Annual health checks for people with intellectual disabilities: An exploration of experiences, follow-up and self-management of health conditions

IF 2.1 3区医学 Q2 PSYCHOLOGY, EDUCATIONAL Journal of Applied Research in Intellectual Disabilities Pub Date : 2024-04-01 DOI:10.1111/jar.13233

Dawn E. Cavanagh, Ruth Northway, Stuart Todd

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Abstract

Background

Little is known about how health issues identified at the annual health check (AHC) are followed up and addressed, how participants self-manage their health in between AHCs, and what support they receive. This research aimed to explore this.

Methods

People with intellectual disabilities (n = 12), and/or their supporters residing in Wales, were interviewed following their AHC and again at 6 and 11 months. A recurrent cross-sectional thematic analysis was undertaken.

Results

Five main themes emerged from interview one: going for a health check, issues identified, and actions taken, supporting the self-management of health, the personal context, and addressing health inequities. Four main themes emerged from follow-up interviews: follow-up, supporting the self-management of health, the need for reasonably adjusted health services, and going for another health check.

Conclusion

A broader system of support around the AHC is required if people are to achieve or maintain the best possible health.

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智障人士的年度健康检查：探索健康状况的体验、跟踪和自我管理。

背景：人们对年度健康检查（AHC）中发现的健康问题如何跟进和解决、参加者在两次年度健康检查之间如何自我管理健康以及他们获得了哪些支持知之甚少。本研究旨在探讨这一问题：方法：对居住在威尔士的智障人士（12 人）和/或他们的支持者在进行年度健康检查后进行了访谈，并在 6 个月和 11 个月时再次进行了访谈。结果：访谈第一阶段出现了五个主要的主题：智障人士和/或他们的支持者在接受 AHC 后的 6 个月和 11 个月时再次接受访谈：第一次访谈有五大主题：进行健康检查、发现的问题和采取的行动、支持自我健康管理、个人背景和解决健康不平等问题。后续访谈中出现了四个主题：后续行动、支持自我健康管理、需要合理调整医疗服务以及再次进行健康检查：如果人们要达到或保持尽可能好的健康状况，就需要围绕亚健康标准建立一个更广泛的支持系统。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Research in Intellectual Disabilities Multiple-

CiteScore

4.70

自引率

12.50%

发文量

期刊介绍： JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.