Systematic Review of Restraint Interventions for Challenging Behaviour Among Persons with Intellectual Disabilities: Focus on Experiences

Heyvaert, Mieke; Saenen, Lore; Maes, Beatrijs; Onghena, Patrick

doi:10.1111/jar.12095

Cited by 41 publications

(36 citation statements)

References 42 publications

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“…Extant research data are fairly robust in suggesting that physical restraints are effective in managing the behavior of individuals with severe challenging behaviors, especially self-injury (Heyvaert et al 2014a). However, most clinical use of physical restraints is for physical aggression, but there is only limited data attesting to its effectiveness for this purpose (Allen et al 2009;Tenneij and Koot 2008).…”

Section: Discussionmentioning

confidence: 99%

Effects of Training Staff in MBPBS on the Use of Physical Restraints, Staff Stress and Turnover, Staff and Peer Injuries, and Cost Effectiveness in Developmental Disabilities

et al. 2014

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Some individuals with developmental disabilities who reside in community group homes occasionally engage in low-frequency, but high-intensity, aggressive behavior. Over time, staff members assigned to manage the aggressive behaviors of these individuals are repeatedly injured, have to take time off work, become highly stressed, and eventually find alternative employment. In this study, we provided a 7-day intensive Mindfulness-Based Positive Behavior Support (MBPBS) training to staff from three group homes and measured the effects of such training on their use of verbal redirection and physical restraint, staff stress levels and turnover, staff and peer injuries, and benefit-cost analyses. When compared to baseline measures, results showed clinically and statistically significant reductions in the use of verbal redirection, complete disuse of physical restraints within a few weeks of MBPBS training, and cessation of staff and peer injuries. In addition, there was a significant reduction in staff stress and zero staff turnover. Finally, benefit-cost analysis showed substantial financial savings due to staff participation in the MBPBS program. This study adds to the extant research suggestive of mindfulness-based interventions being effective in reducing the use of restraints, decreasing staff stress, and providing financial savings to the service providers of individuals with developmental disabilities.

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Section: Discussionmentioning

confidence: 99%

Effects of Training Staff in MBPBS on the Use of Physical Restraints, Staff Stress and Turnover, Staff and Peer Injuries, and Cost Effectiveness in Developmental Disabilities

et al. 2014

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“…Therefore, we selected studies using a multiplebaseline across-participants design from the meta-analyses of single-case studies by Heyvaert, Saenen, Maes, and Onghena (2012) in which restraint interventions for challenging behavior among persons with intellectual disabilities was investigated. In total, we retrieved the raw data of eight studies having two to four subjects.…”

Section: Empirical Illustrationmentioning

confidence: 99%

The Three-Level Synthesis of Standardized Single-Subject Experimental Data: A Monte Carlo Simulation Study

Moeyaert

Ugille

Ferron

et al. 2013

Multivariate Behavioral Research

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Previous research indicates that three-level modeling is a valid statistical method to make inferences from unstandardized data from a set of single-subject experimental studies, especially when a homogeneous set of at least 30 studies are included ( Moeyaert, Ugille, Ferron, Beretvas, & Van den Noortgate, 2013a ). When single-subject data from multiple studies are combined, however, it often occurs that the dependent variable is measured on a different scale, requiring standardization of the data before combining them over studies. One approach is to divide the dependent variable by the residual standard deviation. In this study we use Monte Carlo methods to evaluate this approach. We examine how well the fixed effects (e.g., immediate treatment effect and treatment effect on the time trend) and the variance components (the between- and within-subject variance) are estimated under a number of realistic conditions. The three-level synthesis of standardized single-subject data is found appropriate for the estimation of the treatment effects, especially when many studies (30 or more) and many measurement occasions within subjects (20 or more) are included and when the studies are rather homogeneous (with small between-study variance). The estimates of the variance components are less accurate.

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“…In the second article (Heyvaert et al . ), we focus on experiences with RIs for CB among people with intellectual disabilities. It is our intent that both papers are considered together.…”

Section: Introductionmentioning

confidence: 99%

“…In the discussion of the second article (Heyvaert et al . ), we confront and integrate the findings of both articles.…”

Section: Introductionmentioning

confidence: 99%

Systematic Review of Restraint Interventions for Challenging Behaviour Among Persons with Intellectual Disabilities: Focus on Effectiveness in Single‐Case Experiments

Heyvaert

Saenen

Maes

et al. 2014

Research Intellect Disabil

Self Cite

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Systematic Review of Restraint Interventions for Challenging Behaviour Among Persons with Intellectual Disabilities: Focus on Experiences

Abstract: Background: This article is the second in a two-part series. We focused on the effectiveness of

Cited by 41 publications

References 42 publications

Effects of Training Staff in MBPBS on the Use of Physical Restraints, Staff Stress and Turnover, Staff and Peer Injuries, and Cost Effectiveness in Developmental Disabilities

Effects of Training Staff in MBPBS on the Use of Physical Restraints, Staff Stress and Turnover, Staff and Peer Injuries, and Cost Effectiveness in Developmental Disabilities

The Three-Level Synthesis of Standardized Single-Subject Experimental Data: A Monte Carlo Simulation Study

Systematic Review of Restraint Interventions for Challenging Behaviour Among Persons with Intellectual Disabilities: Focus on Effectiveness in Single‐Case Experiments

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