Process evaluation in intellectual disability research: A case study and the need for adaptation of frameworks. Issue 1 (22nd September 2021)

• Record Type: Journal Article
• Authors: Randell, Elizabeth; McNamara, Rachel; Busse, Monica
• Is Part Of: Journal of applied research in intellectual disabilities. Volume 35:Issue 1(2022)
• Page Start: 188
• Page End: 195
• Publication Date: 2021-09-22
• Subjects: clinical trial of an investigational medicinal product -- cognitive impairment -- complex intervention -- intellectual disability -- process evaluation; Learning disabilities -- Periodicals; Mental retardation -- Periodicals; Learning disabled -- Periodicals; People with mental disabilities -- Periodicals; 616.85880072
• DOI: 10.1111/jar.12938
• Languages: English
• ISSNs: 1360-2322

Abstract

Abstract: Background: Involving adults with cognitive impairments, and specifically intellectual disability, in research is critical to developing appropriate and effective interventions but is highly challenging. Our aim was to examine where complexities lie in delivering research in underrepresented and hard to reach populations using an exemplar process evaluation conducted as part of a drug reduction trial. Methods: Quantitative methods were used to assess recruitment, adherence to the intervention and safety data. Qualitative interviews examined non‐efficacy based barriers to drug reduction in clinical practice. Results: Feasibility of carrying out a drug reduction trial was limited by a lack of exploration of acceptability. Barriers to successful delivery included concerns around wider care team co‐operation and consent procedures. Conclusions: It is important to consider interventions involving adults with cognitive impairment, and particularly intellectual disability, as complex. Current process evaluation frameworks require further adaptation to guide research and innovation in these populations.