Improving Environmental Capacities for Health Promotion in Support Settings for People with Intellectual Disabilities: Inclusive Design of the DIHASID Tool

Abstract

People with intellectual disabilities (ID) have unhealthier lifestyles than the general population. To sustainably improve their lifestyle and health status, a whole-system approach to creating healthy environments is crucial. To gain insight into how support for physical activity and healthy nutrition can be embedded in a setting, asset mapping can be helpful. Asset mapping involves creating a bottom–up overview of promoting and protective factors for health. However, there is no asset mapping tool available for ID support settings. This study aims to develop an asset mapping tool in collaboration with people with ID to gain insight into assets for healthy nutrition and physical activity in such settings. The tool is based on previous research and development continued in an iterative and inclusive process in order to create a clear, comprehensive, and usable tool. Expert interviews (n = 7), interviews with end-users (n = 7), and pilot testing (n = 16) were conducted to refine the tool. Pilot participants perceived the tool as helpful in pinpointing perceived assets and in prompting ideas on how to create inclusive environments with support for physical activity and healthy nutrition. This overview of assets can be helpful for mobilizing assets and building the health-promoting capacities of ID support settings.

The Dumfries Arts Award Project: towards building a programme theory of innovation transfer across two social organisations

“…In relation to the second theme, work in both organisations can be considered progressive in that they met the 'social needs' of groups that have traditionally been marginalised and in a way that exhibited a social purpose and collective organisational orientation. In keeping with Power and Bartlett's (2018) notion of 'bespoke spaces' and 'welcoming communities', this was practically expressed in relation to trainees finding TUP and DTR both "safe" (TUP informant) and "supportive" (DTR informant) and suggests the potential for these organisations to be seen as providing what Vlot-van Anrooij et al (2020) have recently termed, a holistic 'setting' for meeting the needs of people with intellectual disabilities. Here, a 'setting' comprises a multitude of features -conducive policies, pleasant structural environments and collaborative communication and participation.…”

How people with intellectual and developmental disabilities on collaborative research teams use technology: A rapid scoping review

“…Fifteen articles described 17 instances of technologies that in-person and remote teams used to analyse data. Ten articles described how team members watched or listened to video-recorded or audiorecorded data together to identify themes and subthemes (Callus et al, 2019;Frankena et al, 2019;Kramer et al, 2013;Morgan & Moni, 2013;Schwartz & Durkin, 2020;Sitter et al, 2019;Stanley et al, 2019;Vlot-van Anrooij et al, 2020;White & Morgan, 2012;Williams et al, 2010). Two articles described how teams used data analysis software (e.g., SPSS and Atlas) to analyse data (Kramer et al, 2013;Timmons et al, 2011).…”

“…Audio-based data analysis Team members listened to the audio recordings of interviews, focus groups or researcher reflections and discussed the data (Callus et al, 2019;Frankena et al, 2019;Kramer et al, 2013;Schwartz & Durkin, 2020;Vlot-van Anrooij et al, 2020;White & Morgan, 2012).…”

Implementation of a program to support direct support professionals to promote a healthy lifestyle for people with moderate to profound intellectual disabilities

“…The Discovering Health-promoting Assets in Settings for people with Intellectual Disabilities (DIHASID) tool was used to gain insight in the implementation context [ 29 ]. The DIHASID tool provides actionable knowledge about the social, physical, financial, and organizational assets for physical activity and healthy nutrition at a residential or day-activity accommodation [ 30 ].…”