Service Delivery

Recruiting the Voices of Persons With Intellectual and Developmental Disabilities in Policy Development: Priorities for Health Equity Data.

Krahn et al. (2023) · Intellectual and developmental disabilities 2023
★ The Verdict

Adults with IDD want plain-language surveys, visuals, and their own voices heard instead of proxy answers.

✓ Read this if BCBAs who collect program evaluation data or design consent forms for adults with IDD.
✗ Skip if Practitioners who only work with young children or already use fully pictorial assent procedures.

01Research in Context

01

What this study did

Krahn et al. (2023) ran focus groups with adults who have intellectual or developmental disabilities. They asked what makes health-equity surveys easy, respectful, and useful.

The team wanted to know how to collect data without relying on parents or staff as proxies.

02

What they found

Adults with IDD said surveys need plain words, pictures, and neutral helpers. They want their own answers counted, not someone else's guess.

They also want results shared back in formats they can understand.

03

How this fits with other research

Kaufman et al. (2010) once said substitute-decision-maker consent was key to boost ID research numbers. Gloria's team now flips that view, showing adults want to speak for themselves.

Malone (1999) found staff proxy ratings matched self-ratings on an empowerment scale, but still urged teams to collect self-reports whenever possible. Gloria et al. give the practical blueprint for doing exactly that.

Morris et al. (2021) flagged that behavior-analytic studies rarely report assent procedures. Gloria supplies a real-world example of honoring voice from the start.

04

Why it matters

If you write surveys, consent forms, or program evaluations, swap jargon for plain language and add visuals. Offer quiet support instead of letting proxies answer. Sharing findings back in easy-read formats keeps participants engaged and shows respect.

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Add at least one picture cue and one plain-language sentence to your next client survey or preference form.

02At a glance

Intervention
not applicable
Design
qualitative
Population
intellectual disability, developmental delay
Finding
not reported

03Original abstract

Through focus groups, adults with intellectual and developmental disabilities (IDD) provided their priorities for health equity data, surveys, and information dissemination by U.S. federal agencies. Participants reported privacy concerns about sharing information, need for better data to promote access to quality health care and services, and need for information on social contexts that influence quality of life. Data should include functional limitations, health risks, and priorities for health care, and should support choice and self-determination. Adults with IDD believe parents or support persons do not always share their views, raising concerns about proxy reporting. Surveys and information need to use clear language, visual aids, and provide neutral supports. Information should be shared broadly, including to persons with IDD and families, health care professionals, and policy makers.

Intellectual and developmental disabilities, 2023 · doi:10.1352/1934-9556-61.5.368