 153 , 168 , 172 , 188 – 191 , 205 , 207 , 208 , 210 , 214 , 239 , 240 , 242 , 244 , 246 – 248 , 256 , 263 , 271 , 272 , 274 , 276 , 281 , 283 , 286 , 294 ]; increasing physical activity and improving diet or nutritional education (n = 19) [ 93 , 98 , 127 , 129 , 150 , 162 , 164 , 218 , 222 , 229 , 251 , 254 , 258 , 260 , 267 – 269 , 277 , 288 ]; increasing physical activity and offering healthy lifestyle education (n = 13)...…”

Section: Resultsmentioning

confidence: 99%

Physiotherapy and related management for childhood obesity: A systematic scoping review

et al. 2021

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Introduction Despite targeted efforts globally to address childhood overweight/obesity, it remains poorly understood and challenging to manage. Physiotherapists have the potential to manage children with obesity as they are experts in movement and physical activity. However, their role remains unclear due to a lack of physiotherapy-specific guidelines. This scoping review aims to explore existing literature, critically appraising and synthesising findings to guide physiotherapists in the evidence-based management of childhood overweight/obesity. Method A scoping review was conducted, including literature up to May 2020. A review protocol exists on Open Science Framework at https://osf.io/fap8g/. Four databases were accessed including PubMed, Embase, CINAHL, Medline via OVID, with grey literature searched through google via “file:pdf”. A descriptive synthesis was undertaken to explore the impact of existing interventions and their efficacy. Results From the initial capture of 1871 articles, 263 intervention-based articles were included. Interventions included qualitative focused physical activity, quantitative focused physical activity and multicomponent interventions. Various outcome measures were utilised including health-, performance- and behaviour-related outcomes. The general trend for physiotherapy involvement with children who are obese appears to favour: 1) multicomponent interventions, implementing more than one component with environmental modification and parental involvement and 2) quantitative physical activity interventions, focusing on the quantity of bodily movement. These approaches most consistently demonstrated desirable changes across behavioural and health-related outcome measures for multicomponent and quantitative physical activity interventions respectively. Conclusion When managing children with obesity, physiotherapists should consider multicomponent approaches and increasing the quantity of physical activity, given consistent improvements in various obesity-related outcomes. Such approaches are well suited to the scope of physiotherapists and their expertise in physical activity prescription for the management of childhood obesity. Future research should examine the effect of motor skill interventions and consider the role of environmental modification/parental involvement as factors contributing to intervention success.

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Section: Resultsmentioning

confidence: 99%

Physiotherapy and related management for childhood obesity: A systematic scoping review

et al. 2021

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“…An et al . (2019) reported a 22 min/day in self‐reported exercise time in 14 adolescents with IDD (age 12–15 years) who completed a 4‐month (2 days/week), school‐based pilot trial using the I Can Do It! national health promotion model designed to develop health awareness relative to healthy eating and participation in physical activity.…”

Section: Discussionmentioning

confidence: 99%

Changes in physical activity across a 6‐month weight loss intervention in adolescents with intellectual and developmental disabilities

