Practitioner Development

An Evaluation of Feedback-Based Interventions on Promoting Use of Personal Protective Equipment in a School

Pugliese et al. (2021) · Journal of Organizational Behavior Management 2021
★ The Verdict

A short, checklist-driven feedback plan quickly raises PPE use in special-ed classrooms and cuts staff injuries.

✓ Read this if BCBAs working with school staff on safety or health protocols.
✗ Skip if Clinicians who only provide 1:1 in-home therapy without staff to train.

01Research in Context

01

What this study did

Pugliese et al. (2021) worked with three special-education classrooms. They wanted staff to wear gloves, masks, and goggles more often.

First the team ran a Performance Diagnostic Checklist-Safety. The checklist showed why each teacher skipped gear. Then they built a custom feedback plan for every room.

02

What they found

After the tailored feedback, all three classrooms used PPE more. Staff injuries also dropped.

The gains held without extra coaching. Custom plans beat one-size-fits-all reminders.

03

How this fits with other research

Ruppel et al. (2023) later showed the same idea works on Zoom. They gave remote feedback after preference-assessment training and hit 90 % fidelity. Pugliese did it in person; Ruppel proves you can do it from home.

Reyes et al. (2025) used feedback too, but tied it to secret, observer-absent checks. Their staff kept high fidelity even when no one was watching. Pugliese focused on safety gear; Reyes shows the method also keeps staff honest.

Baruni et al. (2025) swapped live feedback for a 30-minute computer module on firearm safety. Both studies reached high fidelity, so you can pick live coaching or self-paced tech depending on time and budget.

04

Why it matters

Next time you see low PPE use, run the quick safety checklist. Build a tiny, room-specific feedback plan. Share the graph every few days. You should see more gloves and fewer incident reports within two weeks.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Pick one classroom, complete the Performance Diagnostic Checklist-Safety, and post a daily PPE score on the door.

02At a glance

Intervention
behavioral skills training
Design
single case other
Population
not specified
Finding
positive

03Original abstract

Employees working in human services are more likely to receive injuries on the job than in many other industries. Human service organizations that serve individuals who engage in dangerous behavior often require employees to adhere to safety guidelines, including utilizing protective equipment to minimize the risk of injuries. Despite protective equipment being prescribed in students’ treatment plans at a private day school, employees were often observed working with students without the prescribed protective equipment. Results from a Performance Diagnostic Checklist-Safety assessment varied across three classrooms. Therefore, individualized treatment packages were implemented in each classroom. Results indicated increased use of prescribed protective equipment across all three classrooms and an overall decrease in staff injuries sustained by student contact.

Journal of Organizational Behavior Management, 2021 · doi:10.1080/01608061.2021.1920543