Evidence map›Paper›PMID 41916635›Full record

ArticleBMJ open2026

Feasibility and effectiveness of a multicomponent and multilevel personalised lifestyle intervention for adults with intellectual disabilities: protocol for a feasibility and multiple baseline one-arm effectiveness study.

Bas Valentin, Josje D Schoufour, Annelies Overwijk, Kirsten A Lamberts, Tim Pelle, Rianne H A Steenbergen, Peter J M Weijs, Aly Waninge, Alyt Oppewal

Abstract read
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Bas ValentinDepartment of Nutrition and Dietetics, Faculty of Health, Sport and Physical Activity, Amsterdam University of Applied Sciences, Amsterdam, Netherlands b.valentin@hva.nl.ORCID http://orcid.org/0000-0001-9031-3630
Josje D SchoufourDepartment of Nutrition and Dietetics, Faculty of Health, Sport and Physical Activity, Amsterdam University of Applied Sciences, Amsterdam, Netherlands.
Annelies OverwijkResearch Group Healthy Ageing, Allied Healthcare and Nursing, Hanze University of Applied Sciences, Groningen, Netherlands.
Kirsten A LambertsResearch Group Healthy Ageing, Allied Healthcare and Nursing, Hanze University of Applied Sciences, Groningen, Netherlands.
Tim PelleDepartment of Primary and Community Care, Radboud University Medical Center, Nijmegen, Netherlands.ORCID http://orcid.org/0000-0001-6862-5910
Rianne H A SteenbergenDepartment of Knowledge, Quality and Research (KKO), COSIS, Groningen, Netherlands.
Peter J M WeijsDepartment of Nutrition and Dietetics, Faculty of Health, Sport and Physical Activity, Amsterdam University of Applied Sciences, Amsterdam, Netherlands.
Aly WaningeResearch Group Healthy Ageing, Allied Healthcare and Nursing, Hanze University of Applied Sciences, Groningen, Netherlands.ORCID http://orcid.org/0000-0002-2316-2577
Alyt OppewalDepartment of General Practice, Intellectual Disability Medicine Research, Erasmus MC University Medical Center, Rotterdam, Netherlands.ORCID http://orcid.org/0000-0001-6630-8807

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe LIFE-ID (lifestyle interventions for adults with intellectual disabilities) intervention, a multicomponent and multilevel lifestyle programme, was developed to improve the lifestyle of adults with ID and the support provided by their interpersonal and organisational environment. This paper describes the protocol of a multiple baseline one-arm feasibility and effectiveness study of the LIFE-ID intervention. METHOD AND ANALYSIS: To evaluate the effectiveness of the LIFE-ID intervention for adults with ID, alongside an embedded assessment of feasibility, we employ a one-arm multiple-baseline trial in the Netherlands, in collaboration with healthcare organisations providing support to adults with ID. The LIFE-ID intervention intervenes at intrapersonal, interpersonal and organisational levels and uses a tailored approach to improve both physical activity and dietary quality in adults with ID. To support healthcare professionals in selecting interventions, the lifestyle support tool was developed, including existing, effective, and ID-specific nutrition and physical activity interventions. The lifestyle support tool takes into account intrapersonal, interpersonal and organisational characteristics and considers the participants' wishes and needs related to their personal lifestyle goals. An embedded feasibility evaluation of the LIFE-ID intervention is conducted with the first 15 participants in the study and their involved healthcare professionals. Information on dose delivered, dose received, acceptability and fidelity of the intervention performance compared with the description is retrieved through biweekly reflection forms obtained from direct support professionals. Group interviews are conducted to collect feedback on the experiences with the LIFE-ID intervention discussing the following topics: acceptance and suitability of the intervention, and barriers and facilitators during execution. Outcomes related to the lifestyle support tool include usability, usefulness and ease of use. To evaluate the effectiveness of the 6-month LIFE-ID intervention, 80 adults (≥18 years) with ID are included (including 15 participants from the feasibility evaluation). The primary outcome is physical activity. Secondary outcomes on the intrapersonal level include dietary quality, physical fitness, body composition, calf circumference, blood pressure, heart rate, frailty, anxiety, depression, behavioural problems and goal attainment. On the interpersonal level, outcomes include attitude of professionals towards support in healthy exercise and nutrition. On the organisational level, outcomes are barriers and facilitators associated with creating a healthy living environment, and determinants that affect the implementation of the LIFE-ID intervention. ETHICS AND DISSEMINATION: The study protocol is approved by the Medical Ethics Review Board of the University Medical Center Groningen (METc 2023-520). Written consent is obtained from all participants who are capable to provide consent, and from legal representatives when they are not. Study findings will be disseminated through peer-reviewed publications, conference presentations and accessible summaries for participants, families and healthcare organisations. TRIAL REGISTRATION NUMBER: The study has been registered in the Overview of Medical Research in the Netherlands (OMON; NL85438), which is linked to the International Clinical Trial Registry Platform (ICTRP).

Indexed as

ExerciseIntellectual DisabilityLife StyleAdultFeasibility StudiesFemaleHumansMaleMiddle AgedNetherlandsExerciseHealthNUTRITION & DIETETICSPhysical Fitness

Identifiers

PMID41916635
PMCPMC13052536

What OpenQuestion holds

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LicenceCC BY-NC
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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.