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Study finds benefits of Intrathecal baclofen therapy for severe spasticity, despite complications

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Intrathecal Baclofen Therapy (IBT) is used in the management of severe spasticity in the body which cannot be adequately treated by oral means. The treatment is administered through an implantable infusion system, introduced into the space under the arachnoid membrane of the brain or spinal cord. This study set out to explore the impact of [read the full story…]

Longer time samples of activity levels in people with learning disabilities produce same results as short samples

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Concerns about levels of engagement in meaningful activity by people with learning disabilities have been explored through studies using a method known as momentary time sampling, an interval recording method, where an observer  observes whether a particular behaviour is occurring or not during a specified time period. However, the majority of such studies have taken [read the full story…]

Active support training was effective in supporting people with learning disabilities to be engaged in daily activities

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Active Support involves concerns training staff in working practices and organisational procedures to improve levels of resident participation and increase levels of engagement in activities. It is being introduced in many support services for people with learning disabilities to help bring about such improvements. This Australian study set out to look at what happened when [read the full story…]

New meta-review of computerised cognitive behaviour therapy (cCBT) packages for depression

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Researchers from Nottingham University have published a meta-review that aims to evaluate the quality of existing reviews and to enable reliable comparisons of alternative computerised cognitive behaviour therapy (cCBT) packages for treating mild to moderate depression with or without anxiety. The reviewers conducted a systematic search and found 12 systematic reviews from 10 studies covering [read the full story…]

Small number of individuals account for the majority of uses of physical restraint in USA study

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This American study set out to look at the use of physical restraint in services for people with learning disabilities. The researchers looked at data on the incidence and implementation of physical restraint for 448 adults with learning disabilities in community-based day services and shared supported housing. They found that physical restraint was used exclusively [read the full story…]

Mindfulness based programmes may be effective in producing lifestyle changes in adults with Prader-Willi syndrome

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People with Prader-Willi Syndrome (PWS) often have excessive appetite and a decreased calorific requirement owing to low energy expenditure levels. This very small study involved three people with PWS who took part in a long-term, multicomponent mindfulness-based health wellness programme aimed at reducing levels of obesity helping them to change their lifestyles. The components of [read the full story…]

Self-guided psychological treatment has a small but significant impact on depression

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Self-guided psychological treatment is where a patient works through a programme of treatment without the aid of a therapist or coach.  There are now many Internet-based treatments for depression and anxiety and there have been a number of good quality trials published during the last few years on self-guided psychological treatments for depression. There have [read the full story…]

Young men with bipolar disorder are more likely to drop out from online psycho-education programmes

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Web-based education support for people with health problems is now widespread, but there is comparatively little research that explores the reasons why people do not complete online courses once they are enrolled. This paper presents data from a randomised controlled trial based in Australia, where 370 participants were randomly allocated to: An online bipolar education [read the full story…]

Web based CBT reduces anxiety and depression in carers of people with anorexia nervosa

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Eating disorders such as anorexia nervosa can place considerable strain on families.  Parents or partners often care for people with anorexia nervosa and this can be a very distressing experience for them.  Carers naturally get very involved, but unfortunately this can sometimes lead to them criticising the sufferer and making the situation worse by contributing [read the full story…]

Evidence on benefits of physical activity for people with learning disabilities yet to be translated into practice

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Regular physical activity is a cornerstone of good health and previous studies have shown that many people with learning disabilities do not engage in such activity. This systematic review set out to critically assess the evidence on the effectiveness of physical activity interventions for adults with learning disabilities. The authors found eleven clinical studies that [read the full story…]