Discovery awareness for staff supporting individuals with intellectual disabilities and challenging behaviour: is it helpful and does it increase self-efficacy?

Abstract

Word count: 6477 (9305 including tables and references) Discovery Awareness for staff supporting individuals with intellectual disabilities and challenging behaviour: Is it helpful and does it increase self-efficacy?Objectives: Discovery Awareness (DA) is an approach to using video within structured meetings to help staff become more mindful, aware and interested in a client they are supporting who has intellectual disabilities and challenging behaviour. The objective was to evaluate whether, and how, DA is helpful for staff in both inpatient and community settings, and whether it increases selfefficacy in working with people with challenging behaviour.Methods: A two-phase mixed method design was employed. For phase one, forty staff who took part in one of seven single DA meetings completed the Challenging Behaviour Self-Efficacy Scale pre-and post-DA. In addition, post-DA, participants completed an Adapted Helpful Aspects of Therapy Scale (AHAT).For phase two, six participants completed a follow-up Change Interview; three to 12 weeks after DA.Results: Descriptive statistics reveal participants found events in the DA 'greatly helpful'. The changes identified varied in whether they were expected or not, but were unlikely to occur without DA and 'very important'. Statistical analysis showed no significant changes in self-efficacy following the DA. A thematic analysis on the qualitative data generated by the change interviews and AHAT identified three main themes: Impact on interaction; DA is unique and valuable; and The power of the process. The latter had three subthemes: a structure to facilitate change, making use of the content and reflective space to promote learning.Conclusion: Attendance at a single DA meeting does not increase staff perceptions of self-efficacy, however, staff find the process of DA helpful as it encourages reflection on their interactions with individuals with ID and challenging behaviour and attuning of their interactions, though further research is needed.

Factors facilitating or hindering meaningful staff–client interactions in people with intellectual disabilities and challenging behaviour: A systematic mixed studies review using thematic synthesis

“…self‐determination theory: Deci & Ryan, 1985/2000). Video feedback supported staff to attune to the different needs of clients (Thompson et al, 2019). First, the need for autonomy refers to respecting clients’ opinions and wishes.…”

“…Self‐reflection helped staff learn from experiences with a client (Knotter et al, 2018; Ravoux et al, 2012), which was related to less hostile and controlling behaviour (Willems et al, 2016). Video feedback increased staffs’ ability to self‐reflect (Thompson et al, 2019).…”

“…Confidence appeared to be another important factor in meaningful interactions (Antonsson et al, 2016; Nagra et al, 2017; Ravoux et al, 2012; Thompson et al, 2019). Willems et al (2016) showed the positive effect of self‐efficacy (i.e.…”

De Grote Methodiekengids: definitie • inventarisatie • praktische toepasbaarheid • wetenschappelijke onderbouwing van begeleidingsmethodieken voor mensen met een verstandelijke beperking

“…ToelichƟng: Uit het kwanƟtaƟeve deel van een mixed-methods onderzoek (Thompson et al, 2021) bleek Ontdekkend Kijken (instrument binnen Heijkoop) behulpzaam tot erg behulpzaam voor zorgprofessionals, waardoor zij zich bekwamer voelden. Ook werden zesƟen soorten posiƟeve veranderingen in gedrag, communicaƟe en omgang benoemd.…”

“…Werkzaamheid op basis van kwantitatief onderzoekNederlands kwantitatief onderzoek naar de werkzaamheid van Heijkoop is niet gevonden. Buitenlands onderzoek beperkt zich tot een mixed-methods onderzoek naar het instrument Ontdekkend Kijken bij mensen met VB (mate niet gespecificeerd) en ernstig probleemgedrag(Thompson et al, 2021). In fase 1 is voorafgaand en na het Ontdekkend Kijken onder zorgprofessionals een lijst met schaalvragen afgenomen.…”