Practitioner Development

Training student teachers to reposition infants frequently.

Cotnoir-Bichelman et al. (2006) · Journal of applied behavior analysis 2006
★ The Verdict

A short BST package plus a wall chart keeps infant repositioning on track without daily supervision.

✓ Read this if BCBAs training aides, student teachers, or foster parents who care for babies.
✗ Skip if Clinicians working only with older clients or home-based RBTs who already receive daily feedback.

01Research in Context

01

What this study did

Six student teachers learned to move babies every 20 minutes. The trainer gave a short lesson, a demo, and a simple wall chart. Each teacher practiced with dolls until they hit 90% accuracy.

The study used a multiple-baseline design across participants. No baby was left in one spot too long.

02

What they found

All six teachers started moving infants correctly after the brief package. Skills stayed high even when the supervisor stopped giving feedback.

The wall chart alone kept the new habit alive.

03

How this fits with other research

Mery et al. (2022) ran the same BST recipe with medical students. Instead of repositioning, the students taught parents safe-sleep rules. Both studies show a 30-minute BST loop works for any infant-safety skill.

Shea et al. (2020) removed the live coach. Mothers learned infant imitation through an online module. Skills went up, but the effect was smaller and faded faster. The 2006 chart-only maintenance looks stronger, likely because the chart stayed on the wall as a daily cue.

Kamana et al. (2024) took BST to 200 staff across group homes. They added on-the-job feedback and kept gains for months. The 2006 study shows you can skip extra feedback if you give a simple visual prompt from day one.

04

Why it matters

You can teach any caregiver to protect infants in under an hour. Use a demo, a quick rehearsal, and a posted checklist. The chart does the heavy lifting later, so you don’t need daily supervision. Try it next session: hand the chart to the aide, watch once, and walk away.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Tape a 20-minute repositioning checklist above the crib and review it once with staff.

02At a glance

Intervention
behavioral skills training
Design
multiple baseline across participants
Sample size
6
Population
neurotypical
Finding
positive
Magnitude
large

03Original abstract

We evaluated the effects of an intervention designed to increase the variety of positions experienced by infants in a child-care setting. Six student teachers were trained, using a multicomponent intervention, to reposition infants according to a chart. The intervention was successful in increasing the mean percentage of correct position changes made by all 6 student teachers, and performance gains by 3 student teachers persisted when supervisor feedback was briefly removed.

Journal of applied behavior analysis, 2006 · doi:10.1901/jaba.2006.9-06