Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Health and Aging Department, University of Missouri-Kansas City Institute for Human Development, Kansas City, Missouri, USA.
J Appl Res Intellect Disabil. 2024 May;37(3):e13239. doi: 10.1111/jar.13239.
The Reducing Disability in Alzheimer's Disease in Kansas City (RDAD-KC) intervention has been shown to improve the health of individuals with dementia and caregiver dyads. This manuscript reports the results of implementing the RDAD among individuals with intellectual disabilities and caregiver dyads.
Nine community agencies deployed the 12-week intervention. We assessed changes in individuals with intellectual disabilities' behavioural symptom related severity and physical activity, and caregivers' behavioural symptom-related distress, unmet needs, and caregiver strain.
Forty-four dyads enrolled, and 23 (~60 years, 48% female) completed ≥75% of the intervention. We observed decreases in behavioural symptom related severity (p = .07) and increases in physical activity (p = .20) among individuals with intellectual disabilities. We also observed decreases in behavioural symptom related distress (p = .14), unmet needs (p = .50), and caregiver strain (p = .50) among caregivers.
The RDAD-KC intervention showed promising, although statistically non-significant, benefits among individuals with intellectual disabilities and their caregivers.
堪萨斯城减少阿尔茨海默病残疾（RDAD-KC）干预措施已被证明可改善痴呆症患者和护理人员对的健康。本手稿报告了在智障人士和护理人员对中实施 RDAD 的结果。
9 家社区机构部署了为期 12 周的干预措施。我们评估了智障人士行为症状严重程度和身体活动的变化，以及护理人员行为症状相关困扰、未满足的需求和护理人员负担的变化。
44 对护理人员对参与，其中 23 对（~60 岁，48%女性）完成了≥75%的干预措施。我们观察到智障人士的行为症状严重程度（p=0.07）下降和身体活动（p=0.20）增加。我们还观察到护理人员的行为症状相关困扰（p=0.14）、未满足的需求（p=0.50）和护理人员负担（p=0.50）下降。
RDAD-KC 干预措施在智障人士及其护理人员中显示出有希望的、尽管在统计学上无显著性的益处。
