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1.
Behav Res Methods ; 56(3): 2135-2157, 2024 Mar.
Article in English | MEDLINE | ID: mdl-37253957

ABSTRACT

There is an increasing consensus among researchers that traditional attention tasks do not validly index the attentional mechanisms that they are often used to assess. We recently tested and validated several existing, modified, and new tasks and found that accuracy-based and adaptive tasks were more reliable and valid measures of attention control than traditional ones, which typically rely on speeded responding and/or contrast comparisons in the form of difference scores (Draheim et al. Journal of Experimental Psychology: General, 150(2), 242-275, 2021). With these improved measures, we found that attention control fully mediated the working memory capacity-fluid intelligence relationship, a novel finding that we argued has significant theoretical implications. The present study was both a follow-up and extension to this "toolbox approach" to measuring attention control. Here, we tested updated versions of several attention control tasks in a new dataset (N = 301) and found, with one exception, that these tasks remain strong indicators of attention control. The present study also replicated two important findings: (1) that attention control accounted for nearly all the variance in the relationship between working memory capacity and fluid intelligence, and (2) that the strong association found between attention control and other cognitive measures is not because the attention control tasks place strong demands on processing speed. These findings show that attention control can be measured as a reliable and valid individual differences construct, and that attention control shares substantial variance with other executive functions.


Subject(s)
Attention , Executive Function , Humans , Memory, Short-Term , Intelligence , Individuality
2.
Psychon Bull Rev ; 29(4): 1143-1197, 2022 Aug.
Article in English | MEDLINE | ID: mdl-35167106

ABSTRACT

Working memory capacity is an important psychological construct, and many real-world phenomena are strongly associated with individual differences in working memory functioning. Although working memory and attention are intertwined, several studies have recently shown that individual differences in the general ability to control attention is more strongly predictive of human behavior than working memory capacity. In this review, we argue that researchers would therefore generally be better suited to studying the role of attention control rather than memory-based abilities in explaining real-world behavior and performance in humans. The review begins with a discussion of relevant literature on the nature and measurement of both working memory capacity and attention control, including recent developments in the study of individual differences of attention control. We then selectively review existing literature on the role of both working memory and attention in various applied settings and explain, in each case, why a switch in emphasis to attention control is warranted. Topics covered include psychological testing, cognitive training, education, sports, police decision-making, human factors, and disorders within clinical psychology. The review concludes with general recommendations and best practices for researchers interested in conducting studies of individual differences in attention control.


Subject(s)
Attention , Sports , Humans , Individuality , Memory, Short-Term
3.
J Exp Psychol Gen ; 150(12): 2525-2551, 2021 Dec.
Article in English | MEDLINE | ID: mdl-34591545

ABSTRACT

Extant literature suggests that performance on visual arrays tasks reflects limited-capacity storage of visual information. However, there is also evidence to suggest that visual arrays task performance reflects individual differences in controlled processing. The purpose of this study is to empirically evaluate the degree to which visual arrays tasks are more closely related to memory storage capacity or measures of attention control. To this end, we conducted new analyses on a series of large data sets that incorporate various versions of a visual arrays task. Based on these analyses, we suggest that the degree to which the visual arrays is related to memory storage ability or effortful attention control may be task-dependent. Specifically, when versions of the task require participants to ignore elements of the target display, individual differences in controlled attention reliably provide unique predictive value. Therefore, at least some versions of the visual arrays tasks can be used as valid indicators of individual differences in attention control. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Subject(s)
Attention , Memory, Short-Term , Humans , Individuality , Task Performance and Analysis , Visual Perception
5.
J Exp Psychol Gen ; 150(2): 242-275, 2021 Feb.
Article in English | MEDLINE | ID: mdl-32700925

