A health advocacy intervention for adolescents with intellectual disability: A cluster randomized controlled trial

Lennox, Nicholas, McPherson, Lyn, Bain, Chris, O'Callaghan, Michael, Carrington, Suzanne, & Ware, Robert S (2016) A health advocacy intervention for adolescents with intellectual disability: A cluster randomized controlled trial. Developmental Medicine & Child Neurology. (In Press)

View at publisher

Abstract

Aim

Adolescents with intellectual disability experience poorer heath than their peers in the general population, partially due to communication barriers and knowledge gaps in their health history. This study aimed to test a health intervention package against usual care for a range of health promotion and disease detection outcomes.

Method

A parallel-group cluster randomized controlled trial was conducted with Australian adolescents with intellectual disability living in the community. Randomization occurred at school level. The intervention package consisted of classroom-based health education, a hand-held personalized health record, and a health check. Evidence of health promotion, disease prevention, and case-finding activities were extracted from general practitioners' records for 12 months post-intervention.

Results

Clinical data was available for 435 of 592 (73.5%) participants from 85 schools. Adolescents allocated to receive the health intervention were more likely to have their vision (odds ratio [OR] 3.3; 95% confidence interval [CI] 1.8–6.1) and hearing (OR 2.7; 95% CI 1.0–7.3) tested, their blood pressure checked (OR 2.4; 95% CI 1.6–3.7), and weight recorded (OR 4.8; 95% CI 3.1–7.6). There was no difference between health intervention and usual care for identification of new diseases.

Interpretation

The school-based intervention package increased healthcare activity in adolescents with intellectual disability living in the community.

Impact and interest:

1 citations in Scopus
1 citations in Web of Science®
Search Google Scholar™

Citation counts are sourced monthly from Scopus and Web of Science® citation databases.

These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.

Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.

ID Code: 98003
Item Type: Journal Article
Refereed: Yes
Keywords: Intellectual disability, Adolescents, Intervention
DOI: 10.1111/dmcn.13174
ISSN: 1469-8749
Subjects: Australian and New Zealand Standard Research Classification > EDUCATION (130000) > SPECIALIST STUDIES IN EDUCATION (130300)
Australian and New Zealand Standard Research Classification > EDUCATION (130000) > SPECIALIST STUDIES IN EDUCATION (130300) > Special Education and Disability (130312)
Divisions: Current > Schools > School of Cultural & Professional Learning
Current > QUT Faculties and Divisions > Faculty of Education
Copyright Owner: Copyright 2016 Mac Keith Press
Deposited On: 11 Aug 2016 02:12
Last Modified: 14 Aug 2016 23:20

Export: EndNote | Dublin Core | BibTeX

Repository Staff Only: item control page