Dataset Information

The effect of a motor intervention programme for learners identified with moderate to severe intellectual disabilities.

ABSTRACT:

Background

Intellectual disabilities (ID) cause problems in intellectual and adaptive functioning which negatively affect motor proficiency levels.

Aim

This study investigates the impact of a motor intervention programme on the motor proficiency levels of learners identified with moderate to severe ID.

Method

A quasi-experimental design was used to recruit participants which included 46 learners aged 15-17 years, identified with moderate to severe ID, selected from a South African special school. Participants were randomly divided into two groups. The 15 experimental learners received a 30-minute motor intervention programme, 3 times a week for a period of 6 weeks, whereas the 23 control learners continued with their normal physical education classes. Groups were assessed using the Bruininks-Oseretsky Test of Motor Proficiency, second edition (BOT-2) Brief Form.

Results

The motor intervention programme significantly improved the total scores (p = 0.0380) and the overall motor proficiency levels (p = 0.0447) of the experimental group.

Conclusions

This study reveals evidence that a motor intervention programme can be used as an effective means to improve the motor proficiency levels of learners with moderate to severe ID.

Implications

A motor intervention should be implemented as soon as possible to enhance the motor proficiency levels of these learners.

SUBMITTER: Fernandes JMM

PROVIDER: S-EPMC9593173 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Publications

The effect of a motor intervention programme for learners identified with moderate to severe intellectual disabilities.

Fernandes José Marco Manuel JMM Milander Monique de M van der Merwe Elna E

Heliyon 20221020 10

<h4>Background</h4>Intellectual disabilities (ID) cause problems in intellectual and adaptive functioning which negatively affect motor proficiency levels.<h4>Aim</h4>This study investigates the impact of a motor intervention programme on the motor proficiency levels of learners identified with moderate to severe ID.<h4>Method</h4>A quasi-experimental design was used to recruit participants which included 46 learners aged 15-17 years, identified with moderate to severe ID, selected from a South ...[more]

PMID: 36303914

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Project description:BACKGROUND:While the participation of adults with visual and severe or profound intellectual disabilities (VSPID) in society and community life is important, evidence-based interventions to improve their participation are lacking. We conducted a process evaluation of the implementation of 'Care for Participation+' (CFP+), a new intervention targeting the attitudes of direct support professionals (DSPs) toward the participation of adults with VSPID, within a residential facility in the Netherlands. METHODS:CFP+ was inspired by the Boston Psychiatric Rehabilitation Approach and adapted by adopting a new definition and operationalization of the concept of participation for adults with VSPID. Following systematic training, 16 DSPs of adults with VSPID were able to apply key elements of CFP+ to explore diverse roles and activities for this population, facilitating their self-management, teaching them necessary skills for participation, and organizing support. Our process evaluation entailed an investigation of the delivered dose, reach, fidelity, and adaptation of CFP+ during and after the CFP+ intervention. We also evaluated the mechanisms of impact and context using questionnaires, assignments, documentation, interviews, and a logbook. RESULTS:The intended dose, reach, and fidelity relating to the implementation of CFP+ were not achieved. Despite this fact, an assessment of the mechanisms of impact indicated that assignments of CFP+ were well (75%) or reasonably well (17%) understood by DSPs. CFP+ was applied by DSPs to stimulate self-management (83% of DSPs), new activities (100%), enhanced involvement in existing activities (67%) and to explore new roles (50%) for adults with VSPID. A negative contextual factor mentioned by the trainer and manager was the DSPs' lack of commitment to the training program. Another negative contextual factor mentioned by DSPs was the lack of time for implementing CFP+. CONCLUSIONS:CFP+ provides new opportunities to improve the participation of adults with VSPID. Despite the non-optimal conditions for implementing CFP+ and the DSPs' general reluctance to apply the new intervention, some have actively used CFP+ within the residential facility. Future studies should focus on the outcomes of CFP+ regarding attitudinal changes among DSPs relating to the participation of adults with VSPID and their quality of life.

Project description:IntroductionDespite increased attention on severe maternal morbidity and maternal mortality, scant research exists on adverse maternal outcomes in women with disabilities. This study compares the rates of severe maternal morbidity and maternal mortality in women with and without intellectual and developmental disabilities.MethodsThis study used 2004-2017 Healthcare Cost and Utilization Project Nationwide Inpatient Sample data. Analyses were conducted in 2019‒2020. The risk of severe maternal morbidity with and without blood transfusion and maternal mortality during delivery among women with and without intellectual and developmental disabilities were compared using modified Poisson regression analysis.ResultsThis study identified 32,324 deliveries to women with intellectual and developmental disabilities. Per 10,000 deliveries, 566 deliveries with severe maternal morbidity occurred in women with intellectual and developmental disabilities compared with 239 in women without intellectual and developmental disabilities. Women with intellectual and developmental disabilities had greater risk of both severe maternal morbidity (risk ratio=2.36, 95% CI=2.06, 2.69) and nontransfusion severe maternal morbidity (risk ratio=2.95, 95% CI=2.42, 3.61) in unadjusted analyses, which was mitigated in adjusted analyses for sociodemographic characteristics (risk ratio=1.74, 95% CI=1.47, 2.06; risk ratio=1.85, 95% CI=1.42, 2.41) and the expanded obstetric comorbidity index (risk ratio=1.23, 95% CI=1.04, 1.44; risk ratio=1.31, 95% CI=1.02, 1.68). The unadjusted incidence of maternal mortality in women with intellectual and developmental disabilities was 284 per 100,000 deliveries, nearly 4-fold higher than in women without intellectual and developmental disabilities (69 per 100,000 deliveries; risk ratio=4.07, 95% CI=2.04, 8.12), and the risk remained almost 3-fold higher after adjustment for sociodemographic characteristics (risk ratio=2.86, 95% CI=1.30, 6.29) and the expanded obstetric comorbidity index (risk ratio=2.30, 95% CI=1.05, 5.29).ConclusionsWomen with intellectual and developmental disabilities are at increased risk of severe maternal morbidity and maternal mortality. These findings underscore the need for enhanced monitoring of the needs and maternal outcomes of women with intellectual and developmental disabilities in efforts to improve maternal health.

Dataset Information

The effect of a motor intervention programme for learners identified with moderate to severe intellectual disabilities.

Background

Aim

Method

Results

Conclusions

Implications

Publications

The effect of a motor intervention programme for learners identified with moderate to severe intellectual disabilities.

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