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Published in: Implementation Science 1/2014

Open Access 01-12-2014 | Methodology

GRAIDs: a framework for closing the gap in the availability of health promotion programs and interventions for people with disabilities

Authors: James H Rimmer, Kerri A Vanderbom, Linda G Bandini, Charles E Drum, Karen Luken, Yolanda Suarez-Balcazar, Ian D Graham

Published in: Implementation Science | Issue 1/2014

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Abstract

Background

Evidence-based health promotion programs developed and tested in the general population typically exclude people with disabilities. To address this gap, a set of methods and criteria were created to adapt evidence-based health promotion programs for people with disabilities. In this first study, we describe a framework for adapting evidence-based obesity prevention strategies for people with disabilities. We illustrate how the framework has been used to adapt the U.S. Centers for Disease Control and Prevention’s (CDC) obesity prevention strategies for individuals with physical and developmental disabilities.

Methods

The development of inclusion guidelines, recommendations and adaptations for obesity prevention (referred to as GRAIDs – G uidelines, R ecommendations, A daptations I ncluding D isability) consists of five components: (i) a scoping review of the published and grey literature; (ii) an expert workgroup composed of nationally recognized leaders in disability and health promotion who review, discuss and modify the scoping review materials and develop the content into draft GRAIDs; (iii) focus groups with individuals with disabilities and their family members (conducted separately) who provide input on the potential applicability of the proposed GRAIDs in real world settings; (iv) a national consensus meeting with 21 expert panel members who review and vote on a final set of GRAIDs; and (v) an independent peer review of GRAIDs by national leaders from key disability organizations and professional groups through an online web portal.

Results

This is an ongoing project, and to date, the process has been used to develop 11 GRAIDs to coincide with 11 of the 24 CDC obesity prevention strategies.

Conclusion

A set of methods and criteria have been developed to allow researchers, practitioners and government agencies to promote inclusive health promotion guidelines, strategies and practices for people with disabilities. Evidence-based programs developed for people without disabilities can now be adapted for people with disabilities using the GRAIDs framework.
Appendix
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Metadata
Title
GRAIDs: a framework for closing the gap in the availability of health promotion programs and interventions for people with disabilities
Authors
James H Rimmer
Kerri A Vanderbom
Linda G Bandini
Charles E Drum
Karen Luken
Yolanda Suarez-Balcazar
Ian D Graham
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Implementation Science / Issue 1/2014
Electronic ISSN: 1748-5908
DOI
https://doi.org/10.1186/s13012-014-0100-5

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