King's College London

Research portal

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

Research output: Contribution to journalArticle

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

Original languageEnglish
Pages (from-to)161-168
JournalBritish Journal of Psychiatry
Volume212
Issue number03
Early online date12 Feb 2018
DOIs
Accepted/In press14 Nov 2017
E-pub ahead of print12 Feb 2018
PublishedMar 2018

King's Authors

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.

View graph of relations

© 2020 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454