Helena Bergström|María Hagströmer|Jan Hagberg|Liselotte Schäfer Elinder
A multi-component universal intervention to improve diet and physical activity among adults with intellectual disabilities in community residences: A cluster randomised controlled trial
Karolinska Institutet|Stockholm County Council|Karolinska Institutet|Karolinska Institutet|Stockholm County Council|Karolinska Institutet
people id increased risk unhealthy diets physical inactivity weight disturbances aim current study investigate effectiveness novel complex intervention improve diet physical activity targeting caregivers residents community residences people id three component intervention based social cognitive theory developed including 1 appointment health ambassador community residence attending network meetings 2 study circle caregivers 3 health course residents intervention lasted 1216 months allowed local tailoring cluster randomised controlled trial randomised residence level conducted evaluate effects intervention thirty community residences people mild moderate id stockholm county sweden included total 130 participants 74 women 56 men aged 2066 years entered 129 participants completed study primary outcome physical activity measured pedometry secondary outcomes bmi waist circumference dietary quality measured digital photography satisfaction life assessed scale work routines assessed questionnaire outcomes related intervention fidelity positive intervention effect found physical activity average increase 1608 stepsday among participants intervention group p 0045 effect size 029 cohens type residence found effect moderator positive intervention effect found well work routines average increase 71 percentage points selfassessment scale among residences intervention group p 0016 significant effects found bmi waist circumference dietary quality satisfaction life conclusion innovative intervention effective improving physical activity work routines likely even greater effects could achieved improvements implementation strategies leading higher fidelity