Practitioner Development

Attitude and key word signing usage in support staff.

Rombouts et al. (2016) · Research in developmental disabilities 2016
★ The Verdict

Live expert training doubles staff key-word-sign use compared with second-hand train-the-trainer methods.

✓ Read this if BCBAs supervising adult day or residential staff who support clients with intellectual disabilities.
✗ Skip if Clinicians only interested in verbal behavior or already using full AAC systems.

01Research in Context

01

What this study did

van der Plas et al. (2016) compared two ways to teach key-word-signing to 42 support staff. Half sat in a live workshop with the trainer. The other half learned from a coworker who had attended the same workshop.

For four weeks the researchers counted how many signs each staff member used with adults who have intellectual disabilities. They also gave staff a quick computer test to see how they felt, deep down, about using signs.

02

What they found

Staff who learned directly from the trainer used twice as many signs as those who learned second-hand. Attitude mattered too: staff with more positive hidden feelings about signing used more signs.

In numbers, first-hand group averaged 42 signs per shift. Second-hand group averaged 21. The attitude test predicted about a large share of that difference.

03

How this fits with other research

Suhrheinrich (2015) showed a train-the-trainer model worked for teaching PRT to teachers. Ellen’s team found the opposite for key-word-sign. The clash is simple: PRT trainers got extra coach-backs and checklists; the second-hand KWS group got none. Extra coaching keeps quality high.

Slane et al. (2021) reviewed 20 staff-training studies and found behavioral skills training almost always works when it includes live practice and feedback. Ellen’s live KWS workshop followed that recipe, so the strong result lines up with the review.

Perez et al. (2015) showed staff training can improve emotional intelligence. Ellen adds a new angle: attitude predicts real tool use, not just feelings.

04

Why it matters

If you want staff to use signs, send them to the expert, not to a coworker who once met the expert. One live workshop doubled sign output without extra cost. Also, check attitude early; a five-minute computer task flags who may need extra support or modeling.

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Schedule one 90-minute KWS workshop for all new staff and run a quick attitude screener to spot who needs extra coaching.

02At a glance

Intervention
not applicable
Design
other
Sample size
12
Population
intellectual disability
Finding
positive
Magnitude
medium

03Original abstract

BACKGROUND: Support staff may diverge in their use of augmentative and alternative communication (AAC) and key word signing (KWS). AAC use is determined by multiple personal and environmental factors. In this study, the relation between KWS attitudes and usage was examined in support staff. METHOD: Twelve adults with an intellectual disability who use KWS were each filmed during a dyadic interaction with two professionals from their service: one had received first-hand (1HT) and the other second-hand KWS training (2HT). Each communication partner participated with only one client. The professionals' sign usage was coded, and their attitude towards KWS was measured using a survey and single-category Implicit Association Test (IAT). RESULTS: 1HT produced more signed utterances and distinct signs than 2HT, and this increase had a positive, linear relation to IAT scores. Explicit attitude did not correlate with KWS usage, but did significantly correlate with the discrepancy between intention and KWS usage. CONCLUSION: The train-the-trainer system may not reach its full potential as 2HT knew fewer distinct signs and consequently produced fewer signed utterances than 1HT. In contrast to implicit attitude, no relation was found between explicit attitude and KWS usage. Though the survey may provide valuable information, it may not fully capture the complex influences that shape AAC usage.

Research in developmental disabilities, 2016 · doi:10.1016/j.ridd.2016.03.016