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Participants were staff trialling the toolkit and submitting feedback forms. Focus groups with support staff and service managers were also conducted. Feedback forms and focus group transcripts were coded using a modified framework approach. Data and analyses were discussed within the team (including researchers with intellectual disabilities). Thirty-four participants submitted 44 feedback forms. Two focus groups with seven participants were held. Participants found the toolkit approach and resources acceptable and appropriate, prompting positive eye-opening conversations. There were significant adoption and feasibility implementation challenges such as printing the resources, lack of time, and the sensitive end-of-life topic. Exploration of how to overcome these challenges is needed to successfully implement the toolkit in social care services.<\/jats:p>","DOI":"10.1177\/17446295251367687","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T23:20:26Z","timestamp":1756164026000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Evaluating a toolkit for end-of-life care planning with people with intellectual disabilities: An exploration of implementation outcomes within intellectual disability social care services"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9620-0290","authenticated-orcid":false,"given":"Andrea","family":"Bruun","sequence":"first","affiliation":[{"name":"Kingston University London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Cresswell","sequence":"additional","affiliation":[{"name":"Kingston University London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Jeffrey","sequence":"additional","affiliation":[{"name":"Kingston University London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leon","family":"Jordan","sequence":"additional","affiliation":[{"name":"Kingston University London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Keagan-Bull","sequence":"additional","affiliation":[{"name":"Kingston University London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"Giles","sequence":"additional","affiliation":[{"name":"Kingston University London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faye","family":"Gardiner","sequence":"additional","affiliation":[{"name":"Dimensions UK Ltd"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meg","family":"Wilding","sequence":"additional","affiliation":[{"name":"MacIntyre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Payne","sequence":"additional","affiliation":[{"name":"MacIntyre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Swindells","sequence":"additional","affiliation":[{"name":"Dimensions UK Ltd"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah L.","family":"Gibson","sequence":"additional","affiliation":[{"name":"Kingston University London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Anderson-Kittow","sequence":"additional","affiliation":[{"name":"Kingston University London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Tuffrey-Wijne","sequence":"additional","affiliation":[{"name":"Kingston University London"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,25]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216320932774"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/bld.12477"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.14000"},{"key":"e_1_3_8_5_1","volume-title":"International Association for the Scientific Study of Intellectual and Developmental Disabilities Conference Proceedings","author":"Bernal J","year":"2014","unstructured":"Bernal J, Todd S, Shearn J, et al. 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