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.
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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Constipation management in people with intellectual disability
T2 - A systematic review
AU - Robertson, Janet Margaret
AU - Baines, Susannah May Johnston
AU - Emerson, Eric Broughton
AU - Hatton, Christopher Rowan
N1 - 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.
PY - 2018/9
Y1 - 2018/9
N2 - BackgroundConstipation 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.MethodStudies 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.ResultsEighteen 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.ConclusionThe 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.
AB - BackgroundConstipation 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.MethodStudies 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.ResultsEighteen 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.ConclusionThe 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.
KW - constipation
KW - intellectual disability
KW - review
U2 - 10.1111/jar.12426
DO - 10.1111/jar.12426
M3 - Journal article
VL - 31
SP - 709
EP - 724
JO - Journal of Applied Research in Intellectual Disabilities
JF - Journal of Applied Research in Intellectual Disabilities
SN - 1360-2322
IS - 5
ER -