Effects of the Attune & Stimulate‐checklist for caregivers of people with severe and profound intellectual disabilities: A randomised controlled trial

Abstract

AbstractBackgroundSensitive responsiveness is an important aspect in affect‐regulation of people with severe to profound intellectual disabilities.AimThis randomized controlled trial evaluated the Attune & Stimulate‐checklist, a tool for detecting subtle and idiosyncratic communicative behaviours and responding adequately.MethodsEffects on the sensitive responsiveness of professional caregivers and the arousal and valence of adults with severe to profound intellectual disabilities were investigated. Video recordings of 102 interactions were analysed with several observation instruments.ResultsAlthough no significant effect was found on the checklist‐suggestions of responsive behaviours (d = 0.33, p = .052), the intervention increased caregivers’ sensitive responsive and affective behaviour (d = 0.94 – 1.10, p < .001) and clients’ optimal arousal (d = 0.48, p = .019) and interactive engagement (d = 0.40 – 0.48, p = .018 ‐ .050).ConclusionThis low‐intensity intervention had a medium to large immediate effect on the interaction. Future research should investigate medium‐ and long‐term effects.