Community-based Health Promotion Programs for People with Intellectual and Developmental Disabilities: Train the Trainer Model to Improve Health Status and Nutrition


Sisirak, J., Marks, B. & Chang, Y.C. (November 9, 2010). Community-based Health Promotion Programs for People with Intellectual and Developmental Disabilities: Train the Trainer Model to Improve Health Status and Nutrition. American Public Health Association, 138th Annual Meeting & Exposition, Denver, CO.

Abstract


Aim:
People with I/DD are excluded from many community-based health promotion programs and receive little support to promote their health and nutritional status. This study examines the impact of a community-based health promotion program to improve health and nutrition outcomes of adults with I/DD.

Methods:
Staff in community-based organizations were given 8 hours of training to start and implement a 12-week health education and physical activity program personalized to needs of their clients with I/DD. Participants with I/DD, including 67 adults ages 30 years and older (35 females, 32 males, M age = 45 years) were randomized into intervention (n = 32) or control group (n = 35). Intervention group participated in a 12-week, 3 days per week, exercise and health education program. Assessments were conducted immediately before and after the program.

Results:
Compared to controls, intervention group showed significant changes in physiological and psychosocial health status, including improved total cholesterol (f = 4.26; p < .05) and glucose levels (f = 7.31; p < .01), improved flexibility (f = 8.10; p < .01), self-efficacy to exercise (f = 7.10; p < .01), increased social environmental supports for exercise (f = 24.7; p < .001) and nutrition (f=8.33; p<0.01), and improvement in waist to hip ratio. Changes were also significant for nutrition knowledge and healthier eating habits.

Conclusion:
Results suggest the benefits of train-the-trainer model for CBO staff to implement health promotion programs and provide social and environmental supports for adults with I/DD to improve health and nutrition outcomes.

Learning Objectives:
  • Evaluate the impact of a staff-led health promotion program on health and nutrition outcomes of participants with I/DD.
  • Discuss new approaches to improve nutrition of people with I/DD residing in community.
  • Discuss the issues related to proxy informant measures in research.