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Process evaluation of SPECTROM training: Staff views from a feasibility cluster RCT.

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  • 1Department of Brain Sciences, Faculty of Medicine, Imperial College London, London, UK.

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Summary

The SPECTROM staff training program improved support staff knowledge and confidence in managing challenging behaviors without mental illness. Implementation challenges were noted, requiring further attention before wider rollout.

Keywords:
Behaviours that challengeCluster RCTSPECTROMSTOMPintellectual disabilitystaff training

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Area of Science:

  • Psychiatry
  • Behavioral Science
  • Healthcare Staff Training

Background:

  • Off-label psychotropic medication use for behaviors that challenge, without underlying mental illness, is a public health concern.
  • The SPECTROM (Staff training Program to Encourage Rational Use Of Medicines) program was developed in the UK to address this issue.

Purpose of the Study:

  • To evaluate the effectiveness and user experience of the SPECTROM staff training program.
  • To gather feedback on the training's impact on support staff managing challenging behaviors.

Main Methods:

  • 140 support staff received SPECTROM training.
  • Focus groups with 14 trained staff were conducted to collect qualitative feedback.

Main Results:

  • Identified themes included improved staff knowledge, self-confidence, and self-reflection.
  • Staff reported a better attitude towards medication use for behaviors that challenge and improved support provision.
  • Challenges in SPECTROM delivery and implementation were also identified.

Conclusions:

  • SPECTROM training and resources were perceived as useful and relevant by staff.
  • Addressing identified implementation challenges is crucial before conducting a large-scale randomized controlled trial.