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Who's challenging who training for staff empathy towards adults with challenging behaviour : cluster randomised controlled trial
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Hastings, Richard P., Gillespie, D., Flynn, Samantha, McNamara, R., Taylor, Z., Knight, R., Randell, E., Richards, L., Moody, G., Mitchell, A., Przybylak, P., Williams, B. and Hunt, P. H. (2018) Who's challenging who training for staff empathy towards adults with challenging behaviour : cluster randomised controlled trial. Journal of Intellectual Disability Research, 62 (9). pp. 798-813. doi:10.1111/jir.12536 ISSN 0964-2633.
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Official URL: https://doi.org/10.1111/jir.12536
Abstract
Background
One in five adults with intellectual disabilities (ID) known to services display challenging behaviours (CBs), and these individuals are at risk for restrictive practices and poor care. Staff attitudes may contribute to the development and/or maintenance of CBs. We investigated the effectiveness of co‐produced Who's Challenging Who? training delivered by people with ID to staff.
Method
This study involved a cluster randomised controlled trial (RCT) of Who's Challenging Who? training with follow‐up at six and 20 weeks post‐randomisation. Participants: two staff from each of 118 residential care settings for adults with ID at least one of whom displayed aggressive CB. Primary outcome: Self‐reported Staff Empathy for people with Challenging Behaviour Questionnaire. Analysis: intention to treat of all randomised settings. ISCRTN registration: ISRCTN53763600.
Results
118 residential settings (including 236 staff) were randomised to either receive training (59 settings) or to receive training after a delay (59 settings). The primary analysis included data from 121 staff in 76 settings (51% of staff, 64% of settings). The adjusted mean difference on the transformed (cubed) Staff Empathy for people with Challenging Behaviour Questionnaire score at the primary end point was 1073.2 (95% CI: ‐938.1 to 3084.5, P = 0.296) in favour of the intervention group (effect size Cohen's d = .19).
Conclusions
This is the first large‐scale RCT of a co‐produced training course delivered by people with ID. Findings indicated a small positive (but statistically non‐significant) effect on increased staff empathy at 20 weeks, and small to moderate effects for staff reported secondary outcomes in favour of the intervention group.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare | ||||||||
| Divisions: | Faculty of Social Sciences > Centre for Educational Development, Appraisal and Research (CEDAR) | ||||||||
| SWORD Depositor: | Library Publications Router | ||||||||
| Library of Congress Subject Headings (LCSH): | Intellectual disability, Intellectual disability facilities | ||||||||
| Journal or Publication Title: | Journal of Intellectual Disability Research | ||||||||
| Publisher: | Wiley | ||||||||
| ISSN: | 0964-2633 | ||||||||
| Official Date: | 23 July 2018 | ||||||||
| Dates: |
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| Volume: | 62 | ||||||||
| Number: | 9 | ||||||||
| Page Range: | pp. 798-813 | ||||||||
| DOI: | 10.1111/jir.12536 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 7 January 2019 | ||||||||
| Date of first compliant Open Access: | 7 January 2019 | ||||||||
| RIOXX Funder/Project Grant: |
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