{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T18:09:35Z","timestamp":1790273375282,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Clinical Teacher"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Children and young people with intellectual and developmental disabilities (IDD) often face significant challenges in emergency departments (ED), where a high\u2010acuity environment can exacerbate distress, leading to behaviours of concern (BOC). Identifying and managing BOC requires specialised skills, yet many healthcare professionals report a lack of confidence and structured training. Traditional educational models may lack real\u2010world applicability by failing to incorporate the lived experiences of patients and families.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Approach<\/jats:title>\n                    <jats:p>\n                      The\n                      <jats:italic>Motivated for Change<\/jats:italic>\n                      programme was codeveloped with caregivers to enhance healthcare professionals' ability to identify, mitigate, and de\u2010escalate BOC in children with IDD using simulation\u2010based education (SBE). The programme integrated prelearning modules, interactive lectures, and novel immersive simulations. SBE was codesigned with parents, clinicians and educators to reflect real\u2010world ED challenges and guided child and family\u2010centred approaches. Participants engaged in simulation exercises to practice communication strategies and implement reasonable adjustments in a structured, supportive learning environment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Evaluation<\/jats:title>\n                    <jats:p>Eighty\u2010two ED healthcare professionals participated in 11 simulation sessions. Postsession surveys revealed SBE was effective in consolidating skills in communication and engagement (100%), identifying BOC (99%), preventing escalation (99%) and de\u2010escalation strategies (96%). Ninety\u2010seven percent felt more confident applying reasonable adjustments in clinical practice. Reflexive thematic analysis identified key learnings, including parent partnership, effective communication, early recognition and intervention and environmental modifications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/tct.70376","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T04:50:57Z","timestamp":1773291057000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Caregiver Codesigned Simulation Training for Paediatric Intellectual Disability Emergency Care"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0988-6591","authenticated-orcid":false,"given":"Karl","family":"Pobre","sequence":"first","affiliation":[{"name":"Department of Paediatric Emergency The Children's Hospital at Westmead  Sydney Australia"},{"name":"Sydney Medical School, Faculty of Medicine and Health University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maricel","family":"Mariano","sequence":"additional","affiliation":[{"name":"Department of Paediatric Emergency The Children's Hospital at Westmead  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shefali","family":"Jani","sequence":"additional","affiliation":[{"name":"Department of Paediatric Emergency The Children's Hospital at Westmead  Sydney Australia"},{"name":"Sydney Medical School, Faculty of Medicine and Health University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caleb","family":"Lapointe","sequence":"additional","affiliation":[{"name":"Kids Simulation Australia The Sydney Children's Hospitals Network  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail","family":"Tomsic","sequence":"additional","affiliation":[{"name":"Child Development Unit The Children's Hospital at Westmead  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0962-443X","authenticated-orcid":false,"given":"Natalie","family":"Ong","sequence":"additional","affiliation":[{"name":"Sydney Medical School, Faculty of Medicine and Health University of Sydney  Sydney Australia"},{"name":"Child Development Unit The Children's Hospital at Westmead  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2020.08.084"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2022-325002"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.15896"},{"key":"e_1_2_11_5_1","unstructured":"K.Pobre G.Tomsic S.Jani M.Mariano andN.Ong \u201cMotivated\u2010for\u2010Change: A Co\u2010Designed Interprofessional CPD Program Using Motivational Interviewing Improves Care for Children With Intellectual Disability in the Emergency Department \u201d in Presented at the AMEE Conference (2025) Aug 25\u201327; Barcelona Spain."},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12978"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.15175"},{"key":"e_1_2_11_8_1","volume-title":"Doing Research Inclusively: Guidelines for Co\u2010Producing Research With People With Disability","author":"Strnadov\u00e1 I.","year":"2022"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2015-004315"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-014650"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2022.105380"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2021.104900"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/SIH.0000000000000072"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2020.1769238"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41077-020-00139-9"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-2139"}],"container-title":["The Clinical Teacher"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tct.70376","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/tct.70376","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tct.70376","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T02:27:59Z","timestamp":1775701679000},"score":1,"resource":{"primary":{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/10.1111\/tct.70376"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,11]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/tct.70376"],"URL":"https:\/\/doi.org\/10.1111\/tct.70376","archive":["Portico"],"relation":{},"ISSN":["1743-4971","1743-498X"],"issn-type":[{"value":"1743-4971","type":"print"},{"value":"1743-498X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,11]]},"assertion":[{"value":"2025-11-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70376"}}