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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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Title: Who's challenging who training for staff empathy towards adults with challenging behaviour: cluster randomised controlled trial.
Authors: Hastings, R. P., Gillespie, D., Flynn, S., McNamara, R., Taylor, Z., Knight, R., Randell, E., Richards, L., Moody, G., Mitchell, A., Przybylak, P., Williams, B., Hunt, P. H.
Source: Journal of Intellectual Disability Research. Sep2018, Vol. 62 Issue 9, p798-813. 16p. 1 Diagram, 7 Charts, 1 Graph.
Subjects: Attitude (Psychology), Psychological burnout, Empathy, Job stress, Medical personnel, Questionnaires, Self-evaluation, Behavior disorders, Randomized controlled trials, Educational outcomes, Data analysis software, Descriptive statistics, Cluster sampling
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Who's challenging who training for staff empathy towards adults with challenging behaviour: cluster randomised controlled trial.
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  Data: <searchLink fieldCode="AR" term="%22Hastings%2C+R%2E+P%2E%22">Hastings, R. P.</searchLink><br /><searchLink fieldCode="AR" term="%22Gillespie%2C+D%2E%22">Gillespie, D.</searchLink><br /><searchLink fieldCode="AR" term="%22Flynn%2C+S%2E%22">Flynn, S.</searchLink><br /><searchLink fieldCode="AR" term="%22McNamara%2C+R%2E%22">McNamara, R.</searchLink><br /><searchLink fieldCode="AR" term="%22Taylor%2C+Z%2E%22">Taylor, Z.</searchLink><br /><searchLink fieldCode="AR" term="%22Knight%2C+R%2E%22">Knight, R.</searchLink><br /><searchLink fieldCode="AR" term="%22Randell%2C+E%2E%22">Randell, E.</searchLink><br /><searchLink fieldCode="AR" term="%22Richards%2C+L%2E%22">Richards, L.</searchLink><br /><searchLink fieldCode="AR" term="%22Moody%2C+G%2E%22">Moody, G.</searchLink><br /><searchLink fieldCode="AR" term="%22Mitchell%2C+A%2E%22">Mitchell, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Przybylak%2C+P%2E%22">Przybylak, P.</searchLink><br /><searchLink fieldCode="AR" term="%22Williams%2C+B%2E%22">Williams, B.</searchLink><br /><searchLink fieldCode="AR" term="%22Hunt%2C+P%2E+H%2E%22">Hunt, P. H.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Intellectual+Disability+Research%22">Journal of Intellectual Disability Research</searchLink>. Sep2018, Vol. 62 Issue 9, p798-813. 16p. 1 Diagram, 7 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Attitude+%28Psychology%29%22">Attitude (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+burnout%22">Psychological burnout</searchLink><br /><searchLink fieldCode="DE" term="%22Empathy%22">Empathy</searchLink><br /><searchLink fieldCode="DE" term="%22Job+stress%22">Job stress</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+personnel%22">Medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+disorders%22">Behavior disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+outcomes%22">Educational outcomes</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Cluster+sampling%22">Cluster sampling</searchLink>
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Intellectual Disability Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=131205862
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        Value: 10.1111/jir.12536
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      – Code: eng
        Text: English
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        PageCount: 16
        StartPage: 798
    Subjects:
      – SubjectFull: Attitude (Psychology)
        Type: general
      – SubjectFull: Psychological burnout
        Type: general
      – SubjectFull: Empathy
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      – SubjectFull: Job stress
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      – SubjectFull: Medical personnel
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      – SubjectFull: Self-evaluation
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      – SubjectFull: Behavior disorders
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      – SubjectFull: Randomized controlled trials
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      – SubjectFull: Educational outcomes
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      – SubjectFull: Data analysis software
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Cluster sampling
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