Practitioner Development

Targeting Staff Treatment Integrity of the PEAK Relational Training System Using Behavioral Skills Training

Hahs et al. (2019) · Behavior Analysis in Practice 2019
★ The Verdict

A single two-hour BST workshop lifts staff PEAK integrity to 90 % and keeps it there while learner skills rise.

✓ Read this if BCBAs who supervise staff running PEAK or other skill-acquisition protocols.
✗ Skip if Clinicians whose teams already score above 90 % fidelity with PEAK.

01Research in Context

01

What this study did

Hahs et al. (2019) ran a two-hour workshop for six staff-child pairs.

The class covered PEAK lessons: instruction, demo, practice, and live feedback.

Each adult then taught a child with autism using the new steps.

02

What they found

After the short class every adult hit 90 % or better on PEAK steps.

The kids also gave more right answers during their lessons.

Both gains stayed high weeks later with no extra coaching.

03

How this fits with other research

Belisle et al. (2016) first showed BST lifts PEAK fidelity, but they coached staff one by one on the job.

Hahs swapped in a group workshop and got the same jump, proving you can train a room fast.

Erath et al. (2021) pushed brevity further: a 13-minute video took staff to 100 % fidelity.

Together the three papers draw a line—shorter packages still work if you keep all four BST parts.

04

Why it matters

You can stop flying solo to each staff member. Block out two hours, run the full BST cycle, and leave with a whole team ready to run PEAK at mastery level. The kids learn more the same week.

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→ Action — try this Monday

Schedule a two-hour staff meeting, model two PEAK lessons, have each staff rehearse with feedback, then track fidelity in the next session.

02At a glance

Intervention
behavioral skills training
Design
single case other
Sample size
6
Population
autism spectrum disorder
Finding
positive
Magnitude
large

03Original abstract

PEAK is a language curriculum dedicated to expanding language via the science of behavior analysis. The present study sought to evaluate the extent to which a behavioral skills training (BST) program impacted treatment integrity for six direct care staff implementing the Promoting the Emergence of Advanced Knowledge Relational Training System (PEAK) with six individuals with autism. We used a 2-h workshop-like Behavioral Skills Training (BST; instruction, modeling, rehearsal, and feedback) targeting PEAK treatment integrity. The results indicate that BST improved overall procedural integrity for all staff. All learners with autism improved their total percentage of correct, independent responding specific to the targeted programs. Further, all (6/6) staff maintained integrity to PEAK at well above baseline levels and all individuals with autism maintained high levels of performance specific to the targeted programs. The importance of appropriate training and treatment integrity given the implementation of PEAK is discussed.

Behavior Analysis in Practice, 2019 · doi:10.1007/s40617-018-00278-6