Objective:Individuals with acquired brain injury (ABI) may experience persistent and distressing challenging behaviours (CB), and therefore, effective delivery of behaviour interventions is crucial. This study aimed to investigate community ABI therapists’ experiences of using, training in and implementing behaviour interventions with a focus on Positive Behaviour Support (PBS).Methods:A sample of Australian community ABI therapists (n = 136) completed an online survey about their experiences with behaviour interventions, including PBS. Data from open-ended questions were analysed using content analysis. Frequency and descriptive statistics were computed, and a multiple regression was performed to determine factors predicting readiness to learn and implement new behaviour interventions. Rank-based non-parametric tests were conducted to investigate the influence of clinical role on experiences with behaviour interventions and training preferences.Results:Consistent with PBS, participants indicated that the following were important in addressing CB: teamwork and collaboration, person-centred practice, working with antecedents, environmental modification, improving quality of life and skill-building. Despite a high level of desire and readiness, 80% of participants reported facing barriers to learning and implementing new behaviour interventions (e.g., lack of time). Participants’ confidence in using behaviour interventions (β = 0.31; p = 0.002) and the number of barriers faced (β = −0.30; p = 0.002) predicted their readiness to learn and implement new behaviour interventions. Confidence, duration of past training in behaviour interventions and preferred duration of future training did not differ based on clinical role.Conclusion:Implications for the development of training in behaviour interventions such as PBS and implementation into community practice are discussed.

中文翻译：

---

了解澳大利亚社区 ABI 治疗师对培训和实施行为干预的偏好：关注积极行为支持

目的：获得性脑损伤（ABI）的个体可能会经历持续性和令人痛苦的挑战行为（CB），因此，有效地提供行为干预至关重要。本研究旨在调查社区 ABI 治疗师使用、培训和实施行为干预的经验，重点是积极行为支持 (PBS)。方法：澳大利亚社区 ABI 治疗师的样本（n= 136) 完成了一项关于他们对行为干预（包括 PBS）的体验的在线调查。使用内容分析分析来自开放式问题的数据。计算频率和描述性统计数据，并进行多元回归以确定预测准备学习和实施新行为干预的因素。进行了基于等级的非参数测试，以调查临床角色对行为干预和培训偏好体验的影响。结果：与 PBS 一致，参与者表示以下对于解决 CB 很重要：团队合作和协作，以人为本的实践，与前因合作，环境改造，提高生活质量和技能建设。尽管渴望和准备程度很高，80% 的参与者报告说在学习和实施新的行为干预方面面临障碍（例如，缺乏时间）。参与者对使用行为干预的信心（β = 0.31；p= 0.002) 和面临的障碍数 (β = -0.30;p= 0.002) 预测他们准备学习和实施新的行为干预。信心、过去行为干预培训的持续时间和未来培训的首选持续时间没有因临床角色而异。结论：讨论了发展行为干预培训（如 PBS）和实施到社区实践中的意义。