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Frontline Staff and Trainer Perspectives on Implementing and Adhering to Positive Behaviour Support in Intellectual
Eke Bruinsma1,2, Annelies A de Bildt1,2, Pieter J Hoekstra1,2
1University Medical Centre Groningen, Department of Child and Adolescent Psychiatry, University of Groningen, Groningen, the Netherlands.
Journal of Applied Research in Intellectual Disabilities : JARID
|February 23, 2025
Summary
Implementing positive behaviour support (PBS) for individuals with intellectual disabilities requires organizational commitment. Key factors include management backing, staff motivation, and ongoing training for effective challenging behavior management.
Area of Science:
- Intellectual Disabilities Research
- Behavioral Science
- Healthcare Management
Background:
- Challenging behaviors in individuals with intellectual disabilities (ID) residing in group homes require effective support strategies.
- Positive Behaviour Support (PBS) is a key intervention framework for managing these behaviors.
Purpose of the Study:
- To identify critical factors influencing the implementation and adherence of frontline staff-provided PBS.
- To understand staff and trainer perspectives on PBS effectiveness in residential settings.
Main Methods:
- Semi-structured interviews with 12 frontline staff members regarding their PBS training.
- Two focus groups with 9 frontline staff and 9 PBS trainers to discuss implementation factors.
- Hybrid coding and thematic analysis were utilized to interpret qualitative data.
Main Results:
- Frontline staff reported positive experiences with PBS training and observed improvements in challenging behaviors.
- Essential factors for successful PBS implementation and adherence include organization-wide integration, management support, staff motivation, clear documentation, regular evaluations, and supplementary training.
Conclusions:
- The study offers crucial insights for enhancing the successful implementation and sustained adherence of PBS by frontline staff.
- Findings can inform best practices for supporting individuals with ID in residential group homes.
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