Swipe om te navigeren naar een ander artikel
Caregivers of individuals with intellectual and developmental disabilities are often stressed due to the demands of the job, including the nature and severity of challenging behaviors of the clients, work conditions, degree of management support for the staff, and the demands of implementing some interventions under adverse conditions. Mindfulness-Based Positive Behavior Support (MBPBS) and PBS alone have been shown to be effective in assisting caregivers to better manage the challenging behaviors of clients with intellectual and developmental disabilities. The aim of the present study was to undertake a head-to-head assessment of the effectiveness of MBPBS and PBS alone in a 40-week randomized controlled trial. Of the 123 caregivers who met inclusion criteria, 60 were randomly assigned to MBPBS and 63 to PBS alone, with 59 completing the trial in the MBPBS condition and 57 in the PBS alone condition. Results showed both interventions to be effective, but the caregiver, client, and agency outcomes for MBPBS were uniformly superior to those of PBS alone condition. In addition, the MBPBS training was substantially more cost-effective than the PBS alone training. The present results add to the evidence base for the effectiveness of MBPBS and, if independently replicated, could provide an integrative health care approach in the field of intellectual and developmental disabilities.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Allen, D., James, W., Evans, J., Hawkins, S., & Jenkins, R. (2005). Positive behavioural support: definition, current status and future directions. Tizard Learning Disability Review, 10, 4–11. CrossRef
Anderson, J. L., Albin, R. W., Mesaros, R. W., Dunlap, G., & Morelli-Robbins, M. (1993). Issues in providing training to achieve comprehensive behavioral support. In J. Reichle & D. P. Wacker (Eds.), Communicative alternatives to challenging behavior: integrating functional assessment and intervention strategies (pp. 363–406). Baltimore, MD: Paul H. Brookes.
Anderson, J. L., Russo, A., Dunlap, G., & Albin, R. W. (1996). A team training model for building the capacity to provide positive behavioral supports in inclusive settings. In L. K. Koegel, R. L. Koegel, & G. Dunlap (Eds.), Positive behavioral support: including people with difficult behavior in the community (pp. 467–490). Baltimore, MD: Paul H. Brookes.
Brooker, J. E., Julian, J., Webber, L., Chan, J., Shawyer, F., & Meadows, G. (2013). Evaluation of an occupational mindfulness program for staff employed in the disability sector in Australia. Mindfulness, 4, 122–136. CrossRef
Brooker, J. E., Webber, L., Julian, J., Shawyer, F., Graham, A. L., Chan, J., & Meadows, G. (2014). Mindfulness-based training shows promise in assisting staff to reduce their use of restrictive interventions in residential services. Mindfulness, 5, 598–603. CrossRef
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Earlbaum.
Cohen, S., & Williamson, G. (1988). Psychological stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health: Claremont Symposium on Applied Social Psychology (pp. 31–67). Newbury Park, CA: Sage.
Devereux, J. M., Hastings, R. P., & Noone, S. J. (2009a). Staff stress and burnout in intellectual disability services: work stress theory and its application. Journal of Applied Research in Intellectual Disabilities, 22(6), 561–573. CrossRef
Didden, R., Lindsay, W. R., Lang, R., Sigafoos, J., Deb, S., Wiersma, J., et al. (2016). Aggressive behavior. In N. N. Singh (Ed.), Handbook of evidence-based practices for individuals with intellectual and developmental disabilities (pp. 727–750) . New York: Springer.
Donnchadha, S. O. (2017). Stress in caregivers of individuals with intellectual or developmental disabilities: a systematic review of mindfulness-based interventions. Journal of Applied Research in Intellectual Disabilities. https://doi.org/10.1111/jar12398.
Dunlap, G., Heineman, M., Knoster, T., Fox, L., Anderson, J. L., & Albin, R. W. (2000). Essential elements of in-service training in positive behavior support. Journal of Positive Behavior Intervention, 2(1), 22–32. CrossRef
Epp, K. (2012). Burnout in critical care nurses: a literature review. Dynamics (Pembroke, Ont.), 23(4), 25–31.
Hatton, C., Emerson, E., Rivers, M., Mason, H., Mason, L., Swarbrick, R., Kiernan, C., Reeves, D., & Alborz, A. (1999). Factors associated with staff stress and work satisfaction in services for people with intellectual disability. Journal of Intellectual Disability Research, 43(4), 253–267. CrossRefPubMed
Hieneman, M., & Fefer, S. A. (2017). Employing the principles of positive behavior support to enhance family education and intervention. Journal of Child and Family Studies, 26(10), 2655–2668. CrossRef
Kabat-Zinn, J. (1994). Wherever you go, there you are. New York, NY: Hyperion.
Khorsan, R., Counter, I. D., Crawford, C., & Hsiao, A. F. (2011). Systematic review of integrative health care research: randomized control trials, clinical controlled trials, and meta-analysis. Evidence Based Complementary and Alternative Medicine, e-Cam ID: 636134, doi: https://doi.org/10.1155/2011/636134.
