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dc.contributor.authorWare, Robert S
dc.contributor.authorLennox, Nicholas G
dc.date.accessioned2017-11-16T06:42:25Z
dc.date.available2017-11-16T06:42:25Z
dc.date.issued2016
dc.identifier.issn0891-4222
dc.identifier.doi10.1016/j.ridd.2016.04.012
dc.identifier.urihttp://hdl.handle.net/10072/134139
dc.description.abstractBackground: Health checks benefit adolescents and adults with intellectual disability, however uptake is low despite government–funded incentives. Aim: To assess the characteristics of people with intellectual disability who, when offered a health check with their primary care physician at no cost, completed the health check. Methods and procedures: Data from three randomised controlled trials considering health checks in people with intellectual disability living in the community were included in an individual-patient data meta-analysis. The studies used the same health check and the participant characteristics investigated (age, sex, cause of disability, level of disability and socio-economic position) were defined identically, but participants were sourced from different settings: adults living in 24-h supported accommodation, adults living in private dwellings, and school-attending adolescents. Outcomes and results: In total 715 participants were offered health checks. Compared to participants with Down syndrome, participants with other known causes of disability were more likely not to attend their health check (odds ratio;95%CI) = (2.5;1.4–4.7), as were participants with no known cause of disability (2.3;1.2–4.3). These associations remained significant after adjusting for potentially confounding variables. Conclusion and implication: Down syndrome was the only characteristic positively associated with health check attendance across all study settings. Future research should focus on strategies to increase health check uptake in this population.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom235
dc.relation.ispartofpageto241
dc.relation.ispartofissue2016
dc.relation.ispartofjournalResearch in Developmental Disabilities
dc.relation.ispartofvolume55
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classified
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchSpecialist Studies in Education
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode119999
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1303
dc.subject.fieldofresearchcode1701
dc.titleCharacteristics influencing attendance at a primary care health check for people with intellectual disability: an individual participant data meta-analysis
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorWare, Robert


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