An evaluation of mainstream type 2 diabetes educational programmes in relation to the needs of people with intellectual disabilities: a systematic review of the literature

Andrew Maine, Michael J. Brown, Adele Dickson, Maria Truesdale

Research output: Contribution to journalArticle

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Abstract

Background: Risk reduction and self-management programs for type 2 diabetes (T2D) are commonplace. However, little is known about their appropriateness for people with intellectual disabilities (ID). This review evaluates successful components and theoretical basis of interventions and preventions in relation to the needs of people with ID with or at risk of T2D. Method: Characteristics of 23 randomised controlled trialled T2D educational programs were systematically assessed alongside the needs of people with ID, and evaluated in terms of study design and theoretical application.
Results: Successful components of programs align to the needs of people with ID. Further adaptations are required to ensure accessibility of materials and social support to enable reflection on illness perceptions and self-efficacy, as underpinned by Self-regulation and Social-cognitive theories.
Conclusions: Support is provided for further trials of self-management and preventative adaptations under development. Impact may be enhanced through preventions aimed at younger groups in educational settings.

Original languageEnglish
Pages (from-to)256-279
Number of pages24
JournalJournal of Applied Research in Intellectual Disabilities
Volume32
Issue number2
Early online date20 Nov 2018
DOIs
Publication statusPublished - Mar 2019

Keywords

  • type 2 diabetes
  • Intellectual disabilities
  • risk reduction
  • self-management

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