ABSTRACT

Cognitive tasks that produce reliable and robust effects at the group level often fail to yield reliable and valid individual differences. An ongoing debate among attention researchers is whether conflict resolution mechanisms are task-specific or domain-general, and the lack of correlation between most attention measures seems to favor the view that attention control is not a unitary concept. We have argued that the use of difference scores, particularly in reaction time (RT), is the primary cause of null and conflicting results at the individual differences level, and that methodological issues with existing tasks preclude making strong theoretical conclusions. The present article is an empirical test of this view in which we used a toolbox approach to develop and validate new tasks hypothesized to reflect attention processes. Here, we administered existing, modified, and new attention tasks to over 400 participants (final N = 396). Compared with the traditional Stroop and flanker tasks, performance on the accuracy-based measures was more reliable, had stronger intercorrelations, formed a more coherent latent factor, and had stronger associations to measures of working memory capacity and fluid intelligence. Further, attention control fully accounted for the relationship between working memory capacity and fluid intelligence. These results show that accuracy-based measures can be better suited to individual differences investigations than traditional RT tasks, particularly when the goal is to maximize prediction. We conclude that attention control is a unitary concept. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Subject(s)
Attention/physiology , Cognition/physiology , Memory, Short-Term/physiology , Adolescent , Adult , Female , Humans , Individuality , Male , Neuropsychological Tests , Reaction Time/physiology , Young Adult
6.
Atten Percept Psychophys ; 82(7): 3445-3478, 2020 Oct.
Article in English | MEDLINE | ID: mdl-32514663

ABSTRACT

Intelligence is correlated with the ability to make fine sensory discriminations. Although this relationship has been known since the beginning of intelligence testing, the mechanisms underlying this relationship are still unknown. In two large-scale structural equation-modelling studies, we investigated whether individual differences in attention control abilities can explain the relationship between sensory discrimination and intelligence. Across these two studies, we replicated the finding that attention control fully mediated the relationships of intelligence/working-memory capacity to sensory discrimination. Our findings show that attention control plays a prominent role in relating sensory discrimination to higher-order cognitive abilities.


Subject(s)
Attention , Intelligence , Aptitude , Humans , Memory, Short-Term , Perception
7.
Psychol Bull ; 145(5): 508-535, 2019 05.
Article in English | MEDLINE | ID: mdl-30896187

ABSTRACT

Reaction time is believed to be a good indicator of the speed and efficiency of mental processes and is a ubiquitous variable in the behavioral sciences. Despite this popularity, there are numerous issues associated with using reaction time (RT), specifically in differential and developmental research. Here, we identify and focus on two main problems-unreliability and sensitivity to speed-accuracy interactions. The use of difference scores is a primary factor that leads to many RT measures having demonstrably low reliability, and RT measures in general often do not properly account for speed-accuracy interactions. Both factors jeopardize the validity and interpretability of results based on RT. Here, we evaluate conceptually and empirically how these issues affect individual differences research. Although the empirical evidence we provide are primarily within the domains of attention control and task switching, we highlight examples from various other areas of psychological inquiry. We also discuss many of the statistical and methodological alternatives available to researchers conducting correlational studies. Ultimately, we encourage researchers comparing individuals of differing cognitive and developmental levels to strongly consider using these alternatives in lieu of RT, specifically RT difference scores. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Subject(s)
Behavioral Research/methods , Reaction Time/physiology , Humans , Reproducibility of Results
8.
Vaccine ; 37(12): 1659-1666, 2019 03 14.
Article in English | MEDLINE | ID: mdl-30782491

ABSTRACT

The study estimates cattle owners' willingness-to-pay (WTP) for Contagious Bovine Pleuropneumonia (CBPP) vaccine in Samburu county, Kenya. Of particular policy relevance, the study presents findings on WTP for i) improved access to vaccines and ii) timely access to disease-risk information. The mean price for a CBPP vaccine was estimated at KES 66 (USD 0.64). This price relates to a CBPP vaccine that requires a 1.8 h commute, cattle owners' receipt of timely information that the CBPP disease risk is low-moderate and the vaccine lowers the risk of either tail-drop or post-vaccine abortion. The conditional WTP for mean travel duration and high-risk information are similar at KES 53.9 and KES 51.5. The marginal effect on demand for a 1 h additional travel duration and provision of CBPP disease risk information was estimated as a 1.5 per cent reduction and 2.3 increase. The results of this study indicate that cattle owners value greater levels of knowledge concerning the changing risk profile of CBPP in their community and improved access to CBPP vaccination services. Enhanced engagement with cattle owners concerning CBPP would likely result in a greater utilisation of available CBPP vaccines, conditional on the perceived CBPP disease risk.


