Bogenschutz Matthew, Broda Michael, Lineberry Sarah, Dinora Parthenia, Prohn Seb
Virginia Commonwealth University, Richmond, VA.
Dev Disabil Netw J. 2021;2(1):85-103.
People with intellectual and developmental disabilities (IDD) often have health and wellness issues that are not as good as people without disabilities. States are required to monitor health and wellness for people with IDD who use many disability services. However, there are few ways to monitor wellness between states or at different points in time. In this study, we share a new model that states may use to monitor wellness of people with IDD.
We used data from a survey called the National Core Indicators (NCI) to develop this model. First, we developed the model using our state's data. Then, after we found a model that worked well, we tested that model using the National Core Indicators from the entire U.S.
Our final model worked well in both our state NCI data and the national NCI data. This is important because policies at both levels can affect the services that people with disabilities can use. Our model had three parts: heart health, mental health, and behavioral wellness. These are described more in the paper. We also used statistics to test some factors that might predict outcomes related to heart health, mental health, and behavioral wellness. Age, sex, where someone lives, and level of intellectual disability were all good predictors of all three categories of wellness that we studied.
The model of wellness that we developed worked well but should be tested using data from other individual states. It is very important to know about health and wellness right now since the services people with disabilities can use are changing in many states. We think our model can help planners and advocates understand how services affect wellness in a way that is easy to compare from state to state and at different points in time.
智力和发育障碍(IDD)患者的健康状况往往不如非残疾人士。各州需要对使用多种残疾服务的IDD患者的健康状况进行监测。然而,几乎没有办法在州与州之间或不同时间点监测健康状况。在本研究中,我们分享一种各州可用于监测IDD患者健康状况的新模型。
我们使用来自一项名为“国家核心指标”(NCI)调查的数据来开发此模型。首先,我们使用本州的数据开发模型。然后,在找到一个效果良好的模型后,我们使用来自美国全国的国家核心指标对该模型进行测试。
我们的最终模型在本州的NCI数据和全国的NCI数据中都表现良好。这很重要,因为两个层面的政策都可能影响残疾人能够使用的服务。我们的模型有三个部分:心脏健康、心理健康和行为健康。本文对此有更详细的描述。我们还使用统计数据来测试一些可能预测与心脏健康、心理健康和行为健康相关结果的因素。年龄、性别、居住地点和智力残疾程度都是我们研究的所有三类健康状况的良好预测指标。
我们开发的健康模型效果良好,但应该使用其他各个州的数据进行测试。鉴于许多州残疾人能够使用的服务正在发生变化,了解当前的健康状况非常重要。我们认为我们的模型可以帮助规划者和倡导者理解服务如何以一种易于在州与州之间以及不同时间点进行比较的方式影响健康状况。