Clinical outcomes of staff training in positive behaviour support to reduce challenging behaviour in adults with intellectual disability: cluster randomised controlled trial

Angela Hassiotis; Michaela Poppe; Andre Strydom; Victoria Vickerstaff; Ian S. Hall; Jason Crabtree; Rumana Z. Omar; Michael King; Rachael Hunter; Asit Biswas; Viv Cooper; William Howie; Michael J. Crawford

doi:10.1192/bjp.2017.34

Clinical outcomes of staff training in positive behaviour support to reduce challenging behaviour in adults with intellectual disability: cluster randomised controlled trial

Angela Hassiotis, Michaela Poppe, Andre Strydom, Victoria Vickerstaff, Ian S. Hall, Jason Crabtree, Rumana Z. Omar, Michael King, Rachael Hunter, Asit Biswas, Viv Cooper, William Howie, Michael J. Crawford

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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.

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.

Original language	English
Pages (from-to)	161-168
Journal	British Journal of Psychiatry
Volume	212
Issue number	03
Early online date	12 Feb 2018
DOIs	https://doi.org/10.1192/bjp.2017.34
Publication status	Published - 1 Mar 2018

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10.1192/bjp.2017.34

Clinical outcomes of staff training in positive behaviour_STRYDOM_Publishedonline12February2018_GREEN AAM (CC BY NC ND)Accepted author manuscript, 1.11 MBLicence: CC BY-NC-ND

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Hassiotis, A., Poppe, M., Strydom, A., Vickerstaff, V., Hall, I. S., Crabtree, J., Omar, R. Z., King, M., Hunter, R., Biswas, A., Cooper, V., Howie, W., & Crawford, M. J. (2018). Clinical outcomes of staff training in positive behaviour support to reduce challenging behaviour in adults with intellectual disability: cluster randomised controlled trial. British Journal of Psychiatry, 212(03), 161-168. https://doi.org/10.1192/bjp.2017.34

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title = "Clinical outcomes of staff training in positive behaviour support to reduce challenging behaviour in adults with intellectual disability: cluster randomised controlled trial",

abstract = "BackgroundStaff training in positive behaviour support (PBS) is a widespread treatment approach for challenging behaviour in adults with intellectual disability.AimsTo evaluate whether such training is clinically effective in reducing challenging behaviour during routine care (trial registration: NCT01680276).MethodWe 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.ResultsNo 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.ConclusionsStaff 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 interestNone.",

author = "Angela Hassiotis and Michaela Poppe and Andre Strydom and Victoria Vickerstaff and Hall, {Ian S.} and Jason Crabtree and Omar, {Rumana Z.} and Michael King and Rachael Hunter and Asit Biswas and Viv Cooper and William Howie and Crawford, {Michael J.}",

year = "2018",

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doi = "10.1192/bjp.2017.34",

language = "English",

volume = "212",

pages = "161--168",

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Hassiotis, A, Poppe, M , Strydom, A, Vickerstaff, V, Hall, IS, Crabtree, J, Omar, RZ, King, M, Hunter, R, Biswas, A, Cooper, V, Howie, W & Crawford, MJ 2018, 'Clinical outcomes of staff training in positive behaviour support to reduce challenging behaviour in adults with intellectual disability: cluster randomised controlled trial', British Journal of Psychiatry, vol. 212, no. 03, pp. 161-168. https://doi.org/10.1192/bjp.2017.34

Clinical outcomes of staff training in positive behaviour support to reduce challenging behaviour in adults with intellectual disability: cluster randomised controlled trial. / Hassiotis, Angela; Poppe, Michaela ; Strydom, Andre et al.
In: British Journal of Psychiatry, Vol. 212, No. 03, 01.03.2018, p. 161-168.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Clinical outcomes of staff training in positive behaviour support to reduce challenging behaviour in adults with intellectual disability

T2 - cluster randomised controlled trial

AU - Hassiotis, Angela

AU - Poppe, Michaela

AU - Strydom, Andre

AU - Vickerstaff, Victoria

AU - Hall, Ian S.

AU - Crabtree, Jason

AU - Omar, Rumana Z.

AU - King, Michael

AU - Hunter, Rachael

AU - Biswas, Asit

AU - Cooper, Viv

AU - Howie, William

AU - Crawford, Michael J.

PY - 2018/3/1

Y1 - 2018/3/1

N2 - BackgroundStaff training in positive behaviour support (PBS) is a widespread treatment approach for challenging behaviour in adults with intellectual disability.AimsTo evaluate whether such training is clinically effective in reducing challenging behaviour during routine care (trial registration: NCT01680276).MethodWe 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.ResultsNo 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.ConclusionsStaff 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 interestNone.

AB - BackgroundStaff training in positive behaviour support (PBS) is a widespread treatment approach for challenging behaviour in adults with intellectual disability.AimsTo evaluate whether such training is clinically effective in reducing challenging behaviour during routine care (trial registration: NCT01680276).MethodWe 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.ResultsNo 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.ConclusionsStaff 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 interestNone.

U2 - 10.1192/bjp.2017.34

DO - 10.1192/bjp.2017.34

M3 - Article

SN - 0007-1250

VL - 212

SP - 161

EP - 168

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

IS - 03

ER -

Clinical outcomes of staff training in positive behaviour support to reduce challenging behaviour in adults with intellectual disability: cluster randomised controlled trial

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