TY - JOUR
T1 - Effects of positive behaviour support delivered by direct staff on challenging behaviours and quality of life of adults with intellectual disabilities
T2 - A multicentre cluster-controlled trial
AU - Bruinsma, Eke
AU - van den Hoofdakker, Barbara J.
AU - Hoekstra, Pieter J.
AU - de Kuijper, Gerda M.
AU - de Bildt, Annelies A.
N1 - Publisher Copyright:
© 2023 The Authors. Journal of Applied Research in Intellectual Disabilities published by John Wiley & Sons Ltd.
PY - 2024/1
Y1 - 2024/1
N2 - Background: Effects of staff provided positive behaviour support (PBS) for individuals with intellectual disabilities are unclear. Method: Using a multicentre non-randomised cluster controlled design, 26 teams of residential group homes, including 245 staff members of 167 individuals with intellectual disabilities, were allocated to a PBS or control group. Conducting multilevel analyses (n = 123) we examined individuals' changes in irritability, other challenging behaviours and quality of life. Results: Compared to controls, irritability did not significantly decrease more in the intervention group, but lethargic behaviours did. Personal development and self-determination significantly increased. Irritability of individuals in the PBS group with higher levels of irritability or lower levels of intellectual disability significantly reduced more compared to controls. Conclusions: PBS was effective in reducing irritability of individuals with severe levels of irritability or intellectual disabilities. Moreover, PBS decreased lethargic behaviours and improved several domains of quality of life.
AB - Background: Effects of staff provided positive behaviour support (PBS) for individuals with intellectual disabilities are unclear. Method: Using a multicentre non-randomised cluster controlled design, 26 teams of residential group homes, including 245 staff members of 167 individuals with intellectual disabilities, were allocated to a PBS or control group. Conducting multilevel analyses (n = 123) we examined individuals' changes in irritability, other challenging behaviours and quality of life. Results: Compared to controls, irritability did not significantly decrease more in the intervention group, but lethargic behaviours did. Personal development and self-determination significantly increased. Irritability of individuals in the PBS group with higher levels of irritability or lower levels of intellectual disability significantly reduced more compared to controls. Conclusions: PBS was effective in reducing irritability of individuals with severe levels of irritability or intellectual disabilities. Moreover, PBS decreased lethargic behaviours and improved several domains of quality of life.
KW - challenging behaviours
KW - intellectual disabilities
KW - positive behaviour support
KW - quality of life
KW - staff
KW - training
UR - http://www.scopus.com/inward/record.url?scp=85175369960&partnerID=8YFLogxK
U2 - 10.1111/jar.13164
DO - 10.1111/jar.13164
M3 - Article
C2 - 37899656
AN - SCOPUS:85175369960
SN - 1360-2322
VL - 37
JO - Journal of Applied Research in Intellectual Disabilities
JF - Journal of Applied Research in Intellectual Disabilities
IS - 1
M1 - e13164
ER -