The wide‐scale implementation of a support program for parents of children with an intellectual disability and difficult behaviour

Hudson, Alan R.; Cameron, Christine; Matthews, Janet R.

doi:10.1080/13668250802065885

Cited by 30 publications

(39 citation statements)

References 20 publications

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“…Similar to research, this study showed that families experiencing a high level of social risk (five of nine) can benefit from an intervention that is largely self-directed and supported via telephone contact with a trained practitioner. Parents reported a high level of clinical utility and consumer satisfaction with the programme which is in accordance with previous Signposts research (Hudson et al, 2003(Hudson et al, , 2008, as well as other internet delivered TBI intervention studies (Antonini et al, 2012;Wade et al, 2004aWade et al, , 2005aWade et al, , 2006aWade et al, , 2008.…”

Section: Discussionsupporting

confidence: 88%

“…Then in a much larger wide-scale implementation of the programme, Hudson et al (2008) again reported similar positive findings to their original research.…”

Section: Introductionsupporting

confidence: 83%

“…The findings from this study are somewhat circumscribed due to the fact that there was no control or comparison group, although, the results are in keeping with more rigorous studies which have shown favourable outcomes for children with serious challenging behaviour (Hudson et al, 2003(Hudson et al, , 2008. Needless to say, there are some limitations to the current investigation that must be addressed.…”

Section: Discussionsupporting

confidence: 59%

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A telehealth intervention for families caring for a child with traumatic brain injury (TBI)

Woods

Catroppa

Godfrey

et al. 2014

Social Care and Neurodisability

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Purpose -The purpose of this paper is to determine the preliminary clinical utility of a telephone-support format of the "Signposts" (Hudson et al., 2003) behavioural intervention programme to be used with a paediatric traumatic brain injury (TBI) population. Design/methodology/approach -Nine families caring for a child with moderate or severe TBI, participated in a pilot study of a TBI adapted "Signposts for Building Better Behaviour" manualised programme. The programme is designed to help parents learn positive parenting skills and strategies that empower them to successfully manage their child's challenging behaviour post-TBI. The programme consists of seven core sessions and two supplemental sessions. Parents work through the sessions with an accompaniment of guiding information booklets, a DVD with scenes modelling positive parenting strategies, and a workbook containing written exercises. At the completion of each session parents receive a telephone-support call from a trained Signposts practitioner who provides assistance and feedback on programme content. Findings -On average parents completed eight sessions (range seven to nine) and every family completed the seven core sessions. Participation in the telephone-support calls was high with 96 per cent of calls having been successfully received by families. All parents agreed that the telephone calls were a useful part of the programme and felt that the materials were helpful for managing challenging behaviour. Pairedsamples t-tests showed significant reductions for challenging behaviour from pre-to post-intervention. Parenting practices also significantly improved over the course of the intervention. In general, parents rated a high level of consumer satisfaction with the Signposts programme and its content. Originality/value -Overall, these preliminary findings support the potential clinical utility of a telephonesupport version of the Signposts programme to improve parenting skills and to reduce challenging child behaviour following TBI. This study has provided the impetus for a larger clinical research trial to be conducted.

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Section: Discussionsupporting

confidence: 88%

“…Then in a much larger wide-scale implementation of the programme, Hudson et al (2008) again reported similar positive findings to their original research.…”

Section: Introductionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 59%

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A telehealth intervention for families caring for a child with traumatic brain injury (TBI)

Woods

Catroppa

Godfrey

et al. 2014

Social Care and Neurodisability

Self Cite

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“…The programme is based on the guiding behaviour change principles of applied behaviour analysis, operant conditioning, social learning theory, positive behaviour support, and antecedent behaviour manipulation (Taylor and Biglan, 1998). Signposts has already proven both efficacious and effective in two large RCTs for families with children with intellectual disability and challenging behaviour (Hudson et al, 2003(Hudson et al, , 2008. The efficacy for utilising such theoretical approaches to the treatment and prevention of challenging behaviour problems in children with brain injury has been demonstrated in previous ABI research (Braga et al, 2005;Feeney and Ylvisaker, 2003Gardner et al, 2003;Mottram and Berger-Gross, 2004;Wade et al, 2006a, b, c).…”

Section: Introductionmentioning

confidence: 88%

Long-term maintenance of treatment effects following intervention for families with children who have acquired brain injury

Woods

Catroppa

Godfrey

et al. 2014

Social Care and Neurodisability

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Purpose -Where no psychosocial or interventional support is provided, children with acquired brain injury (ABI) are at significant risk of serious long-term behavioural and social difficulties. The purpose of this paper is to report the six-and 18-month long-term treatment effects of a family centred behavioural intervention to help families manage and prevent challenging behaviours in children following ABI. Design/methodology/approach -In total, 31 parents were followed up at three time points (post-intervention, 6 and 18 months) after participating in an ABI adapted manualised "Signposts for Building Better Behaviour" programme (Hudson et al., 2003). Findings -Attrition rates were highest amongst families caring for a child with mild ABI. The maintenance of treatment effects were detailed for those families who reported a reduction in challenging behaviour immediately post-intervention. There were no significant elevations in challenging child behaviour, maladaptive parenting, or family dysfunction for any participants over the long-term follow-up. Irrespective of injury severity, parents reported high levels of satisfaction and efficacy in the parenting role at 18 months post-intervention. Originality/value -"Signposts" has further demonstrated its clinical viability by meeting the needs of parents who have a child with ABI in both the short-and longer-term.

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“…The remainder of this chapter is organized into three sections: (a) trends and issues, (b) future research and limitations, and (c) conclusion. Although interventions for parents of children with IDD have received some attention in the parent education literature [45][46][47][48][49][50][51][52][53][54][55][56], it appears that the majority of recent parent education interventions have included parents of children with ASD rather than children with an intellectual disability.…”

Section: Introductionmentioning

confidence: 99%

Training Parents of Children with Intellectual Disabilities: Trends, Issues, and Future Directions

Machalicek

Lang

Raulston

2015

Curr Dev Disord Rep

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This review summarizes selected studies involving education and training programs designed to improve parents' ability to provide research-based support and intervention for their children with intellectual disabilities. First, we highlight stressors and obstacles associated with parenting a child with intellectual disability and note the relative paucity of existing research in light of the increased risk of stress, anxiety, and depression reported for this population. Next, we provide a description of recent trends and issues and attempt to elucidate gaps in the existing literature that warrant additional research effort. Ultimately, this paper highlights the growing need for interventions that include both behavioral and psychosocial components to better address needs in families of children with intellectual disability. Specifically, we conclude that there exists a need for future research on culturally sensitive parent training as well as on potentially efficient group-based parent education programs for families of children with moderate to profound intellectual disability.

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The wide‐scale implementation of a support program for parents of children with an intellectual disability and difficult behaviour

Abstract: When implemented on a wide-scale basis, the Signposts program was effective in assisting families to manage their child's difficult behaviour. Limitations of the study are discussed.

Cited by 30 publications

References 20 publications

A telehealth intervention for families caring for a child with traumatic brain injury (TBI)

A telehealth intervention for families caring for a child with traumatic brain injury (TBI)

Long-term maintenance of treatment effects following intervention for families with children who have acquired brain injury

Training Parents of Children with Intellectual Disabilities: Trends, Issues, and Future Directions

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