Brief report: Impact of applied behaviour analysis (ABA) on carer burden and community participation in challenging behaviour: results from a randomised controlled trial

2011 ◽  
Vol 56 (3) ◽  
pp. 285-290 ◽  
Author(s):  
A. Hassiotis ◽  
D. Robotham ◽  
A. Canagasabey ◽  
L. Marston ◽  
B. Thomas ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Community Participation ◽  
Controlled Trial ◽  
Challenging Behaviour ◽  
Behaviour Analysis ◽  
Carer Burden ◽  
Applied Behaviour Analysis ◽  
Randomised Controlled

scholarly journals Adults with untreated phenylketonuria: out of sight, out of mind

2008 ◽  
Vol 193 (6) ◽  
pp. 501-502 ◽  
Author(s):  
Glynis H. Murphy ◽  
Sally M. Johnson ◽  
Allayne Amos ◽  
Eleanor Weetch ◽  
Rosemary Hoskin ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Support Needs ◽  
Challenging Behaviour ◽  
Restricted Diet ◽  
Randomised Controlled ◽  
High Support

SummarySome people with phenylketonuria who were born before screening began were never treated and are still alive. Here we report that far fewer people with untreated phenylketonuria were detected than are thought to exist (about 2000). The majority of those traced had high support needs, challenging behaviour and other symptoms of phenylketonuria. No significant differences were found between those who had or had not tried the phenylalanine-restricted diet. A randomised controlled trial is required to examine the effect of trying the low-phenylalanine diet for people with untreated phenylketonuria.

scholarly journals Clinical outcomes of staff training in positive behaviour support to reduce challenging behaviour in adults with intellectual disability: cluster randomised controlled trial

2018 ◽  
Vol 212 (3) ◽  
pp. 161-168 ◽  
Author(s):  
Angela Hassiotis ◽  
Michaela Poppe ◽  
Andre Strydom ◽  
Victoria Vickerstaff ◽  
Ian S. Hall ◽  
...  
Keyword(s):  
Intellectual Disability ◽  
Randomised Controlled Trial ◽  
Staff Training ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Challenging Behaviour ◽  
Treatment As Usual ◽  
Cluster Randomised ◽  
Positive Behaviour Support ◽  
Randomised Controlled

BackgroundStaff training in positive behaviour support (PBS) is a widespread treatment approach for challenging behaviour in adults with intellectual disability.AimsTo evaluate whether such training is clinically effective in reducing challenging behaviour during routine care (trial registration: NCT01680276).MethodWe carried out a multicentre, cluster randomised controlled trial involving 23 community intellectual disability services in England, randomly allocated to manual-assisted staff training in PBS (n = 11) or treatment as usual (TAU, n = 12). Data were collected from 246 adult participants.ResultsNo treatment effects were found for the primary outcome (challenging behaviour over 12 months, adjusted mean difference = −2.14, 95% CI: −8.79, 4.51) or secondary outcomes.ConclusionsStaff training in PBS, as applied in this study, did not reduce challenging behaviour. Further research should tackle implementation issues and endeavour to identify other interventions that can reduce challenging behaviour.Declaration of interestNone.

scholarly journals Enhancing community participation for stroke survivors with cognitive impairment: study protocol for a randomised controlled trial in Taiwan

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e040241
Author(s):  
Feng-Hang Chang ◽  
Valeria Chiu ◽  
Pengsheng Ni ◽  
Yen-Nung Lin ◽  
Jiunn-Horng Kang ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Randomised Controlled Trial ◽  
Community Participation ◽  
Regression Models ◽  
Controlled Trial ◽  
Strategy Training ◽  
Control Group ◽  
Stroke Survivors ◽  
Randomised Controlled

IntroductionStroke can lead to life-long disability and constitutes a huge financial burden on the family and society. Stroke survivors with cognitive impairment often experience considerable challenges in the process of recovery and returning to society. Interventions that effectively help individuals resume essential daily activities and return to active participation in their communities are lacking. This study examines the efficacy of a newly-developed intervention programme, the Optimising Participation after Stroke through Strategy-training (OPASS) programme, for improving community participation among stroke survivors with cognitive impairment.Methods and analysisA single-blind, parallel-group randomised controlled trial with allocation concealment and assessor blinding will be implemented to assess the efficacy of the OPASS programme. An expected 210 adults with cognitive impairment following stroke will be randomly assigned to either the experimental intervention (OPASS) group or the attention control group. In addition to their usual rehabilitation, both groups will receive 45 min sessions, twice weekly for a total of 12–15 sessions. The primary outcome is change in participation performance, which will be measured using the participation measure—three domains, four dimensions scale. Additional measures include the Activity Measure for Post-Acute Care generic outpatient short forms, Montreal Cognitive Assessment, Stroop Test, Trail Making Test and General Self-Efficacy Scale. These scales will be administered at baseline, post-intervention, 3-month follow-up, 6-month follow-up and 12-month follow-up. Their results will be analysed using multiple linear regression models and mixed-effects regression models. Further assessment of feasibility and acceptability of the intervention will be conducted through structured interviews with participants, caregivers and therapists. These interviews will be transcribed and thematically analysed.Ethics and disseminationEthics approval was obtained from the Ethics Committee of Taipei Medical University (approval number: N201804055). The findings will be disseminated through presentations at scientific conferences and through publication in peer-reviewed journals.Trial registration numberNCT03792061; pre-results.

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