Subject(s)
Bacterial Vaccines/immunology , Cattle Diseases/epidemiology , Cattle Diseases/prevention & control , Health Knowledge, Attitudes, Practice , Information Dissemination , Pleuropneumonia, Contagious/epidemiology , Pleuropneumonia, Contagious/prevention & control , Animals , Cattle , Decision Making, Shared , Geography , Health Care Costs , Humans , Kenya/epidemiology , Rural Population
9.
Psychol Assess ; 30(1): 116-129, 2018 01.
Article in English | MEDLINE | ID: mdl-28277694

ABSTRACT

Working memory capacity is an important construct in psychology because of its relationship with many higher-order cognitive abilities and psychopathologies. Working memory capacity is often measured using a type of paradigm known as complex span. Some recent work has focused on shortening the administration time of the complex span tasks, resulting in different versions of these tasks being used (Foster et al., 2015; Oswald, McAbee, Redick, & Hambrick, 2015). Variations in the complex span tasks, such as the number of set sizes, can lead to varying power to discriminate individuals at different ability levels. Thus, research findings may be inconsistent across populations due to differing appropriateness for the ability levels. The present study uses a combination of item response theory and correlational analyses to better understand the psychometric properties of the operation span, symmetry span, and rotation span. The findings show that the typical administration of these tasks, particularly the operation span, is not suitable for above average ability samples (Study 1; n = 573). When larger set sizes are added to the tasks (Study 2; n = 351), predictive validity and discriminability is improved for all complex span tasks, however the operation span is still inferior to the spatial tasks. The authors make several conclusions about which tasks and set sizes should be used depending on the intended population, and further suggest avoiding the standard-length operation span for average or higher ability populations. (PsycINFO Database Record


Subject(s)
Aptitude/physiology , Memory, Short-Term/physiology , Neuropsychological Tests/standards , Adolescent , Adult , Female , Humans , Male , Psychological Theory , Young Adult
10.
Psychol Assess ; 30(2): 274-279, 2018 02.
Article in English | MEDLINE | ID: mdl-28406672

ABSTRACT

Working memory plays a key role in cognition as it is a major predictor of a wide range of higher order abilities and behaviors typical to daily life. Shorter versions of the complex span tasks (CSTs) have been recently developed, allowing for the reduction of test administration time without affecting validity and reliability in the measurement of working memory capacity (WMC). However, these short versions have not been validated for the Spanish-speaking population. The present work aimed to validate an English version of the shortened CSTs into Spanish in a sample of 325 university students (40% female; mean age = 21.04; SD = 2.80). Cronbach's coefficient alpha was computed for each complex span task as an index of internal consistency. Validity evidence was evaluated by comparing participants' scores on the three shortened complex span tasks (operation span, symmetry span, and rotation span) with two measures of reasoning ability (Raven's Advanced Progressive Matrices and Number Series) and using confirmatory factor analysis. Results indicated that the short version of the Spanish complex span has satisfying qualities for assessing WMC in a sample of university students, which is an initial step toward providing a valid and standardized method for assessing WMC in the Peninsular Spanish-speaking population. (PsycINFO Database Record


Subject(s)
Memory, Short-Term , Adolescent , Adult , Factor Analysis, Statistical , Female , Humans , Intelligence Tests , Male , Neuropsychological Tests , Reproducibility of Results , Spain , Surveys and Questionnaires , Young Adult
11.
J Exp Psychol Learn Mem Cogn ; 43(11): 1677-1689, 2017 Nov.
Article in English | MEDLINE | ID: mdl-28557500

ABSTRACT

There is a debate about the ability to improve cognitive abilities such as fluid intelligence through training on tasks of working memory capacity. The question addressed in the research presented here is who benefits the most from training: people with low cognitive ability or people with high cognitive ability? Subjects with high and low working memory capacity completed a 23-session study that included 3 assessment sessions, and 20 sessions of training on 1 of 3 training regiments: complex span training, running span training, or an active-control task. Consistent with other research, the authors found that training on 1 executive function did not transfer to ability on a different cognitive ability. High working memory subjects showed the largest gains on the training tasks themselves relative to the low working memory subjects-a finding that suggests high spans benefit more than low spans from training with executive function tasks. (PsycINFO Database Record


Subject(s)
Learning , Memory, Short-Term , Adolescent , Adult , Cognition , Executive Function , Humans , Intelligence , Neuropsychological Tests , Visual Perception , Young Adult
12.
Front Pharmacol ; 7: 232, 2016.
Article in English | MEDLINE | ID: mdl-27563291

