Effectiveness of Caregiver Training in Mindfulness-Based Positive Behavior Support (MBPBS) vs. Training-as-Usual (TAU): A Randomized Controlled Trial.
Nirbhay N. Singh, Giulio E. Lancioni, Bryan T Karazsia, Jeffrey B. Chan, Alan S W Winton
Frontiers in Psychology October 6, 2016 DOI: 10.3389/fpsyg.2016.01549 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Population | Caregivers at a congregate care facility for individuals with severe and profound intellectual and developmental disabilities, and the individuals in their care |
| Interventions | Mindfulness-Based Positive Behavior Support (MBPBS) Training-as-Usual (TAU) |
| Topics | Meditation |
| Keywords | Aggressive behavior Psychological stress Physical restraints Benefit-cost analysis Staff turnover Mbpbs program 1 |
| Key findings | MBPBS was significantly more effective than Training-as-Usual in helping caregivers manage perceived psychological stress and in reducing physical restraints and stat medications for aggressive behavior. The authors also report significant reductions in aggressive events, 1:1 staffing of individuals with aggressive behavior, and staff turnover, and that MBPBS was significantly more cost-effective than TAU. |
Abstract
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.
Comparable studies
Other randomized controlled trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment | 2003 | Randomized controlled trial | n = 41 |
| Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients | 2000 | Randomized controlled trial | n = 145 |
| Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults | 2008 | Randomized controlled trial | n = 139 |
| Short-term meditation training improves attention and self-regulation Undergraduate Chinese students | 2007 | Randomized controlled trial | n = 40 |
| Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients | 2004 | Randomized controlled trial | n = 73 |
Citations in the library
Cited by 12
- Mindfulness-based interventions: an overall review British Medical Bulletin April 21, 2021
- Mindfulness-Based and Mindfulness-Informed Interventions at the Workplace: A Systematic Review and Meta-Regression Analysis of RCTs. Mindfulness May 11, 2023
- Using Mindfulness to Improve Quality of Life in Caregivers of Individuals with Intellectual Disabilities and Autism Spectrum Disorder: Agency Outcomes for Caregivers and Clients Advances in neurodevelopmental disorders August 23, 2023
- Effects of Mindful Engagement and Attention on Reciprocal Caregiver and Client Interactions: A Behavioral Analysis of Moment-to-Moment Changes During Mindfulness Practice Mindfulness August 1, 2023
- The impact of mindfulness interventions for staff on the care, treatment, and experiences of people with intellectual disabilities: A systematic review Journal of Applied Research in Intellectual Disabilities July 21, 2023
and 7 more in the library
Cites 5
- Mechanisms of mindfulness Journal of Clinical Psychology December 29, 2005
- How long does a mindfulness‐based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress Journal of Clinical Psychology March 23, 2009
- Mindful Staff Can Reduce the Use of Physical Restraints When Providing Care to Individuals with Intellectual Disabilities Journal of Applied Research in Intellectual Disabilities January 12, 2009
- Somatics of Early Buddhist Mindfulness and How to Face Anxiety Mindfulness June 1, 2020
- Caregiver Training in Mindfulness-Based Positive Behavior Supports (MBPBS): Effects on Caregivers and Adults with Intellectual and Developmental Disabilities. Frontiers in Psychology 2016