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    Rights statement: This is the peer reviewed version of the following article:Robertson J, Baines S, Emerson E, Hatton C. Constipation management in people with intellectual disability: A systematic review. J Appl Res Intellect Disabil. 2018;31:709–724. https://doi.org/10.1111/jar.12426 which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/jar.12426/full This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.

    Accepted author manuscript, 648 KB, PDF-document

    Embargo ends: 23/11/19

    Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License

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Constipation management in people with intellectual disability: A systematic review

Research output: Contribution to journalJournal article

Published
<mark>Journal publication date</mark>09/2018
<mark>Journal</mark>Journal of Applied Research in Intellectual Disabilities
Issue number5
Volume31
Number of pages16
Pages (from-to)709-724
Publication statusPublished
Early online date23/11/17
Original languageEnglish

Abstract

Background
Constipation can lead to serious health issues and death. This systematic review summarizes international research pertaining to the management of constipation in people with intellectual disability.

Method
Studies published from 1990 to 2017 were identified using Medline, Cinahl, PsycINFO, Web of Science, email requests and cross-citations. Studies were reviewed narratively in relation to identified themes.

Results
Eighteen studies were reviewed in relation to three themes: laxative receipt; interventions (dietary fibre, abdominal massage and macrogol); and staff issues (knowledge and training). Laxative polypharmacy was common. Studies report positive results for dietary fibre and abdominal massage although study quality was limited.

Conclusion
The main management response to constipation in people with intellectual disability is laxative use despite limited effectiveness. An improved evidence base is required to support the suggestion that an individualized, integrated bowel management programme may reduce constipation and associated health conditions in people with intellectual disability.

Bibliographic note

This is the peer reviewed version of the following article:Robertson J, Baines S, Emerson E, Hatton C. Constipation management in people with intellectual disability: A systematic review. J Appl Res Intellect Disabil. 2018;31:709–724. https://doi.org/10.1111/jar.12426 which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/jar.12426/full This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.