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Ceri Christian-Jones
School of Psychology,Bangor University
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Adults with intellectual disabilities (ID):
•have an increased risk of physical health problems compared to those without ID
•experience the same mental health problems as those without ID
• Research suggests that the incidence of mental health problems is higher in people with ID
Background Information
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• To contribute to the evidence base of the physical
health-, mental health- and behavioural- needs of
adults with ID who live in residential settings
• Look for potential ways to improve the physical
health needs of adults with ID who live in
residential settings
Aim of PhD
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• Need to measure if participants met the WHO
(2006) guidelines for physical activity (PA)
• Proxy respondents completed PA questionnaires
for 1-week period
• During same 1-week period, adults with ID wore
accelerometers
• Results showed significant agreement
Validation of a proxy-respondent Physical Activity Questionnaire
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• Data revealed physical- and mental-health problems
were common as was challenging behaviour
• There were few associations between physical
health and mental health problems and challenging
behaviour for adults with ID
• This data was also given to the company partner as
audit data to inform their clinical governance plan
for 2010-2012.
Census of physical health & mental health need
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• Physical health, mental health and challenging
behaviour improved
• Improvements in physical health resulted in some
improvements in mental health & challenging
behaviour
Longitudinal changes in physical and mental health
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• multi-component interventions included: healthy diet
and reducing energy intake; increasing physical
activity levels or decreasing sedentary behaviour;
behaviour change techniques; health promotion/
education
• pre- to post-intervention mean difference of 3.18 kg
(95% CI -0.36, 6.73 kg)
• Important methodological issues need addressing
Meta-analysis of multi-component weight loss interventions for adults
with ID