ArticleBMJ open2021
Reasonable adjustments for people with intellectual disability in acute care: a scoping review of the evidence.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Acute service and disability service providers experiences of joint working to improve health care experiences of people with an intellectual disability compared to non-joint working: A mixed-method systematic review.Journal of intellectual disabilities : JOID · 2026Pooled it
- The Views and Experiences of Families and Registered Nurses Regarding Hospital Care and Support of Children With Intellectual Disabilities: A Systematic Review.Journal of applied research in intellectual disabilities : JARID · 2026Pooled it
- Context, Mechanisms and Outcomes of Reasonable Adjustments Across Acute Hospital Settings for People With Intellectual Disabilities: A Scoping Review Protocol.Campbell systematic reviews · 2026Review
- Article
- Improving the Quality of Care Coordination for Children and Young People with Intellectual Disability/Developmental Disorder in the Emergency Department Post CPD-QI Intervention (Motivated for Change Program).Children (Basel, Switzerland) · 2026Article
- Associations Between Nurse Staffing Levels and 30- and 60-Day Readmissions for Acute Care Patients With Intellectual and Developmental Disability.Research in nursing & health · 2025Article
- Exploring Implementation of Reasonable Adjustments in Hospitals for People With Intellectual Disability: Using a Realist Lens.Journal of advanced nursing · 2025Article
- How Is Psychotropic Use for Challenging Behaviour in People With Intellectual Disability Understood by Stakeholders? A Concept Analysis Using Rodgers' Evolutionary Approach.Basic & clinical pharmacology & toxicology · 2025Article
- Association of Nurse Work Environment, Staffing, and Skill Mix With Length of Stay for Patients With Intellectual and Developmental Disabilities.Medical care · 2025Article
- Factors influencing physical healthcare quality for people with intellectual disabilities: psychiatry multidisciplinary team perspective.BJPsych open · 2025Article
- Managers' perceptions of organizational readiness for change within disability healthcare: a Swedish national study with an embedded mixed-methods approach.BMC health services research · 2025Article
- Article
- Breaking barriers: a commentary on research gaps in cancer and depression among individuals with intellectual disabilities.International journal for equity in health · 2025Article
- Australian Registered Nurse's' Awareness of Key Issues, Ambivalence and Education Related to the Health of People With Intellectual Disability and/or Autism.Journal of applied research in intellectual disabilities : JARID · 2025Article
- Indonesian nurses' awareness and application of reasonable adjustments when caring for people with intellectual disability and/or autism.International nursing review · 2024Article
- Improving access to general practice for and with people with severe and multiple disadvantage: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Using a hospital passport from the perspective of adults with intellectual disabilities, family carers and health professionals: A qualitative study.Journal of intellectual disabilities : JOID · 2024Article
- Article
- Access to healthcare for disabled individuals: An analysis of judgments of the European Court of Human Rights from an ethical perspective.Frontiers in public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPeople with intellectual disability are vulnerable in terms of health service provision due to increased comorbidity, higher dependency and cognitive impairment. This review explored the literature to ascertain what reasonable adjustments are evident in acute care to support people with intellectual disability, ensuring they have fair access and utilisation of health services.
designScoping review.
settingAcute care settings.
methodsFive databases were systematically searched to identify studies that reported on the implementation of reasonable adjustments. Authors worked in pairs to screen studies for inclusion, data were extracted and charted and findings were synthesised according to content and themes.
resultsOf the 7770 records identified, six studies were included in the review. The volume of evidence was influenced by specific inclusion criteria, and only papers that reported on the actual implementation of a reasonable adjustment within an acute care setting were included. Many papers reported on the concept of reasonable adjustment; however, few identified its applications in practice.
conclusionsThe scoping review highlights a lack of research on the practice and implementation of reasonable adjustments within acute care settings. There is a need for increased support, education and the provision of intellectual disability specialists across acute care settings.
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What OpenQuestion holds
Registered trials
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.