ASSBI/NZRA AWARDS

Abstract

Background and Aims: Positive Behaviour Support (PBS) may be an effective intervention for reducing challenging behaviours following acquired brain injury (ABI). However, it is not known whether community ABI therapists are currently using this intervention. Accordingly, this study was designed to determine the need for clinical translation. Method: Data were collected from community ABI therapists about their experiences with training in and delivering behaviour management interventions. Quantitative data were collected from 135 community ABI therapists from Australia who completed a purpose-designed online survey, while qualitative data were collected through semi-structured interviews (n= 13). Analysis of quantitative and qualitative data involved multiple regression and thematic analysis, respectively. Results: Consistent with PBS, participants emphasised the importance of working with the client’s support network and other therapists in order to share expertise. Although many participants identified using elements of PBS, most expressed a desire for (further) training in this intervention and behaviour management more generally. Approximately, 80% of participants indicated facing barriers to learning, and to implementing, new behaviour management interventions, with lack of time being the most common barrier. Number of barriers and confidence significantly predicted readiness to learn and implement new behaviour management interventions. Specific recommendations for training community ABI therapists in PBS will also be presented. Conclusions: The results suggest that community ABI therapists largely support the use of PBS but highlight a need for further clinical translation. The results will directly inform the development of a behaviour management training program tailored to therapists’ preferences and needs.