Behaviour modification and gentle teaching workshops: management of children with learning disabilities exhibiting challenging behaviour and implications for learning disability nursing.
BACKGROUND: Challenging behaviours (behaviour difficulties) represent a problem of considerable clinical significance for learning disability nurses, and a source of much human distress. Gentle teaching is a relatively new approach to dealing with behavioural difficulties, and has been received with...
| Publicado en: | Journal of Advanced Nursing (Wiley-Blackwell) Vol. 34; no. 1; pp. 86 - 96 |
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| Autores principales: | , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2001
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107041798&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107041798 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03092402 4BG jtl: Journal of Advanced Nursing (Wiley-Blackwell) issn: 03092402 maglogo: Y pubinfo: dt: Apr2001 vid: 34 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 107041798 107041798 5468887 5468887 10.1046/j.1365-2648.2001.3411730.x NLM11430611 107041798 ppf: 86 ppct: 10 formats: tig: atl: Behaviour modification and gentle teaching workshops: management of children with learning disabilities exhibiting challenging behaviour and implications for learning disability nursing. aug: au: Gates B Newell R Wray J affil: Director and Senior Lecturer, Faculty of Health, East Yorkshire Learning Disability Institute, University of Hull, Cottingham Road, Hull HU6 7RX, UK. E-mail: r.j.gates@nursing.hull.ac.uk sug: subj: Intellectual Disability Behavior Modification In Infancy and Childhood Teaching Methods In Infancy and Childhood Child Behavior Disorders Therapy Seminars and Workshops Clinical Trials Pretest-Posttest Design T-Tests United Kingdom Purposive Sample Behavior Rating Scales Type I Error Descriptive Statistics Confidence Intervals Chi Square Test Fisher's Exact Test Treatment Outcomes Evaluation Child, Preschool Child Adolescence Human Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years ab: BACKGROUND: Challenging behaviours (behaviour difficulties) represent a problem of considerable clinical significance for learning disability nurses, and a source of much human distress. Gentle teaching is a relatively new approach to dealing with behavioural difficulties, and has been received with enthusiasm by clinicians, but has so far received little empirical support. The current study attempted to compare gentle teaching with a well-established alternative (behaviour modification) and a control group. OBJECTIVES: To examine the comparative effectiveness of gentle teaching, behaviour modification and control interventions for challenging behaviour amongst children with learning disabilities. DESIGN: Nonrandomized controlled trial. SETTING: Service users' homes in East Yorkshire. PARTICIPANTS: Seventy-seven children who presented with learning disabilities and challenging behaviour (behaviour difficulties) and their parents. PROCEDURE: One-day workshops in were offered by recognized authorities in either behaviour modification or gentle teaching that were not otherwise involved with the research project. Forty-one participants were recruited to the gentle teaching condition; 36 to behaviour modification; 26 to the control group. Random allocation was not possible, because of the slow uptake by interested parents. Measures was preintervention, and at assessment points up until 12 months following intervention. ANALYSIS: Quantitative analysis of pre-post differences between the groups, using t-test. RESULTS: In general, no significant differences were found between the treatment groups and controls. Significant improvements were found for both gentle teachingand behaviour modification children over controls on the AAMR ABS XVII (social engagement) subscale. Controls had more contact with medical practitioner (GP) services than behaviour modification children and less than gentle teaching children. CONCLUSION: Although very few differences were found between the three groups, those that did exist generally favoured behaviour modification. Implications for service provision and learning disability nursing practice are described. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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