Positive cardiometabolic health for adults with intellectual disability: an early intervention framework

Cardiometabolic morbidity is a significant contributor to the poorer health outcomes experienced by people with intellectual disability (ID). Tailoring cardiometabolic monitoring tools developed for the general population to better fit the altered risk profiles and extra needs of people with ID may...

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Bibliographic Details
Published in:Australian journal of primary health 2016-01, Vol.22 (4), p.288-293
Main Authors: Trollor, Julian, Salomon, Carmela, Curtis, Jackie, Watkins, Andrew, Rosenbaum, Simon, Samaras, Katherine, Ward, Philip B
Format: Article
Language:English
Subjects:
Adult
Blood tests
Cardiovascular disease
Cardiovascular System
Caregivers
Carers
Clinical outcomes
Consultation
Developmental disabilities
Disability
Early intervention
Early Intervention (Education)
Early intervention programmes
Experts
Fear
Genetic factors
Health problems
Health risk assessment
Health status
Holistic approach
Humans
Intellectual Disability
Interdisciplinary approach
Learning disabilities
Learning disabled people
Morbidity
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Summary:Cardiometabolic morbidity is a significant contributor to the poorer health outcomes experienced by people with intellectual disability (ID). Tailoring cardiometabolic monitoring tools developed for the general population to better fit the altered risk profiles and extra needs of people with ID may help to improve health outcomes. This paper describes a new cardiometabolic monitoring framework designed to address the extra needs of people with ID. The framework was adapted from a generalist guideline after a process of extensive consultation with the original authors and over 30 ID and cardiometabolic experts. In addition to standard cardiometabolic monitoring practice, the framework encourages clinicians to: anticipate and address barriers to care such as communication difficulties and fear of blood tests; account for socioeconomic and genetic factors altering baseline cardiometabolic risk; and carefully rationalize psychotropic prescription. Together with this framework, a toolkit of free cardiometabolic resources tailored for people with ID and formal and informal carers is included. The monitoring framework promotes a multidisciplinary and holistic approach to cardiometabolic care for people with ID.
ISSN:1448-7527
1836-7399
DOI:10.1071/PY15130