A Systematic Review of the Qualitative Evidence for the Use of Lifestyle Planning in People with Learning Disabilities

Author:

Rowe D.1,Rudkin A.2

Affiliation:

1. Consultant Psychiatrist, Oxfordshire Learning Disabilities NHS Trust, Oxford, UK.

2. Assistant Psychologist, Oxfordshire Learning Disabilities NHS Trust, Oxford, UK.

Abstract

Lifestyle planning (LP) for people with learning disabilities is largely supported by qualitative rather than quantitative research. LP is a time-consuming and potentially resource-intensive area of practice which is becoming more prevalent in the UK. We present the first systematic review of the qualitative evidence base for the use of LP in people with learning disabilities. Such evidence concerns the special characteristics of LP and its outcomes in descriptive rather than quantitative terms. Qualitative research is usually aimed at enhancing validity by grounding theory in data collected. Twenty-one studies passed eligibility criteria for inclusion in this review, but only ten provided any outcome data, the others being concerned with process only. A replicable search strategy was employed and the resulting original data sources were critically reviewed with respect to major concepts and categories in the areas of: planning process, choices and preferences, ethics and outcomes. Explicitly person-centred approaches such as essential lifestyle planning are contrasted with more service-led methods such as individual programme planning. There are major methodological limitations in much of the available literature and suggestions for future research to clarify matters are made. The current evidence base suggests that no form of LP has significantly better outcomes than any other form and that it is not clear if LP in general enhances outcomes. Ongoing use of person centred planning in particular is informed by ethical considerations and is evolving in its structure and function.

Publisher

SAGE Publications

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Views of People with Learning Difficulties about Current and Future Accommodation: The use of focus groups to promote discussion;Disability & Society;2003-08

2. How Science Can Evaluate and Enhance Person-Centered Planning;Research and Practice for Persons with Severe Disabilities;2002-12

3. Partnerships, Advocacy and Independence;Journal of Learning Disabilities;2002-06

4. Community care and resettlement;Current Opinion in Psychiatry;2000-09

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