Systematic review and meta-analysis of primary healthcare interventions on health actions in people with intellectual disability
Abstract
Background People with intellectual disability have substantially more unidentified health needs than the general population. We systematically reviewed the effectiveness of primary healthcare interventions intended to increase health actions for people with intellectual disability.Methods Electronic databases were searched on 16 September 2014. Randomised and non-randomised studies with a concurrent control group were identified. Study quality was assessed and, where possible, meta-analysis was undertaken.Results Five studies (3 randomised controlled trials, 1 matched cohort study, and 1 cohort study) with a total of 1,570 participants were included. General practitioner-led health checks were the most effective intervention and resulted in significantly more clinical activities, such as vision testing (risk ratio [RR] = 3.3, 95% CI [2.3, 4.7]) and hepatitis B vaccinations (RR = 2.4, 95% CI [1.7, 3.4]).Conclusions Health checks were the only intervention to significantly increase short-term health promotion and disease prevention activity. The long-term effect of any intervention remains unknown.
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Health needs of people with intellectual disabilities and/or autism are often unrecognised or unmet.
“their health needs are often unrecognised or unmet,6”
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- Authors
- Byrne, J. H., Lennox, N. G., & Ware, R. S.
- Affiliations
- The University of Queensland (AU)
- Corresponding author
- Byrne, Jacqueline H.
- Venue
- Journal of Intellectual and Developmental Disability
- Publisher
- Informa UK Limited
- Published
- 2015-12-13
- Volume
- 41
- Issue
- 1
- Pages
- 66-74
- ISSN
- 0045-0634 (ISSN-L)
- 1366-8250
- 1469-9532
- OpenAlex
- W2271446710
- Cited by
- 28
- References
- 20
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 4 · 2017: 1 · 2016: 2
- FWCI
- 0.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Intellectual & Developmental Disability (publishedVersion)
- Griffith Research Online (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- intellectual disability, health promotion, disease prevention, eye examination, hepatitis B vaccination, health needs
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