Evidence map›Paper›PMID 31023781›Full record

ArticleCanadian family physician Medecin de famille canadien2019

What adults with intellectual and developmental disabilities say they need to access annual health examinations: System navigation support and person-centred care.

Lynne A Potvin, Casey Fulford, Hélène Ouellette-Kuntz, Virginie Cobigo

Open access · greenAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  8. Canadian family physician Medecin de famille canadien · 2019
    Article
  9. Aging that includes an intellectual and developmental disability: A time to flourish?Canadian family physician Medecin de famille canadien · 2019
    Article
  10. Are we making a difference in primary care for adults with intellectual and developmental disabilities?Revista panamericana de salud publica = Pan American journal of public health · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 3 countries.

Lynne A PotvinDoctoral student in clinical psychology at the University of Ottawa in Ontario and is also a doula.
Casey FulfordDoctoral student in clinical psychology at the University of Ottawa.
Hélène Ouellette-KuntzEpidemiologist and Professor in the Department of Public Health Sciences and the Department of Psychiatry at Queen's University in Kingston, Ont, Director of the National Epidemiologic Database for the Study of Autism in Canada and the Multidimensional Assessment of Providers and Systems, a project lead within the Health Care Access Research and Developmental Disabilities research program, and Secretary to the International Association for the Scientific Study of Intellectual and Developmental Disabilities.
Virginie CobigoClinical psychologist and Associate Professor in the School of Psychology at the University of Ottawa. Virginie.Cobigo@uottawa.ca.
Association of University Centers on Disabilities · USNewborn Screening Ontario · CAUniversity of Ottawa · CAUniversity of the Virgin Islands · VI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo gain an understanding of the support needs of adults with intellectual and developmental disabilities (IDD) when scheduling, traveling to, and attending annual health examinations (AHEs).

designQualitative study that is part of a large population-level intervention aiming to increase uptake of AHEs among adults with IDD.

settingOntario.

participantsA total of 8 men and 5 women with IDD took part in semistructured interviews about their personal experiences related to AHEs.

methodsThematic analysis was used to examine experiences relating to scheduling, traveling to, and attending AHEs. MAIN

findingsSupport emerged as the overarching theme. Support included assistance navigating the health care system (assistance scheduling AHEs, reminders to book AHEs, financial assistance, transportation) and person-centred care (respect of privacy and autonomy, communication style, kindness, compassion, rapport with physician, health advocacy, and collaboration). Barriers to this support were also identified (lack of rapport, perception of unfriendliness, perception that the physician is too busy to tend to needs, and perception that the physician did not want to perform AHEs).

conclusionFor adults with IDD, system navigation support and person-centred care were central to accessing AHEs. In collaboration with informal caregivers, physicians have an important role in reducing barriers to patients accessing this valuable preventive care opportunity. Physicians can fulfil some of the needs disclosed by adults with IDD related to attending AHEs by offering support for scheduling appointments, by linking patients with IDD to resources that facilitate appointment attendance, and by increasing consultation duration.

Indexed as

Health Services for Persons with DisabilitiesHealth Services Needs and DemandPatient-Centered CarePatient NavigationAdultCaregiversDevelopmental DisabilitiesFemaleHealth Services AccessibilityHumansIntellectual DisabilityMaleMiddle AgedOntarioPersons with DisabilitiesQualitative Research

Identifiers

PMID31023781
PMCPMC6501723
OpenAlexW2941206061

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.