scholarly journals Using national surveys for mental health surveillance of individuals with intellectual disabilities in Canada

2012 ◽  
Vol 32 (4) ◽  
pp. 194-199
Author(s):  
I.A. Bielska ◽  
H. Ouellette-Kuntz ◽  
D. Hunter
Keyword(s):  
Intellectual Disabilities ◽  
Dual Diagnosis ◽  
Secondary Analysis ◽  
Canadian Community Health Survey ◽  
Population Based ◽  
National Surveys ◽  
Prevalence Estimates ◽  
Community Health Survey ◽  
Adults With Intellectual Disabilities ◽  
Individuals With Intellectual Disabilities

Introduction Individuals with intellectual disabilities have a higher prevalence of health problems, including psychiatric and behavioural conditions, than the general population. However, there is little population-based information in Canada about individuals with a dual diagnosis of psychiatric disorder and intellectual impairment. The aim of this study was to determine whether the 2005 Canadian Community Health Survey (CCHS) and the 2006 Participation and Activity Limitation Survey (PALS) could be used to estimate the prevalence of dual diagnosis in Canada. Methods We undertook a secondary analysis of two population-based surveys to determine if these could be used to estimate the prevalence of psychiatric or behavioural conditions among adults with intellectual disabilities in Canada. Results The surveys reflect prevalence estimates of intellectual disabilities (CCHS: 0.2% and PALS: 0.5%) that are considerably lower than those published in the literature. While it was possible to calculate the proportion of individuals with a dual diagnosis (CCHS: 30.6% and PALS: 44.3%), the surveys were of limited use for detailed analyses. The estimates of prevalence derived from the surveys, especially from the CCHS, were of unacceptable quality due to high sampling variability and selection bias. Conclusion The estimates should be interpreted with caution due to concerns regarding the representativeness of the sample with intellectual disabilities in the national surveys.

Physical Activity Benefits and Needs in Adults With Intellectual Disabilities: Systematic Review of the Literature

2011 ◽  
Vol 116 (3) ◽  
pp. 220-232 ◽  
Author(s):  
Pamela Bartlo ◽  
Penelope J. Klein
Keyword(s):  
Physical Activity ◽  
Intellectual Disability ◽  
Intellectual Disabilities ◽  
Inclusion Criteria ◽  
Physical Activity Interventions ◽  
Methodological Rigor ◽  
Electronic Database Search ◽  
Adults With Intellectual Disabilities ◽  
Individuals With Intellectual Disabilities

Abstract Regular physical activity is vital for adult individuals with intellectual disabilities. The purpose of this review was to assess critically the evidence on effectiveness of physical activity interventions for adults with intellectual disability. An electronic database search was conducted. Research was then assessed for methodological rigor, and strength of the evidence was determined. Eleven clinical studies met inclusion criteria. Interventions studied included a variety of physical activity modes. Critical review revealed moderate to strong evidence that physical activity positively affected balance, muscle strength, and quality of life in individuals with intellectual disability. The authors also found that the research in this area needs to be translated into practice, specifically the development of physical activity programs that are adaptable to the needs of individuals with intellectual disability.

Abstract P207: Association Between Rehabilitation and Functional Outcomes of Stroke Survivors: A Population-Based Study

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Zahra Azizi ◽  
Pouria Alipour ◽  
Michael Rotondi ◽  
Chris I Ardern
Keyword(s):  
Functional Outcomes ◽  
Survey Design ◽  
Healthcare Access ◽  
Stroke Care ◽  
Canadian Community Health Survey ◽  
Population Based ◽  
Stroke Survivors ◽  
Primary Endpoints ◽  
Community Health Survey ◽  
The Impact

Background: The increasing rate of stroke and its consequent disabilities has contributed to a growing proportion of stroke survivors requiring rehabilitation. Further research is needed to understand the provision of rehabilitation in the community settings and relationship between variance in stroke care and patient outcomes. Hypothesis: To investigate the association between rehabilitation and functional outcomes of stroke survivors. Method: Data for this analysis was derived from the Canadian Community Health Survey (CCHS) (merged cycles 2013-2016: 237,121 participants). Participants reporting complications from stroke were selected to assess the effect of physiotherapy (PT) and other allied health (AH) utilization. Primary endpoints included need for assistance in activity of daily living (ADL) and injury due to fall in the past 12 months (Inj-Fall). All statistical analyses were performed using R (V.4.0.2) and survey design. Results: Overall, 3,773 (1.1%) patients with stroke (47% females, 71.1% older than 60 years) were studied. Total of 0.2% and 1.6% of stroke survivors in 2013-14 had consulted PT and AH compared to 9.1% and 21% in 2015-16, respectively. Consequently, the rate of need for ADL and Inj-Fall were significantly greater in 2013-14. In general, age was a significant predictor of low accessibility to PT (OR=0.66(0.51-0.85)) or AH (OR=0.79(0.66-0.93)) whereas no significant association between sex and access to PT or AH (P=0.1). As expected, higher income was associated with greater PT utilization (OR=2.11(1.1-4.2)). Finally, PT or AH consultations were significantly associated with less need for assistance in ADL and lower Inj-Fall (Table1). Conclusion: Results of this study reinforce the beneficial effect of rehabilitation on ADL and injury in stroke survivors. Future longitudinal work is necessary to understand directionality of the relationship, and the impact of healthcare access, within varied healthcare systems and models of health .

