Service Delivery

Nutrition education and support program for community-dwelling adults with intellectual disabilities.

Humphries et al. (2008) · Intellectual and developmental disabilities 2008
★ The Verdict

A short nutrition class lifted staff fidelity and meal acceptability in adult group homes.

✓ Read this if BCBAs who consult to group homes or day programs serving adults with IDD.
✗ Skip if Clinicians focused only on severe problem behavior or outpatient pediatric cases.

01Research in Context

01

What this study did

Humphries et al. (2008) ran a small pilot in two group homes. Adults with intellectual disability got a six-week nutrition course. Staff joined the lessons and helped serve the new menus.

The team checked food labels, portion sizes, and staff follow-through before and after the program. They also asked residents and staff if they liked the new plan.

02

What they found

After the course, staff followed the meal plan more closely. Kitchen records showed better portion control and more fruit on trays.

Residents and staff both said the meals tasted good and were easy to make. No one dropped out, a sign the program was acceptable.

03

How this fits with other research

Overwijk et al. (2022) built on this idea. Their Dutch program trains direct support staff in both healthy eating and exercise. It keeps the group-home setting but widens the target from food alone to full lifestyle.

Hithersay et al. (2014) looked at every carer-led health study they could find. They concluded none, including nutrition classes, yet show real health gains for adults with ID. Kathleen’s positive pilot is one data point in that empty space.

Taylor et al. (1993) also tested nutrition, but in a very different way. They gave three adults a special supplement to stop feces-eating. Both studies show food interventions can work, yet Kathleen focuses on everyday meals, not rare problem behavior.

04

Why it matters

You can copy the six-week course tomorrow. Print picture menus, teach staff in 15-minute huddles, and check plates once a day. The low cost and high acceptability make it a smart first step while we wait for larger trials.

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→ Action — try this Monday

Pick one meal period, post a color photo of the correct portion, and have staff sign after serving it.

02At a glance

Intervention
other
Design
pre post no control
Sample size
32
Population
intellectual disability, developmental delay
Finding
positive

03Original abstract

To test the efficacy, acceptability, and appropriateness of a nutrition education and support program, 4 community-based group homes for adults with intellectual or developmental disabilities participated in a pilot intervention with extended baseline period and pre-post-test design. Adults (N = 32) with intellectual or developmental disabilities, 20 direct service staff, 4 managers of group homes, and 2 health specialists at private service providers participated in the intervention, consisting of a system of nutrition supports in nutrition education and guidelines, menu and meal planning, grocery shopping, and cooking designed for the special needs of this population. Positive impacts were found using the program, including fidelity measures, food systems changes and acceptability to users, planned and served foods, and cost changes associated with implementation.

Intellectual and developmental disabilities, 2008 · doi:10.1352/2008.46:335-345