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Effects of lifestyle change interventions for people with intellectual disabilities: Systematic review and meta‐analysis of randomized controlled trials
Author(s) -
Willems Mariël,
Waninge Aly,
Hilgenkamp Thessa I. M.,
van Empelen Pepijn,
Krijnen Wim P.,
van der Schans Cees P.,
Melville Craig A.
Publication year - 2018
Publication title -
journal of applied research in intellectual disabilities
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 63
eISSN - 1468-3148
pISSN - 1360-2322
DOI - 10.1111/jar.12463
Subject(s) - psychological intervention , meta analysis , randomized controlled trial , intellectual disability , waist , intervention (counseling) , promotion (chess) , systematic review , psychology , cochrane library , gerontology , medicine , physical therapy , medline , psychiatry , body mass index , surgery , pathology , politics , political science , law
Background Promotion of a healthy lifestyle for people with intellectual disabilities is important; however, the effectiveness of lifestyle change interventions is unclear. Aims This research will examine the effectiveness of lifestyle change interventions for people with intellectual disabilities. Methods and Procedures Randomized controlled trials ( RCT s) of lifestyle change interventions for people with intellectual disabilities were included in a systematic review and meta‐analysis. Data on study and intervention characteristics were extracted, as well as data on outcome measures and results. Internal validity of the selected papers was assessed using the Cochrane Collaboration's risk bias tool. Outcomes and Results Eight RCT s were included. Multiple outcome measures were used, whereby outcome measures targeting environmental factors and participation were lacking and personal outcome measures were mostly used by a single study. Risks of bias were found for all studies. Meta‐analysis showed some effectiveness for lifestyle change interventions, and a statistically significant decrease was found for waist circumference. Conclusion and Implications Some effectiveness was found for lifestyle change interventions for people with intellectual disabilities. However, the effects were only statistically significant for waist circumference, so current lifestyle change interventions may not be optimally tailored to meet the needs of people with intellectual disabilities.