ASPIRE-Med project: a study protocol on an Australian psychotropic medicines training programme for disability...

Area of Science:

• Intellectual and Developmental Disabilities
• Psychopharmacology
• Healthcare Workforce Training

Background:

• Overmedication of psychotropic medicines for behaviors of concern in individuals with intellectual and developmental disabilities (IDD) is a significant public health issue.
• Disability Support Workers (DSWs) are crucial in managing psychotropic medication for adults with IDD.
• There is a critical need for targeted DSW training on the appropriate use of these medications.

Purpose of the Study:

• To develop a comprehensive training program for DSWs focused on the appropriate use of psychotropic medicines in individuals with IDD.
• To improve DSWs' knowledge, confidence, and skills in managing psychotropic medications and supporting individuals with IDD.

Main Methods:

• A participatory action framework and Universal Design for Learning approach will guide program development.
• Co-production involving people with IDD, families, DSWs, healthcare professionals, and educational designers.
• Key steps include needs analysis, literature review, focus groups, co-design events, field testing, a feasibility trial with a train-the-trainer model, and mixed-method process evaluation.

Main Results:

• The training is expected to improve DSWs' knowledge of appropriate psychotropic prescribing for individuals with IDD.
• Enhanced confidence in communication with healthcare professionals and application of non-pharmacological strategies.
• Promotion of shared decision-making, advocacy for medication reviews, and positive interactions.

Conclusions:

• The developed training program aims to equip DSWs with essential skills for appropriate psychotropic medicine management in IDD.
• The program's co-production and dissemination across Australia, offered free to DSWs, ensures broad accessibility.
• Successful implementation is anticipated to positively influence client outcomes and support practices for individuals with IDD.