Page 154 - Demo

Chapter 6152The first objective of this study was to understand how MDET was implemented in four organisations and which components were adapted to align with each organisation%u2019s work routine. The second objective was to evaluate the effectiveness of the adapted MDET versions in reduction of involuntary care recordings during implementation in four care organisations, compared to care-as-usual (CAU). To ensure MDET and the expected reduction of involuntary care did not have an adverse side effect on clients%u2019 incidents, the effect on incident reports was also examined. The research questions were: 1. How was MDET implemented and which adaptations were made to align MDET with the needs and work routines of organisations?2 a. Did MDET impact the number of weekly recorded involuntary care over time in care homes that implemented the MDET method, compared to homes in which MDET was not yet implemented (CAU)?2 b. If there was a difference between care homes in the implementation condition and the care-as-usual condition, did implementation of MDET enhance reduction in the number of weekly recorded involuntary care compared to the period before MDET implementation? 3. Did the number of weekly recorded incidents involving clients with intellectual disabilities remain stable during implementation of MDET compared to the period before MDET was implemented? MethodStudy designThis multi-method study was conducted in four intellectual disability care organisations. To investigate adaptations to the MDET method (research question 1), interviews and presentations abouts implementation were qualitatively analysed. To address research question 2, a retrospective quasi-experimental interrupted time-series (ITS) design (Penfold & Zhang, 2013) was conducted to test changes in weekly counts of involuntary