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

Doherty, Alison Jayne orcid iconORCID: 0000-0003-3593-8069, Jones, Stephanie orcid iconORCID: 0000-0001-9149-8606, Chauhan, Umesh orcid iconORCID: 0000-0002-0747-591X and Gibson, Josephine orcid iconORCID: 0000-0002-3051-1237 (2019) Healthcare practitioners' views and experiences of barriers and facilitators to weight management interventions for adults with intellectual disabilities. Journal Of Applied Research In Intellectual Disabilities, 32 (5). pp. 1067-1077. ISSN 1360-2322

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Official URL: https://doi.org/10.1111/jar.12596

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.


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