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

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ClinicalTrials.gov Identifier: NCT03390868
Recruitment Status : Recruiting
First Posted : January 4, 2018
Last Update Posted : April 26, 2018
Sponsor:
Collaborator:
University West, Sweden
Information provided by (Responsible Party):
Helena Antonsson, Umeå University

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.


Condition or disease Intervention/treatment Phase
Challenging Behaviour Behavioral: Web-based training for staff Not Applicable

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 221 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Intervention Model Description: Intervention arm: web-based training for staff working with people with intellectuall disabilities and challenging behaviour Other: control arm
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Effects of a Web-based Training Programme for Professional Carers Working With People With Learning Disabilities Who Exhibit Challenging Behaviour
Actual Study Start Date : January 10, 2018
Estimated Primary Completion Date : November 15, 2018
Estimated Study Completion Date : November 15, 2018

Arm Intervention/treatment
Experimental: Intervention arm
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
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.

control arm
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
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.




Primary Outcome Measures :
  1. Changes in communication- and interactivity skills and ability to handle challenging behaviour after web-based training program [ Time Frame: Before intervention, at intervention completion an average of 12 weeks, and for a 3 month follow up after completed intervention. ]
    Changes in communication- and interactivity skills and ability to handle challenging behaviour after web-based training program with The checklist of Challenging Behaviour


Secondary Outcome Measures :
  1. Ways of Coping Questionnaire [ Time Frame: Before intervention, at intervention completion an average of 12 weeks, and for a 3 month follow up after completed intervention. ]
    Change in coping strategies and practical problem solving with Ways of Coping Questionnaire (WOCQ). Measuring use of coping strategies employed by the carers. The instrument was used in this study to measure the intervention's effects in reducing feelings such as shame and guilt in the carers and in strengthening professional care. In this 40-item version participants were asked to reflect upon how they would manage specific challenging situations. The items were divided into emotion-focused coping skills and problem-focused coping skills. Each subscale was answered on a 4-point Likert scale ranging from (0) does not apply to (3) used a great deal.

  2. The Job Demand-Control and Social Support [ Time Frame: 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 (JDC-S). The instrument has three major dimensions. First, it measures job demands, which includes psychological stressors such as time pressure, and item scores range from 1 to 4, with higher values indicating higher demands. Second, it measures job control on a scale of 1 to 4, with higher values indicating more perceived control over the job situation. Third, it measures social support, again on a scale of 1 to 4, with higher values indicating higher perceived support from co-workers and managers. In the JDC-S, high demands and low control indicate a high job strain.

  3. The Controllability Belief Scale [ Time Frame: Before intervention, at intervention completion an average of 12 weeks, and for a 3 month follow up after completed intervention. ]
    Changes in values and approaches to reduce challenging behavior with The Controllability Belief Scale. The Controllability Beliefs Scale (CBS) is a 15-item instrument measuring the attribution of control in situations with CB. This instrument was used to measure carers' values and approaches to people with LD. Items were scored on a 5-point scale with anchored ratings from strongly agree (1) to strongly disagree (5). A two-factor structure, suggesting positive and negative attributions of control, and good internal reliability (Cronbach's alpha for total score = 0.89, 0.92 for the negative subscale and 0.73 for the positive subscale).



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Ages Eligible for Study:   18 Years to 67 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

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

Exclusion Criteria:

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03390868


Contacts
Contact: Helena Antonsson, Phd 0046-90-7869833 helena.antonsson@umu.se
Contact: Catrin Alverbratt, Phd 0046-520-223847 catrin.alverbratt@hv.se

Locations
Sweden
University West Recruiting
Trollhattan, Sweden, 46132
Contact: Anja Hellman, Manager    0046520497173    anja.hellman@trollhattan.se   
Sponsors and Collaborators
Umeå University
University West, Sweden
Investigators
Principal Investigator: Helena Antonsson, Phd Umea University
Principal Investigator: Catrin Alverbratt, Phd University West

Publications:
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|
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.
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.
Harris, P., Humphreys, J., & Thomson, G. (1994). A checklist of challenging behaviour: The development of a survey instrument. Mental Handicap Research, 7, 118-133
Karasek, R., & Theorell, T. (1992). Healthy work: Stress, productivity and the reconstruction of working life. New York, NY: Basic Books.

Responsible Party: Helena Antonsson, Senior lecturer, med dr., Umeå University
ClinicalTrials.gov Identifier: NCT03390868     History of Changes
Other Study ID Numbers: Challenging behaviour
First Posted: January 4, 2018    Key Record Dates
Last Update Posted: April 26, 2018
Last Verified: April 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Helena Antonsson, Umeå University:
Interaction
challenging behaviour
training