• Communication;
  • learning disabilities;
  • self-efficacy

Accessible summary

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    Communication is an important part of everybody’s life.
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    Carers attended training about communication.
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    The training improved the carers’ confidence about communication.
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    Carers with good communication skills can have a positive effect on the well-being of people with learning disabilities.


Carer communication skills contribute to the well being of individuals with learning disabilities. Few studies have examined the effectiveness of communication training interventions, and there is a lack of robust measures of outcome. A communication self-efficacy measure relevant to carers supporting adults with learning disabilities was developed and piloted. Paid carers supporting adults with learning disabilities participated in the study. A pre–post intervention study design was used to examine the reliability and sensitivity to change of the Glasgow-Communication Efficacy Scale (G-CES). Twenty-six paid carers completed the G-CES before and after participating in a communication training intervention. The scale had good internal and test–retest reliability. Carer communication efficacy increased after taking part in the training. Use of the G-CES in clinical services and research studies can help to develop the evidence base on the effectiveness of communication training interventions relevant to working with persons with learning disabilities.