title: The main signs of ageing in people with intellectual disability.
abstract: OBJECTIVE
  Investigations around ageing with an intellectual disability have increased substantially in the past three decades. A research gap continued to exist regarding the detection of ageing issues in this cohort of people, particularly in rural areas where access to specialist support continued to be limited. The purpose of this study was to identify the main signs of ageing in rural people with intellectual disabilities.
  
  
  METHODS
  A multi-round Delphi design was used to examine what signs of ageing were observed by disability support staff, who assisted people with intellectual disability.
  
  
  METHODS
  The project was conducted across nine of the ten rural regions (as defined by the government funding body) in New South Wales (NSW).
  
  
  METHODS
  There were 31 participants representing 14 non-government organisations. The group was composed of 26 women and 5 men, with a mean age of 47 years, who averaged 10-year experience with people with intellectual disabilities.
  
  
  METHODS
  The objective was to gain the direct input of rurally based disability workers to identify the main signs of ageing in people with intellectual disabilities.
  
  
  RESULTS
  Thirty-two specific signs of ageing, including emerging mental health issues, grief, loss of identity and aggression, were identified. A thematic analysis indicated two main categories: mental/emotional functioning and physical functioning.
  
  
  CONCLUSIONS
  When carers have the information and skills needed to identify the main signs of ageing, they can more accurately recognise and address potential problems in a timely manner. Such understandings have the potential to reduce premature admissions to residential aged-care.
authors.affiliation: School of Rural Medicine, University of New England, Armidale, New South Wales, Australia.
authors.forename: Stuart
authors.initials: S
authors.lastname: Wark
authors.affiliation: School of Rural Medicine, University of New England, Armidale, New South Wales, Australia.
authors.forename: Rafat
authors.initials: R
authors.lastname: Hussain
authors.affiliation: School of Education, University of New England, Armidale, New South Wales, Australia.
authors.forename: Helen
authors.initials: H
authors.lastname: Edwards
mesh_terms: D000375:Aging / Q000502:physiology* / Q000523:psychology*; D003697:Delphi Technique; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008607:Intellectual Disability; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D012424:Rural Population
keywords: Delphi; ageing; mental and emotional health; physical health; service access