Hassiotis, A;
Poppe, M;
Strydom, A;
Vickerstaff, V;
Hall, IS;
Crabtree, J;
Omar, RZ;
... Crawford, MJ; + view all
(2018)
Clinical outcomes of staff training in positive behaviour support to reduce challenging behaviour in adults with intellectual disability: cluster randomised controlled trial.
The British Journal of Psychiatry
, 212
(3)
pp. 161-168.
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Abstract
Background: Staff training in Positive Behaviour Support (PBS) is a widespread treatment approach for challenging behaviour in adults with intellectual disability (ID). 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 ID services (clusters) in England, randomly allocated to either manual-assisted staff training in PBS (n=11) or to treatment as usual (TAU, n=12). Individual data were collected from 246 adult participants. Results: No treatment effects were found either for the primary outcome (challenging behaviour over 12 months, adjusted mean difference =-2.14, 95% CI -8.79 to 4.51) or secondary outcomes. Conclusions: Staff training in PBS, as applied in this study, did not reduce challenging behaviour in addition to TAU. Further research should tackle implementation issues and endeavour to identify other interventions that can reduce challenging behaviour.
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