Assessment & Research

Eudaimonic well-being in individuals with mild to moderate intellectual disability.

van Herwaarden et al. (2022) · Research in developmental disabilities 2022
★ The Verdict

Adults with mild-moderate ID thrive when they feel accepted, can choose, and have purpose—so build these into every plan.

✓ Read this if BCBAs writing support plans for adults with mild to moderate intellectual disability.
✗ Skip if Clinicians who only serve clients with severe-profound ID or very young children.

01Research in Context

01

What this study did

Researchers talked with the adults who have mild or moderate intellectual disability.

They asked open questions about what makes life feel meaningful and good.

Each interview lasted about one hour and was recorded and coded for themes.

02

What they found

Six clear themes came up again and again.

The themes are: good relationships, feeling accepted, making choices, having a purpose, growing skills, and feeling hopeful.

Acceptance by others acted like a key that unlocked the other five themes.

03

How this fits with other research

Andrews et al. (2024) looked at teens with mild ID and found that self-determination, not just planning skills, drives quality of life.

This extends van Herwaarden et al. (2022) by showing the same lever—autonomy—matters across age groups.

Appelqvist-Schmidlechner et al. (2020) studied young adults with ASD or ADHD and also found social ties boost well-being, yet their sample scored lower overall.

The difference is not a clash; it shows that diagnosis and age change the baseline, not the levers you pull.

Kooijmans et al. (2024) showed that simplified self-report tools work better for adults with ID, backing the trustworthiness of the interviews used here.

04

Why it matters

You can now write support plans that target the six themes head-on.

Start by asking each client who makes them feel accepted, then build goals around those people.

Add choice-making chances, purposeful tasks, and skill growth steps every week.

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Add one new goal that lets the client pick an activity with a trusted peer.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
11
Population
intellectual disability
Finding
not reported

03Original abstract

BACKGROUND: Subjective well-being research in individuals with intellectual disability (ID) has a large hedonic focus and eudaimonic well-being is understudied in this population. Knowledge on eudaimonic well-being of individuals with ID is however necessary to improve their experienced well-being and support them in leading meaningful and flourishing lives. AIMS: The current study adopted a qualitative design to examine whether and how people with ID experience elements of eudaimonic well-being. METHODS AND PROCEDURES: Eleven adults with mild to moderate ID participated in individual semi-structured interviews about their subjective well-being. Interviews with their relatives and their direct support providers were conducted to contextualize the data. OUTCOMES AND RESULTS: By means of an interpretative phenomenological analysis, social relationships, accomplishment, purpose and balance, individuality, autonomy, and growth could be identified as relevant elements of eudaimonic well-being. Eudaimonic well-being of individuals with ID seemed to be mediated by acceptance of others. CONCLUSIONS AND IMPLICATIONS: The results provide insight in eudaimonic indicators of well-being, expanding the current view on well-being in individuals with ID. Efforts to use these elements in the care and support for individuals with ID are discussed.

Research in developmental disabilities, 2022 · doi:10.1016/j.ridd.2022.104273