title: Efficacy of the HealthMatters program train-the-trainer model.
abstract: BACKGROUND
  This study examines the efficacy of a staff-led, health promotion intervention entitled HealthMatters Program: Train-the-Trainer Model to improve health among adults with intellectual disabilities. While data support the benefits of health promotion for adults with intellectual disabilities in controlled settings, little research documents strategies to improve health and health behaviours in settings in which people work and live.
  
  
  METHODS
  Thirty-four staff in community-based organizations (CBOs) participated in an 8-h training to start a 12-week health promotion programme for clients with intellectual disabilities. Participants with intellectual disabilities (n = 67; aged 30 and older) were randomized into an intervention (12-week exercise and health education programme) or control group.
  
  
  RESULTS
  Intervention group showed significant improvements in health status, knowledge, self-efficacy, and fitness.
  
  
  CONCLUSIONS
  Results support the efficacy of a HealthMatters Program in CBOs to improve health among adults with intellectual disabilities. A need exists for CBOs to include health promotion in their mission and vision statement and job descriptions.
authors.affiliation: Rehabilitation Research and Training Center on Aging with Developmental Disabilities, Department of Disability and Human Development, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL 60608, USA. bmarks1@uic.edu
authors.forename: Beth
authors.initials: B
authors.lastname: Marks
authors.forename: Jasmina
authors.initials: J
authors.lastname: Sisirak
authors.forename: Yen-Ching
authors.initials: YC
authors.lastname: Chang
mesh_terms: D000328:Adult; D019058:Community Networks; D005260:Female; D015438:Health Behavior; D006282:Health Personnel / Q000193:education* / Q000523:psychology; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008607:Intellectual Disability / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D040242:Risk Reduction Behavior; D020377:Self Efficacy; D016896:Treatment Outcome