Effectiveness of Caregiver Training in Mindfulness-Based Positive Behavior Supports (MBPBS) vs. Training-as-Usual (TAU): A Randomized Controlled trial
Caregivers of individuals with intellectual and developmental disabilities (IDD) often end up having their medical and psychological well-being compromised due to the stressful nature of caregiving, especially when those in their care engage in aggressive behavior. In this study, we provided caregiv...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2016-10-01
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| Series: | Frontiers in Psychology |
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| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fpsyg.2016.01549/full |
| _version_ | 1811338673298341888 |
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| author | Nirbhay N. Singh Nirbhay N. Singh Giulio E. Lancioni Bryan T. Karazsia Jeffrey Chan Alan S. W. Winton |
| author_facet | Nirbhay N. Singh Nirbhay N. Singh Giulio E. Lancioni Bryan T. Karazsia Jeffrey Chan Alan S. W. Winton |
| author_sort | Nirbhay N. Singh |
| collection | DOAJ |
| description | Caregivers of individuals with intellectual and developmental disabilities (IDD) often end up having their medical and psychological well-being compromised due to the stressful nature of caregiving, especially when those in their care engage in aggressive behavior. In this study, we provided caregivers with mindfulness-based training to enable them to better manage their psychological well-being and, through this, to also enhance specific indices of quality of life of the individuals in their care. Thus, the aim of the present study was to evaluate in a randomized controlled trial (RCT) the comparative effectiveness of Mindfulness-Based Positive Behavior Support (MBPBS) and Training-as-Usual (TAU) for caregivers in a congregate care facility for individuals with severe and profound IDD. The comparative effects of the two training conditions were assessed in terms of caregiver variables care recipient variable (number of aggressive events), and agency variables Results showed that MBPBS was significantly more effective than TAU in enabling the caregivers to manage their perceived psychological stress, and to reduce the use of physical restraints and stat medications for aggressive behavior of the individuals in their care. In addition, there were significant reductions in aggressive events by the individuals in their care, 1:1 staffing of individuals with aggressive behavior, and staff turnover. Furthermore, the MBPBS training was significantly more cost-effective than the TAU training. If replicated in future RCT studies, MBPBS may provide an effective means of enhancing socially acceptable bidirectional engagement of caregivers and care recipients within a person-centered context. |
| first_indexed | 2024-04-13T18:14:35Z |
| format | Article |
| id | doaj.art-de1832e2f98b49c8af651bc9e672801b |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-04-13T18:14:35Z |
| publishDate | 2016-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-de1832e2f98b49c8af651bc9e672801b2022-12-22T02:35:45ZengFrontiers Media S.A.Frontiers in Psychology1664-10782016-10-01710.3389/fpsyg.2016.01549217382Effectiveness of Caregiver Training in Mindfulness-Based Positive Behavior Supports (MBPBS) vs. Training-as-Usual (TAU): A Randomized Controlled trialNirbhay N. Singh0Nirbhay N. Singh1Giulio E. Lancioni2Bryan T. Karazsia3Jeffrey Chan4Alan S. W. Winton5Medical College of Georgia, Augusta UniversityMcTavish Behavioral HealthUniversity of BariThe College of WoosterMINDSMassey UniversityCaregivers of individuals with intellectual and developmental disabilities (IDD) often end up having their medical and psychological well-being compromised due to the stressful nature of caregiving, especially when those in their care engage in aggressive behavior. In this study, we provided caregivers with mindfulness-based training to enable them to better manage their psychological well-being and, through this, to also enhance specific indices of quality of life of the individuals in their care. Thus, the aim of the present study was to evaluate in a randomized controlled trial (RCT) the comparative effectiveness of Mindfulness-Based Positive Behavior Support (MBPBS) and Training-as-Usual (TAU) for caregivers in a congregate care facility for individuals with severe and profound IDD. The comparative effects of the two training conditions were assessed in terms of caregiver variables care recipient variable (number of aggressive events), and agency variables Results showed that MBPBS was significantly more effective than TAU in enabling the caregivers to manage their perceived psychological stress, and to reduce the use of physical restraints and stat medications for aggressive behavior of the individuals in their care. In addition, there were significant reductions in aggressive events by the individuals in their care, 1:1 staffing of individuals with aggressive behavior, and staff turnover. Furthermore, the MBPBS training was significantly more cost-effective than the TAU training. If replicated in future RCT studies, MBPBS may provide an effective means of enhancing socially acceptable bidirectional engagement of caregivers and care recipients within a person-centered context.http://journal.frontiersin.org/Journal/10.3389/fpsyg.2016.01549/fullaggressive behaviorpsychological stressBenefit-cost analysisStaff turnoverPhysical restraintsMindfulness-Based Positive Behavior Support |
| spellingShingle | Nirbhay N. Singh Nirbhay N. Singh Giulio E. Lancioni Bryan T. Karazsia Jeffrey Chan Alan S. W. Winton Effectiveness of Caregiver Training in Mindfulness-Based Positive Behavior Supports (MBPBS) vs. Training-as-Usual (TAU): A Randomized Controlled trial Frontiers in Psychology aggressive behavior psychological stress Benefit-cost analysis Staff turnover Physical restraints Mindfulness-Based Positive Behavior Support |
| title | Effectiveness of Caregiver Training in Mindfulness-Based Positive Behavior Supports (MBPBS) vs. Training-as-Usual (TAU): A Randomized Controlled trial |
| title_full | Effectiveness of Caregiver Training in Mindfulness-Based Positive Behavior Supports (MBPBS) vs. Training-as-Usual (TAU): A Randomized Controlled trial |
| title_fullStr | Effectiveness of Caregiver Training in Mindfulness-Based Positive Behavior Supports (MBPBS) vs. Training-as-Usual (TAU): A Randomized Controlled trial |
| title_full_unstemmed | Effectiveness of Caregiver Training in Mindfulness-Based Positive Behavior Supports (MBPBS) vs. Training-as-Usual (TAU): A Randomized Controlled trial |
| title_short | Effectiveness of Caregiver Training in Mindfulness-Based Positive Behavior Supports (MBPBS) vs. Training-as-Usual (TAU): A Randomized Controlled trial |
| title_sort | effectiveness of caregiver training in mindfulness based positive behavior supports mbpbs vs training as usual tau a randomized controlled trial |
| topic | aggressive behavior psychological stress Benefit-cost analysis Staff turnover Physical restraints Mindfulness-Based Positive Behavior Support |
| url | http://journal.frontiersin.org/Journal/10.3389/fpsyg.2016.01549/full |
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