The Cochrane collaboration gathers and summarises evidence from randomised controlled trials (RCTs) to support better clinical decision making. The collaboration is an independent network of researchers, professionals, patients, carers, and people interested in health and there are a number of subject specific review groups.
The group on developmental, psychosocial and learning problems has published a number of reviews relevant to the support of people with learning disabilities and this latest, looks at the RCT evidence on behavioural and cognitive-behavioural interventions for outwardly-directed aggressive behaviour. We recently posted about the NICE guidelines for people with challenging behaviour.
The current paper is an update of an existing Cochrane review which was carried out in 2002 and last updated in 2013. The authors were interested specifically in looking at RCT evidence from studies that looked at whether behavioural and cognitive-behavioural therapies were more effective in reducing aggressive behaviour in adults and children with learning disabilities, compared to what happened for control groups receiving no intervention.
The authors spend some time in defining challenging.....................