Effects of a behaviour management technique for nursing staff on behavioural problems after acquired brain injury

Ieke Winkens, Caroline van Heugten, Climmy G. J. G. Pouwels, Anne-Claire Schrijnemaekers, Resi Botteram, Rudolf Ponds

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The ABC method is a behaviour management technique for use by nurses. ABC refers to the identification of Antecedent events, target Behaviours, and Consequent events. In this longitudinal intervention study with double baseline measurements we evaluated the effectiveness of the ABC method in patients with behavioural problems after acquired brain injury. Fifty-six patients participated in this study. Outcome was measured in terms of overall neuropsychiatric problem behaviour, aggression, apathy and emotional burden experienced by nurses. A process evaluation was performed to investigate usability and acceptability of the method and identify factors that influenced effectiveness. Friedman's ANOVA showed a small significant reduction over time in overall neuropsychiatric problem behaviour and aggression. The reduction was most prominent between the first baseline measurement and the post-implementation and follow-up measurements, not between the second baseline measurement and the post-implementation or follow-up measurements. This first group study on the effects of the ABC method could not prove this technique is effective for patients with behavioural problems after acquired brain injury. Nurses indicated that the ABC method was not fully implemented in their daily routines. This may have influenced results and makes it yet premature to draw firm conclusions on the effects of the ABC method.

Original languageEnglish
Pages (from-to)605-624
Number of pages20
JournalNeuropsychological Rehabilitation
Volume29
Issue number4
Early online date17 Apr 2017
DOIs
Publication statusPublished - 2019

Keywords

  • Journal Article
  • CHALLENGING BEHAVIOR
  • AGGRESSIVE-BEHAVIOR
  • APATHY
  • Acquired brain injury
  • IRRITABILITY
  • AGITATION
  • ADULTS
  • PREVALENCE
  • CHILDREN
  • nursing staff
  • REHABILITATION
  • behaviour management
  • SCALE

Cite this

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abstract = "The ABC method is a behaviour management technique for use by nurses. ABC refers to the identification of Antecedent events, target Behaviours, and Consequent events. In this longitudinal intervention study with double baseline measurements we evaluated the effectiveness of the ABC method in patients with behavioural problems after acquired brain injury. Fifty-six patients participated in this study. Outcome was measured in terms of overall neuropsychiatric problem behaviour, aggression, apathy and emotional burden experienced by nurses. A process evaluation was performed to investigate usability and acceptability of the method and identify factors that influenced effectiveness. Friedman's ANOVA showed a small significant reduction over time in overall neuropsychiatric problem behaviour and aggression. The reduction was most prominent between the first baseline measurement and the post-implementation and follow-up measurements, not between the second baseline measurement and the post-implementation or follow-up measurements. This first group study on the effects of the ABC method could not prove this technique is effective for patients with behavioural problems after acquired brain injury. Nurses indicated that the ABC method was not fully implemented in their daily routines. This may have influenced results and makes it yet premature to draw firm conclusions on the effects of the ABC method.",
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Effects of a behaviour management technique for nursing staff on behavioural problems after acquired brain injury. / Winkens, Ieke; van Heugten, Caroline; Pouwels, Climmy G. J. G.; Schrijnemaekers, Anne-Claire; Botteram, Resi; Ponds, Rudolf.

In: Neuropsychological Rehabilitation, Vol. 29, No. 4, 2019, p. 605-624.

Research output: Contribution to journalArticleAcademicpeer-review

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