A Qualitative Exploration of Perspectives From Young Adults With Intellectual Disabilities and Their Caregivers Participating in a Lifestyle Intervention to Enhance Cooking Skills and Physical Fitness

Abstract

Background: Young adults with intellectual disabilities experience significant cardiometabolic health disparities which may inhibit progress towards independence, underscoring the need for targeted interventions. This study examined how individuals with intellectual disabilities and caregivers perceived the relevance and acceptability of a cooking and fitness skills intervention. Methods: Fourteen semi-structured post-intervention interviews with individuals with intellectual disabilities and their caregivers queried preferences, challenges, benefits and impacts of a cooking skills and functional fitness intervention called CHEF-ID. Results were analysed thematically. Results: Four themes were identified: (1) autonomy and competence in everyday life; (2) enriching experiences and relationships; (3) suggestions for programme enhancement; and (4) meeting a community need. Conclusions: Interviewees valued enhanced autonomy and competence for physical activity and cooking skills and made meaningful social connections, although participants differed in their preference for individual versus group work. Transportation was a frequently cited challenge. Future interventions should consider these factors to optimise programme design.