ABSTRACT

Millions of children across the world are exposed to multiple sources of indoor and outdoor air pollutants, including high concentrations of fine particulate matter (PM2.5) and ozone (O3). The established link between exposure to PM2.5, brain structural, volumetric and metabolic changes, severe cognitive deficits (1.5-2 SD from average IQ) in APOE 4 heterozygous females with >75 - < 94% BMI percentiles, and the presence of Alzheimer's disease (AD) hallmarks in urban children and young adults necessitates exploration of ways to protect these individuals from the deleterious neural effects of pollution exposure. Emerging research suggests that cocoa interventions may be a viable option for neuroprotection, with evidence suggesting that early cocoa interventions could limit the risk of cognitive and developmental concerns including: endothelial dysfunction, cerebral hypoperfusion, neuroinflammation, and metabolic detrimental brain effects. Currently, however, it is not clear how early we should implement consumption of cocoa to optimize its neuroprotective effects. Moreover, we have yet to identify suitable instruments for evaluating cognitive responses to these interventions in clinically healthy children, teens, and young adults. An approach to guide the selection of cognitive tools should take into account neuropsychological markers of cognitive declines in patients with Alzheimer's neuropathology, the distinct patterns of memory impairment between early and late onset AD, and the key literature associating white matter integrity and poor memory binding performance in cases of asymptomatic familial AD. We highlight potential systemic and neural benefits of cocoa consumption. We also highlight Working Memory Capacity (WMC) and attention control tasks as opened avenues for exploration in the air pollution scenario. Exposures to air pollutants during brain development have serious brain consequences in the short and long term and reliable cognition tools should be at hand to evaluate interventions.

13.
Perspect Psychol Sci ; 11(1): 133-55, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26817730

ABSTRACT

It is generally agreed upon that the mechanisms underlying task switching heavily depend on working memory, yet numerous studies have failed to show a strong relationship between working memory capacity (WMC) and task-switching ability. We argue that this relationship does indeed exist but that the dependent variable used to measure task switching is problematic. To support our claim, we reanalyzed data from two studies with a new scoring procedure that combines reaction time (RT) and accuracy into a single score. The reanalysis revealed a strong relationship between task switching and WMC that was not present when RT-based switch costs were used as the dependent variable. We discuss the theoretical implications of this finding along with the potential uses and limitations of the scoring procedure we used. More broadly, we emphasize the importance of using measures that incorporate speed and accuracy in other areas of research, particularly in comparisons of subjects differing in cognitive and developmental levels.


Subject(s)
Attention , Executive Function , Memory, Short-Term , Reaction Time , Data Interpretation, Statistical , Humans , Models, Psychological , Psychological Tests
14.
Am J Intellect Dev Disabil ; 119(2): 107-14, 2014 Mar.
Article in English | MEDLINE | ID: mdl-24679348

ABSTRACT

Individuals with intellectual disability (ID) or Down syndrome (DS) may be at greater risk of osteoporosis. The purpose of this study was to compare bone mineral density (BMD) of DS, ID, and non-intellectually disabled (NID) populations. In each group, 33 participants between the ages of 28 and 60 years were compared. BMD was measured with dual-energy x-ray absorptiometry (DXA) scans. BMD (p < .0001) between all groups was significantly different. Participants with DS had significantly lower BMD compared to NID participants. Individuals with ID had significantly lower BMD compared to NID subjects. Participants with DS had the lowest BMD of all groups. DS subjects display a greater risk for osteoporosis than ID subjects or control populations.


Subject(s)
Bone Density/physiology , Down Syndrome/physiopathology , Intellectual Disability/physiopathology , Osteoporosis/diagnosis , Absorptiometry, Photon , Adult , Comorbidity , Down Syndrome/epidemiology , Female , Humans , Intellectual Disability/epidemiology , Male , Middle Aged , Osteoporosis/epidemiology , Risk
15.
Am J Cardiol ; 106(10): 1512-6, 2010 Nov 15.
Article in English | MEDLINE | ID: mdl-21059445

