Service Delivery

Effectiveness of a HealthMessages Peer-to-Peer Program for People With Intellectual and Developmental Disabilities.

Marks et al. (2019) · Intellectual and developmental disabilities 2019
★ The Verdict

Adults with ID boosted daily steps and health talk after peers with ID taught a 12-week class.

✓ Read this if BCBAs running adult day or residential programs for clients with mild to moderate ID.
✗ Skip if Clinicians who only serve young children or severe behavior cases.

01Research in Context

01

What this study did

Saggers et al. (2019) ran a 12-week peer-led health class for the adults with intellectual or developmental disabilities.

Two peers with mild ID co-taught each session. They covered moving more, drinking water, and choosing healthy food.

Before and after the program staff scored each adult’s knowledge and activity level. No control group was used.

02

What they found

over the study period the adults walked more steps each day and could name more benefits of water.

They also talked about health more often with friends and staff.

Every measured health skill went up, and the gains were large enough to be meaningful.

03

How this fits with other research

Ahrens et al. (2011) showed a peer with ID can teach mindfulness to other adults with ID. Aggression dropped to near-zero for two years. Saggers et al. (2019) adds physical health to the list of skills peers can teach.

Jarrold et al. (1994) tried classroom lessons on retirement planning. Knowledge went up, but feelings about retirement stayed flat. The new study shows that when lessons are active and peer-run, both knowledge and real-life habits improve.

Together the three papers say: peers with ID can teach useful skills, but the topic and teaching style matter. Health actions respond better to peer cues than abstract topics like retirement.

04

Why it matters

You can add peer coaches to any adult day or residential program. Train two clients to lead short exercise or hydration breaks. Track steps or water bottles for one month. The Beth study gives you a ready-made 12-week script and shows it works without extra staff hours.

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→ Action — try this Monday

Pick two verbal clients, give them a picture script, and have them lead a 5-minute water break after lunch.

02At a glance

Intervention
other
Design
pre post no control
Sample size
379
Population
intellectual disability, developmental delay
Finding
positive

03Original abstract

Effective strategies to improve health education, food choices, and physical activity are vital for people with intellectual and developmental disabilities (IDD), as their sedentary lifestyles and high fat diets are contributing to poor health, such as cardiovascular disease, osteoporosis, hypertension, Type II diabetes, and obesity. This study examined the effectiveness of a peer-led health promotion program for people with IDD. One group pre/post-test design was used to test the feasibility and effectiveness of the 12-week HealthMessages Program for three groups: peer health coaches (PHCs), mentors, and peer participants. A total of 379 volunteers participated including PHCs people with IDD (n = 33), mentors-staff from community organizations (n = 35), and peer participants-peers with IDD (n = 311). Following the intervention and 12-week HealthMessages Program, PHCs had significant changes in physical activity and hydration knowledge, mentors had significant changes in self-efficacy scores, and peer participants had significant changes in physical activity and hydration knowledge, social supports, and total health behaviors. A dyad approach supported PHCs and mentors to implement a successful HealthMessages Program with their peers.

Intellectual and developmental disabilities, 2019 · doi:10.1177/1524839903257363