Leoni, M., Corti, S., Cavagnola, R., Healy, O., & Noone, S. J. (2016). How acceptance and commitment therapy changed the perspective on support provision for staff working with intellectual disability. Advances in Mental Health and Intellectual Disabilities, 10(1), 59–73. CrossRef
Lin, J. D., Lee, T. N., Yen, C. F., Loh, C. H., Hsu, S. W., Wu, J. L., et al. (2009). Job strain and determinants in staff working in institutions for people with intellectual disabilities in Taiwan: a test of the job demand-control-support model. Research in Developmental Disabilities, 30(1), 146–157. CrossRefPubMed
Lucyshyn, J. M., Dunlap, G., & Freeman, R. (2015). A historical perspective on the evolution of positive behavior support as a science-based discipline. In F. Brown, J. L. Anderson, & R. L. De Pry (2015). Individual positive behavior supports: a standards-based guide to practices in school and community settings (pp. 3-25). Baltimore, MD: Paul H. Brookes.
MacDonald, A. (2016). Staff training in positive behavior support. In N. N. Singh (Ed.), Handbook of evidence-based practices for individuals with intellectual and developmental disabilities (pp. 443–466). New York: Springer.
Morris, K. R., & Horner, R. H. (2016). Positive behavior support. In N. N. Singh (Ed.), Handbook of evidence-based practices for individuals with intellectual and developmental disabilities (pp. 415–441). New York: Springer.
Noone, S. J., & Hastings, R. P. (2010). Using acceptance and mindfulness-based workshops with support staff caring for adults with intellectual disabilities. Mindfulness, 1, 67–73. CrossRef
Schaufeli, W. B., & Buunk, B. P. (2003). Burnout: an overview of 25 years of research and theorizing. In M. J. Schabracq, J. A. M. Winnubst, & C. L. Cooper (Eds.), The handbook of work and health psychology (2nd ed., pp. 383–424). Chichester, UK: Wiley.
Singh, N. N., Lancioni, G. E., Winton, A. S. W., Singh, A. N., Adkins, A. D., & Singh, J. (2009). Mindful staff can reduce the use of physical restraints when providing care to individuals with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 22, 194–202. CrossRef
Singh, N. N., Lancioni, G. E., Winton, A. S. W., Karazsia, B. T., & Singh, J. (2013). Mindfulness training for teachers changes the behavior of their preschool students. Research in Human Development, 10(3), 211–233. CrossRef
Singh, N. N., Lancioni, G. E., Winton, A. S. W., Karazsia, B. T., Myers, R. E., Latham, L. L., & Singh, J. (2014). Mindfulness-Based Positive Behavior Support (MBPBS) for mothers of adolescents with autism spectrum disorder: effects on adolescents’ behavior and parental stress. Mindfulness, 5, 646–657. CrossRef
Singh, N. N., Lancioni, G. E., Karazsia, B. T., Myers, R. E., Winton, A. S. W., Latham, L. L., & Nugent, K. (2015). Effects of training staff in MBPBS on the use of physical restraints, staff stress and turnover, staff and peer injuries, and cost effectiveness in developmental disabilities. Mindfulness, 6, 926–937. CrossRef
Singh, N. N., Lancioni, G. E., Manikam, R., Latham, L. L., & Jackman, M. M. (2016a). Mindfulness-based positive behavior support in intellectual and developmental disabilities. In I. Ivtzan & T. Lomas (Eds.), Mindfulness in positive psychology: the science of meditation and wellbeing (pp. 212–226). East Sussex, UK: Taylor & Francis.
Singh, N. N., Lancioni, G. E., Karazsia, B. T., & Myers, R. E. (2016b). Caregiver training in Mindfulness-Based Positive Behavior Supports (MBPBS): effects on caregivers and adults with intellectual and developmental disabilities. Frontiers in Psychology, 7, 98. https://doi.org/10.3389/fpsyg.2016.00098 PubMedPubMedCentral
Singh, N. N., Lancioni, G. E., Karazsia, B. T., Chan, J., & Winton, A. S. W. (2016c). Effectiveness of caregiver training in mindfulness-based positive behavior support (MBPBS) vs. training-as-usual (TAU): a randomized controlled trial. Frontiers in Psychology, 7, 1549. https://doi.org/10.3389/fpsyg.2016.01549 PubMedPubMedCentral
Skirrow, P., & Hatton, C. (2007). Burnout amongst direct care workers in services for adults with intellectual disabilities: a systematic review of research findings and initial normative data. Journal of Applied Research in Intellectual Disabilities, 20(2), 131–144. CrossRef
Stamm, B. H. (2010). The concise ProQOL manual (2nd ed.). Pocatello, ID: ProQOL.org.
Van Gordon, W., Shonin, E., & Griffiths, M. D. (2015). Towards a second generation of mindfulness-based interventions. Australia and New Zealand Journal of Psychiatry, 49(7), 591–592. CrossRef
White, C., Holland, E., Marsland, D., & Oakes, P. (2003). The identification of environments and cultures that promote the abuse of people with intellectual disabilities: a review of the literature. Journal of Applied Research in Intellectual Disabilities, 16(1), 1–9. CrossRef
- Comparative Effectiveness of Caregiver Training in Mindfulness-Based Positive Behavior Support (MBPBS) and Positive Behavior Support (PBS) in a Randomized Controlled Trial
Nirbhay N. Singh
Giulio E. Lancioni
Oleg N. Medvedev
Rachel E. Myers
Carrie L. McPherson
Monica M. Jackman
- Springer US
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535