scholarly journals Binge Drinking among 12-to-14-Year-Old Canadians: Findings from a Population-Based Study

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Esme Fuller-Thomson ◽  
Tamara Grundland ◽  
Matthew P. Sheridan ◽  
Cathy Sorichetti
Keyword(s):  
Middle School ◽  
Binge Drinking ◽  
Secondary Analysis ◽  
Canadian Community Health Survey ◽  
Population Based ◽  
Public Health Issue ◽  
Drinking Behaviour ◽  
Drinking Patterns ◽  
Canadian Youth ◽  
Adjusted Logistic Regression

Purpose. This study’s objective is to document which factors are associated with binge drinking behaviour in a population-based sample of Canadian youth aged 12 to 14. Middle school is a key period in which binge drinking behaviour is initiated. Binge drinking is an important risk factor for alcohol-related injuries, accidental death, unsafe sexual behaviour, and substance abuse problems. Understanding the drinking patterns of this population can serve to better inform prevention programs and interventions targeted to middle school youth. Methods. This study was based on a secondary analysis of a regionally representative community-based sample drawn from the 2005 Canadian Community Health Survey (CCHS) cycle 3.1. Crude and adjusted logistic regression analyses of binge drinking were conducted using the 6,172 respondents aged 12 to 14 in the sample. Results. Approximately one in every twenty-five 12-to-14-year-olds had binged in the past year. The odds of binge drinking were higher among Whites, poorer adolescents, those with several chronic health conditions, and those with mood disorders. Neither sex, immigrant status, nor self-rated health was significantly associated with binge drinking in either the adjusted or the unadjusted analyses. Conclusions. These findings underline the importance of binge drinking as a public health issue for middle school adolescents.

scholarly journals Considerations for the Design of a Physical Fitness Battery to Assess Adults with Intellectual Disabilities: Preliminary Reference Values for the SAMU DIS-FIT Study

2020 ◽  
Vol 17 (24) ◽  
pp. 9280
Author(s):  
Ruth Cabeza-Ruiz
Keyword(s):  
Physical Fitness ◽  
Intellectual Disabilities ◽  
Selection Criteria ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Related ◽  
Baseline Values ◽  
Adults With Intellectual Disabilities ◽  
Individuals With Intellectual Disabilities

For the assessment of the health-related physical fitness (PF) of individuals with intellectual disabilities (ID), tools designed for people without disabilities have generally been used. Also, the results of these assessments have routinely been compared with the scores obtained by people without ID. The objectives of the present study are to present the rationale for the design of an assessment battery for PF, the so-called SAMU DIS-FIT battery, and to present the results obtained by the participants classified according to age, sex, and level of PF (physical fitness). The selection criteria for the tests that would make up the battery were: (i) utility, (ii) psychometric properties, (iii) easiness and diversity, (iv) simplicity of execution, (v) familiarity and motivation, and (vi) economy of resources. A cross-sectional study was designed to assess the PF of 261 individuals with ID. To interpret the results obtained by the participants, each of the quantitative variables of PF was categorized into three levels: lower-fit, mid-fit, and higher-fit. The findings of this study serve as a first step in establishing PF baseline values for individuals with ID.

scholarly journals Dementia Screening Questionnaire for Individuals with Intellectual Disabilities

2007 ◽  
Vol 190 (5) ◽  
pp. 440-444 ◽  
Author(s):  
Shoumitro Deb ◽  
Monika Hare ◽  
Lindsay Prior ◽  
Sabyasachi Bhaumik
Keyword(s):  
Intellectual Disabilities ◽  
Psychometric Properties ◽  
Down's Syndrome ◽  
Down’S Syndrome ◽  
Good Test ◽  
Screening Questionnaire ◽  
Dementia Screening ◽  
Adults With Intellectual Disabilities ◽  
User Friendly ◽  
Individuals With Intellectual Disabilities

BackgroundMany adults with Down's syndrome develop Alzheimer's dementia relatively early in their lives, but accurate clinical diagnosis remains difficult.AimsTo develop a user-friendly observer-rated dementia screening questionnaire with strong psychometric properties for adults with intellectual disabilities.MethodWe used qualitative methods to gather information from carers of people with Down's syndrome about the symptoms of dementia. This provided the items for the Dementia Screening Questionnaire for Individuals with Intellectual Disabilities (DSQIID), which we then tested for its psychometric properties.ResultsThe DSQIID was administered to carers of 193 adults with Down's syndrome, 117 of whom were examined by clinicians who confirmed a diagnosis of dementia for 49 according to modified ICD–10 criteria. We established that a total score of 20 provides maximum sensitivity (0.92) and optimum specificity (0.97) for screening. The DSQIID has sound internal consistency (α = 0.91) for all its 53 items, and good test–retest and interrater reliability. We established a good construct validity by dividing the items into four factors.ConclusionsThe DSQIID is a valid, reliable and user-friendly observer-rated questionnaire for screening for dementia among adults with Down's syndrome.

