ABA Fundamentals

Prompting and Modeling of Coping Strategies during Childbirth

Greenwald (2024) · Behavior Analysis in Practice 2024
★ The Verdict

A phone app that pings and shows short videos can teach laboring moms to stay upright and cope without drugs or extra rewards.

✓ Read this if BCBAs working with adults in medical or daily-living settings
✗ Skip if Clinicians who only serve young children with autism

01Research in Context

01

What this study did

Greenwald (2024) tested a phone app that pings laboring moms and their partners. Each ping shows a short video of upright coping moves like swaying or walking.

The app gave the prompts in real time during unmedicated labor. The team counted how often the moms moved and how many different moves they tried.

02

What they found

When the app pinged, moms and partners used more upright behaviors. They also tried a wider range of moves like rocking, squatting, and slow dancing.

The prompts worked right away and kept working without extra rewards.

03

How this fits with other research

Cox et al. (2017) used prompts plus a reward timer to teach kids with autism to lie still for an MRI. Both studies pair prompts with a second trick—video or rewards—to fit the setting.

Strain et al. (1977) showed that once women with ID learned weaving through prompts, they kept doing it without prizes. Greenwald saw the same thing: after the app taught the moves, moms kept moving without extra treats.

Thiessen et al. (2009) used a self-teach book to train college students to run DTT trials. Like the labor app, the book replaced a live coach with step-by-step cues.

04

Why it matters

You can use cheap tech to give real-time prompts for any adult skill—labor coping, staying still, or running trials. Load short videos or pictures on a tablet, set them to pop up when the skill should happen, and let the learner copy the clip. No staff needed after setup.

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Load three 10-second videos of the target skill on a tablet, set them to pop up every 5 min, and let the client copy the clip.

02At a glance

Intervention
prompting and fading
Design
single case other
Population
not specified
Finding
positive

03Original abstract

There is ample evidence to suggest that upright positions and mobility during labor improve birth outcome, including shorter duration of childbirth and reduced risk of cesarean section. The use of nonpharmacological interventions for pain management during childbirth are recommended by major health-care institutions and medical providers, however, the current methodologies for training coping strategies for use during labor have not shown to be effective on mobility or birth outcome. The purpose of this study was to apply an in-vivo teaching technology to the current childbirth model to prompt an imitative repertoire of empirically demonstrated labor coping strategies. Results of this study concluded that the introduction of a software using immediate prompting and video modeling increased the frequency and variability of labor behaviors during unmedicated labor for birthing persons and their partners.

Behavior Analysis in Practice, 2024 · doi:10.1007/s40617-023-00837-6