Abstract
Background: Obesity is higher in people with intellectual disabilities.
Aims: There are two aims of this explorative paper. Firstly, using a realist lens, to go beyond ‘what works’ and examine the ‘context, mechanisms and outcomes’ (CMO) of lifestyle/obesity programmes for this population. Second, using a logic model framework to inform how these programmes could be implemented within practice.
Method: We explored six-review papers and the individual lifestyle/obesity programmes that these papers reviewed using the CMO framework.
Results: There were few theoretically underpinned, multi-component programmes that were effective in the short to long-term and many failed to explore the ‘context and mechanisms’. We developed a logic model and engaged in two co-production workshops to refine this model.
Discussion: Using a realist approach, programmes need to be underpinned by both individual and systems change theories, be multi-component, have a closer understanding of the interplay of the ‘context and mechanisms’, and co-designed using a logic model framework.
Aims: There are two aims of this explorative paper. Firstly, using a realist lens, to go beyond ‘what works’ and examine the ‘context, mechanisms and outcomes’ (CMO) of lifestyle/obesity programmes for this population. Second, using a logic model framework to inform how these programmes could be implemented within practice.
Method: We explored six-review papers and the individual lifestyle/obesity programmes that these papers reviewed using the CMO framework.
Results: There were few theoretically underpinned, multi-component programmes that were effective in the short to long-term and many failed to explore the ‘context and mechanisms’. We developed a logic model and engaged in two co-production workshops to refine this model.
Discussion: Using a realist approach, programmes need to be underpinned by both individual and systems change theories, be multi-component, have a closer understanding of the interplay of the ‘context and mechanisms’, and co-designed using a logic model framework.
| Original language | English |
|---|---|
| Pages (from-to) | 578-593 |
| Number of pages | 16 |
| Journal | Journal of Applied Research in Intellectual Disabilities |
| Volume | 34 |
| Issue number | 2 |
| Early online date | 20 Dec 2020 |
| DOIs | |
| Publication status | Published (in print/issue) - 31 Mar 2021 |
Bibliographical note
Funding Information:We would like to thank the support of Dr. J.M.E. Gibson and Dr. S.P. Jones, Faculty of Health & Wellbeing, University of Central Lancashire, England for their contributions to this paper. We would also like to thank Agnes Lunny, Positive Futures and Linda McKendry, COMPASS, and their staff and adults with intellectual disabilities, from Northern Ireland who have helped shape the logic model. Dr. Alison Doherty was funded by the National Institute for Health Research (NIHR) Applied Research Collaboration North West Coast (ARC NWC). The views expressed in this publication are those of the authors and not necessarily those of the NHS, the NIHR, or the Department of Health and Social Care.
Publisher Copyright:
© 2020 John Wiley & Sons Ltd
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
Keywords
- intellectual disability
- lifestyle/obesity programmes
- logic modelling
- realist lens
- Life Style
- Humans
- Obesity/epidemiology
- Adult
- Outcome Assessment, Health Care
- Intellectual Disability/epidemiology