Ptomey

Lee

White

et al. 2021

J intellect Disabil Res

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Background Adolescents and young adults with intellectual and developmental disabilities (IDD) have high rates of obesity and low levels of physical activity. This analysis examined changes in light, moderate‐to‐vigorous physical activity (MVPA) and sedentary time, and the association between changes in MVPA and weight loss in adolescents and young adults with IDD and overweight and obesity participating in a 6‐month multi‐component weight loss intervention. Methods Adolescents and young adults with IDD and overweight or obesity (body mass index ≥ 85 percentile, n = 110, age ~16 years, 52.7% female) and a parent were randomised to one of three intervention groups: face‐to‐face delivery/conventional reduced energy diet (n = 36), remote delivery (RD)/conventional reduced energy diet (n = 39), or RD/reduced energy enhanced stop light diet (eSLD) (n = 35.) Participants were asked to engage in 60 min/day of MVPA on 5 or more days/wk. Participants and a parent attended twice monthly education/behavioural counselling sessions with a health educator to assist participants in complying with dietary and MVPA recommendations. Education/counselling in the RD arms was delivered remotely using video conferencing, and self‐monitoring of MVPA and daily steps was completed using a wireless activity tracker. Education/counselling in the face‐to‐face arm was delivered during home‐visits and self‐monitoring of MVPA and daily steps was completed by self‐report using paper tracking forms designed for individuals with IDD. MVPA, light activity, and sedentary time were assessed over 7 days at baseline and 6 months using a portable accelerometer (ActiGraph wGT3x‐BT). Results Mixed modelling analysis completed using participants with valid accelerometer data (i.e. ≥4–10 h days) at baseline (n = 68) and 6 months (n = 30) revealed no significant changes in light, moderate‐ MVPA, or sedentary time across the 6‐month intervention (all P > 0.05). Participants obtained 15.2 ± 21.5 min/day of MVPA at baseline and 19.7 ± 19.7 min/day at 6 months (P = 0.119). Mixed modelling indicated no significant effects of group (P = 0.79), time (P = 0.10), or group‐by‐time interaction (P = 0.21) on changes in MVPA from baseline to 6 months. Correlational analysis conducted on participants with valid accelerometer data at both baseline and 6 months (n = 24) revealed no significant associations between baseline sedentary time (r = 0.10, P = 0.40) and baseline MVPA (r = −0.22, P = 0.30) and change in MVPA across the 6‐month intervention. Additionally, attendance at education/counselling sessions (r = 0.26, P = 0.22) and frequency of self‐monitoring of MVPA were not significantly associated with change in MVPA from baseline to 6 months (r = 0.26, P = 0.44). Baseline MVPA (r = 0.02, P = 0.92) and change in MVPA from baseline to 6 months (r = 0.13, P = 0.30) were not associated with changes in body weight across the 6‐month intervention. Conclusion We observed a non‐significant increase in MVPA (30%), which was not associated with the magnitude of weight l...

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“…In this peer mentoring intervention, a young adult with intellectual/developmental disabilities and co‐occurring mental health condition serves as the peer mentor. This contrasts with the majority of ‘peer’‐delivered interventions for individuals with intellectual/developmental disabilities, which are delivered by same‐age individuals without disabilities (e.g., An et al, 2019; Athamanah et al, 2020; Curtin et al, 2016) who cannot relate to the experience of being a young adult with a disability. Research suggests that the intervention was feasible and that participants endorsed the intervention approach and activities.…”

Section: Introductionmentioning

confidence: 99%

Supporting young adults with intellectual/developmental disabilities to deliver a peer mentoring intervention: Evaluating fidelity and resources required

Schwartz

Hwang

2022

Research Intellect Disabil

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Background Peer‐delivered interventions are a best practice in mental health, yet no such intervention exists for young adults (YA) with intellectual/developmental disabilities with co‐occurring mental health conditions. We evaluated YA with intellectual/developmental disabilities' ability to deliver a novel peer mentoring intervention with fidelity and the supports received. Methods We coded audio‐recorded mentoring sessions to evaluate if 4 mentors adhered to ‘content’ (e.g., psychoeducation) and ‘quality’ (e.g., validation) fidelity criteria (codes: yes/no). We conducted content analysis of mentor support logs and interviews with mentors', mentors' parents and teachers to describe the supports mentors received. Results Average fidelity for content criteria (M = 73.3%) was higher than quality criteria (M = 60.0%). Weekly support addressed logistics, delivering content, interpersonal interactions, emotional support, professionalism, and organisation. Family members and teachers rarely provided additional support. Conclusions With support, YA can deliver a peer mentoring intervention addressing mental health. Additional training activities will be developed to improve fidelity.

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A school-based mentoring program developing healthy behaviors of adolescents with intellectual and developmental disabilities: A pilot feasibility study

Cited by 13 publications

References 18 publications

Physiotherapy and related management for childhood obesity: A systematic scoping review

Physiotherapy and related management for childhood obesity: A systematic scoping review

Changes in physical activity across a 6‐month weight loss intervention in adolescents with intellectual and developmental disabilities

Supporting young adults with intellectual/developmental disabilities to deliver a peer mentoring intervention: Evaluating fidelity and resources required

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