Effects of a Web-based Training Programme Focusing on Challenging Behaviour

NCT03390868 | Completed DMC

• 1 other identifier: Challenging behaviour
• Study Type: interventional
• Target: 212
• Locations: 1 country
• Sites: 1

Brief Summary

The interaction between people with intellectual disabilities and professional carers is often influenced by communicative difficulties contributing challenging behaviours. Aim: The aim of this study is to evaluate a web-based training program aimed at improving carers' abilities to interact with people with learning disabilities who exhibit challenging behaviours and to explore carers' experiences of participating in such a program. Method: This study has a cross-sectional design. Sample: The study will be conducted in twenty special community-based accommodations, group-homes, in Sweden that each houses 4-8 residents. The staff in the group-homes is working independently with the manager located at distance.The staff (N=221) in this study works with people with intellectual disabilities who has different functional levels, from moderate to profound intellectual disabilities. They have different educational backgrounds: from basic nursing education at the college level to university degree. Intervention: The intervention consists of a web-based training program, available for all staff working in special accommodations for people with intellectual disabilities. The web-based training program focuses on strengthening the carers' communication skills. Procedure: The social Services authorities and the managers from each home agreed to the project. The carers have given their informed consent to attend the study. The participants will by their own during working hour go through the web-based program. The time to complete the web-based training program is estimated at approximately ten hours. Data-analysis: Descriptive statistics will be used for demographic data. Proportions will be compared to the chi-square test. The mean values between the groups will be compared by t-test or Mann-Whitney's U-test, as appropriate. Changes in the mean between and in the groups will be compared with paired t-test. Double-sided significance test will be used throughout. Data will be presented at a group level.

Conditions

Challenging Behaviour

Keywords

Interaction; challenging behaviour; training

Outcome Measures

Primary Outcomes (1)

• Changes in communication- and interactivity skills and ability to handle challenging behaviour after web-based training program

  Changes in communication- and interactivity skills and ability to handle challenging behaviour after web-based training program with The checklist of Challenging Behaviour

  Before intervention, at intervention completion an average of 12 weeks, and for a 3 month follow up after completed intervention.

Secondary Outcomes (3)

• Ways of Coping Questionnaire

  Before intervention, at intervention completion an average of 12 weeks, and for a 3 month follow up after completed intervention.

• The Job Demand-Control and Social Support

  Before intervention, at intervention completion an average of 12 weeks, and for a 3 month follow up after completed intervention.

• The Controllability Belief Scale

  Before intervention, at intervention completion an average of 12 weeks, and for a 3 month follow up after completed intervention.

Study Arms (2)

Intervention arm

EXPERIMENTAL

Phase 1, participants in the intervention group will take part in an web-based training for staff working with people with intellectual disabilities and challenging behaviour aiming to in a more effective way communicate to prevent challenging behaviour. The participants (staff) will by their own, go through the web-based training program during working hours. Measurement are conducted before intervention, at intervention completion an average of 12 weeks, and for a 3 month follow up after completed intervention

Behavioral: Web-based training for staff

control arm

OTHER

Control arm: participants in the control-group will maintain regular care and have the opportunity to receive the web-based training for staff working with people with intellectual disabilities and challenging behaviour in phase 2.

Behavioral: Web-based training for staff

Interventions

Web-based training for staff BEHAVIORAL

This web-based training program is focusing on strengthening the carers' communication skills. Video lectures on the definitions, characteristics and causes of challenging behavior will be given. Video lectures will also be given on the importance of the carers' views on their values, emotions, abilities and attitude towards people with intellectual disabilities and on the impact that workplace culture and environmental factors have on the quality of interactions. The program also includes written cases that gives the participants opportunities to reflect upon approaches supporting a successful interaction. It also covers factors to consider when mental illness and challenging behavior occur. The time to complete the web-based training program is estimated at approximately ten hours.

Intervention arm; control arm

Eligibility Criteria

• Age: 18 Years - 67 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• staff working at special accommodation for people with intellectual disabilities.
• Language: swedish

You may not qualify if:

• staff working short-term temporary agencies at the accommodation for people with intellectual disabilities.

Sponsors & Collaborators

• Umeå University: lead
• University West, Sweden: collaborator

Study Sites (1)

University West

Trollhättan, 46132, Sweden

Location

Related Publications (17)

• Antonsson H, Graneheim UH, Isaksson U, Astrom S, Lundstrom MO. Evaluation of a Web-Based Training Program for Professional Carers Working With People With Learning Disabilities and Challenging Behavior: A Pilot Study with SSED-Design. Issues Ment Health Nurs. 2016 Oct;37(10):734-743. doi: 10.1080/01612840.2016.1189636. Epub 2016 Jun 28.

  PMID: 27351080 BACKGROUND

• Farrell GA, Shafiei T, Salmon P. Facing up to 'challenging behaviour': a model for training in staff-client interaction. J Adv Nurs. 2010 Jul;66(7):1644-55. doi: 10.1111/j.1365-2648.2010.05340.x. Epub 2010 May 21.

