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Healthcare Management Interventions of Obesity with Learning Disabilities
Table of Contents Chapter One: INTRODUCTION...............................................................................................3 1.1 INTRODUCTION.............................................................................................................3 1.2 BACKGROUNDOFSTUDY..............................................................................................3 1.3 STUDYAIMANDOBJECTIVES...........................................................................................6 1.4 RATIONALEOFTHESTUDY..............................................................................................6 1.5 STUDYSCOPEANDLIMITATIONS......................................................................................6 1.6 EXPECTEDOUTCOMES..................................................................................................7 1.7 OVERVIEWOFCHAPTERS................................................................................................7 Chapter Two: LITERATURE REVIEW..................................................................................10 1. APPROACHESOFHEALTHCAREFORMANAGEMENTOFOBESITYAMONGINDIVIDUALS....................10 2. FACTORSINFLUENCINGTHEEFFECTIVEHEALTHCAREMANAGEMENTOFOBESITYAMONGINDIVIDUALS SUFFERINGFROMLEARNINGDISABILITIES................................................................................10 3. ASPECTSRELATEDTOTHEACHIEVEMENTOFOPTIMUMPRACTICESFORTHEHEALTHCARE MANAGEMENTOFOBESITYININDIVIDUALSSUFFERINGFROMLEARNINGDISABILITIES........................11 Chapter Three : RESEARCH METHODOLOGY...................................................................12 2.1 RESEARCHMETHODOLOGY............................................................................................12 2.2 STUDYDESIGN...........................................................................................................12 2.3 DATACOLLECTION......................................................................................................12 2.4 INCLUSIONCRITERIA....................................................................................................14 2.5 EXCLUSIONCRITERIA...................................................................................................15 2.6 SAMPLE.....................................................................................................................15 2.7 RESEARCHPHILOSOPHY................................................................................................17 Chapter Four: Findings and Discussions.................................................................................19 3.1 INTRODUCTION...........................................................................................................19 3.2 FINDINGSANDDISCUSSIONS.........................................................................................19 Health care Interventions.......................................................................................19 Issues faced by children suffering from obesity...................................................21 Government Policies for Obese individuals with learning disabilities................22 Consideration of Social Cognitive theory............................................................24 Impact of Nutrition and exercise over health of Children...................................26 Implementation of Interventions in School...........................................................30 Chapter Five: Conclusion and Recommendations..................................................................38 4.1 CONCLUSIONANDRECOMMENDATIONS............................................................................38 4.2 LIMITATIONOFRESEARCH:-...........................................................................................39 4.3 REFLECTION...............................................................................................................39 4.4 IMPLICATIONS.............................................................................................................40 4.5 RECOMMENDATIONS....................................................................................................41 4.6 RECOMMENDATIONSFORFUTURERESEARCH.....................................................................41 References................................................................................................................................42
` Chapter One: INTRODUCTION 1.1 Introduction This study is associated with the assessment of the various healthcare management interventionsforobesity among people with learning disabilities. This will includean assessment of the various subjectivities associated with the notion of the healthcare interventionsamongindividualswithlearningdisabilitieswithrespecttothe prevention of obesity. This will include the review of various past literature and studies associated with thetopic, in addition to the development of research analysis under the relevant context. Thisfirstchapter will include the aim and objectives of thestudy,aswellastherelevantbackgroundandtheoverallcontextofthe development of this research study. 1.2 Background of Study Studiesconducted by Bergström et al. 2013wereaimed towards assessment of interventions to be maintained andthedevelopment of optimum diet controls and plansforindividualssufferingfromintellectualdisabilities.Throughthe implementationofarandomisedcontroltrial(RCT)approach,theauthors highlighted various aspects related to the establishment of optimum diet plans and interventions to be considered for maintenance of optimum health and weight of individuals with learning disabilities. Moreover, the authors also highlighted related challenges and discrepancies in relation to weight management among individuals suffering from intellectual disabilities. An extensive review of the study will enable identification of numerous underlying subjectivities involved,allowingdocumentation ofoptimumtechniquesrelatedtomanagementinterventionsofobesityamong individuals with learning disabilities.
