Objectives:Individuals with acquired brain injury (ABI) may present with challenging behaviours (CB) that place themselves and others at risk of harm and impact their community integration. It is crucial for community ABI therapists to successfully train in and implement behaviour interventions. The current study aimed to investigate community ABI therapists’ experiences of using, training in and implementing behaviour interventions. An additional aim was to determine these therapists’ understanding of Positive Behaviour Support (PBS), one approach to addressing CB with a focus on improving quality of life.Methods:Semi-structured interviews were conducted with 24 Australian community ABI therapists about their experiences of using, training in and implementing behaviour interventions and understanding of PBS. Inductive thematic analysis and content analysis were performed on interview transcripts.Findings:The thematic analysis resulted in the generation of six themes which described the difficulties participants faced in training in and delivering behaviour interventions and identified their training and implementation needs. The content analysis resulted in 10 categories that characterised participants’ understanding of PBS, which centred around the absence of consequences, a focus on antecedents, person-centred practice and encouraging prosocial alternatives to CB.Conclusions:The findings highlight a need and desire for more practical and interactive clinician training in behaviour interventions for individuals with ABI. Moreover, the findings suggest a limited understanding of PBS amongst community ABI therapists. Important considerations for the development of clinician training in ABI behaviour interventions and subsequent implementation into community practice are discussed.

中文翻译：

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“我们挣扎和混乱。” 一项定性研究，探索社区 ABI 治疗师使用、培训和实施行为干预的经验

目标：患有获得性脑损伤 (ABI) 的个体可能会出现具有挑战性的行为 (CB)，这些行为将自己和他人置于受到伤害的风险并影响他们的社区融合。对于社区 ABI 治疗师来说，成功培训和实施行为干预至关重要。目前的研究旨在调查社区 ABI 治疗师在使用、培训和实施行为干预方面的经验。另一个目的是确定这些治疗师对积极行为支持 (PBS) 的理解，这是解决 CB 问题的一种方法，重点是提高生活质量。方法：对 24 名澳大利亚社区 ABI 治疗师进行半结构化访谈，了解他们的经验使用、培训和实施行为干预以及对 PBS 的理解。对访谈记录进行归纳主题分析和内容分析。发现：主题分析产生了六个主题，描述了参与者在培训和提供行为干预时面临的困难，并确定了他们的培训和实施需求。内容分析得出了 10 个类别来表征参与者对 PBS 的理解，这些类别围绕没有后果、关注前因、以人为本的实践和鼓励 CB 的亲社会替代方案。结论：研究结果强调了对更多的需求和渴望对 ABI 患者进行行为干预的实用和互动临床医生培训。此外，研究结果表明社区 ABI 治疗师对 PBS 的了解有限。