OtherJournal of intellectual disability research : JIDR2025

Outcomes of an Intervention Programme for People With Intellectual Disabilities and Behavioural Concerns Based on Emotional Development.

Allan Skelly, Jade Wigham, Mark Hudson

PMID 40624810

WHAT IT FOUND

A brief emotional development workshop for care teams was linked to improved behaviour and mood scores in 35 people with intellectual disabilities, with gains holding at six months.

As there was no control group, it is unknown if the workshop itself caused these changes.

Key findings

01Scores on the HoNOS-LD total scale and its behaviour, mood and relationships subscale showed significant improvement from baseline to post-intervention and at six-month follow-up.

02The intervention was much shorter than standard positive behaviour support training, averaging about 1.5 hours versus over 6 hours.

03Improvements were maintained at follow-up, with no significant worsening of scores observed.

STILL TO COME

How it was doneWhat they found

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What it does not show

No control group was used, so it is impossible to know if the intervention caused the improvements or if they were due to natural variation, assessment effects, or other concurrent treatments. The sample was small (35 participants) and drawn from a single locality in Northern England with low ethnic diversity, limiting generalisability. Caregiver behaviours were not objectively observed or coded, so the link between the training and actual care changes is assumed rather than measured. A single clinical psychologist delivered all sessions, raising the possibility that the results reflect that individual's skill or alliance-building rather than the model itself. Exact staffing ratios in care settings were not recorded, which could influence outcomes. 48% of participants were in unsettled accommodation, a factor that may complicate attachment-based interventions.

Declared interests

The authors declare no conflicts of interest.

The easy way to misread this

Do not assume the emotional development workshop caused the behavioural improvements. Without a control group, and given that many participants had concurrent medication changes, the observed gains could be due to natural fluctuation, the assessment process itself, or other interventions.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →


The study

Participants
35
Certainty of evidence
Low

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    Allan Skelly, Jade Wigham, Mark Hudson Outcomes of an Intervention Programme for People With Intellectual Disabilities and Behavioural Concerns Based on Emotional Development. Journal of intellectual disability research : JIDR. 2025.

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