Page 156 - Demo

Chapter 6154Participating care homes quantitative studyThe quantitative part of this study was approved by the Ethics Committee of the faculty Behavioural and Movement Sciences, Vrije Universiteit Amsterdam VCWE-2022-123R2. The four participating organisations made a list of care homes that provided care to people with moderate to severe intellectual disabilities and the codes ZZP 6, 7 or 8 in the Dutch long-term intellectual disability care allocation system. These codes include people with challenging behaviour (6 and 7) and people with multiple disabilities (ZZP 8). Care homes for people with mild intellectual disabilities were excluded for this study. The order of care homes on the list was randomised. Team leaders of the first care homes on the list were contacted and asked to participate with their care home in the implementation of MDET. If they were not willing to participate, the team leaders of the next care home on the list were contacted. Due to the COVID-19 pandemic, most care homes initially refused to participate. When they were given the opportunity to selfdetermine when to start, 25 care homes consented to implement MDET (Table 1), between March 2021 and October 2023, while 8 refused. Reasons for not consenting to MDET were staff shortage, the amount of other projects already planned in a care home or claiming that all involuntary care had been phased out. In organisation C and D three care homes that did not consent to implement MDET were allocated to the CAU condition. Table 1 Care homes in implementation and control groupsCare homes asked to participate in MDETImplementation condition: Care homes consented to participate in MDET Control condition: Care homes who were not asked to participate in MDET (Care home who refused) Organisation A n = 17 n = 10 n = 10 (n = 0)Organisation B n = 5 n = 5, however one could not start in timen = 5 (n = 0)Organisation C n = 6 n = 5 n = 4 (n = 1)Organisation D n = 7 n = 5 n = 3 (n = 2)Data items: Recordings of involuntary care and incidentsCare professionals record involuntary care and incidents in the organisation%u2019s digital reporting system. The involuntary care reporting system enables the monitoring of all records and facilitates the tracking of progress in phasing out involuntary care practices. A previous reliability study showed that 46%