TY  - JOUR
PY  - 2023//
TI  - Stakeholder views on the barriers and facilitators of psychosocial interventions to address reduction in aggressive challenging behaviour in adults with intellectual disabilities
JO  - NIHR open research
A1  - Kouroupa, Athanasia
A1  - Hamza, Leila
A1  - Rafiq, Aisha
A1  - Hassiotis, Angela
A1  - Rapaport, Penny
A1  - Jahoda, Andrew
A1  - Taggart, Laurence
A1  - Steed, Liz
A1  - Cooper, Sally-Ann
A1  - Melville, Craig
A1  - Marston, Louise
A1  - Royston, Rachel
A1  - Ali, Afia
SP  - e40
EP  - e40
VL  - 3
IS  - 
N2  - BACKGROUND: Success of psychosocial interventions in reducing aggressive challenging behaviour is likely to be related not only to mechanistic aspects, but also to therapeutic and system factors. The study aims to examine the facilitators and barriers that influence whether psychosocial interventions for aggressive challenging behaviour in adults with intellectual disabilities lead to positive change. <br><br>METHODS: We conducted 42 semi-structured interviews with adults with intellectual disabilities and aggressive challenging behaviour, family/paid carers, and professionals engaged in or delivering a psychosocial intervention across the UK. Data were analysed thematically using a framework approach. <br><br>RESULTS: Stakeholders considered therapeutic and supportive relationships and personalised care as facilitating factors of psychosocial interventions to address aggressive challenging behaviour. The operational structure of community intellectual disability services and conflicting expectations of professionals and carers were the main contextual barriers that impeded the implementation of psychosocial interventions addressing aggressive challenging behaviour in adults with intellectual disabilities. <br><br>CONCLUSIONS: Findings highlight the valued components that maximise positive change in adults with intellectual disabilities who display aggressive challenging behaviour. Several operational adjustments including referral criteria, roles of professionals and workforce issues need to be addressed in services to maximise the implementation of psychosocial interventions to reduce aggressive challenging behaviour in adults with intellectual disabilities.<p />  <p>Language: en</p>
LA  - en
SN  - 2633-4402
UR  - http://dx.doi.org/10.3310/nihropenres.13437.1
ID  - ref1
ER  -