185352 Community-based health promotion programs for people with disabilities: Mapping the literature landscape

Sunday, October 26, 2008

Jana J. Peterson, MPH, PhD , UMKC Institute for Human Development (UCEDD), University of Missouri - Kansas City, Kansas City, MO
Charles Drum, JD, PhD , Center on Community Accessibility, Oregon Health & Science University, Portland, OR
Gloria L. Krahn, PhD, MPH , National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Portland, OR
Susan Wingenfeld , Rehabilitation Research and Training Center: Health and Wellness, Oregon Health & Science University, Portland, OR
Tom W. Seekins, PhD , Research and Training Center on Disability in Rural Communities, University of Montana, Missoula, MT
Health promotion programs for people with disabilities are in the early stages of development, and little is known about the composition of the literature on the topic. To address this need, a scoping review of the literature on community-based health promotion interventions for adults with physical, cognitive, and sensory disabilities was performed. Subject heading searches identified citations from MEDLINE, PsycInfo, and Cinahl databases for 1986 through July 2006. The search produced a total of 3987 citations, which were reviewed at the level of the abstract. English-language peer-reviewed primary literature and review articles that examined health promotion interventions among adults with disabilities were included for further review, resulting in 339 citations. The 339 abstracts were coded according to three criteria: disabling conditions of study participants, functional disabilities of study participants, and health promotion program topics. The most frequent disabling conditions observed in the identified studies were stroke (51 studies), intellectual disability (38 studies), and multiple sclerosis (34 studies). The most common functional disabilities represented were physical disabilities affecting mobility (126 studies) and acquired cognitive disabilities (115 studies), in contrast with low representation of sensory impairments (with 11 and 9 studies addressing individuals with vision and hearing impairments, respectively). The most commonly identified health promotion program topic was physical activity (135 studies). The presentation will include an overview of the coding process and results of the scoping review. Implications of this review for future health promotion studies for persons with disabilities will be discussed.

Learning Objectives:
1. Describe the scoping review process used in the current study. 2. List disabling conditions, functional disabilities, and health promotion topics that are most commonly represented in the health promotion literature for people with disabilities. 3. Critique the use of categorical and functional approaches to characterizing disability subgroups utilized in the health promotion literature.

Keywords: Health Promotion, Disability

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: The presenter has MPH and PhD degrees in public health, with a population focus on adults with disabilities. She is a Postdoctoral Fellow with the Rehabilitation Research and Training Center on Health and Wellness and performed the data extraction for the scoping review discussed in this presentation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.