School & Classroom

Observed changes in the alertness and communicative involvement of students with multiple and severe disability following in-class mentor modelling for staff in segregated and general education classrooms.

Foreman et al. (2014) · Journal of intellectual disability research : JIDR 2014
★ The Verdict

Real-time mentor coaching inside class lifts alertness and communication for students with severe disabilities.

✓ Read this if BCBAs who support teachers or aides in special-ed or inclusive rooms.
✗ Skip if Clinicians who only run 1:1 clinic sessions without classroom access.

01Research in Context

01

What this study did

The team placed an expert mentor inside classrooms. The mentor showed teachers and aides how to keep students with multiple and severe disabilities awake and talking.

They used a multiple-baseline design across staff. Classrooms were both special-ed and general-ed. The mentor gave tips, modeled moves, and watched staff try the same moves with students.

02

What they found

After coaching, students looked alert more often. They also started more back-and-forth communication. Gains were real but jumped around from day to day.

Both segregated and inclusive rooms saw the same upward trend. Staff kept using the new moves even after the mentor stepped back.

03

How this fits with other research

Frantz et al. (2019) ran a near-copy test in preschool. They coached paraeducators and saw the same bumpy but positive child communication gains. The match says the model travels across age groups.

Balikci (2026) swapped the live mentor for an AI self-coach app. Teachers still hit high fidelity and kids still learned. Tech can scale the same idea when a human mentor is not on site.

Castañe et al. (1993) did an early version thirty years earlier. Brief daily coaching lifted toddler social play. The 2014 study widened the lens to older students and added communication targets.

Gevarter et al. (2025) pushed the coaching chain further. Student clinicians first learned NDBI, then coached caregivers. Big communication gains followed. Cascaded coaching keeps working even when the expert is two steps away.

04

Why it matters

You do not need to pull staff out for long workshops. Bring the coach into the room for short, real-time hints. Pick one student who zones out. Track alert faces or communication turns for a week. Then invite a peer BCBA to shadow you, model prompts, and give quick feedback. You should see the same lift P et al. saw, without extra funding or sub days.

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→ Action — try this Monday

Pick one student, one alertness cue, and ask a colleague to model prompting it during morning routine.

02At a glance

Intervention
caregiver coaching
Design
multiple baseline across participants
Sample size
8
Population
mixed clinical
Finding
positive
Magnitude
medium

03Original abstract

BACKGROUND: The improvement of engagement and involvement in communicative and socially centred exchanges for individuals with multiple and severe disability (MSD) presents complex and urgent challenges to educators. This paper reports the findings of an intervention study designed to enhance the interactive skills of students with MSD using an in-class mentor model of staff development to improve the skills and strategies of their communication partners in two distinct educational settings. METHODS: Observational data were collected on eight students with MSD and their 16 teachers and teachers' aides (paraprofessionals), using a multiple baseline across students design, replicated across special and general school setting types. RESULTS: Results indicated variable improvements in student alertness and increased communicative interactions. In some cases significant differences in communicative involvement and awake-active-alert activity were observed. CONCLUSIONS: These findings underline the complexity of variables involved in delivering educational and communicative interventions for staff working with this population. Implications for further research and application to daily practices in classrooms are discussed.

Journal of intellectual disability research : JIDR, 2014 · doi:10.1111/jir.12066