First Steps Toward Positive Behavior Support in the Netherlands: A Pilot Study Exploring the Effectiveness of a Training for Staff

Klaver, Marian; Bildt, Annelies de; Bruinsma, Eke; Kuijper, Gerda de; Hoekstra, Pieter J.; Hoofdakker, Barbara J. van den

doi:10.1111/jppi.12334

Cited by 13 publications

(14 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All participants had IDDs (except 13 participants in one study [ 138 ]). Fifteen studies worked with samples of adults [ 34 , 35 , 160 , 161 , 163 , 166 , 167 , 168 , 169 , 170 , 171 , 172 , 173 , 177 , 179 ], four with samples of children [ 162 , 164 , 176 , 178 ], one with adolescents [ 165 ], one with adolescents and young people [ 174 ], and two were based on combined samples of adults and children [ 138 , 175 ].…”

Section: Resultsmentioning

confidence: 99%

“…CB was considered the dependent variable for evaluation of the effectiveness of the interventions. The most commonly used instrument in this type of study was the ABC [ 34 , 35 , 160 , 161 , 162 , 163 , 164 , 165 , 166 , 167 , 168 ]. The other instruments used were BPI-01 [ 172 , 174 ], CCB [ 175 , 176 , 177 ], ABC-C [ 170 , 171 ], BPI-PIMD [ 173 ], BPI-S [ 138 ], ECBI/SESBI-R [ 178 ], and MOAS [ 179 ], while one study used a combination of two instruments, namely, the ABC and MOAS [ 102 ].…”

Section: Resultsmentioning

confidence: 99%

“…Fourth, 23 studies used the identified instruments when designing and implementing behavioral interventions. The ABC [ 34 , 35 , 160 , 161 , 162 , 163 , 164 , 165 , 166 , 167 , 168 , 169 ] was the instrument most used when conducting these types of studies. The interventions carried out used diverse strategies such as active support, positive behavioral support, training of professionals, environmental changes, and cognitive–behavioral therapy.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Assessment of Challenging Behavior Exhibited by People with Intellectual and Developmental Disabilities: A Systematic Review

REYES-MARTÍN

Simó-Pinatella

Font-Roura³

2022

IJERPH

View full text Add to dashboard Cite

The assessment of challenging behavior exhibited by people with intellectual and developmental disabilities is essential for the planning of prevention and intervention programs. This review aimed to identify and analyze the standardized instruments that exclusively focus on the assessment of challenging behavior. We identified and organized 141 articles into four categories: original instrument studies, validation studies, relational studies, and intervention studies. The results identified 24 instruments that generally show high-quality psychometric properties and other utilities beyond the observation of the presence of challenging behavior and diagnostic categorization. Age, level of adaptive behavior, disability, presence of autism spectrum disorder, and medication are some of the variables that were found to be possibly related to the occurrence of challenging behavior. Additionally, the results suggest that interventions focused on supporting positive behavior or providing training on behavior to professionals and caregivers significantly reduced the occurrence of these behaviors. Instruments that help us to understand and measure the challenging behavior exhibited by people with intellectual and developmental disabilities are essential for the design of effective evaluation and intervention protocols.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Assessment of Challenging Behavior Exhibited by People with Intellectual and Developmental Disabilities: A Systematic Review

REYES-MARTÍN

Simó-Pinatella

Font-Roura³

2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…2015; Stocks and Slater 2016; Klaver et al . 2020), could possibly be helpful in increasing staff self‐efficacy.…”

Section: Discussionmentioning

confidence: 99%

Exposure to challenging behaviours and burnout symptoms among care staff: the role of psychological resources

