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Developing a logic model for the TripleāC intervention: A practice-derived intervention to support people with intellectual disability and challenging behavior
Tournier,T. Hendriks,A.H.C. Jahoda,A. Hastings,R.P. Embregts,P.J.C.M.
Tournier,T.
Hendriks,A.H.C.
Jahoda,A.
Hastings,R.P.
Embregts,P.J.C.M.
Abstract
Partly due to a lack of evidenceābased methods to support people with intellectual disability (ID) and challenging behavior, their needs are often poorly met. One way to generate rapid evidence is to systematically describe and monitor interventions that are considered to be āgood practiceāāto develop evidence based on practical knowledge. This study describes the Dutch practiceābased intervention TripleāC (Client, Coach, Competence). The intervention was developed in practice to support people with severe ID to borderline functioning and challenging behavior. The practiceābased nature of TripleāC means that many of the professionals' actions or activities are often underpinned by their implicit knowledge about the intervention they are delivering. Consequently, as the emphasis is on practice, the professionals can find it difficult to articulate how the intervention is operationalized and positive change achieved. This study aimed to assess the practical knowledge of TripleāC professionals and to develop an understanding of the mechanisms of change for TripleāC to improve understanding and to inform future research about the intervention. Through an iterative process, a logic model was developed to describe the intervention and its underlying assumptions. The development of the logic model was shaped using interviews with the founders, focus groups with support staff, psychologists, managers and members of the board of a service provider, and the analysis of published accounts of the TripleāC intervention. Data gathered from these sources were analyzed using content analysis. The logic model of the TripleāC intervention provides insight into the key elements of the approach, such as the need for unconditional supportive relationship and carrying out meaningful activities. Moreover, the potential relationship with existing evidenceābased interventions such as Positive Behavioral Support and Active Support are described. Defining the underlying logic of a practiceābased intervention like TripleāC is an important first step toward producing an evidence base for interventions developed from clinical practice.
Description
The research was funded by ASVZ, a health care service in the Netherlands
Date
2020
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Keywords
CHILDREN, INDIVIDUALS, PSYCHOMETRIC PROPERTIES, SCALES, challenging behavior, comprehensive interventions, intellectual disability, logic model, practice-based methods
Citation
Tournier, T, Hendriks, A H C, Jahoda, A, Hastings, R P & Embregts, P J C M 2020, 'Developing a logic model for the TripleāC intervention : A practice-derived intervention to support people with intellectual disability and challenging behavior', Journal of Policy and Practice in Intellectual Disabilities, vol. 17, no. 4, pp. 297-307. https://doi.org/10.1111/jppi.12333