In studies conducted bySpanos, Melville and Hankey (2013a),the authors developedtheirresearchfindingsthroughcriticalandinterpretativeanalysisof relevant literature and research studies related to intervention measures for the managementof weight among individuals suffering from learning disabilities. The inferential analysispresentedbySpanos and colleagues (2013a)wasconducted through assessment of related literature ranging from the year 1982 to 2011. This augmentstheoverall effectiveness of the systematic review approach. The results of findings acquired by the study assert the notion ofnumerous intervention measures including avoid junk food, intake balanced diet, prefer daily exercise and regular check ups.These interventions arebased upon associated components, attrition rates and respective methodology of interventions being undertaken. Moreover, the development ofthe systematic review also allows for numerous approaches to be appraisedand the taking under consideration of the most appropriate approach of interventiontobeconsideredformanagementofweightofindividualswith intellectual disabilities. Studiesdone by Robertson, et al. (2014) differ in that the study acquired data from participants who self-reported the prevalence of intellectual disabilities. The study is based upon the notion that individuals with intellectual disabilities tend to have higher mortalityandmorbidityratescomparedtoothers,includingtheprevalenceof obesity. The study conducted by Robertson et al. (2014) uses a cross-sectional surveyof520 participants for the development of effective research findings. The
results of the studyreflect that there arenumerous aspects related to the prevalence of overweight and obesity among individuals with learning disabilities. Furthermore, Robertson et al. (2014) also identified the use of tobacco and the relative absence of appropriate diet plans to be related toincreasedobesity among the individuals. The studyconcludeswiththenotionthatindividualswithlearningdisabilitiesare considered "vulnerable" and the establishment of augmented healthcareshould provide interventionsto prevent these individuals from becoming overweight. 1.2.1 Paragraph 1 Apartfromtheassessmentofpatientperspectivesregardingthenotionof interventionmeasuresandmanagementofobesityinindividualswithlearning disabilities, it is necessary to undertake an evaluation oftheperceptions of the carers as well.Studiesby Spanos, et al. (2013a) have addressed this particular aspect. Through the establishment of qualitative studies, the authors highlightedthe perceptionsofcarersoninterventionsbeingusedforthedeliveryofcarefor individuals with intellectual disabilities for the maintenance of appropriate weight. 1.2.2 Paragraph 2 Thefindings of the studyby, Spanos et al. (2013a)arebased upon three major themesthat wereassessed through semi-structured interviews: theperception of carerstowards interventions measures for patients, the perception of carers towards the health of participants and barriers and facilities to implement appropriate care measuresforthepatients.Theconclusionofthestudyrecommendsthe establishmentof tailored measures to be used for implementation of effective and enhanced intervention for patients with intellectual disabilities. 1.3 Study Aim and Objectives
This study will aim to "assess the various healthcare management interventions of obesity among people with learning disabilities." In order to achieve the overall aim of this study, the following objectives have been defined: To evaluate the varioushealthcareapproaches related to management of obesity among individuals Toappraisethefactorsinfluencingtheeffectivemanagementofobesity among individuals suffering from learning disabilitiesTo assess theaspectsrelated to the achievement of optimum practices for the healthcare management of obesity in individuals suffering from learning disabilities Research Question The research question Whatarethenewhealthcaremanagementinterventionsforobesityin individualswith learning disabilities? 1.4 Rationale of the study The rationale of the study is thatitwill help to evaluate the current health care management intervention of obesity inindividuals withlearning disabilities. There are many new interventions that have been used by the people in current health care management to overcome the issues faced by peoplewho suffer fromobesity and have learning disabilities.
1.5 Study Scope and Limitations As a resultof this particular research study, readers will be able to identify several themes related to healthcare management of obesity among individuals suffering from learning disabilities. In this regard, various related factors of influence will also bediscussed. This will enable enhanced comprehension regardingthe topicwhile utilising this and similar studies fortheestablishment of evidence-based practices- a necessarynorminhealthcarepractices.Moreover,thisstudywillalsoenable identification ofthemost effective practices and approaches to be utilised inthe management of obesity among individuals with learning disabilities. 1.6Expected Outcomes The proposed research is basedonperforming an investigationintovarious healthcaremanagementinterventionsregardingobesityalongwithlearning disabilities. By conducting this research,theinvestigator will be able to identify that themain causes thatleadtoanincrease in obesity among peoplewith learning disabilities.Itwillfurtherhelpindeterminingseveralfactorsthatinfluencethe effective management of healthcare in terms of obesity so that future practicescan be improved. In addition to this,itwillalsoidentifyseveral measures that can be taken to reduce thenumber of cases ofobesity casesso as to improve people's standard ofliving. 1.7 Overview of Chapters Thisdissertationconsistsoffourchaptersthatarebasedupontheintrinsic requirements of research. CHAPTER 1: INTRODUCTION The first chapterencompasses anintroduction to the overall topic under research consideration.Thisfurtherincludesrationaleofprojectandreasonsbehind
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