Healthcare practitioners' views and experiences of barriers and facilitators to weight management interventions for adults with intellectual disabilities

J Appl Res Intellect Disabil. 2019 Sep;32(5):1067-1077. doi: 10.1111/jar.12596. Epub 2019 Apr 15.

Abstract

Background: Obesity is common in adults with intellectual disabilities, yet little is known about how weight management interventions are provided for this population.

Methods: Semi-structured interviews were held with 14 healthcare practitioners involved in weight management interventions in an English county. A study topic guide was developed to elicit practitioners' views and experiences of barriers and facilitators to weight management for adults with intellectual disabilities. Responses were analysed using thematic analysis.

Results: Several barriers are involved in weight management for people with intellectual disabilities including communication challenges, general practitioners' lack of knowledge and awareness of weight management services, inconsistencies in caring support, resource constraints, wider external circumstances surrounding the individuals and motivational issues. Facilitators include reasonable adjustments to existing weight management services. However, there is a need for specialist weight management provision for people with intellectual disabilities.

Conclusions: This study provides suggestions for future research, policy and practice consideration.

Keywords: healthcare practitioners; intellectual disabilities; interventions; obesity; weight.

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Comorbidity
  • Health Services Accessibility*
  • Humans
  • Intellectual Disability* / epidemiology
  • Obesity / epidemiology
  • Obesity / therapy*
  • Persons with Mental Disabilities*
  • Qualitative Research
  • Weight Reduction Programs*