Practitioner Development

Towards the development of a curriculum to train behavior analysts to provide services via telehealth

Neely et al. (2022) · Journal of Applied Behavior Analysis 2022
★ The Verdict

Four short BST Zoom sessions can get any BCBA to a large share fidelity in telehealth parent training with skills that last a year.

✓ Read this if BCBAs who run parent training or supervise staff providing telehealth services.
✗ Skip if Clinicians who only do in-home sessions and have no plans to use telehealth.

01Research in Context

01

What this study did

Neely and team built a short telehealth curriculum to teach BCBAs how to run parent-training sessions online. They used behavioral skills training: explain, model, practice, and feedback. Four BCBAs took the course and then tried it with real families over Zoom.

02

What they found

Every BCBA hit a large share fidelity within four practice rounds. When they met a brand-new family, the skills still looked perfect. Almost one year later, the BCBAs kept scoring near a large share without extra help.

03

How this fits with other research

Slane et al. (2021) looked at twenty earlier BST studies and found the same pattern: brief BST lifts fidelity for teachers and other helpers. Neely’s data add BCBAs and telehealth to that list.

Shawler et al. (2021) and DeFriedman (2021) both ran telehealth BST with different adults—high-school teachers and expectant parents—and still saw big, fast gains. The new study mirrors their speed and size, showing the method works across jobs and content.

Eid et al. (2017) taught moms to run DTT in person. Neely keeps the BST bones but moves the whole process online and trains BCBAs to coach parents instead of coaching parents directly. The jump from face-to-face to screen does not weaken the effect.

04

Why it matters

You can now train a BCBA to deliver smooth telehealth parent training in under four short meetings. No travel, no long workshops, and the skill sticks for months. If your waitlist is long or families live far away, package your parent-training steps into a quick BST sequence and start Zoom sessions next week.

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Pick one parent-training protocol, build a four-step BST script, and rehearse it with your next BCBA over Zoom.

02At a glance

Intervention
behavioral skills training
Design
single case other
Sample size
4
Finding
positive
Magnitude
large

03Original abstract

The COVID-19 pandemic has led to a dramatic increase in behavior analysts' use of telehealth services. Nonetheless, no research has evaluated the skills or training needed for therapists to provide these services effectively. The purpose of this study was to develop and evaluate a curriculum for providing high-quality, parent-training telehealth services. Four in-service Board Certified Behavior Analysts® (BCBAs®) who received brief behavioral skills training on this curriculum reached 100% fidelity within four sessions. The skills generalized to a novel family and maintained nearly 1 year after the training. All participants rated the training as highly acceptable and effective. The independent ratings of 4 in-service BCBAs, blinded to the study conditions, also supported the social validity of the outcomes. This curriculum may be considered an initial step towards development of competency for interventionists providing ABA services via telehealth. Further research is warranted as demand for telehealth services continues to grow.

Journal of Applied Behavior Analysis, 2022 · doi:10.1002/jaba.904