Mild to moderate learning disabilities, anger management Mental and Behavioural Disorders Unspecified disorder of psychological development
Conditions
Interventions
Day care centres will be randomised to receive either a manualised cognitive behaviour therapy (CBT) intervention consisting of 12 weekly psycho-educational group sessions supplemented by 'homework' o
Sponsors
Cardiff University (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Services: 1. Reported anger control problems among at least four service users who meet individual inclusion criteria and want to participate 2. Availability of at least two staff members willing to be trained as group leaders 3. Service manager provides written agreement to participate Service Users: 1. An adult attending a service for people with mild to moderate learning disabilities 2. Identified by service staff as having problems in managing their anger 3. Wishing to learn to improve their anger management 4. Able to provide informed consent 5. Able to complete the assessments 6. Aged 18 to 65 years, either sex
Exclusion criteria
Exclusion criteria: Services: 1. The service is already running an anger management programme similar to this one 2. There are no suitable facilities for group work Service Users: 1. Attending the service for a reason other than a diagnosed learning disability 2. Currently receiving psychological treatment for anger or aggression 3. Urgently requiring referral to a Clinical Psychologist for individual treatment of anger or aggression 4. Experiencing circumstances which indicate that a Protection of Vulnerable Adults (POVA) procedure should be initiated 5. If for any other reason the supervising Clinical Psychologist makes a clinical judgement that participation in the group would be counter-indicated
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Provocation Index (PI) as completed by the service-user, at follow-up. The PI is a direct measure of felt response to defined situations that may provoke anger and has frequently been used with this service-user group for the current purpose. Outcome measures will be taken at baseline, immediately after the support as usual (SAU) or intervention in both groups in parallel and 6 months after the completion of the intervention or SAU. | — |
Secondary
| Measure | Time frame |
|---|---|
| Validated questionnaires will be completed to assess the following domians: 1. Anger (assessed by the PI) as completed by a key-worker and a home carer 2. Aggression will be assessed by key-worker report using the Irritability domain items of the Aberrant Behaviour Checklist (ABC) and the Modified Overt Aggression Scale (MOAS) 3. The Profile of Anger Coping Skills (PACS) will be completed by both service-user, home carer and key-worker to assess the development of alternative, more functional coping skills 4. Mental health will be assessed by using the Glasgow Depression and Anxiety Scales and an adaptation of the Rosenberg Self-Esteem Scale for people with a learning disability 5. Self-reported quality of life will be assessed by using the Comprehensive Quality of Life Scale - Intellectual Disability (ComQoL-ID) 6. Key-workers' attributions in respect of challenging behaviour will be measured by the Controllability Beliefs Scale (CBS) Additionally, interview data for qualitative analysis will be collected from participants, therapists and service managers, and a health economic evaluation will be undertaken of the costs and consequences of the invervention. Outcome measures will be taken at baseline, immediately after the support as usual (SAU) or intervention in both groups in parallel and 6 months after the completion of the intervention or SAU. | — |
Countries
United Kingdom
Outcome results
None listed