Methodik Überprüfung psychometrischer Eigenschaften an einer Stichprobe von 34 Erwachsenen mit Lernbehinderung oder Intelligenzminderung und 38 klinischen Probanden ohne Intelligenzminderung. Abstract Objective As of yet, there exists no German-language self-rating questionnaire as a screening for anxiety disorders in people with an intellectual disability. Methods Internal consistency and concurrent validity were tested in 34 adults with learning difficulties and mild and moderate intellectual disability. Convergent validity was estimated by using data from a clinical sample of 38 persons without intellectual disability.
Abstract Background Whilst people with intellectual disability grow older, evidence has emerged internationally about the largely unmet health needs of this specific ageing population. Health checks have been implemented in some countries to address those health inequalities. Evaluations have focused on measuring process outcomes due to challenges measuring quality of life outcomes.
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In addition, the cost-effectiveness is currently unknown. As part of a national guideline for this population we sought to explore mild learning disability dating likely cost-effectiveness of annual health checks in England.
Methods Decision-analytical Markov modelling was used to estimate the cost-effectiveness of a strategy, in which health checks were provided for older people with intellectual disability, when compared with standard care. The approach we took was explorative.
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Individual models were developed for a selected range of health conditions, which had an expected high economic impact and for which sufficient evidence was available for the modelling. In each of the models, hypothetical cohorts were followed from 40 yrs.
The outcome measure was cost per quality-adjusted life-year QALY gained. Incremental cost-effectiveness ratios ICER were calculated. Costs were assessed from a health provider perspective and expressed in GBP.
Costs and QALYs were discounted at 3. We carried out probabilistic sensitivity analysis.
Data from published studies as well as expert opinion informed parameters. Conclusion Whilst findings need to be considered with caution as the model was exploratory in that it was based on assumptions to overcome evidence gaps, they suggest that the way health systems deliver care for vulnerable populations might need to be re-examined.
The work was carried out as part of a national guideline and informed recommendations about system changes to achieve more equal health care provisions. Anzeige Zusatzmaterial Literatur 1. Healthy ageing - adults with intellectual disabilities: physical health issues.
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Geneva, Switzerland: World Health Organization; Major health risks in aging persons with intellectual disabilities: an overview of recent studies. Journal of Policy and Practice in Intellectual Disabilities.
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CrossRef 4. Health inequalities and people with intellectual disabilities. Cambridge: Cambridge University Press; CrossRef 5.