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

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

doi:10.1111/jar.12094

Cited by 40 publications

(59 citation statements)

References 130 publications

(80 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This conclusion corresponds to the findings of other meta-analyses published in this domain: Behavioral treatments are on average effective in reducing problem behavior in individuals with autism (e.g., Didden et al, 2006;Harvey et al, 2009;Heyvaert, Maes, & Onghena, 2010;Heyvaert, Maes, Van den Noortgate, Kuppens, & Onghena, 2012;Heyvaert, Saenen, Maes, & Onghena, 2014;Scotti et al, 1991;Vanderkerken, Heyvaert, Maes, & Onghena, 2013). However, for PZD the mean averages at the participant and study level indicated questionable treatment effects.…”

Section: Discussionsupporting

confidence: 86%

Efficacy of behavioral interventions for reducing problem behavior in persons with autism: An updated quantitative synthesis of single-subject research

Heyvaert

Saenen

Campbell

et al. 2014

Research in Developmental Disabilities

Self Cite

143

View full text Add to dashboard Cite

Problem or challenging behaviors are highly prevalent among persons with autism and bring along major risks for the individual with autism and his/her family. In order to reduce the problem behavior, several behavioral interventions are used. We conducted a quantitative synthesis of single-subject studies to examine the efficacy of behavioral interventions for reducing problem behavior in persons with autism. Two hundred and thirteen studies representing 358 persons with autism met the inclusion criteria and were included in the statistical analyses. Overall, we found that behavioral interventions were on average effective in reducing problem behavior in individuals with autism, but some interventions were significantly more effective than others. The results further showed that the use of positive (nonaversive) behavioral interventions was increasing over time. The behavioral interventions were on average equally effective regardless of the type of problem behavior that was targeted. Interventions preceded by a functional analysis reduced problem behavior significantly more than interventions not preceded by a functional analysis. Finally, treatment and experimental characteristics, but not participant characteristics, were statistically significant moderators of the behavioral treatment effectiveness.

show abstract

Section: Discussionsupporting

confidence: 86%

Efficacy of behavioral interventions for reducing problem behavior in persons with autism: An updated quantitative synthesis of single-subject research

Heyvaert

Saenen

Campbell

et al. 2014

Research in Developmental Disabilities

Self Cite

143

View full text Add to dashboard Cite

show abstract

“…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). Furthermore, and more importantly, the use of restraints produces acute negative emotional arousal in staff that administers it and in individuals with developmental disabilities that are subjected to it (Hawkins et al 2005;Heyvaert et al 2014b). Staff typically feel anxious, fearful of getting injured, distressed, and other psychological sequelae, and the individuals with intellectual disabilities feel sad, angry, anxious, and fearful (Mérineau-Côté and Morin 2014).…”

Section: Discussionmentioning

confidence: 97%

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

View full text Add to dashboard Cite

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.

show abstract

“…Lydon, Healy, O'Reilly, & McCoy, 2013), response blocking and protective equipment (cf. Heyvaert, Saenen, Maes, & Onghena, 2014), and response cost, timeout or other punishment procedure (cf. Lydon, Healy, Moran, & Foody, 2015).…”

Section: Treatment Evaluationmentioning

confidence: 99%

Functional analysis and treatment of problem behavior exhibited by children with fragile X syndrome

Kurtz

Chin

Robinson

et al. 2015

Research in Developmental Disabilities

View full text Add to dashboard Cite

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

Cited by 40 publications

References 130 publications

Efficacy of behavioral interventions for reducing problem behavior in persons with autism: An updated quantitative synthesis of single-subject research

Efficacy of behavioral interventions for reducing problem behavior in persons with autism: An updated quantitative synthesis of single-subject research

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

Functional analysis and treatment of problem behavior exhibited by children with fragile X syndrome

Contact Info

Product

Resources

About