A Tool for Supporting Communication in the Workplace for Individuals With Intellectual Disabilities and/or Autism

2016 ◽  
Vol 40 (4) ◽  
pp. 244-249 ◽  
Author(s):  
Danielle M. Pouliot ◽  
Eve Müller ◽  
Nancy F. Frasché ◽  
Ann S. Kern ◽  
Israelle H. Resti
Keyword(s):  
Young Adults ◽  
Intellectual Disabilities ◽  
Electronic Communication ◽  
Autism Spectrum ◽  
Language Impairments ◽  
Support Staff ◽  
Pragmatic Communication ◽  
Spectrum Disorders ◽  
Adults With Intellectual Disabilities ◽  
Individuals With Intellectual Disabilities

Speech and language impairments can pose significant challenges to the successful workplace inclusion of young adults with intellectual disabilities (IDs) and/or autism spectrum disorders (ASD). Breakdowns are most likely to occur when support staff, workplace supervisors, or co-workers are unsure how to support effective communication. “Communication Stories” offer an innovative means of helping young adults with ID/ASD advocate for themselves by teaching others about the expressive, receptive, and social/pragmatic communication strategies they use. This article provides guidelines for how to develop customized, electronic “Communication Stories” for young adults with ID/ASD to use in the workplace. Suggestions are also given for use in other contexts, and for low-tech options.

scholarly journals The prevalence of chronic pain and pain-related interference in the Canadian population from 1994 to 2008

2011 ◽  
Vol 31 (4) ◽  
pp. 157-164 ◽  
Author(s):  
ML Reitsma ◽  
JE Tranmer ◽  
DM Buchanan ◽  
EG Vandenkerkhof
Keyword(s):  
Chronic Pain ◽  
Health Survey ◽  
Canadian Community Health Survey ◽  
Population Based ◽  
Cross Sectional ◽  
Population Based Study ◽  
Canadian Population ◽  
Community Health Survey ◽  
Prevalence Of Pain ◽  
Using Data

Introduction Estimates of the prevalence of chronic pain worldwide and in Canada are inconsistent. Our primary objectives were to determine the prevalence of chronic pain by sex and age and to determine the prevalence of pain-related interference for Canadian men and women between 1994 and 2008. Methods Using data from seven cross-sectional cycles in the National Population Health Survey and the Canadian Community Health Survey, we defined two categorical outcomes, chronic pain and pain-related interference with activities. Results Prevalence of chronic pain ranged from 15.1% in 1996/97 to 18.9% in 1994/95. Chronic pain was most prevalent among women (range: 16.5% to 21.5%), and in the oldest (65 years plus) age group (range: 23.9% to 31.3%). Women aged 65 years plus consistently reported the highest prevalence of chronic pain (range: 26.0% to 34.2%). The majority of adult Canadians who reported chronic pain also reported at least a few activities prevented due to this pain (range: 11.4% to 13.3% of the overall population). Conclusion Similar to international estimates, this Canadian population-based study confirms that chronic pain persists and impacts daily activities. Further study with more detailed definitions of pain and pain-related interference is warranted.

scholarly journals Suicidal Ideation in a Population-Based Sample of Adolescents: Implications for Family Medicine Practice

2013 ◽  
Vol 2013 ◽  
pp. 1-11 ◽  
Author(s):  
Esme Fuller-Thomson ◽  
Gail P. Hamelin ◽  
Stephen J. R. Granger
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Family Doctor ◽  
Secondary Analysis ◽  
Canadian Community Health Survey ◽  
Population Based ◽  
Health Conditions ◽  
Care Utilization ◽  
Health Issues ◽  
Mental Health Issues

Introduction. This study investigated the relationship between suicidal ideation and demographic characteristics, health conditions, depression, and health care utilization patterns among adolescents. Methods. Secondary analysis of the regionally representative Canadian Community Health Survey conducted in 2000/2001 (response rate 85%). Adolescents aged 15 to 19 who reported suicidal ideation in the previous year (n=260) were compared with their peers who did not (n=5528). The association between suicidal ideation and socio-demographic and health characteristics were investigated. Findings. Almost three-quarters (73%) of suicidal adolescents had not spoken with any health professional about mental health issues in the preceding year. Despite the fact that 80% of suicidal adolescents had regular contact with their family doctor, only 5% had consulted with them about mental health issues. In addition to the well-known risk factors of depression and stress, suicidal ideation was highly elevated in adolescents with two or more chronic health conditions, self-reported poor health, migraines, and back pain and those whose activities were prevented by pain (P<.05). Other characteristics significantly correlated with suicidal ideation included smoking, living in single parent families, and having lower levels of social support. Conclusions. Family physicians should regularly screen for suicidal thoughts in their adolescent patients with these characteristics.

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