Cargando…
Short-Term Psycho-Education for Caregivers to Reduce Overmedication of People with Intellectual Disabilities (SPECTROM): Development and Field Testing
People with intellectual disabilities (PwID) are at a higher risk of developing challenging behaviours (CB). Despite the poor evidence for the effectiveness of medications in managing CB, they are used widely among PwID (50–63%). The aims of our study were to develop a training programme, SPECTROM f...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8701820/ https://www.ncbi.nlm.nih.gov/pubmed/34948772 http://dx.doi.org/10.3390/ijerph182413161 |
_version_ | 1784621095256588288 |
---|---|
author | Deb, Shoumitro (Shoumi) Limbu, Bharati Unwin, Gemma Woodcock, Linda Cooper, Vivien Fullerton, Michael |
author_facet | Deb, Shoumitro (Shoumi) Limbu, Bharati Unwin, Gemma Woodcock, Linda Cooper, Vivien Fullerton, Michael |
author_sort | Deb, Shoumitro (Shoumi) |
collection | PubMed |
description | People with intellectual disabilities (PwID) are at a higher risk of developing challenging behaviours (CB). Despite the poor evidence for the effectiveness of medications in managing CB, they are used widely among PwID (50–63%). The aims of our study were to develop a training programme, SPECTROM for support staff to help reduce overmedication in PwID and carry out field testing of SPECTROM including a process evaluation. We developed SPECTROM using the Experience-based co-design method that included four focus groups and a one-day co-design event. Twenty trainees received SPECTROM training. We used the Management of Aggression and Violence Attitudes Scale-Revised-Intellectual Disabilities (MAVAS-R-ID) and the Psychotropic knowledge questionnaire. A semi-structured interview and a feasibility questionnaire were used for process evaluation. SPECTROM website contains 14 modules, resources, and face-to-face training. MAVAS-R-ID scores showed change in staff attitude to ‘medication management’ domain was statistically significant (p < 0.05). Psychotropic knowledge questionnaire showed statistically significant post-training improvement in correct responses (p < 0.05). Process evaluation data showed that SPECTROM was acceptable, applicable, practical, and relevant to staff practice, and helped to improve self-reflection, knowledge, and support to PwID. SPECTROM is a useful training that helps to change the support staff’s attitude toward CB and improve their knowledge of psychotropic medications. |
format | Online Article Text |
id | pubmed-8701820 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87018202021-12-24 Short-Term Psycho-Education for Caregivers to Reduce Overmedication of People with Intellectual Disabilities (SPECTROM): Development and Field Testing Deb, Shoumitro (Shoumi) Limbu, Bharati Unwin, Gemma Woodcock, Linda Cooper, Vivien Fullerton, Michael Int J Environ Res Public Health Article People with intellectual disabilities (PwID) are at a higher risk of developing challenging behaviours (CB). Despite the poor evidence for the effectiveness of medications in managing CB, they are used widely among PwID (50–63%). The aims of our study were to develop a training programme, SPECTROM for support staff to help reduce overmedication in PwID and carry out field testing of SPECTROM including a process evaluation. We developed SPECTROM using the Experience-based co-design method that included four focus groups and a one-day co-design event. Twenty trainees received SPECTROM training. We used the Management of Aggression and Violence Attitudes Scale-Revised-Intellectual Disabilities (MAVAS-R-ID) and the Psychotropic knowledge questionnaire. A semi-structured interview and a feasibility questionnaire were used for process evaluation. SPECTROM website contains 14 modules, resources, and face-to-face training. MAVAS-R-ID scores showed change in staff attitude to ‘medication management’ domain was statistically significant (p < 0.05). Psychotropic knowledge questionnaire showed statistically significant post-training improvement in correct responses (p < 0.05). Process evaluation data showed that SPECTROM was acceptable, applicable, practical, and relevant to staff practice, and helped to improve self-reflection, knowledge, and support to PwID. SPECTROM is a useful training that helps to change the support staff’s attitude toward CB and improve their knowledge of psychotropic medications. MDPI 2021-12-14 /pmc/articles/PMC8701820/ /pubmed/34948772 http://dx.doi.org/10.3390/ijerph182413161 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Deb, Shoumitro (Shoumi) Limbu, Bharati Unwin, Gemma Woodcock, Linda Cooper, Vivien Fullerton, Michael Short-Term Psycho-Education for Caregivers to Reduce Overmedication of People with Intellectual Disabilities (SPECTROM): Development and Field Testing |
title | Short-Term Psycho-Education for Caregivers to Reduce Overmedication of People with Intellectual Disabilities (SPECTROM): Development and Field Testing |
title_full | Short-Term Psycho-Education for Caregivers to Reduce Overmedication of People with Intellectual Disabilities (SPECTROM): Development and Field Testing |
title_fullStr | Short-Term Psycho-Education for Caregivers to Reduce Overmedication of People with Intellectual Disabilities (SPECTROM): Development and Field Testing |
title_full_unstemmed | Short-Term Psycho-Education for Caregivers to Reduce Overmedication of People with Intellectual Disabilities (SPECTROM): Development and Field Testing |
title_short | Short-Term Psycho-Education for Caregivers to Reduce Overmedication of People with Intellectual Disabilities (SPECTROM): Development and Field Testing |
title_sort | short-term psycho-education for caregivers to reduce overmedication of people with intellectual disabilities (spectrom): development and field testing |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8701820/ https://www.ncbi.nlm.nih.gov/pubmed/34948772 http://dx.doi.org/10.3390/ijerph182413161 |
work_keys_str_mv | AT debshoumitroshoumi shorttermpsychoeducationforcaregiverstoreduceovermedicationofpeoplewithintellectualdisabilitiesspectromdevelopmentandfieldtesting AT limbubharati shorttermpsychoeducationforcaregiverstoreduceovermedicationofpeoplewithintellectualdisabilitiesspectromdevelopmentandfieldtesting AT unwingemma shorttermpsychoeducationforcaregiverstoreduceovermedicationofpeoplewithintellectualdisabilitiesspectromdevelopmentandfieldtesting AT woodcocklinda shorttermpsychoeducationforcaregiverstoreduceovermedicationofpeoplewithintellectualdisabilitiesspectromdevelopmentandfieldtesting AT coopervivien shorttermpsychoeducationforcaregiverstoreduceovermedicationofpeoplewithintellectualdisabilitiesspectromdevelopmentandfieldtesting AT fullertonmichael shorttermpsychoeducationforcaregiverstoreduceovermedicationofpeoplewithintellectualdisabilitiesspectromdevelopmentandfieldtesting |