Abstract
Background: Due to complex processes of implementation of innovations aimed at persons with intellectual disabilities in healthcare organizations, lifestyle interventions are not used as intended or not used at all. In order to provide insight into determinants influencing this implementation, this study aims to ascertain if the Measurement Instrument for Determinants of Innovations (MIDI) is useful for objectively evaluating implementation. Method: With semi-structured interviews, data concerning determinants of implementation of lifestyle interventions were aggregated. These data were compared to the determinants questioned in the MIDI. Adaptations to the MIDI were made in consultation with the author of the MIDI. Results: All determinants of the MIDI, except for that concerning legislation and regulations, were represented in the interview data. Determinants not represented in the MIDI were the level of intellectual disabilities, suitability of materials and physical environment, multi-levelness of interventions and several persons who could be involved in the intervention, such as direct support persons (DSPs), a therapist or family, and the communication between these involved persons. Conclusion: The present authors suggested making adjustments to existing questions of the MIDI in order to improve usability for deployment in organizations that provide care to persons with intellectual disabilities. The adjustments need to be tested with other interventions.
| Original language | English |
|---|---|
| Pages (from-to) | 913-931 |
| Number of pages | 19 |
| Journal | Journal of Applied Research in Intellectual Disabilities |
| Volume | 32 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Jul 2019 |
Funding
This work was supported by the “Innovatiewerkplaats Active Ageing voor mensen met een verstandelijke beperking,” a consortium in which nine healthcare organizations for people with intellectual dis‐ abilities out of the northern part of the Netherlands collaborated with the Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen. The au‐ thors kindly acknowledge and thank the employees of the health‐ care organizations for participating in this study and the students who conducted the semi‐structured interviews.
| Funders | Funder number |
|---|---|
| Metropolitan Museum of Art |
Keywords
- determinants
- healthcare organizations
- implementation
- innovations
- lifestyle interventions
- persons with intellectual disabilities
