Interveners of weight management are recommended to
implement evidence-based practice (EBP) because EBP is more valid and reliable to
see the significantly positive outcomes of intended purposes. Hamilton and
other researchers (2007) have proposed clinical EBP for weight interventions of
individuals with ID, including the following components:
Behavioral intervention
- Teaching self-control techniques such as self-monitoring of daily weigh and food intake.
- Promoting health behaviors such as eating habit and hygiene.
Health promotion intervention
- A group based learning for in-home preventative healthcare programmes such as diet and exercise.
- An individual support from a healthy living coordinator, who regularly visits at-risk overweight/obese persons with ID.
Physical activity intervention
- Combined exercise including aerobic and resistance training.
- 30 minute moderate physical activity intensity per day to limit health risks.
- 60-90 minute moderate exercise intensity to maintain weight loss per day.
Carer involvement
- Family involvement integrated into weight control treatment.
Reference
Hamilton, S., Hankey, C. R., Miller, S., Boyle, S., &
Melville, C. A. (2007). A review of weight loss interventions for adults with
intellectual disabilities. Obesity Reviews, 8(4), 339-345. doi:
10.1111/j.1467-789X.2006.00307.x
Roger,
ReplyDeleteGreat information on using EBP's for weight management programs with ID; however, I found the information to be relevant in any weight management program. In my experience with weight management and physical activity program, support is a key component to success. When family, group, or mentor support is gained it serves as a motivator for a person to "keep on keeping on." Additionally, it is a source of accountability as we all know that if we are only accountable to ourselves, we have a tendency to "cheat" to some extent. The suggested combination of aerobic and weight bearing is also important as they both serve specific purposes. Thanks for sharing. I look forward to learning more as my current job catapults me into a new role with our weight management program which is going online.
Hi, Roger, What a great topic! My son has an intellectual disability, and although he is not overweight, I know he has trouble understanding messages from television and school about appropriate weight and eating habits. Also, it is hard to get him to exercise because he does not naturally tend to play. I'm looking forward to future posts!
ReplyDeleteRoger,
ReplyDeleteI think this is a relevant topic. I think exploring this topic could be very helpful to families who care for a child with ID. I agree a stepwise approach to management is key and I like your thoughts about including the whole family.