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The purposes of this educational activity were to instill in students a greater empathy for patients with intellectual developmental disabilities, give students a better understanding of how to obtain a medical history for patients with communication limitations, teach students practical tips for obtaining a medical history and physical examination to increase competence in their future practice, and to build a relationship with a local organization that serves people with intellectual disabilities. An experiential learning activity was added to the curriculum of two courses for first-year PA students to accomplish these goals. The course instructors engaged in several planning meetings with a local residential facility for people with intellectual disabilities, including choosing patients that the students would assess. The students made 3 visits to the facility. The visits included interactive lectures by a physical therapist, occupational therapist, nurse practitioner, medical doctor, and dentist. Two of the facility involved patient visits at designated homes on campus. The students then wrote comprehensive visit notes with patient identifying information removed and submitted them for grading. Students expressed feeling better prepared to assess people with intellectual disabilities and having an increased appreciation for obtaining quality medical histories. The partner facility also reported they received positive feedback from staff participants and indicated they would like to continue this partnership.
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http://dx.doi.org/10.1097/JPA.0000000000000582 | DOI Listing |
JAMA Netw Open
September 2025
Social and Behavioral Sciences Branch, Division of Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland.
Importance: Higher intellectual abilities have been associated with lower mortality risk in several longitudinal cohort studies. However, these studies did not fully account for early life contextual factors or test whether the beneficial associations between higher neurocognitive functioning and mortality extend to children exposed to early adversity.
Objective: To explore how the associations of child neurocognition with mortality changed according to the patterns of adversity children experienced.
Diabetologia
September 2025
Department of Diabetology and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.
This review article, developed by the EASD Global Council, addresses the growing global challenges in diabetes research and care, highlighting the rising prevalence of diabetes, the increasing complexity of its management and the need for a coordinated international response. With regard to research, disparities in funding and infrastructure between high-income countries and low- and middle-income countries (LMICs) are discussed. The under-representation of LMIC populations in clinical trials, challenges in conducting large-scale research projects, and the ethical and legal complexities of artificial intelligence integration are also considered as specific issues.
View Article and Find Full Text PDFInt J Qual Stud Health Well-being
December 2025
Department of Social Sciences, Tampere University, Tampere, Finland.
Purpose: To increase understanding of the transition from work and day activity services to old-age retirement among people with intellectual disabilities. The research questions are as follows: 1) How are change and continuity present in the transitions to old-age retirement of older people with an intellectual disability? 2) What is the role of the person's own decision-making in the transition process?
Methods: A longitudinal case study approach was used. The main data consist of qualitative interviews from a one-year period with four people with an intellectual disability aged 59-65.
J Appl Res Intellect Disabil
September 2025
Department of Pedagogy, Faculty of Education and Social Work, University of Valladolid, Valladolid, Spain.
Background: Mental health (MH) problems are more common in people with intellectual disabilities (ID), yet under-diagnosis persists, which may be partly due to a lack of appropriate assessment tools. This study presents a systematic review of instruments used to assess MH problems in Spanish-speaking adults with ID.
Method: Following PRISMA guidelines, a search was conducted in Web of Science, PsycINFO, and Scopus using terms related to ID, MH and assessment.
J Appl Res Intellect Disabil
September 2025
The Council on Quality and Leadership, Towson, Maryland, USA.
Background: This study's aim was to examine the relationship between health care professionals' intersecting implicit attitudes about disability and race, and their beliefs about people with intellectual and developmental disabilities.
Methods: We had 784 health care professionals participate in the Intersecting Disability and Race Attitudes Implicit Association Test (IDRA-IAT) and answer questions about their beliefs about people with intellectual and developmental disabilities (January 2025-March 2025).
Results: More positive attitudes about white nondisabled people, and more negative attitudes about disabled white people and/or disabled people of colour were associated with health care professionals being more likely to believe people with intellectual and developmental disabilities are more difficult patients, are more likely to exhibit 'challenging' behaviours, and have a lower quality of life.