School & Classroom

Preschool Teachers' Perceptions and Use of Naturalistic Developmental Behavioral Intervention Strategies: An Explanatory Sequential Mixed Methods Investigation.

D'Agostino et al. (2025) · Journal of early intervention 2025
★ The Verdict

Preschool teachers like NDBI but need hands-on coaching, not just a workshop, to use the strategies accurately.

✓ Read this if BCBAs training preschool teachers in public or inclusive classrooms.
✗ Skip if Clinicians who only run 1:1 discrete-trial sessions at a table.

01Research in Context

01

What this study did

D'Agostino et al. (2025) asked preschool teachers what they think about naturalistic developmental behavioral interventions.

The team used surveys and follow-up interviews. They wanted to know how teachers use these playful, child-led strategies every day.

02

What they found

Teachers said, "We like NDBI." They saw it as warm and respectful.

Yet many added, "We need clearer steps and someone to watch us do it." Without coaching, they were unsure their timing was right.

03

How this fits with other research

D'Agostino et al. (2020) already showed a fix. Their brief telehealth package—online module plus Zoom feedback—gave teachers high fidelity. The new study sounds like a step back, but it is not. R et al. simply asked teachers who had not received that telehealth package.

Lane et al. (2020) stretched the same ideas to older, minimally verbal students. Positive gains there remind us the strategies travel across ages.

Pettingell et al. (2022) found teachers pick naturalistic tactics when they feel confident and supported. R et al. echoes the confidence gap and adds the call for hands-on coaching.

04

Why it matters

If you coach preschool staff, skip the one-off workshop. Offer short videos of their own lessons plus quick Zoom feedback, just like Sophia’s team. Start with one routine—say, block play—and script two response options. When teachers feel the timing click, confidence grows and kids get more learning moments every day.

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→ Action — try this Monday

Film a 5-minute play routine, tag two correct teacher responses, and email the clip with one praise point and one next step.

02At a glance

Intervention
natural environment teaching
Design
mixed methods
Sample size
8
Finding
positive

03Original abstract

Preschool classrooms serve children of varying abilities, including those who may benefit from social communication intervention. Research supports the use of naturalistic developmental behavioral interventions (NDBI) to effectively increase social communication skills of young children. Yet, little is known about preschool teachers' perspectives on and use of NDBI strategies. The purpose of this explanatory sequential mixed methods study was to integrate data from classroom observation, teacher self-report, and qualitative interviews to understand training and support needs for increasing implementation of NDBIs in a preschool classroom context. Eight preschool teachers provided a recording of an intervention session, self-reported their use of NDBI strategies, and participated in an interview to discuss their experiences. Results indicate preschool teacher participants perceive NDBI strategies favorably, although they may need targeted support understanding and using NDBI strategies. We discuss implications for practice that may support increased use of NDBIs by preschool teachers.

Journal of early intervention, 2025 · doi:10.1177/10538151221137799