Evaluating a health behaviour model for persons with and without an intellectual disability

Author(s)
Barbara Brehmer-Rinderer, Lucija Zigrovic, Germain Weber
Abstract

Background: Based on the idea of the Common Sense Model of Illness Representations by Leventhal as well as Lohaus's concepts of health and illness, a health behaviour model was designed to explain health behaviours applied by persons with intellectual disabilities (ID). The key proposal of this model is that the way someone understands the concepts of health, illness and disability influences the way they perceive themselves and what behavioural approaches to them they take. Method: To test this model and explain health differences between the general population and person with ID, 230 people with ID and a comparative sample of 533 persons without ID were included in this Austrian study. Data were collected on general socio-demographics, personal perceptions of illness and disability, perceptions of oneself and health-related behaviours. Results: Psychometric analysis of the instruments used showed that they were valid and reliable and hence can provide a valuable tool for studying health-related issues in persons with and without ID. With respect to the testing of the suggested health model, two latent variables were defined in accordance to the theory. The general model fit was evaluated by calculating different absolute and descriptive fit indices. Most indices indicated an acceptable model fit for all samples. Conclusions: This study presents the first attempt to explore the systematic differences in health behaviour between people with and without ID based on a suggested health model. Limitations of the study as well as implications for practice and future research are discussed.

Organisation(s)
Department of Clinical and Health Psychology
Journal
Journal of Intellectual Disability Research
Volume
58
Pages
495–507
No. of pages
13
ISSN
0964-2633
DOI
https://doi.org/10.1111/jir.12046
Publication date
2014
Peer reviewed
Yes
Austrian Fields of Science 2012
501010 Clinical psychology
Keywords
ASJC Scopus subject areas
Clinical Neurology, Neurology, Psychiatry and Mental health, Arts and Humanities (miscellaneous), Rehabilitation
Sustainable Development Goals
SDG 3 - Good Health and Well-being
Portal url
https://ucrisportal.univie.ac.at/en/publications/4874ed36-3f9e-4226-b918-96aa6496f15d