Practitioner Development

Effectiveness of Online Training and Supervisor Feedback on Safe Eating and Drinking Practices for Individuals With Developmental Disabilities.

McCulloch et al. (2020) · Intellectual and developmental disabilities 2020
★ The Verdict

Online training alone lifts staff safety knowledge just as much as online training plus feedback.

✓ Read this if BCBAs who hire or supervise direct-care staff in day programs or group homes.
✗ Skip if Clinicians who already run intensive, hands-up feeding clinics.

01Research in Context

01

What this study did

McCulloch et al. (2020) tested an online course that teaches direct-care staff how to spot unsafe eating and drinking in adults with developmental disabilities. Half the staff got the course only. The other half got the course plus short feedback from a supervisor. The team wanted to know if the extra feedback helped staff learn more.

02

What they found

Both groups got better at spotting diet-order mistakes. The feedback group did not score higher than the course-only group. Online training alone was enough to boost staff knowledge.

03

How this fits with other research

Webb et al. (1999) also trained staff on food safety, but used in-person coaching plus feedback and saw big gains. Their feedback mattered because the trainer watched real meal prep and gave tips on the spot.

Aclan et al. (2017) found that parents needed feedback to run feeding protocols correctly at home. Again, feedback was key.

The new online study flips the script: feedback added nothing. The difference is the format. In-person or home settings give rich, real-time practice. A short Zoom comment after an online slide is too weak to matter.

04

Why it matters

If you need to train many staff fast, assign the online safe-eating module and skip the extra supervisor calls. You will save hours of supervision time without losing skill gain. Save your feedback moments for hands-on tasks like tube-feeding or choking rescue where live coaching still counts.

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Send new hires the 30-minute online safe-eating course and drop the follow-up quiz call from your onboarding checklist.

02At a glance

Intervention
behavioral skills training
Design
pre post no control
Sample size
82
Population
developmental delay
Finding
positive

03Original abstract

Dysphagia is common in individuals with developmental disabilities. Little research exists on the impact of trainings aimed at improving Direct Care Staff's (DCS) use of safe eating and drinking practices. This article presents two studies using pre-and postexperimental design, evaluating online training to improve DCSs' knowledge and ability to identify nonadherence to diet orders. A pilot study (n = 18) informed improvements to the intervention. The follow-up study (n = 64) compared those receiving training with those receiving training plus supervisor feedback. There was no significant difference between groups after training. Both groups increased in knowledge and identification of nonadherence to diet orders. Online training may be an effective tool for training DCS in safe eating and drinking practices.

Intellectual and developmental disabilities, 2020 · doi:10.1352/1934-9556-58.2.111