The Efficacy of a Health Promotion Train the Trainer Program: Lessons Learned to Improve Health Among People with Intellectual Disabilities
Marks, B. & Sisirak, J. (July 15th, 2010). The Efficacy of a Health Promotion Train the Trainer Program: Lessons Learned to Improve Health Among People with Intellectual Disabilities. 20th IUHPE World Conference on Health Promotion, Geneva, Switzerland.
This study examines the effectiveness of a Train-the-Trainer intervention using an evidence-based health promotion curriculum for implementing a community-based physical activity and nutrition health promotion program to improve health and well-being of adults with intellectual and developmental disabilities (I/DD). While data support the benefits of physical activity and nutrition programs for adults with intellectual and developmental disabilities (I/DD) in laboratory/University-based settings, little research is available on ways to enhance health status, increase physical activity, and improve food choices in settings in which people work and live.
Thirty-two staff in community-based organizations (CBOs) were given 8 hours of training to start and implement a 12-week physical activity and health education program personalized to the needs of their clients' with I/DD. Participants with I/DD, including 44 adults with ages 30 years and older (31females, 21 males, M age = 42.2 years) were randomized into an intervention (n = 32) or control group (n = 20). The 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.
Compared to controls, intervention group showed significant changes in psychosocial health status, including more energy, increased self-efficacy, and increased social/ environmental health. The intervention group also demonstrated greater flexibility and improved blood cholesterol levels. Although not significant, intervention group participants had increased self-rated general health status, higher life satisfaction (health and wellness subscale), less barriers to exercise, and greater exercise outcome expectations following the 12-week program.
Results suggest the efficacy of a train-the-trainer program for staff in CBOs to implement a health promotion program aimed at teaching and supporting adults with I/DD to be more physically active and improve their physical and psychosocial health status.
- Identify the need for staff education in community-based organizations (CBOs) to implement exercise and nutrition health promotion programs for adults with intellectual and developmental disabilities (I/DD).
- Discuss a train-the-trainer intervention program using an evidence-based health promotion curriculum for staff and adults with I/DD in CBOs.
- Evaluate the impact of a train-the-trainer program on health and well-being of adults with I/DD.