The wide-scale implementation of a support program for parents of children with an intellectual disability and difficult behaviour.
BACKGROUND
While there have been several evaluations of programs to help parents manage difficult behaviour of their child with an intellectual disability, little research has focused on the evaluation of such programs when delivered to large populations.


METHODS
The benchmarks recommended by Wiese, Stancliffe, and Hemsley (2005) were used to evaluate the wide-scale implementation of the Signposts for Building Better Behaviour program (Hudson et al., 2001).


RESULTS
A total of 2,119 parents and carers participated in the program over an 18-month period. Following the program, participants reported that they were less depressed, less anxious, and less stressed, were more confident and satisfied with managing their child, and were less hassled by their child's behaviour. They also reported that their child exhibited fewer difficult behaviours. Effect sizes ranged from small to large, depending on mode of delivery of the program. Average cost of delivery was $1,304 per participant.


CONCLUSIONS
When implemented on a wide-scale basis, the Signposts program was effective in assisting families to manage their child's difficult behaviour. Limitations of the study are discussed.
Hudson
Alan
A
RMIT University, Melbourne, Australia. alan.hudson@rmit.edu.au
Cameron
Christine
C
Matthews
Jan
J
D000293:Adolescent; D002648:Child; D002653:Child Behavior Disorders; D002675:Child, Preschool; D003156:Community Mental Health Services / Q000458:organization & administration*; D002658:Developmental Disabilities; D005260:Female; D017048:Health Care Costs; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D016487:Parenting; D017060:Patient Satisfaction; D012944:Social Support; D014739:Victoria