Practitioner Development

Cultural Responsiveness in Behavior Analysis: Provider and Recipient Perceptions in Ontario

O’Neill et al. (2024) · Behavior Analysis in Practice 2024
★ The Verdict

Ontario BCBAs report little cultural training yet families still see room for improvement.

✓ Read this if BCBAs working with diverse families in any setting
✗ Skip if Clinicians whose caseload is culturally homogeneous and already trained

01Research in Context

01

What this study did

O'Neill et al. (2024) asked Ontario BCBAs and the families they serve about cultural training. They used an online survey to see how much cultural responsiveness training BCBAs get and how families rate their skills.

The team compared provider reports with family reports to find gaps between training and real-world practice.

02

What they found

Most BCBAs said they received little to no formal training on working with diverse families. Yet families rated provider skills as fairly good while still seeing room for improvement.

The study found a training gap that families notice even when overall ratings stay positive.

03

How this fits with other research

LeBlanc et al. (2020) found the same pattern for caregiver relationship skills. Ontario BCBAs also lacked formal training there, showing a wider soft-skill gap across the province.

Wheeler et al. (2024) ran a parallel survey in the same year. They found BCBAs value trauma-informed care training but get almost none, matching the cultural responsiveness gap O'Neill reports.

Friedman et al. (2025) tested a fix for a similar problem. They ran a four-month coaching package to boost self-compassion and teamwork skills, showing one way to close training gaps once we find them.

04

Why it matters

You may be under-trained in cultural responsiveness without knowing it. Ask your supervisor for case-based cultural discussions and seek CEUs that include diverse family examples. Small steps like learning key phrases in a family's home language or asking about holiday customs can boost rapport while you wait for broader training changes.

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Add one cultural question to your intake form, such as 'What family traditions should we know about?'

02At a glance

Intervention
not applicable
Design
survey
Sample size
428
Population
mixed clinical
Finding
positive
Magnitude
small

03Original abstract

Cultural responsiveness is critical to providing high-quality behavior analytic services, particularly when providers and recipients have different cultural backgrounds. The purpose of this study was to systematically replicate and extend (Beaulieu et al. (2019) Behavior Analysis in Practice, 12(3), 557–575) by investigating the diversity among applied behavior analysis (ABA) service providers and service recipients in Ontario, service providers’ training and experiences in working with diverse families, and service providers’ and recipients’ perceptions of behavior analysts’ cultural responsiveness in practice. Results from 428 participants suggest that service providers and recipients in Ontario differ in demographic characteristics; service providers report having little training in how to serve diverse families; and although service recipients rate providers’ skills relatively positively, there is room for improvement. Results suggest a path forward for behavior analysis that includes education and training in cultural responsiveness as well as encouraging and fostering a bidirectional relationship between behavior analysts and the families they serve. The online version contains supplementary material available at 10.1007/s40617-023-00825-w.

Behavior Analysis in Practice, 2024 · doi:10.1007/s40617-023-00825-w