{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T20:51:00Z","timestamp":1790974260834,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":47,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR300501"],"award-info":[{"award-number":["NIHR300501"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Research Intellect Disabil"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People with intellectual disabilities experience higher anxiety rates and barriers accessing effective interventions. This study conducted initial testing and refinement of Co\u2010MAID, a novel mental imagery\u2010based anxiety intervention co\u2010designed with people with mild to moderate intellectual disabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Six participants received 9\u201312 individual sessions using a non\u2010concurrent multiple baseline design. Sessions focused on positive imagery generation, attention shifting and image property modification. Acceptability was assessed through interviews and adherence measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five participants completed the intervention with 92.6% session attendance. Template analysis revealed positive experiences with improved mood and reduced anxiety. Three participants (50%) demonstrated reliable change on the primary anxiety measure, meeting clinically significant change criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Co\u2010MAID demonstrated good acceptability with some preliminary evidence of anxiety reduction in people with mild to moderate intellectual disability. Further research with larger samples and controlled designs will establish the feasibility of a randomised control trial leading to a Phase III trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jar.70264","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T12:55:17Z","timestamp":1781700917000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Initial Testing of a Novel, Mental Imagery\u2010Based Anxiety Intervention for People With Mild to Moderate Intellectual Disabilities Using a Single Case Experimental Design"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6393-2388","authenticated-orcid":false,"given":"Olivia M.","family":"Hewitt","sequence":"first","affiliation":[{"name":"Intellectual Disabilities Research Institute (IDRIS) University of Birmingham  Birmingham UK"},{"name":"Oxford Health NHS Foundation Trust, Learning Disability Servcie Slade House, Horspath Driftway  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9940-6913","authenticated-orcid":false,"given":"Paul A.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Intellectual Disabilities Research Institute (IDRIS) University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Steel","sequence":"additional","affiliation":[{"name":"Oxford Institute of Clinical Psychology Training and Research  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7745-1825","authenticated-orcid":false,"given":"Peter E.","family":"Langdon","sequence":"additional","affiliation":[{"name":"Intellectual Disabilities Research Institute (IDRIS) University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/int0000108"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2014.955224"},{"issue":"2","key":"e_1_2_10_4_1","first-page":"77","article-title":"Physical Exercises Can Reduce Anxiety and Improve Quality of Life Among Adults With Intellectual Disability","volume":"10","author":"Carmeli E.","year":"2009","journal-title":"International SportMed Journal"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/bld.12194"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-023-06127-y"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-019-2151-2"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.13046"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063\u2010018\u20102735\u2010z"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/med:psych\/9780199234028.001.0001"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.53841\/bpsfpid.2013.11.1-2.7"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1108\/AMHID\u201007\u20102017\u20100030"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.70022"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12424"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2022.102178"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118900772.etrds0216"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2010.01.001"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.59.1.12"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465825000104"},{"key":"e_1_2_10_20_1","volume-title":"Single\u2010Case Research Designs: Methods for Clinical and Applied Settings","author":"Kazdin A. 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