DIALOG+ has not been used or evaluated in people with learning disability.

Feedback from service users with learning disability and clinicians who we have engaged with has been positive about the potential for DIALOG+ to facilitate improved communication between clinicians and service users. One service user commented “it’s important that professionals ask the right questions about what is important to me”. 

DIALOG+ could empower individuals with learning disability to engage in meaningful conversations, promoting a greater sense of control and agency, potentially leading to improved quality of life and fewer behaviours that challenge.

However, feedback has emphasised that the existing intervention is not accessible for this population (e.g. language/ response format of the DIALOG scale/ supporting app is too complex and the quality of life domains are not all relevant). 

We have held co-production groups with service users, clinicians and carers to create an adapted version of DIALOG+ with an easy-read format, revised domains, and a reduced 3-point scale, along with prompts that can be used if needed.