Angela Hassiotis1, Michaela Poppe2, Andre Strydom3, Victoria Vickerstaff4, Ian S Hall5, Jason Crabtree5, Rumana Z Omar6, Michael King2, Rachael Hunter4, Asit Biswas7, Viv Cooper8, William Howie9, Michael J Crawford10. 1. University College London Division of Psychiatry,UK and Camden and Islington NHS Foundation Trust,UK. 2. University College London Division of Psychiatry,UK. 3. King's College London and South London and the Maudsley NHS Foundation Trust,UK. 4. University College London PRIMENT Clinical Trials Unit,UK. 5. Tower Hamlets Community Learning Disability Service,Mile End Hospital,London,UK. 6. Department of Statistical Science,University College London,UK. 7. Leicestershire Partnership National Health Service Trust,Directorate of Learning Disabilities,Frith Hospital,Leicester,UK. 8. Challenging Behaviour Foundation,UK. 9. Wandsworth Community Mental Health Intellectual Disabilities Team,Springfield Hospital,UK. 10. Department of Medicine,Imperial College London,UK.
Abstract
BACKGROUND:Staff training in positive behaviour support (PBS) is a widespread treatment approach for challenging behaviour in adults with intellectual disability. Aims To evaluate whether such training is clinically effective in reducing challenging behaviour during routine care (trial registration: NCT01680276). METHOD: We carried out a multicentre, cluster randomised controlled trial involving 23 community intellectual disability services in England, randomly allocated to manual-assisted staff training in PBS (n = 11) or treatment as usual (TAU, n = 12). Data were collected from 246 adult participants. RESULTS: No treatment effects were found for the primary outcome (challenging behaviour over 12 months, adjusted mean difference = -2.14, 95% CI: -8.79, 4.51) or secondary outcomes. CONCLUSIONS:Staff training in PBS, as applied in this study, did not reduce challenging behaviour. Further research should tackle implementation issues and endeavour to identify other interventions that can reduce challenging behaviour. Declaration of interest None.
RCT Entities:
BACKGROUND: Staff training in positive behaviour support (PBS) is a widespread treatment approach for challenging behaviour in adults with intellectual disability. Aims To evaluate whether such training is clinically effective in reducing challenging behaviour during routine care (trial registration: NCT01680276). METHOD: We carried out a multicentre, cluster randomised controlled trial involving 23 community intellectual disability services in England, randomly allocated to manual-assisted staff training in PBS (n = 11) or treatment as usual (TAU, n = 12). Data were collected from 246 adult participants. RESULTS: No treatment effects were found for the primary outcome (challenging behaviour over 12 months, adjusted mean difference = -2.14, 95% CI: -8.79, 4.51) or secondary outcomes. CONCLUSIONS: Staff training in PBS, as applied in this study, did not reduce challenging behaviour. Further research should tackle implementation issues and endeavour to identify other interventions that can reduce challenging behaviour. Declaration of interest None.
Authors: E Bruinsma; B J van den Hoofdakker; A P Groenman; P J Hoekstra; G M de Kuijper; M Klaver; A A de Bildt Journal: J Intellect Disabil Res Date: 2020-06-17
Authors: Rachael Maree Hunter; Victoria Vickerstaff; Michaela Poppe; Andre Strydom; Michael King; Ian Hall; Jason Crabtree; Rumana Omar; Vivien Cooper; Asit Biswas; Angela Hassiotis Journal: BJPsych Open Date: 2020-02-05
Authors: Alessandro Bosco; Laura Paulauskaite; Ian Hall; Jason Crabtree; Sujata Soni; Asit Biswas; Vivien Cooper; Michaela Poppe; Michael King; Andre Strydom; Michael J Crawford; Angela Hassiotis Journal: PLoS One Date: 2019-08-22 Impact factor: 3.240