This systematic literature review evaluates research on interventions to increase successful participation in medical procedures and health-promoting routines by children and youth with intellectual and developmental disabilities (IDD). Electronic database searches of Eric, PsycInfo, and MEDLINE and ancestral review were conducted to identify studies published between 1968 and 2020. Across the 24 studies meeting inclusion criteria, a variety of behavioral interventions have been implemented to prevent or decrease challenging behavior and increase participation during medical procedures and health-promoting routines. The results are discussed in relation to (a) participants and intervention setting, (b) intervention procedures and targeted behavior, (c) the rigor of the study methodology according to Reichow's Evaluative Method, and (d) outcomes including magnitude of intervention effect. Findings demonstrate that dental or medical examinations, blood draws, toothbrushing, and handwashing were the most often targeted procedures or routines. Behavioral intervention packages including strategies such as video-modeling and positive reinforcement were generally effective in increasing successful completion of medical procedures and health promoting routines. However, most studies have focused on early childhood and fail to reflect the support and educational needs of individuals with IDD across the lifespan. We discuss future research directions.

中文翻译：

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支持智力和发育障碍儿童健康相关常规的干预措施：系统文献综述

这篇系统的文献综述评估了有关干预措施的研究，以增加患有智力和发育障碍 (IDD) 的儿童和青少年成功参与医疗程序和促进健康的例行程序。对 Eric、PsycInfo 和 MEDLINE 进行电子数据库搜索和祖先审查，以确定 1968 年至 2020 年间发表的研究。在符合纳入标准的 24 项研究中，实施了各种行为干预措施，以防止或减少挑战性行为并增加参与医疗程序和促进健康的程序。讨论结果与 (a) 参与者和干预设置，(b) 干预程序和目标行为，(c) 根据 Reichow 评估方法的研究方法的严谨性，(d) 结果，包括干预效果的大小。调查结果表明，牙科或医学检查、抽血、刷牙和洗手是最常有针对性的程序或例行程序。包括视频建模和积极强化等策略的行为干预包通常有效地提高了医疗程序和健康促进程序的成功完成率。然而，大多数研究都集中在儿童早期，未能反映 IDD 患者在整个生命周期中的支持和教育需求。我们讨论未来的研究方向。包括视频建模和积极强化等策略的行为干预包通常有效地提高了医疗程序和健康促进程序的成功完成率。然而，大多数研究都集中在儿童早期，未能反映 IDD 患者在整个生命周期中的支持和教育需求。我们讨论未来的研究方向。包括视频建模和积极强化等策略的行为干预包通常有效地提高了医疗程序和健康促进程序的成功完成率。然而，大多数研究都集中在儿童早期，未能反映 IDD 患者在整个生命周期中的支持和教育需求。我们讨论未来的研究方向。