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Commentary on: Kuld PB, Frielink N, Zijlmans M, et al. . Promoting self-determination of persons with severe or profound intellectual disabilities: a systematic review and meta-analysis. J Intellect Disabil Res. 2023 Jul;67(7):589–629. doi: 10.1111/jir.13036. Epub 2023 May 11.
Nurses can promote self-determination of people with severe and profound intellectual disabilities through relationship building and learning to read a person’s communication cues to determine their preferences. Future research should use an ecological approach to optimise environments for self-determination and consistent measures to strengthen the evidence base.
Self-determination is a key dimension of quality of life for people with intellectual disabilities, that is, acting freely and willfully to make things happen in one’s own life.
Commentary on: MacHale R, Ffrench C, McGuire B. The experiences and views of adults with intellectual disabilities accessing digital mental health interventions: A qualitative systematic review and thematic synthesis. J Appl Res Intellect Disabil. 2023 May;36(3):448-457. doi: 10.1111/jar.13082. Epub 2023 Feb 13.
Digital mental health interventions may be useful to complement in-person mental health services, with sufficient supports for meaningful use. User-centred design research with adults with intellectual disabilities and supporters is needed at all phases of digital mental health intervention development and evaluation.
Providers report that digital interventions are effectively being delivered to adults with intellectual disabilities; there is less research about how digital health interventions are received and experienced by people with intellectual disabilities.
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