title: Evaluating the Implementation of Health Checks for Adults With Intellectual and Developmental Disabilities in Primary Care: The Importance of Organizational Context.
abstract: Compared to other adults, those with intellectual and developmental disabilities have more health issues, yet are less likely to receive preventative care. One strategy that has shown success in increasing prevention activities and early detection of illness is the periodic comprehensive health assessment (the health check). Effectively moving evidence into practice is a complex process that often receives inadequate attention. This qualitative study evaluates the implementation of the health check at two primary-care clinics in Ontario, Canada, and the influence of the clinic context on implementation decisions. Each clinic implemented the same core components; however, due to contextual differences, some components were operationalized differently. Adapting to the setting context is important to ensuring successful and sustainable implementation.
authors.affiliation: Janet Durbin and Avra Selick, Centre for Addiction and Mental Health, University of Toronto, Ontario, Canada;
authors.forename: Janet
authors.initials: J
authors.lastname: Durbin
authors.affiliation: Janet Durbin and Avra Selick, Centre for Addiction and Mental Health, University of Toronto, Ontario, Canada;
authors.forename: Avra
authors.initials: A
authors.lastname: Selick
authors.affiliation: Ian Casson, Queen's University, Kingston, Ontario, Canada;
authors.forename: Ian
authors.initials: I
authors.lastname: Casson
authors.affiliation: Laurie Green, St Michael's Hospital, University of Toronto, Ontario, Canada;
authors.forename: Laurie
authors.initials: L
authors.lastname: Green
authors.affiliation: Natasha Spassiani, Andrea Perry, and Yona Lunsky, Centre for Addiction and Mental Health, University of Toronto, Ontario, Canada.
authors.forename: Natasha
authors.initials: N
authors.lastname: Spassiani
authors.affiliation: Natasha Spassiani, Andrea Perry, and Yona Lunsky, Centre for Addiction and Mental Health, University of Toronto, Ontario, Canada.
authors.forename: Andrea
authors.initials: A
authors.lastname: Perry
authors.affiliation: Natasha Spassiani, Andrea Perry, and Yona Lunsky, Centre for Addiction and Mental Health, University of Toronto, Ontario, Canada.
authors.forename: Yona
authors.initials: Y
authors.lastname: Lunsky
mesh_terms: D000328:Adult; D002170:Canada / Q000453:epidemiology; D002658:Developmental Disabilities / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D006297:Health Services Accessibility / Q000592:standards*; D054624:Health Status Disparities; D006801:Humans; D008607:Intellectual Disability / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D011315:Preventive Medicine / Q000379:methods / Q000592:standards*; D011320:Primary Health Care / Q000379:methods / Q000592:standards*
keywords: developmental disability; health check; implementation; primary care