title: The adaptation of a school-based health promotion programme for youth with intellectual and developmental disabilities: a community-engaged research process.
abstract: BACKGROUND
  Evidenced-based health promotion programmes for youth with intellectual and developmental disabilities (I/DD) are notably absent. Barriers include a lack of understanding of how to adapt existing evidence-based programmes to their needs, maximize inclusion and support mutual goals of health and autonomy.
  
  
  METHODS
  We undertook a community-engaged process to adapt a school-based nutrition intervention in a residential school for youth with I/DD. Focus groups and interviews with school staff elicited recommendations for adaptation strategies; these were then reviewed by an expert panel.
  
  
  RESULTS
  Adaptations were developed to address needs in three categories: food-related challenges among students, adjusting to change and transition and social environment factors. Choice and heterogeneity were overarching themes across the adaptation categories.
  
  
  CONCLUSIONS
  Future research should consider community-engaged approaches for adaptation so that youth with I/DD can participate and benefit from evidence-based health promotion programmes to their maximum potential.
authors.affiliation: Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.
authors.forename: Kristie L
authors.initials: KL
authors.lastname: Hubbard
authors.forename: Linda G
authors.initials: LG
authors.lastname: Bandini
authors.forename: Sara C
authors.initials: SC
authors.lastname: Folta
authors.forename: Brian
authors.initials: B
authors.lastname: Wansink
authors.forename: Aviva
authors.initials: A
authors.lastname: Must
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D001294:Attitude to Health; D002755:Choice Behavior; D002658:Developmental Disabilities / Q000523:psychology / Q000534:rehabilitation*; D004779:Environment Design; D004992:Ethics, Medical; D017144:Focus Groups; D005522:Food Services / Q000458:organization & administration; D006293:Health Promotion / Q000941:ethics / Q000379:methods*; D006801:Humans; D008607:Intellectual Disability / Q000523:psychology / Q000534:rehabilitation*; D009752:Nutritional Status; D012931:Social Environment; D012941:Social Responsibility
keywords: adolescence; developmental disability; health promotion; intellectual disability; nutrition