The needs of family members of people with severe or profound intellectual disabilities when collaborating with healthcare professionals: a systematic review.
K van Beurden, F R Vereijken, N Frielink and 1 others
PMID 39569759WHAT IT FOUND
Family members of people with severe or profound intellectual disability wanted professionals to see their relative as a person, treat them as experts, keep them informed, and build trusted, accessible relationships.
Key findings
01Family members wanted healthcare professionals to see their relative as a valuable individual rather than reducing them to a diagnosis or case.
02They wanted to be recognised as experts on their relative and actively involved in care.
03Family members valued professionals who were trustworthy, helpful, accessible, and knowledgeable about disability.
STILL TO COME
How it was doneWhat they found
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What it does not show
The review included only English publications, so non-English experiences were missed. Most studies focused on parents, especially mothers, and fewer included fathers, siblings or other relatives. The reviewed studies had relatively small sample sizes because they were qualitative or mixed-method studies. The authors report that contextual details about caregiving were sparse in the included studies. Screening agreement was moderate to weak, which may have affected which studies were selected. Findings mainly reflect well-educated, middle-class families from Western countries, so they may not apply in other cultural or socioeconomic contexts. Family members of people with mild or moderate intellectual disabilities were not included.
Declared interests
The authors declared no conflicts of interest. The research was funded by the Dutch Ministry of Health, Welfare and Sport.
The easy way to misread this
Do not treat these themes as evidence that a specific therapy improves outcomes. The review reports family members' experiences and needs, and the authors say the findings may not apply universally.