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A manualised weight management programme for adults with mild–moderate intellectual disabilities affected by excess weight: A randomised controlled feasibility trial (Shape Up‐LD ) *
Author(s) -
Lally Phillippa,
Beeken Rebecca J.,
Wilson Rose,
Omar Rumana,
Hunter Rachael,
Fovargue Sally,
Anderson Diana,
King Michael,
Hassiotis Angela,
Croker Helen
Publication year - 2022
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.12922
Subject(s) - overweight , confidence interval , intellectual disability , medicine , randomized controlled trial , intervention (counseling) , physical therapy , obesity , weight management , pediatrics , psychiatry , surgery
Background The aim was to pilot an adapted manualised weight management programme for persons with mild–moderate intellectual disabilities affected by overweight or obesity (‘ Shape Up‐LD ’). Method Adults with intellectual disabilities were enrolled in a 6‐month trial (3‐month active intervention and 3‐month follow‐up) and were individually randomised to Shape Up‐LD or a usual care control. Feasibility outcomes included recruitment, retention, initial effectiveness and cost. Results Fifty people were enrolled. Follow‐up rates were 78% at 3 months and 74% at 6 months. At 3 and 6 months, controlling for baseline weight, no difference was observed between groups (3 months: β : −0.34, 95% confidence interval [CI]: −2.38, 1.69, 6 months: β : −0.55, 95%CI −4.34, 3.24). Conclusion It may be possible to carry out a trial of Shape Up‐LD , although barriers to recruitment, carer engagement and questionnaire completion need to be addressed, alongside refinements to the intervention.