  PMID: 20497267 BACKGROUND

• Farrell GA, Salmon P. Challenging behaviour: an action plan for education and training. Contemp Nurse. 2009 Dec-2010 Jan;34(1):110-8. doi: 10.5172/conu.2009.34.1.110.

  PMID: 20230177 BACKGROUND

• Jenkins R, Rose J, Jones T. The Checklist of Challenging Behaviour and its relationship with the Psychopathology Inventory for Mentally Retarded Adults. J Intellect Disabil Res. 1998 Aug;42 ( Pt 4):273-8. doi: 10.1046/j.1365-2788.1998.00131.x.

  PMID: 9786441 BACKGROUND

• Joyce T, Ditchfield H, Harris P. Challenging behaviour in community services. J Intellect Disabil Res. 2001 Apr;45(Pt 2):130-8. doi: 10.1046/j.1365-2788.2001.00331.x.

  PMID: 11298252 BACKGROUND

• Sanne B, Mykletun A, Dahl AA, Moen BE, Tell GS. Testing the Job Demand-Control-Support model with anxiety and depression as outcomes: the Hordaland Health Study. Occup Med (Lond). 2005 Sep;55(6):463-73. doi: 10.1093/occmed/kqi071. Epub 2005 Apr 21.

  PMID: 15845554 BACKGROUND

• Pellfolk TJ, Gustafson Y, Bucht G, Karlsson S. Effects of a restraint minimization program on staff knowledge, attitudes, and practice: a cluster randomized trial. J Am Geriatr Soc. 2010 Jan;58(1):62-9. doi: 10.1111/j.1532-5415.2009.02629.x.

  PMID: 20122041 BACKGROUND

• Dagnan D, Hull A, McDonnell A. The controllability beliefs scale used with carers of people with intellectual disabilities: psychometric properties. J Intellect Disabil Res. 2013 May;57(5):422-8. doi: 10.1111/j.1365-2788.2012.01554.x. Epub 2012 Apr 4.

  PMID: 22471440 BACKGROUND

• Folkman S, Moskowitz JT. Coping: pitfalls and promise. Annu Rev Psychol. 2004;55:745-74. doi: 10.1146/annurev.psych.55.090902.141456.

  PMID: 14744233 BACKGROUND

• Folkman S, Lazarus RS. The relationship between coping and emotion: implications for theory and research. Soc Sci Med. 1988;26(3):309-17. doi: 10.1016/0277-9536(88)90395-4.

  PMID: 3279520 BACKGROUND

• Padyab, Backteman-Erlanson & Brulin. Burnout, Coping, Stress of Conscience and Psychosocial Work Environment among Patrolling Police Officers Journal of Police and Criminal Psychology December 2016, Volume 31, Issue 4, pp 229-237|

  BACKGROUND

• Dagnan, D., Grant, F., & McDonnell, A. (2004). Understanding challenging behaviour in older people; the development of the Controllability Beliefs Scale. Behavioural and Cognitive Psychotherapy, 32, 501-506.

  BACKGROUND

• Gore, N., & Umizawa, H. (2011). Challenging behavior training for teaching staff and family carers of children with intellectual disabilities: A preliminary evaluation. Journal of Policy and Practice in Intellectual Disabilities, 8, 266-275.

  BACKGROUND

• Harris, P., Humphreys, J., & Thomson, G. (1994). A checklist of challenging behaviour: The development of a survey instrument. Mental Handicap Research, 7, 118-133

  BACKGROUND

• Karasek, R., & Theorell, T. (1992). Healthy work: Stress, productivity and the reconstruction of working life. New York, NY: Basic Books.

  BACKGROUND

• Mills S, Rose J. The relationship between challenging behaviour, burnout and cognitive variables in staff working with people who have intellectual disabilities. J Intellect Disabil Res. 2011 Sep;55(9):844-57. doi: 10.1111/j.1365-2788.2011.01438.x. Epub 2011 Jul 5.

  PMID: 21726318 BACKGROUND

• Truong AT, Winman T, Ekstrom-Bergstrom A. Studying intraprofessional and interprofessional learning processes initiated by an educational intervention applying a qualitative design with multimethod approach: a study protocol. BMJ Open. 2022 Apr 18;12(4):e058779. doi: 10.1136/bmjopen-2021-058779.

  PMID: 35437255 DERIVED

Study Officials

• Helena Antonsson, Phd

  Umea University

  PRINCIPAL INVESTIGATOR

• Catrin Alverbratt, Phd

  University West

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior lecturer, med dr.

Model Details: Intervention arm: web-based training for staff working with people with intellectuall disabilities and challenging behaviour Other: control arm

Study Record Dates

• First Submitted: December 29, 2017
• First Posted: January 4, 2018
• Study Start: January 10, 2018
• Primary Completion: October 15, 2018
• Study Completion: November 15, 2018
• Last Updated: December 2, 2019

Record last verified: 2019-11

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)