Association for Behavior Analysis International

All agencies that that serve populations with special needs must train direct care staff on an ongoing basis. Training that is provided directly by a behavioral consultant may often be limited due to time constraints. For this reason, it is worthwhile to explore the effectiveness of computer-based training programs. Computer-based training may enhance the generality of target skills since it is possible to include multiple exemplars in a single video or module; it also provides a standardized method of training multiple staff, which can help increase procedural integrity; and the training results in a permanent product that can be revisited as necessary to train new staff or as ‘booster’ training for seasoned staff. This symposium will highlight research from three labs that have incorporated a form of computer-based training to teach the following skills: 1) identification of safe eating practices for individuals with disabilities; 2) implementation of the Picture Exchange Communication System (PECS); and 3) visual analysis of single-case AB design graphs. Presenters will discuss limitations of the work conducted to date and propose areas for future research.

An estimated eight percent of individuals with intellectual and developmental disabilities have a diagnosed difficulty swallowing food or liquids (dysphagia) (Chadwick 2009). These problems raise the risk of choking and can lead to serious health problems if correct protocols around eating and drinking are not followed. It is imperative to put in place interventions that prevent choking and aspiration incidents by training Direct Support Professionals (DSPs) about meal modifications and identifying dangerous situations at mealtime. In this study we used a pretest-posttest experimental design to investigate whether a scenario-based online training combined with a fifteen-minute client protocol review statistically increased DSPs knowledge of meal modifications and their ability to identify dangerous situations in scenarios and pictures. The control group received a protocol review only. Participants were randomly assigned to the experimental and control group. After the intervention, a generalization session will be conducted to determine whether the DSPs can generalize the knowledge to their clients meal protocols. Our hypothesis is that online training combined with a client protocol review will statistically improve staffs ability to 1) follow eating and drinking protocols within presented scenarios 2) identify dangerous situations during presented scenarios 3) generalize these skills to the clients they serve and maintain over time compared to DSPs that receive a protocol review only.