The influence of meaningful activities in the quality of life and functional autonomy of adults with intellectual disability: A prospective study during the COVID-19 pandemic Muñoz-López, Saray Molina-García, Pablo Gutiérrez-Cruz, Carmen Ubago-Díaz, Rocío Romero-Ayuso, Dulce Ariza-Vega, Patrocinio Exercise Occupational Therapy Physical Activity This manuscript was published by Wiley in Journal of Applied Research in Intellectual Disabilities on May 2023, available at doi: 10.1111/jar.13077. Background: The COVID-19 pandemic might negatively impact the quality of life and functional autonomy of Spanish adults with intellectual disability, and meaningful activities could prevent this negative progression. Methods: This is a prospective cohort study in Spanish adults with intellectual disability during the COVID-19 pandemic. Quality of life, functional autonomy and functional independence were measured. The meaningful activities studied were structured-leisure, community self-management, and occupational and physical activities. Results: Seventy-three participants were included in the study. Quality of life and functional autonomy significantly deteriorated during the COVID-19 pandemic (all p > .001). Greater participation in community self-management activities before COVID-19 was associated with less detriment to quality of life (ß = .312; p = .008), while greater participation in occupational and physical activities was associated with less detriment to the performance of instrumental activities (ß = .317; p = .016; and ß = .285; p = .030, respectively). Conclusion: People with intellectual disability living in residential homes experienced a decrease in their quality of life and functional autonomy during the COVID-19 pandemic. Their involvement in community self-management activities and physical and occupational activities before the pandemic had preventive effects on the detriment to the quality of life and functional autonomy. 2024-02-04T16:27:28Z 2024-02-04T16:27:28Z 2023-05 journal article Muñoz-López S, Molina-Garcia P, Gutiérrez-Cruz C, Ubago-Díaz R, Romero-Ayuso D, Ariza-Vega P. The influence of meaningful activities in the quality of life and functional autonomy of adults with intellectual disability: A prospective study during the COVID-19 pandemic. J Appl Res Intellect Disabil. 2023 May;36(3):538-546. doi: 10.1111/jar.13077. Epub 2023 Feb 8. PMID: 36754365. https://hdl.handle.net/10481/88139 10.1111/jar.13077 eng http://creativecommons.org/licenses/by-nc-nd/4.0/ open access Attribution-NonCommercial-NoDerivatives 4.0 Internacional Wiley