Klaver

Hoofdakker

Wouters

et al. 2020

J intellect Disabil Res

Self Cite

View full text Add to dashboard Cite

BackgroundStaff supporting individuals with intellectual disabilities are at risk of burnout symptoms. Evidence suggests an association between exposure to challenging behaviours of individuals with intellectual disabilities and burnout symptoms of staff, but the protective role of staff psychological resources in this relation has been understudied.MethodWe investigated the association between exposure to challenging behaviours and burnout symptoms of staff and the direct and moderating effects of several psychological resources. Staff (N = 1271) completed an online survey concerning burnout symptoms (subscale Emotional Exhaustion of the Maslach Burnout Inventory), exposure to challenging behaviours and a range of potential psychological resources. We examined main and moderating effects with multilevel analyses. In order to control for the multiple comparisons, P values corrected for false discovery rate (PFDR) were reported.ResultsWe found a direct relation between exposure to challenging behaviours and increased levels of burnout symptoms in staff (b = .15, t(670) = 4.466, PFDR < .0001). Perceived supervisor social support (b = −.97, t(627) = −7.562, PFDR < .0001), staff self‐efficacy (b = −.23, t(673) = −3.583, PFDR < .0001), resilience (b = −.19, t(668) = −2.086, PFDR < .05) and extraversion (b = −.20, t(674) = −3.514, PFDR < .05) were associated with reduced burnout symptoms. None of the proposed psychological resources moderated the association between exposure to challenging behaviours and burnout symptoms of staff.ConclusionsOf the psychological resources found to be associated with reduced risk of burnout symptoms, staff self‐efficacy and access of staff to supervisor social support seem to be the factors that can be influenced best. These factors thus may be of importance in reducing the risk of developing burnout symptoms and improving staff well‐being, even though the current study was not designed to demonstrate causal relations between psychological resources and burnout symptoms.

show abstract

“…Verbal aggression and hostility are rarely addressed in the intervention literature, presumably because aggressive behaviors associated with greater risk (e.g., physical aggression, self-injury, elopement) are prioritized as intervention targets. Training DSPs in broad strategies of positive behavior supports (PBS) (Klaver et al, 2020) or applied behavior analysis in addition to specific, individualized behavior intervention plans can increase DSP understanding of how to reduce the incidence of interpersonal aggression when it occurs. Using planned ignoring or extinction to address verbal aggression and hostility may be effective in decreasing opportunities for reinforcement of these behaviors; however, the targets of verbal aggression may also benefit from applying antecedent or reinforcement-based strategies to stop or redirect the behavior.…”

Section: Implications For Interventionmentioning

confidence: 99%

The Effects of Aggression Subtypes on Burnout and Caregiver Instability in Direct Support Professionals

Nevill

Istvan

Havercamp

2021

Journal of Positive Behavior Interventions

View full text Add to dashboard Cite

Aggression is a known contributor to burnout and caregiver instability among direct support professionals (DSPs) caring for adults with developmental disabilities. However, few studies have explored the differential effects of aggression subtypes on caregivers and what implications these may have for intervention planning. This longitudinal study examined whether different types of aggression were associated with greater burnout and instability in DSPs. Ninety DSPs reported on their experiences working with aggressive clients with developmental disabilities at baseline and at a 3-month follow-up. Participants were roughly representative of the population of DSPs in the United States. Verbal aggression and reduced length of time knowing the aggressive adult significantly predicted caregiver instability, with participants who had stopped working with the aggressive adult experiencing significantly worse verbal aggression than participants who were still working with the adult at follow-up. Hostile affect significantly predicted burnout. Verbal aggression and hostility, which are less frequently targeted for intervention as more dangerous forms of aggression, pose risks for caregivers and therefore warrant active attention through intervention. DSPs would benefit from training on how to diffuse and redirect verbal aggression and hostility, as well as use coping strategies to mitigate against the negative emotional effects of aggression.

show abstract

First Steps Toward Positive Behavior Support in the Netherlands: A Pilot Study Exploring the Effectiveness of a Training for Staff

Cited by 13 publications

References 34 publications

Assessment of Challenging Behavior Exhibited by People with Intellectual and Developmental Disabilities: A Systematic Review

Assessment of Challenging Behavior Exhibited by People with Intellectual and Developmental Disabilities: A Systematic Review

Exposure to challenging behaviours and burnout symptoms among care staff: the role of psychological resources

The Effects of Aggression Subtypes on Burnout and Caregiver Instability in Direct Support Professionals

Contact Info

Product

Resources

About