The Effects of Self-management Intervention Using Visual Supports on the Stretching Performance and Health-Related Physical Fitness of Adults with Intellectual Disabilities

2018 ◽  
Vol 34 (1) ◽  
pp. 63-92
Author(s):  
Hyang Im An ◽  
Eun Kyung Kim
Author(s):  
Ruth Cabeza-Ruiz

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.


2018 ◽  
Vol 51 (1) ◽  
pp. 1701375 ◽  
Author(s):  
Claudia Steurer-Stey ◽  
Kaba Dalla Lana ◽  
Julia Braun ◽  
Gerben ter Riet ◽  
Milo A. Puhan

The pivotal objective of chronic obstructive pulmonary disease (COPD) self-management programmes is behaviour change to avoid moderate and severe exacerbations and improve health related quality of life.In a prospectively planned, controlled study, COPD patients who participated in the “Living well with COPD” (LWWCOPD) self-management intervention were compared with usual care patients from the primary care COPD Cohort ICE COLD ERIC, who did not receive self-management intervention (NCT00706602) The primary outcome was behaviour change and disease-specific health related quality of life after 1 year. Secondary end-points included exacerbation rates. We calculated mixed linear, zero-inflated negative binomial and logistic regression models and used propensity scores to counteract confounding.467 patients, 71 from the LWWCOPD and 396 from the usual care cohort, were included. The differences between intervention and control were 0.54 (95% CI 0.13−0.94) on the Chronic Respiratory Questionnaire domain “mastery”, 0.55 (95% CI 0.11−0.99) on “fatigue”, 0.54 (0.14−0.93) on “emotional function” and 0.64 (95% CI 0.14−1.14) on “dyspnoea”. The intervention considerably reduced the risk of moderate and severe exacerbations (incidence rate ratio 0.36, 95% CI 0.25−0.52).Self-management coaching in primary care improves health-related quality of life and lowers exacerbation rates and health care use.


2014 ◽  
Vol 3 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Jeff McCubbin

The purpose of this paper is to identify and describe key research contributions that have shaped the field of adapted physical activity. That was not an easy task as the area of adapted physical activity is relatively new. The field is also quite broad and has been influenced by many people and sociopolitical influences. In an effort to constrain the scope of influences, this paper will focus on studies related to motor performance and health-related physical fitness of persons with intellectual disabilities (ID). This was done in part because that is an area where I believe that my work and that of students and colleagues at Oregon State University, helped to contribute small fraction of what is known and in a way to help substantiate how much more there is to know. It is challenging to answer the questions of whose work significantly influenced what we now know about the health and fitness status of persons with ID. And more importantly what direction does this area of research need to go for us to change health related outcomes of this group?


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