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Eating Well When Living With an Intellectual Disability-Exploring the Carer: Client Relationship in Residential

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Summary

Carers in residential settings aim to promote healthy eating for individuals with intellectual disabilities, but face challenges. Improved training and resources are needed to support carers in balancing dietary guidance with resident autonomy.

Keywords:
carers' influencehealthy eatingintellectual disabilitiesnutrition educationperson‐centred care

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Area of Science:

  • Disability Studies
  • Public Health Nutrition
  • Healthcare Management

Background:

  • Individuals with intellectual disabilities (ID) have higher risks of obesity and related health problems.
  • Carers in residential settings significantly influence the dietary habits of individuals with ID.
  • Understanding carer influence is key to developing effective healthy eating strategies.

Purpose of the Study:

  • To explore how carers in residential settings influence the eating behaviours of individuals with intellectual disabilities.
  • To identify strategies that support healthy food choices while respecting resident autonomy.

Main Methods:

  • Conducted 17 semi-structured interviews with carers from three community residential homes.
  • Employed thematic analysis to identify key themes related to food responsibility, autonomy, and collaborative support.

Main Results:

  • Carers endeavor to promote healthy eating, balancing it with resident autonomy, especially for those with cognitive impairments or on psychotropic medications.
  • Effective strategies include rapport-building, personalized care, and nutrition education.
  • Efforts are constrained by knowledge gaps, time limitations, and inconsistent application.

Conclusions:

  • A significant practice gap exists in supporting carers to promote healthy eating.
  • Enhanced training and resources are essential for carers to effectively guide dietary choices while respecting resident autonomy.