Table 4.
Summary of data extracted
| Author (s) | Intervention | Setting | Study design | Type of impairment(s) | (2a) Effectiveness assessment without considering risk of bias |
(1) Risk of bias |
(2b) Effectiveness assessment with risk of bias |
(1+2) Evidence to support this intervention ‘works’ |
(3a) Levesque: patient dimension |
(3b) Levesque: service dimension |
(3 overall) Intervention |
SRHR theme |
| Fiander and Vanneste (2012)28 | Provides cash to meet transport cost of attending obstetric fistulae surgery | Tanzania (LIC) | Quantitative | Other functional limitations | Effective | High | Unclear | Insufficient evidence | Ability to pay | Affordability | Promising intervention: potential application (other impairments, other topics) | RH |
| Ghaderi et al (2017)44 | Provides self-encouragement sessions (10×90 mins) to women with physical impairments | Iran (upper MIC) |
Quasi-experimental | Physical | Effective | High | Unclear | Insufficient evidence | Ability to perceive | (None) | Unclear wider application or impact | Sexuality |
| Hanass-Hancock et al (2014)33 | A tool, Teachers’ Sexuality Education Questionnaire (TSE-Q), to capture attitudes, needs and experiences of teaching CSE to disabled children | South Africa (upper MIC) | Mixed methods | Visual, Hearing, Intellectual | Effective | Moderate | Effective | Promising evidence | Ability to perceive (anticipated) | Approachability Acceptability |
Promising intervention: potential application (other impairments, other contexts) | CSE |
| Hanass-Hancock et al (2018a)34 | Breaking the Silence approach to deliver CSE to children with intellectual impairment: educators find it effective | South Africa (upper MIC) | Qualitative | Intellectual | Effective | Moderate | Effective | Promising evidence | Ability to perceive | Approachability Acceptability |
Promising intervention: potential application (other contexts) | CSE |
| Hanass-Hancock et al (2018b)35 | Breaking the silence approach to deliver CSE to children with intellectual impairment: need to address contextual factors | South Africa (upper MIC) | Qualitative | Intellectual | Low | |||||||
| Mdikana and Phasha (2018)42 | School-based support teams that provide information support to intellectually disabled students at risk of sexual abuse | South Africa (upper MIC) | Qualitative | Intellectual | Effective | High | Unclear | Insufficient evidence | Ability to
|
Approachability | Promising intervention: potential application (other impairments) | Violence |
| Nakhli et al (2014)45 | Arabic version of a tool to screen people with schizophrenia for sexual dysfunction | Tunisia (lower MIC) | Quantitative | Mental health | Effective | Low | Effective | Promising evidence | Ability to perceive | Approachability | Promising intervention: potential application (other contexts) | Sexual health |
| Neherta et al (2019)43 | Provides information to mothers of intellectually impaired children about violence | Indonesia (lower MIC) | Quasi-experimental | Intellectual | Effective | High | Unclear | Insufficient evidence | Ability to perceive | (None) | Intervention unclear, limited scope | Violence (and CSE) |
| Oliveira et al (2016)31 | Package to provide STI information to people with visual impairment | Brazil (upper MIC) |
Quantitative | Visual | Effective | High | Unclear | Insufficient evidence | Ability to perceive | (None) | Unclear utility of their intervention design | STIs (and CSE) |
| Oliveira et al (2018)37 | Information package on RH and fertility delivered in Braille for people with visual impairment | Brazil (upper MIC) |
Quant - cross-sectional | Visual | Positive | High | Unclear | Limited evidence | Ability to perceive | (None) | Intervention limited in scope and application | CSE (and RH) |
| Robles-Bykbaev et al (2019)36 | Web-based platform where SRH information is delivered through sign language | Ecuador (upper MIC) | Quantitative | Hearing | Effective | Low | Effective | Promising evidence | Ability to perceive | Approachability | Promising intervention: potential application (other contexts, other topics) | CSE (and RH) |
| Salahi et al (2018)41 | Woman Abuse Screening Tool (WAST), is assessed to capture IPV among people with mental health disorders | Iran (upper MIC) |
Quant - cross-sectional | Mental health | Effective | Low | Effective | Promising evidence | Ability to perceive | Approachability | Promising intervention: potential application (other contexts) | Violence |
| Wilbur and Bright et al (2018)29 | Steps in developing a behaviour change intervention for people with intellectual disabilities on MHM | Nepal | Qualitative | Intellectual | Effective | Moderate | Effective | Promising evidence | Ability to
|
Acceptability | Promising intervention: potential application (other contexts) | RH |
| Wilbur et al (2019)46 | Intervention for people with intellectual impairments on MHM | Nepal (LIC) |
Mixed methods | Low | ||||||||
| Yildiz et al (2017)39 | Sexuality Education Program for Mothers of Young Adults with Intellectual Disabilities (SEPID) (5×120 mins) | Turkey (upper MIC) | Quant - case-control | Intellectual | Effective | Moderate | Unclear | Limited evidence | Ability to perceive | (None) | Intervention limited in scope and application | CSE |
| Devine et al (2017)40 | Participant Action Groups to improve self-confidence in SRH seeking, SRHR knowledge, peer support | Philippines (upper MIC) | Qualitative | Visual; Hearing; Physical | Effective | High | Unclear | Limited evidence | Ability to
|
(None) | Promising intervention: potential application (other contexts) | CSE (and RH, SH violence) |
| Doherty et al (2016)32 | A multi-pronged intervention including accessible material provision, peer education and condom programme to disabled students | Nigeria (lower MIC) | Quantitative | Visual; Hearing | Effective | High | Unclear | Limited evidence | Ability to:
|
Approachability Acceptability |
Promising intervention: potential application (other topics) | STIs (and CSE) |
| Aval et al (2019)38 | Provides information to VI women (includes Q&As and models) on RH, STIs, motherhood, menstruation. | Azerbaijan (upper MIC) | Quasi-experimental | Visual | Effective | High | Unclear | Limited evidence | Ability to perceive | (None) | Intervention limited in scope and application | CSE (and RH) |
CSE, comprehensive sexuality education; IPV, Intimate Partner Violence; LIC, low-income country; MHM, menstrual hygiene management; MIC, middle-income country; Q&As, questions and answers; RH, reproductive health; SH, sexual health; SRH, sexual and reproductive health; SRHR, sexual and reproductive health and rights; STI, sexually transmitted infection; VI women, visually impaired women.