An examination of the addition of video informed reflective practice to the active support toolkit

This study evaluated a package of Active Support (AS), which included standard training with additional video informed reflective practice. The training package was implemented as part of a service improvement initiative in four residential intellectual disability homes, using a concurrent multiple baseline across environments design. Training consisted of a one-day workshop, and follow-up coaching. Momentary time sampling was used to measure engagement levels and staff assistance. A new observational tool was piloted to code the presence of positive and negative interactions between staff and the people with intellectual disabilities. Results showed that service user engagement levels and staff assistance increased significantly following the training. There was also a significant increase in positive interactions, and a significant decrease in negative interactions between staff and service users. The implications of these results are discussed.