Staff perceptions following a training programme about reducing psychotropic medication use in adults with intellectual disability: The need for a realistic professional practice framework

Barratt, Macey; Jorgensen, Mikaela; Limbu, Bharati; Donley, Mandy; Buchholtz, Moira; Smith, Victoria; Wilson, Nathan J.

doi:10.1111/jar.13070

Cited by 8 publications

(6 citation statements)

References 26 publications

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“…Training is a responsibility carried out jointly between employees and the organization, where employees must design and attend training to develop their abilities so that they are wide open for better career paths for employees in the future. Training is an activity to improve one's employability with economic activity (Badhwar et al, 2023;Bao et al, 2023;Barratt et al, 2023). Meanwhile, employees who are motivated to carry out their work have the assumption that their task is a challenge that must be solved.…”

Section: Source: Results Of Research Data Processing 2023mentioning

confidence: 99%

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Training effectiveness, work motivation on employee performance

Fitriyani,

Maelani,

Roes

et al. 2024

ijafibs

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In an effective management system, the importance of human resources is increasing. Employee performance is an essential factor influencing success. In an organization, this is one of the most critical functions of a company. This study aims to determine the variables that affect employee performance and develop a theoretical basis and research model. This study used the associative descriptive quantitative method with a population of 37 respondents drawn into samples using non-probability sampling using saturated sampling / total sampling methods—data analysis techniques using linear regression with the help of SPSS software version 26. The results of this study show that the first hypothesis states that employee performance is influenced by the effectiveness of training, meaning that the better the effectiveness of training, the more improved the employee's performance. Thus, the second hypothesis states that employee performance is influenced by work motivation, meaning that the higher the work motivation, the higher the employee performance will be. The third hypothesis is that employee performance is influenced by the effectiveness of training and work motivation, which can simultaneously improve employee performance. This research is expected to make theoretical contributions to the literature in this context, certainly in the context of human resource management.

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Section: Source: Results Of Research Data Processing 2023mentioning

confidence: 99%

“…Training is an activity to improve one's employability concerning economic activity (Badhwar et al, 2023;Bao et al, 2023;Barratt et al, 2023).…”

Section: Introductionmentioning

confidence: 99%

Training effectiveness, work motivation on employee performance

Fitriyani,

Maelani,

Roes

et al. 2024

ijafibs

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“…To address the issue of caregiver training, we have recently developed an online training resource backed up by face-toface workshops (SPECTROM; https://spectrom.wixsite.com/project) to help rationalise antipsychotics and other psychotropic medications (Deb et al, 2020). Two small pre, and post-intervention pilot studies of SPECTROM training in the United Kingdom (Deb et al, 2021) and Australia (Barratt et al, 2023;Wilson et al, 2022Wilson et al, , 2023 have received good feedback from the trainees and the trainers on the acceptability, practicality, applicability and relevance of SPECTROM to their practice and helped to empower support staff by increasing their knowledge of psychotropic medication and improving attitude toward using medication for challenging behaviour. Some participants in the current study found input from local pharmacists and nurse prescribers helpful in implementing STOMP.…”

Section: Discussionmentioning

confidence: 99%

The UK psychiatrists' experience of rationalising antipsychotics in adults with intellectual disabilities: A qualitative data analysis of free‐text questionnaire responses

Limbu

Nancarrow

Gerrard³

et al. 2023

Research Intellect Disabil

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Background: Overprescribing of off-licence psychotropic medications, particularly antipsychotics, for challenging behaviours in people with intellectual disabilities without a psychiatric disorder is a significant public health concern. In the United Kingdom, the National Health Service England launched an initiative in 2016, 'STopping Over-Medication of People with learning disabilities, autism or both (STOMP)', to address this concern. STOMP is supposed to encourage psychiatrists in the United Kingdom and elsewhere to rationalise psychotropic medication use in people with intellectual disabilities. The current study aims to gather UK psychiatrists' views and experience of implementing the STOMP initiative.Methods: An online questionnaire was sent to all UK psychiatrists working in the field of intellectual disabilities (estimated 225). Two open-ended questions allowed participants to write comments in response to these questions in the free text boxes.One question asked about the challenges psychiatrists faced locally to implement STOMP, and the other asked for examples of successes and positive experiences from the process. The free text data were analysed using a qualitative method with the help of the NVivo 12 plus software.Results: Eighty-eight (estimated 39%) psychiatrists returned the completed questionnaire. The qualitative analysis of free-text data has shown variation within services in the experience and views of the psychiatrists. In areas with good support for STOMP implementation provided through adequate resources, psychiatrists reported satisfaction in the process with successful antipsychotic rationalisation, better local multidisciplinary and multi-agency working, and increased awareness of STOMP issues among the stakeholders such as people with intellectual disabilities and their caregivers and multidisciplinary teams, and improved quality of life caused by reduced medication-related adverse events in people with intellectual disabilities. However, where resource utilisation is not optimum, psychiatrists seemed dissatisfied with the process with little success in medication rationalisation.

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“…Participants also had an opportunity to provide qualitative interview data after the completion of the training, which has been reported elsewhere (Barratt et al . 2023).…”

Section: Methodsmentioning

confidence: 99%

“…All post-training surveys were sent via email by the research assistant, with a single repeat invitation to complete the survey. Participants also had an opportunity to provide qualitative interview data after the completion of the training, which has been reported elsewhere (Barratt et al 2023).…”

Section: Data Collectionmentioning

confidence: 99%

Training support workers about the overmedication of people with intellectual disabilities: an Australian pre–post pilot study

Wilson

Barratt

Jorgensen

et al. 2023

J intellect Disabil Res

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Background There is evidence that psychotropic medications are overprescribed and overused to manage behaviours of concern for people with intellectual disabilities. Disability support workers and support staff lack education and training on the administration and safety of psychotropic medication use. This study aimed to test the applicability and preliminary efficacy of SPECTROM, an education programme developed in the UK, in an Australian context. MethodsThe training comprises two parts: Module 1 encompasses psychotropic medications, their use and side effects. Module 2 focuses on non-pharmacological interventions for supporting people with behaviours of concern. Thirty-three participants attended the training course and completed pre-training and post-training surveys on the Psychotropic Knowledge Questionnaire and Management of Aggression and Violence Attitude Scale-Revised at four time points: pre-training, 2 weeks, 3 months and 5 months post-training. Results Psychotropic Knowledge Questionnaire scores showed statistically significant post-training improvement at all post-training time points (P < 0.05). Management of Aggression and Violence Attitude Scale-Revised scores were high at pre-training and did not change significantly at any of the post-training survey time points. A 2-week posttraining feedback questionnaire reported 80% agreement that the training programme was appropriate, useful and valid. Only 36% of participants completed questionnaires at all time points. Conclusions SPECTROM training increased staff knowledge of psychotropic medications, yet loss of participants was high. Further refinement of the applicability of the training for the Australian context and evaluation of the feasibility of implementation, clinical and cost-effectiveness of the programme are required.

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Staff perceptions following a training programme about reducing psychotropic medication use in adults with intellectual disability: The need for a realistic professional practice framework

Cited by 8 publications

References 26 publications

Training effectiveness, work motivation on employee performance

Training effectiveness, work motivation on employee performance

The UK psychiatrists' experience of rationalising antipsychotics in adults with intellectual disabilities: A qualitative data analysis of free‐text questionnaire responses

Training support workers about the overmedication of people with intellectual disabilities: an Australian pre–post pilot study

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