|Recent Advances in Staff and Parent Training of Assessment and Treatment Procedures|
|Sunday, May 25, 2014|
|9:00 AM–10:50 AM |
|W193a (McCormick Place Convention Center)|
|Area: TBA/DDA; Domain: Applied Research|
|Chair: Jason C. Vladescu (Caldwell College)|
|Discussant: Richard G. Smith (University of North Texas)|
|CE Instructor: Jason C. Vladescu, Ph.D.|
The proposed symposium includes four presentations addressing recent advances in staff and parent training of assessment and treatment procedures. The first presentation evaluated Internet-based telehealth services to remotely teach parents to conduct discrete trial instruction. The results indicated significant increases in performance and provide support for web-based technologies and other telehealth applications to training. The second presentation evaluated the effectiveness of video modeling with voiceover instruction to train three staff to conduct a paired-stimulus preference assessment. The results demonstrated that video modeling was effective, and suggest that performance feedback may not always be a necessary component of training. The third study evaluated the separate effects of written instructions and in-vivo training on the implementation of a maintenance protocol for nine participants. Results indicated that in-vivo training was necessary, as the written instructions were ineffective at producing the desired change in participant implementation of the maintenance protocol. The fourth presentation evaluated the effectiveness of a behavioral skills training package to train daycare teachers to teach toddlers to request social interactions using manual signs. The results indicate the training package was effective. Collectively these studies provide support for the effectiveness of a range of training approaches for staff and parents.
|Keyword(s): parent training, staff training|
Using Telehealth Technologies to Remotely Teach Caregivers to Conduct Discrete Trial Instruction
|WILLIAM J. HIGGINS (Munroe-Meyer Institute, University of Nebraska Medical Center), Leny Velasquez (Munroe-Meyer Institute, University of Nebraska Medical Center), Wayne W. Fisher (Munroe-Meyer Institute, University of Nebraska Medical Center)|
For many years, there has been an increasing shortage of behavioral healthcare professionals in counties across the United States. Recent advancements in telecommunication technologies make it possible to conduct telehealth services and bridge the gap between urban and rural location. In the current study, we used Internet-based telehealth services to remotely teach caregivers of children with language delays to conduct an expressive identification task within a discrete trial instruction framework. The teaching package included didactic information and video modeling, scripted role-play sessions with immediate feedback, and in-vivo feedback during practice sessions with a child. We used a multiple-baseline-across-participants design to evaluate the effects of the teaching package on caregiver correct responding and child independent correct responding. Robust and immediate improvements in performance were observed across all three caregivers and their performance maintained during follow-up and generalization probes. Increased independent correct responding was observed across all child participants following the caregiver teaching package. The benefits of web-based technologies and other telehealth applications are discussed.
Training Staff to Implement a Paired-Stimulus Preference Assessment using Video Modeling with Voiceover Instruction
|PRISCA DELIPERI (Caldwell College), Jason C. Vladescu (Caldwell College), Ruth M. DeBar (Caldwell College), Kenneth F. Reeve (Caldwell College), Sharon A. Reeve (Caldwell College)|
A key component of successful early intervention programming is the identification of stimuli that may function as reinforcers. Behavior analysts have overwhelmingly reported that the paired-stimulus (PS) preference assessment is the most commonly used direct method of determining preference (Graph & Karsten, 2012). Although effective at identifying potential reinforcers, the PS procedure is only useful if staff are trained on the steps necessary to conduct the assessment. The current study examined the effectiveness of video modeling with voiceover instruction to train staff to conduct a paired-stimulus preference assessment. Three staff were trained to identify items to use during the PS assessment, conduct a PS preference assessment with a simulated consumer (i.e., an adult acting as a child), and how to score and interpret the results of the PS assessment. Generalization was assessed with an actual consumer (i.e., a child with autism). The results demonstrated that video modeling was effective, and staff demonstrated high levels of integrity up to 2-months following training. These results support a growing body of literature supporting the use of video modeling as an approach to training. We will discuss the current study in the context of previous staff training studies and suggest areas for future research.
Teaching Behavioral Therapists to Implement a Maintenance Procedure during Therapy Sessions
|MICHELE BISHOP (Center for Autism and Related Disorders (CARD)), Amy Kenzer (Southwest Autism Research & Resource Center)|
Maintenance of skills is critical for successful treatment of children with autism. Most research has focused on the initial acquisition and generalization of skills, with less research on the maintenance of skills. Researchers have demonstrated that when reinforcement is withdrawn, treatment effects decrease relatively quickly. The use of intermittent reinforcement can promote maintenance of skills. The purpose of the present study was to train direct care staff to implement a maintenance protocol that included 1) varying the order of the responses, 2) using intermittent reinforcement, and 3) conducting error correction at the end of the maintenance trial block. A multiple probe design was used to evaluate the effectiveness of written instructions and in-vivo training for 9 participants. Results indicated that written instructions were ineffective and in-vivo training was necessary to produce accurate performance for all participants. Accurate implementation of the maintenance protocol was observed during generalization probes and at the four week follow-up. These results suggest that in-vivo training produced lasting effects for all participants.
Behavioral Skills Training to Teach Daycare Providers Infant Sign Language Procedures
|VALERIE LYNN VANTUSSI (University of North Texas), Tayla Cox (University of North Texas), Karen A. Toussaint (University of North Texas)|
The current experiment evaluates the effectiveness of a brief training package to train daycare teachers to teach toddlers to request social interactions using a manual sign based upon American Sign Language. The training package included instructions, video model, role-play, and feedback. A concurrent multiple-baseline design across 3 teacher-toddler dyads was used to evaluate the training package. An analysis was also conducted on the effects of training on the behaviors of toddlers as a group and individually during free play times in the classroom.