People with a learning disability (LD) and challenging behaviours (CB) Mental and Behavioural Disorders
Conditions
Interventions
The study will be a cluster randomised controlled trial. Residential group homes will be randomised to either:
Group 1: Homes immediately receive the "Who’s Challenging Who" (WCW) tra
Sponsors
University of Warwick
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria for residential homes: 1. Provides services via English publically funded contracts (Local Authorities, CCGs) 2. Provides support to between one and 10 people with LD 3. The home staff provide at least some support 24 hours for the people with LD 4. The residential home is in a community setting 5. Provides care for at least one person with LD who engages in aggressive challenging behaviour 6. The residential home manager (or equivalent lead staff member) and one other support staff member can be released attend a WCW training session together Inclusion criteria for the staff: 1. One staff member will be the group home manager or other lead staff member (as defined by the service provider organisation) 2. The second staff member will be a direct support worker whose role is no more than 50% in administrative/staff management tasks 3. Both staff work the equivalent of .70 FTE or more
Exclusion criteria
Exclusion criteria: Current exclusion criteria as of 27/09/2017: Exclusion criteria for the residential homes: 1. “Inpatient” hospital facility (typically NHS or independent providers) 2. The manager does not receive approval from the service provider organisation for the residential home to be a part of the study Exclusion criteria for staff: 1. Staff do not provide their consent to take part in the research 2. English reading skills that prevent completion of the questionnaire measures Previous exclusion criteria: Exclusion criteria for the residential homes: 1. “Inpatient” hospital facility (typically NHS or independent providers) 2. The manager does not receive approval from the service provider organisation for the residential home to be a part of the study 3. Home is more than 150 miles round trip by car from the University of Warwick Exclusion criteria for staff: 1. Staff do not provide their consent to take part in the research 2. English reading skills that prevent completion of the questionnaire measures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Staff empathy for people with challenging behaviour is measured using the "Staff Empathy towards those whose Behaviour Challenges" questionnaire at baseline, 6 and 20 weeks post randomisation | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Staff confidence in dealing with challenging behaviours is measured using Challenging Behaviour Self-Efficacy Scale at baseline, 6 and 20 weeks post randomisation 2. Staff attitudes towards people with challenging behaviours is measured using Similarity and Empowerment attitude scales from the Community Living Attitude Scales at baseline, 6 and 20 weeks post randomisation 3. Staff work-related burnout is measured using Maslach Burnout Inventory – Human Services version at baseline and 20 weeks post randomisation 4. Staff work related positive experiences is measured using Short version of the Staff Positive Perceptions Questionnaire at baseline, 6 and 20 weeks post randomisation 5. Recorded incidents of challenging behaviour and use of restrictive practices in each residential home is measured by A count of the total number of incidents of challenging behaviour noted in the records of a residential home at baseline and 20 weeks post randomisation | — |
Countries
England, United Kingdom, Wales
Outcome results
None listed