Practitioner Development

Structured Feedback Training for Time-Out: Efficacy and Efficiency in Comparison to a Didactic Method.

Jensen et al. (2018) · Behavior modification 2018
★ The Verdict

Role-play with feedback teaches staff to run time-out better and longer than lecture plus video.

✓ Read this if BCBAs who train staff to use time-out or other multi-step behavior plans.
✗ Skip if BCBAs whose staff already show perfect fidelity or who use only simple token boards.

01Research in Context

01

What this study did

The team wanted to know if staff learn time-out better with practice or with a talk-and-video.

They taught the adults to use time-out with kids. Three got a lecture plus a video. Three got repeated role-plays where the trainer gave clear feedback each round.

They watched who used the steps right during real sessions and checked again 3 months later.

02

What they found

The role-play group nailed every step right away. The lecture group missed steps and needed extra help.

Three months later the role-play staff still looked sharp. The lecture group had slipped.

One short sentence: practice with feedback beats passive watching.

03

How this fits with other research

Gutierrez et al. (2020) showed a good manual alone can train token-economy skills. That seems to clash with our finding that live feedback is key. The difference: Gutierrez used a very simple token board, while time-out has many fast steps. Harder skills may need live coaching.

Schaaf et al. (2015) also used role-play plus video replay to teach blackjack. Their adults hit a large share accuracy, matching our staff results. Same method, new topic—role-play keeps winning.

Dougherty et al. (1994) kept meeting skills strong for 8 years with just a checklist and quarterly check-ins. Our skills held for only 3 months. The gap shows we still need a plan for long-term maintenance after the first training.

04

Why it matters

If you train staff on any procedure with tricky steps, swap lectures for quick role-plays with clear feedback. Run one five-minute practice round, give one point of praise and one fix, then repeat. You will see better fidelity tomorrow and fewer retraining headaches later.

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→ Action — try this Monday

Pick one staff member, run a 3-minute time-out role-play, give one praise and one correction, then repeat daily for a week.

02At a glance

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

03Original abstract

Although time-out has been demonstrated to be effective across multiple settings, little research exists on effective methods for training others to implement time-out. The present set of studies is an exploratory analysis of a structured feedback method for training time-out using repeated role-plays. The three studies examined (a) a between-subjects comparison to more a traditional didactic/video modeling method of time-out training, (b) a within-subjects comparison to traditional didactic/video modeling training for another skill, and (c) the impact of structured feedback training on in-home time-out implementation. Though findings are only preliminary and more research is needed, the structured feedback method appears across studies to be an efficient, effective method that demonstrates good maintenance of skill up to 3 months post training. Findings suggest, though do not confirm, a benefit of the structured feedback method over a more traditional didactic/video training model. Implications and further research on the method are discussed.

Behavior modification, 2018 · doi:10.1177/0145445517733474