Climmy Pouwels1,2, Peggy Spauwen1,2, Caroline van Heugten2,3, Daan Verberne1,2, Resi Botteram4, Ieke Winkens3, Rudolf Ponds2,5. 1. GGZ Oost Brabant, Multidisciplinary Specialist Center for Brain Injury and Neuropsychiatry, Huize Padua. P.O. Box 3, 5427 ZG, Boekel, The Netherlands. (cgjg.pouwels@ggzoostbrabant.nl; p.spauwen@ggzoostbrabant.nl). 2. Maastricht University, Department of Psychiatry and Neuropsychology, Faculty of Health, Medicine and Neuroscience, School of Mental Health and Neurosciences (MHeNS). P.O. Box 616 6200 MD, Maastricht, The Netherlands. (c.vanheugten@maastrichtuniversity.nl; r.ponds@maastrichtuniversity.nl; d.verberne@ maastrichtuniversity.nl). 3. Maastricht University, Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience. P.O. Box 616 6200 MD, Maastricht, The Netherlands. (i.winkens@maastrichtuniversity.nl). 4. SVRZ. P.O. Box 100, 4330 AC, Middelburg, The Netherlands. (r.botteram@svrz.nl). 5. Adelante Rehabilitation Center, Department of Brain Injury. P.O. Box 88, 6430 AB, Hoensbroek, The Netherlands.
Abstract
OBJECTIVE: The ABC method (Antecedent events, target Behaviours, Consequent events) is a behavioural management technique developed for nurses. The objective of the present study was to examine the long-term effects of the ABC method on aggressive behaviour in 40 patients with acquired brain injury. METHOD: Four aggression outcome measures and a questionnaire about the implementation of the ABC method were filled out by the nursing staff in this longitudinal intervention study. RESULTS: Contrary to expectations, a significant increase of aggression was found on two aggression measures. A possible explanation may be that the ABC method increased awareness of aggression in the nursing staff. Results of the implementation questionnaire indicated that the ABC method was not part of usual care at the long-term follow-up. CONCLUSIONS: It seems that the quality of the implementation process was insufficient to find an effect of the ABC method on aggression. Suggestions for improving the implementation process are made in this paper.
OBJECTIVE: The ABC method (Antecedent events, target Behaviours, Consequent events) is a behavioural management technique developed for nurses. The objective of the present study was to examine the long-term effects of the ABC method on aggressive behaviour in 40 patients with acquired brain injury. METHOD: Four aggression outcome measures and a questionnaire about the implementation of the ABC method were filled out by the nursing staff in this longitudinal intervention study. RESULTS: Contrary to expectations, a significant increase of aggression was found on two aggression measures. A possible explanation may be that the ABC method increased awareness of aggression in the nursing staff. Results of the implementation questionnaire indicated that the ABC method was not part of usual care at the long-term follow-up. CONCLUSIONS: It seems that the quality of the implementation process was insufficient to find an effect of the ABC method on aggression. Suggestions for improving the implementation process are made in this paper.
Authors: B Wistedt; A Rasmussen; L Pedersen; U Malm; L Träskman-Bendz; J Wakelin; P Bech Journal: Pharmacopsychiatry Date: 1990-11 Impact factor: 5.788