Methodological difficulties continue to hamper evaluation of interventions for challenging behaviour

Meeting

The authors of this study set out to evaluate behavioural and medication-based interventions in the treatment of challenging behaviour in people learning disabilities, both separately and in combination.

They suggest that researchers might need to adapt the methods they have traditionally used to evaluate drug interventions for individuals without disabilities when working with people with learning disabilities.

They identify some methodological difficulties from studies of drug treatments in people with learning disabilities such as withholding treatment from control groups, identifying large homogeneous samples of participants and predicting individual clinical responsiveness.

The methodological problems are summarised along with suggestions for alternative methods that could be used.

Designs and Analyses of Psychotropic and Behavioral Interventions for the Treatment of Problem Behavior Among People With Intellectual and Developmental Disabilities, Courtemanche A et al., in American Journal on Intellectual and Developmental Disabilities: July 2011, Vol. 116, No. 4, pp. 315-328.

 

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John Northfield

After qualifying as a social worker, John worked in community learning disability teams before getting involved in a number of long-stay hospital closure programmes, working to develop individual plans for people moving into their own homes. He worked for BILD, helping to develop the Quality Network and was editorial lead for the NHS electronic library learning disabilities specialist collection. This led him to found the Learning Disabilities Elf site with Andre Tomlin as a way of making the evidence accessible to practitioners in health and social care. Most recently he has worked as part of Mencap's national quality team and also been involved in a number of national website developments, including the General Medical Council's learning disabilities site.

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