ABSTRACT

Adults with Down syndrome (DS) residing in large institutional settings possess low levels of atherosclerosis. The purpose of this study was to determine whether community-residing adults with DS possess less atherosclerosis than adults without DS. The second purpose was to examine the relation between cardiovascular disease risk factors and intima-media thickness (IMT), a measure of atherosclerosis, in patients with DS. B-mode images of the left common carotid artery were collected to assess IMT in 52 adults with DS and age-, gender-, and race-matched adults without DS (27 women, 25 men; mean age 42 ± 5 years). Total body fat, blood pressure, fasting lipid profiles, insulin, glucose, C-reactive protein, homocysteine, physical activity, and dietary intake were also assessed. Adults with DS possessed lower IMT (0.43 ± 0.07 vs 0.48 ± 0.09 mm, p <0.001), systolic blood pressure (116 ± 15 vs 125 ± 17 mm Hg, p <0.011), and diastolic blood pressure (59 ± 10 vs 73 ± 9 mm Hg, p <0.001) and higher C-reactive protein (0.58 ± 0.55 vs 0.30 ± 0.42 mg/dl, p <0.003), triglycerides (126.5 ± 55.2 vs 103.8 ± 53.2 mg/dl, p <0.048), and total body fat (37.8 ± 10.2% vs 32.4 ± 11.2%, p <0.002) than controls. Male gender (p <0.001) and physical activity (p = 0.020) were identified as predictors of IMT for adults with DS and fasting insulin (p <0.001), age (p <0.001), gender (p <0.001), fruit and vegetable intake (p = 0.001), low-density lipoprotein cholesterol (p = 0.004), and smoking (p = 0.023) for controls. In conclusion, community residing adults with DS may be protected against atherosclerosis despite elevated total body fat and elevated cardiovascular disease risk factors. Predictors of IMT differed for patients with DS compared to controls, which indicates that patients with DS possess a unique model of atherogenesis.


Subject(s)
Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/etiology , Carotid Arteries/pathology , Carotid Artery Diseases/complications , Carotid Artery Diseases/pathology , Down Syndrome/complications , Tunica Intima/pathology , Tunica Media/pathology , Adult , Cross-Sectional Studies , Female , Humans , Male , Risk Factors
16.
Am J Ment Retard ; 112(5): 392-400, 2007 Sep.
Article in English | MEDLINE | ID: mdl-17676962

ABSTRACT

The dietary intake of adults with mental retardation among three different community residential settings was described and compared. Two dietary screeners were administered to 325 adults. The women's Fruit and Vegetable Screener scores from group homes were significantly higher than scores from those with family members and in semi-independent settings. No significant differences were found in dietary intake across residences for men. Overall, 0% to 6% of the participants consumed the recommended 5 or more fruits and vegetables per day, and 15% to 30% consumed the recommended

Subject(s)
Diet/psychology , Eating , Intellectual Disability/psychology , Residence Characteristics , Activities of Daily Living , Age Factors , Aged , Body Constitution , Comorbidity , Data Collection , Diet/classification , Diet Surveys , Dietary Fats/administration & dosage , Down Syndrome/diagnosis , Down Syndrome/epidemiology , Down Syndrome/psychology , Female , Fruit , Group Homes , Humans , Intellectual Disability/diagnosis , Intellectual Disability/epidemiology , Male , Middle Aged , Nutritional Requirements , Sex Factors , Surveys and Questionnaires , Vegetables
17.
Vasc Health Risk Manag ; 3(3): 343-9, 2007.
Article in English | MEDLINE | ID: mdl-17703642

ABSTRACT

BACKGROUND: Many noninvasive arterial assessment techniques have been developed, measuring different parameters of arterial stiffness and endothelial function. However, there is little data available comparing different devices within the same subject. Therefore, the purpose of this study was to examine the repeatability and interrelationships between 3 different techniques to measure arterial stiffness and to compare this with forearm-mediated dilation. METHODS: Carotid-radial pulse wave velocity was measured by the Sphygmocor (SPWV) and Complior (CPWV) devices, cardio-ankle vascular index (CAVI) was measured by the VaSera device, vascular structure and function was assessed using ultrasonography and evaluated for reliability and compared in 20 apparently healthy, college-aged men and women. RESULTS: The intraclass correlation coefficient and standard error of the mean for the Sphygmocor (R = 0.56, SEM = 0.69), Complior (R = 0.62, SEM = 0.69), and VaSera (R = 0.60, SEM = 0.56), indicated moderate repeatability. Bland-Altman plots indicated a mean difference of 0.11 +/- 0.84 for SPWV, 0.13 +/- 1.15 for CPWV, and -0.43 +/- 0.90 for CAVI. No significant interrelationships were found among the ultrasound measures and SPWV, CPWV, and CAVI. CONCLUSIONS: The three noninvasive modalities to study arterial stiffness reliably measures arterial stiffness however, they do not correlate with ultrasound measures of vascular function and structure in young and apparently healthy subjects.


