Caregiver Training in Mindfulness-Based Positive Behavior Supports (MBPBS): Effects on Caregivers and Adults with Intellectual and Developmental Disabilities

Singh, Nirbhay N.; Lancioni, Giulio E.; Karazsia, Bryan T.; Myers, Rachel E.

doi:10.3389/fpsyg.2016.00098

Cited by 41 publications

(76 citation statements)

References 42 publications

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“…Other researchers have begun to investigate mindfulness-based PBS training to reduce restrictive practices, improve staff job satisfaction and reduce challenging behaviour in care homes. 38 As is evident from examining the median scores of the primary outcome, there was a reduction in challenging behaviour for the majority of participants in both arms. Offering training in PBS beyond what is already available within community intellectual disability services does not provide added benefits in reducing challenging behaviour, use of psychotropic medication, or community engagement.…”

Section: Comparisons With Existing Literaturementioning

confidence: 90%

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

et al. 2018

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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.

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Section: Comparisons With Existing Literaturementioning

confidence: 90%

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

et al. 2018

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“…The standard 7-day MBPBS protocol, as reported by Singh et al (2015 , 2016b ), was used. The training was presented in three parts, spread over a 10-week period.…”

Section: Methodsmentioning

confidence: 99%

“…The results corroborated earlier findings of lowered caregiver psychological stress and staff turnover, and significantly less use of physical restraints. Furthermore, in both studies, a benefit-cost analysis showed substantial financial savings for the agency due to their staff participating in the MBPBS training ( Singh et al, 2015 , 2016b ).…”

Section: Introductionmentioning

confidence: 99%

“…The results suggested that the MBPBS training enabled the caregivers to greatly reduce their psychological stress, eliminate staff turnover, and substantially reduce and then eliminate the use of physical restraints with individuals who evinced aggressive behavior. In a proof-of-concept quasi-experimental design study, Singh et al (2016b) further evaluated the effectiveness of MBPBS training for caregivers. The results corroborated earlier findings of lowered caregiver psychological stress and staff turnover, and significantly less use of physical restraints.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Caregiver Training in Mindfulness-Based Positive Behavior Support (MBPBS) vs. Training-as-Usual (TAU): A Randomized Controlled Trial

et al. 2016

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Caregivers of individuals with intellectual and developmental disabilities (IDD) often end up having their medical and psychological well-being compromised due to the stressful nature of caregiving, especially when those in their care engage in aggressive behavior. In this study, we provided caregivers with mindfulness-based training to enable them to better manage their psychological well-being and, through this, to also enhance specific indices of quality of life of the individuals in their care. Thus, the aim of the present study was to evaluate in a randomized controlled trial (RCT) the comparative effectiveness of Mindfulness-Based Positive Behavior Support (MBPBS) and Training-as-Usual (TAU) for caregivers in a congregate care facility for individuals with severe and profound IDD. The comparative effects of the two training conditions were assessed in terms of caregiver variables care recipient variable (number of aggressive events), and agency variables Results showed that MBPBS was significantly more effective than TAU in enabling the caregivers to manage their perceived psychological stress, and to reduce the use of physical restraints and stat medications for aggressive behavior of the individuals in their care. In addition, there were significant reductions in aggressive events by the individuals in their care, 1:1 staffing of individuals with aggressive behavior, and staff turnover. Furthermore, the MBPBS training was significantly more cost-effective than the TAU training. If replicated in future RCT studies, MBPBS may provide an effective means of enhancing socially acceptable bidirectional engagement of caregivers and care recipients within a person-centered context.

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“…Noone and Hastings (, ) report significant decreases in caregiver psychological distress after organizational or team‐wide training using the principles of Acceptance and Commitment Therapy. Similarly, team training in mindfulness has been demonstrated to positively affect outcomes for staff and their clients (Singh, Lancioni, Karazsia, & Myers, ; Singh et al, ). Furthermore, other factors such as team management and team leadership could also influence client outcomes.…”

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confidence: 99%

The Characteristics of Effective Staff Teams in Disability Services

Gomes

2019

Policy Practice Intel Disabi

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People with autism and other developmental disabilities are often supported by staff teams in accommodation, day support, and employment services. Although the literature outlines a number of individual staff characteristics that can influence the “quality of support,” there is a paucity of research investigating the characteristics of teams as a whole. Given the emphasis placed on “team work” in human services, this study investigated what constitutes the characteristics of an effective team in disability services. An online Delphi study was employed, whereby disability support staff and their managers answered a series of surveys to build a consensus as to “what constitutes an effective team.” The emerging consensus was analyzed using inductive thematic analysis, descriptive statistics, and the intraclass correlation coefficient. A consensus emerged concerning three core elements which combined constituted an effective staff team. In order of importance, these were a shared focus on client outcomes, effective leadership, and good communication among the team. However, a range of additional factors were also identified. These represented additional considerations that were, in the opinion of the participants, also important to building and maintaining an effective team. Focusing on client outcomes, fostering effective leadership, and ensuring good communication are necessary, but insufficient to establish an effective staff team. The implications are discussed in the context of policy development concerning staff recruitment, team development, supervision, and service evaluation.

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Caregiver Training in Mindfulness-Based Positive Behavior Supports (MBPBS): Effects on Caregivers and Adults with Intellectual and Developmental Disabilities

Cited by 41 publications

References 42 publications

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

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

Effectiveness of Caregiver Training in Mindfulness-Based Positive Behavior Support (MBPBS) vs. Training-as-Usual (TAU): A Randomized Controlled Trial

The Characteristics of Effective Staff Teams in Disability Services

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