Publications

BibTex format

@article{Hassiotis:2018:10.3310/hta22150,
author = {Hassiotis, A and Poppe, M and Strydom, A and Vickerstaff, V and Hall, I and Crabtree, J and Omar, R and King, M and Hunter, R and Bosco, A and Biswas, A and Ratti, V and Blickwedel, J and Cooper, V and Howie, W and Crawford, M},
doi = {10.3310/hta22150},
journal = {Health Technology Assessment},
pages = {1--110},
title = {Positive behaviour support training for staff for treating challenging behaviour in people with intellectual disabilities: a cluster RCT.},
url = {http://dx.doi.org/10.3310/hta22150},
volume = {22},
year = {2018}
}

Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Preliminary studies have indicated that training staff in Positive Behaviour Support (PBS) may help to reduce challenging behaviour among people with intellectual disability (ID). OBJECTIVE: To evaluate whether or not such training is clinically effective in reducing challenging behaviour in routine care. The study also included longer-term follow-up (approximately 36 months). DESIGN: A multicentre, single-blind, two-arm, parallel-cluster randomised controlled trial. The unit of randomisation was the community ID service using an independent web-based randomisation system and random permuted blocks on a 1 : 1 allocation stratified by a staff-to-patient ratio for each cluster. SETTING: Community ID services in England. PARTICIPANTS: Adults (aged > 18 years) across the range of ID with challenging behaviour [≥ 15 Aberrant Behaviour Checklist - Community total score (ABC-CT)]. INTERVENTIONS: Manual-assisted face-to-face PBS training to therapists and treatment as usual (TAU) compared with TAU only in the control arm. MAIN OUTCOME MEASURES: Carer-reported changes in challenging behaviour as measured by the ABC-CTover 12 months. Secondary outcomes included psychopathology, community participation, family and paid carer burden, family carer psychopathology, costs of care and quality-adjusted life-years (QALYs). Data on main outcome, service use and health-related quality of life were collected for the 36-month follow-up. RESULTS: A total of 246 participants were recruited from 23 teams, of whom 109 were in the intervention arm (11 teams) and 137 were in the control arm (12 teams). The difference in ABC-CTbetween the intervention and control arms [mean difference -2.14, 95% confidence interval (CI) -8.79 to 4.51;p = 0.528] was not statistically significant. No treatment effects were found for any of the secondary outcomes. The mean cost per participant in the intervention arm was £1201. Over 12 months, there
AU  - Hassiotis,A
AU  - Poppe,M
AU  - Strydom,A
AU  - Vickerstaff,V
AU  - Hall,I
AU  - Crabtree,J
AU  - Omar,R
AU  - King,M
AU  - Hunter,R
AU  - Bosco,A
AU  - Biswas,A
AU  - Ratti,V
AU  - Blickwedel,J
AU  - Cooper,V
AU  - Howie,W
AU  - Crawford,M
DO  - 10.3310/hta22150
EP  - 110
PY  - 2018///
SN  - 1366-5278
SP  - 1
TI  - Positive behaviour support training for staff for treating challenging behaviour in people with intellectual disabilities: a cluster RCT.
T2  - Health Technology Assessment
UR  - http://dx.doi.org/10.3310/hta22150
UR  - https://www.ncbi.nlm.nih.gov/pubmed/29596045
UR  - http://hdl.handle.net/10044/1/58640
VL  - 22
ER  -

Download

ProfessorMikeCrawford

Contact

Assistant

Location

Summary

Citation

BibTex format

RIS format (EndNote, RefMan)