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支持智障人士的环境提升以促进健康:DIHASID 工具的包容性设计。

Improving Environmental Capacities for Health Promotion in Support Settings for People with Intellectual Disabilities: Inclusive Design of the DIHASID Tool.

机构信息

Department of Primary and Community Care, Intellectual Disabilities and Health, Radboud Institute for Health Sciences, Radboud University Medical Center, P.O box 9101, 6500 HB Nijmegen, The Netherlands.

Department of Physical Therapy, University of Nevada, Las Vegas, NV 89154-3029, USA.

出版信息

Int J Environ Res Public Health. 2020 Jan 28;17(3):794. doi: 10.3390/ijerph17030794.

DOI:10.3390/ijerph17030794
PMID:32012833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7037294/
Abstract

People with intellectual disabilities (ID) have unhealthier lifestyles than the general population. To sustainably improve their lifestyle and health status, a whole-system approach to creating healthy environments is crucial. To gain insight into how support for physical activity and healthy nutrition can be embedded in a setting, asset mapping can be helpful. Asset mapping involves creating a bottom-up overview of promoting and protective factors for health. However, there is no asset mapping tool available for ID support settings. This study aims to develop an asset mapping tool in collaboration with people with ID to gain insight into assets for healthy nutrition and physical activity in such settings. The tool is based on previous research and development continued in an iterative and inclusive process in order to create a clear, comprehensive, and usable tool. Expert interviews ( = 7), interviews with end-users ( = 7), and pilot testing ( = 16) were conducted to refine the tool. Pilot participants perceived the tool as helpful in pinpointing perceived assets and in prompting ideas on how to create inclusive environments with support for physical activity and healthy nutrition. This overview of assets can be helpful for mobilizing assets and building the health-promoting capacities of ID support settings.

摘要

智障人士(ID)的生活方式不如一般人群健康。为了可持续地改善他们的生活方式和健康状况,需要采取整体系统的方法来营造健康的环境。为了深入了解如何在特定环境中嵌入支持身体活动和健康营养的措施,资产映射法可能会有所帮助。资产映射法涉及创建促进和保护健康的因素的自下而上概述。然而,目前还没有针对 ID 支持环境的资产映射工具。本研究旨在与智障人士合作开发一种资产映射工具,以深入了解此类环境中健康营养和身体活动的资产。该工具基于之前的研究和开发,通过迭代和包容性的过程不断完善,以创建一个清晰、全面且易用的工具。进行了专家访谈(=7)、最终用户访谈(=7)和试点测试(=16),以完善该工具。试点参与者认为该工具有助于确定感知到的资产,并提供关于如何创建支持身体活动和健康营养的包容性环境的想法。这种资产概述有助于调动资产并增强 ID 支持环境的促进健康的能力。

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2
"Constructing a health assessment questionnaire for people with intellectual disabilities: A cognitive interview study".构建智障人士健康评估问卷:认知访谈研究。
J Appl Res Intellect Disabil. 2020 May;33(3):345-353. doi: 10.1111/jar.12676. Epub 2019 Oct 10.
3
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Health assets in a global context: a systematic review of the literature.全球背景下的健康资产:文献系统综述。
BMJ Open. 2019 Feb 3;9(2):e023810. doi: 10.1136/bmjopen-2018-023810.
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Stakeholder expectations, roles and responsibilities in Dutch health promotion for people with intellectual disabilities.荷兰针对智障人士的健康促进中利益相关者的期望、角色与责任。
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