Subject(s)
Arteries/physiology , Blood Flow Velocity/physiology , Endothelium, Vascular/physiology , Pulse/instrumentation , Adolescent , Adult , Ankle/blood supply , Arteries/diagnostic imaging , Endothelium, Vascular/diagnostic imaging , Female , Forearm/blood supply , Hemodynamics/physiology , Humans , Male , Pulse/methods , Technology Assessment, Biomedical , Ultrasonography
18.
Article in English | MEDLINE | ID: mdl-16435328

ABSTRACT

This paper reviews the recent literature on cardiovascular disease (CVD) prevalence, CVD-related mortality, physiological CVD risk factors, and behavioral CVD risk factors in adults with mental retardation (MR). The literature on the potential influences of modifiable behavioral CVD risk factors and the physiological CVD risk factors are also reviewed. Adults with mild to moderate MR residing in community settings appear to have an elevated disease prevalence, elevated CVD-related mortality, more adverse physiological CVD risk factors, and elevated behavioral risk compared to others with and without MR. Preliminary evidence supports the benefits of participating in the recommended physical activity levels and consuming the recommended diets to reduce the risk for CVD. The lack of large-scale longitudinal or experimental research indicates a gap in the research. The development of research-based, appropriate, primary prevention programs and intervention strategies aimed at lowering the risk for CVD is highly recommended. Programs should focus on educating individuals with MR along with direct care providers and family members on the importance of appropriate dietary concepts, physical activity habits, and regular health screenings by physicians. Programs should be individualized to regional and cultural issues.


Subject(s)
Cardiovascular Diseases/epidemiology , Intellectual Disability/epidemiology , Cardiovascular Diseases/etiology , Comorbidity , Cross-Sectional Studies , Humans , Obesity/complications , Obesity/epidemiology , Risk Factors , United States
19.
Ment Retard ; 43(6): 421-7, 2005 Dec.
Article in English | MEDLINE | ID: mdl-16266210

ABSTRACT

The walking activity of men and women with mental retardation residing in community settings was described. Participants were 38 women (M age=.7, SD=9.5) and 65 men (M age=35.9, SD=11.2). They wore pedometers for 7 days. A 2 x 2 factorial ANOVA indicated no significant gender differences in total step counts or between participants with and those without Down syndrome. A post-hoc analysis revealed that participants walked less on Saturday than during the weekdays. Only 21.1% of the women and 21.5% of the men with mental retardation accumulated the recommended 10,000 steps per day.


Subject(s)
Habits , Intellectual Disability , Walking , Adult , Aged , Female , Humans , Male , Middle Aged
20.
Ment Retard ; 40(6): 436-44, 2002 Dec.
Article in English | MEDLINE | ID: mdl-12408746

ABSTRACT

Little information has been reported on the leisure time physical activity (LTPA) habits of adults with mental retardation. Prevalence of physical inactivity and recommended LTPA of adults with mild to moderate mental retardation who live in community settings was described. Adults with mental retardation (76 men, 74 women) reported their physical activity habits. Overall, men and women who resided in community settings were similarly inactive, with 47% to 51% of individuals participating in little to no LTPA. Forty-two to 47% of them reported participation in moderate to vigorous LTPA five or more times per week. Limitations to quantifying physical activity through questionnaire process is discussed and development and implementation of programs designed to increase physical activity levels recommended.


Subject(s)
Down Syndrome/rehabilitation , Exercise , Intellectual Disability/rehabilitation , Leisure Activities , Life Style , Activities of Daily Living/psychology , Adult , Aged , Body Mass Index , Cross-Sectional Studies , Down Syndrome/epidemiology , Down Syndrome/psychology , Exercise/psychology , Group Homes/statistics & numerical data , Humans , Intellectual Disability/epidemiology , Intellectual Disability/psychology , Leisure Activities/psychology , Middle Aged , United States
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