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Eating Well When Living With an Intellectual Disability-Exploring the Carer: Client Relationship in Residential
Aslıhan Özdemir1, Hazel Chapman2, Rebecca Hall3
1Department of Nutrition and Dietetics, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
Background:
Individuals with intellectual disabilities face increased risks of obesity and health issues. Carers in residential settings play a crucial role in shaping their dietary habits. This study explores how carers influence eating behaviours to identify strategies for healthy eating.
Method:
Seventeen semi-structured interviews were conducted with carers from three community homes. Thematic analysis identified three key themes: (i) whose responsibility is it?; (ii) food autonomy and choice in the context of caring relationships; (iii) opportunities for working together to support dietary choices.
Results:
Carers strive to encourage healthy eating while respecting residents' autonomy, particularly in those with cognitive impairments or on psychotropic medications. They use strategies like rapport-building, personalised care, and nutrition education. However, these efforts are limited by gaps in knowledge, time constraints, and variation in application and impact.
Conclusions:
Findings highlight the practice gap and the need for better training and resources to support carers in promoting healthy food choices while respecting residents' autonomy.
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