title: Activities of daily living and transition to community living for adults with intellectual disabilities.
abstract: BACKGROUND
  As adults with intellectual disability (ID) in Ireland move to the community from residential settings, the changed environment is intended to increase opportunities for occupational engagement, autonomy and social relationships. It is important to consider how increased resources and opportunities available within the community can be optimized to promote engagement and quality of life.
  
  
  OBJECTIVE
  This paper investigates if and how ADL and IADL performance of people ageing with ID is related to place of residence.
  
  
  METHODS
  ADL and IADL performance of adults with ID in Ireland across different living situations was analyzed using descriptive and bivariate analysis of data collected from the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS TILDA).
  
  
  RESULTS
  Greater ability to perform ADL and IADL was noted in those living in independent or community group home settings when compared to traditional residential settings. Place of residence was strongly related to ADL and IADL performance.
  
  
  CONCLUSIONS
  Given that people with ID will likely require physical and social supports to complete ADL and IADL when transitioning to community living from residential settings, an occupational justice perspective can inform occupational therapists working with people with ID, facilitating successful transitions to community living.
authors.affiliation: a School of Nursing and Midwifery , Trinity College Dublin , Ireland.
authors.forename: Eilish
authors.initials: E
authors.lastname: King
authors.affiliation: b School of Social Work and Social Policy , Trinity College Dublin , Ireland.
authors.forename: Theresa
authors.initials: T
authors.lastname: Okodogbe
authors.affiliation: c School of Nursing and Midwifery , Trinity College Dublin , Ireland.
authors.forename: Eilish
authors.identifier: http://orcid.org/0000-0002-3097-8048
authors.initials: E
authors.lastname: Burke
authors.affiliation: d Faculty of Health Sciences , Trinity College Dublin , Ireland.
authors.forename: Mary
authors.identifier: http://orcid.org/0000-0002-2531-0422
authors.initials: M
authors.lastname: McCarron
authors.affiliation: e Centre for Excellence in Aging and Wellness, University of Albany , NY , USA.
authors.forename: Philip
authors.initials: P
authors.lastname: McCallion
authors.affiliation: f School of Nursing and Midwifery , Trinity College Dublin , Ireland.
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: O'Donovan
mesh_terms: D000203:Activities of Daily Living; D005260:Female; D006801:Humans; D057187:Independent Living / Q000523:psychology*; D008607:Intellectual Disability / Q000523:psychology*; D007494:Ireland; D008134:Long-Term Care; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010360:Patient Transfer; D012944:Social Support
keywords: ADL; IADL; community; intellectual disability; transition