Evidence map›Paper›PMID 31023784›Full record

ArticleCanadian family physician Medecin de famille canadien2019

Improving the quality of primary care for adults with intellectual and developmental disabilities: Value of the periodic health examination.

Janet Durbin, Avra Selick, Ian Casson, Laurie Green, Andrea Perry, Megan Abou Chacra, Yona Lunsky

Abstract readEvaluation Study
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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  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. Article
  11. Review
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

7 authors.

Janet DurbinResearch Scientist for the Provincial System Support Program of the Centre for Addiction and Mental Health in Toronto, Ont, and Associate Professor in the Department of Psychiatry at the University of Toronto. Janet.Durbin@camh.ca.
Avra SelickResearch Coordinator for the Provincial System Support Program of the Centre for Addiction and Mental Health.
Ian CassonAssociate Professor in the Department of Family Medicine at Queen's University in Kingston, Ont.
Laurie GreenFamily physician practising at St Michael's Hospital in Toronto, Ont, and Lecturer at the University of Toronto.
Andrea PerryTransitions Facilitator for the Developmental Disabilities Primary Care Program, Surrey Place in Toronto.
Megan Abou ChacraResearch assistant at Surrey Place.
Yona LunskyDirects the Azrieli Adult Neurodevelopmental Centre at the Centre for Addiction and Mental Health and is Professor in the Department of Psychiatry at the University of Toronto.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo implement a Health Check protocol for patients with intellectual and developmental disabilities (IDD) and assess outcomes.

designRetrospective chart review and staff survey.

settingTwo Ontario family health teams.

participantsOf 276 patients with IDD identified, 139 received the Health Check (Health Check group). A convenience sample (N = 147) of clinical staff participated in the survey.

main outcome measuresThe protocol included patient identification, invitation, and modified health examination. Chart review assessed completion of 8 preventive maneuvers, and clinical staff were surveyed on their comfort, knowledge, and skills in care of patients with IDD. Logistic regression analyses were used to compare outcomes for the Health Check and non-Health Check groups, adjusted for practice site.

resultsDocumentation of blood pressure, weight, body mass index, and influenza vaccination was significantly higher (

conclusionPerforming the Health Check was associated with improved preventive care and staff experience. Wider implementation and evaluation is needed, along with protocol adjustments to provide more support to staff for this work.

Indexed as

AdultDevelopmental DisabilitiesFemaleHealth Plan ImplementationHealth Services for Persons with DisabilitiesHumansIntellectual DisabilityLogistic ModelsMaleMass ScreeningOntarioPhysical ExaminationPrimary Health CareQuality ImprovementRetrospective Studies

Identifiers

PMID31023784
PMCPMC6501718

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.