Limbu, B;
Deb, S;
Bradshaw, J;
Cooper, V;
Allgar, V;
Vindrola, C;
Fullerton, M;
(2025)
A Feasibility Cluster RCT Involving SPECTROM Staff Training Program to Help Reduce the Overmedication of Adults with Intellectual Disabilities.
Journal of Mental Health Research in Intellectual Disabilities
, 18
(4)
pp. 405-424.
10.1080/19315864.2025.2501540.
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Abstract
Introduction: We coproduced SPECTROM (Short-term Psycho-Education for Carers To Help Reduce the OverMedication of people with intellectual disabilities) (https://spectrom.wixsite.com/project) training for support staff (direct care workers) to help reduce the overmedication of people with intellectual disabilities. Methods: A multisite feasibility cluster randomized controlled trial involving SPECTROM training. Results: Overall, 39 clusters were recruited (26 in the SPECTROM training and 13 in the control group). Antipsychotic medicine dose was reduced among 19% of prescriptions in the training group at 6 months post-training follow-up compared with 6% in the non-training group. PKQ-R (Psychotropic Knowledge Questionnaire-Revised) and MAVAS-R-ID (Management of Aggression and Violence Attitude Scale-Revised-Intellectual Disabilities) scores showed a statistically significant improvement at 4 weeks of follow-up (p <.001). The focus groups revealed that the trainees found the SPECTROM acceptable, practical, and relevant to their practice. Conclusions: The findings of the current feasibility study support progression to a larger and more definitive RCT. Trial Registration: Name of the registry: ISRCTN; Trial registration number: ISRCTN71712166; date of registration: 24.01.24; URL of trial registry: https://doi.org/10.1186/ISRCTN71712166.
| Type: | Article |
|---|---|
| Title: | A Feasibility Cluster RCT Involving SPECTROM Staff Training Program to Help Reduce the Overmedication of Adults with Intellectual Disabilities |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1080/19315864.2025.2501540 |
| Publisher version: | https://doi.org/10.1080/19315864.2025.2501540 |
| Language: | English |
| Additional information: | © 2025 The Author(s). Published with license by Taylor & Francis Group, LLC. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent. |
| Keywords: | Social Sciences, Science & Technology, Life Sciences & Biomedicine, Education, Special, Psychiatry, Rehabilitation, Education & Educational Research, Cluster RCT, behaviours that challenge, STOMP, SPECTROM staff training, adults with intellectual disabilities, psychotropic medicine, caregiver, PSYCHOTROPIC MEDICATION, ANTIPSYCHOTIC-DRUGS, PEOPLE, INDIVIDUALS, DEMENTIA, QUALITY, LIFE |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Targeted Intervention |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10219176 |
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