Service Delivery

An examination of behavioral treatment wording on acceptability and understanding

Banks et al. (2018) · Behavioral Interventions 2018
★ The Verdict

Plain talk about time-out keeps parent approval high and lifts their understanding.

✓ Read this if BCBAs who explain time-out to parents in clinics or homes.
✗ Skip if Practitioners who only work with staff training or adult clients.

01Research in Context

01

What this study did

Banks et al. (2018) asked two groups of parents to read a short description of time-out.

One sheet used plain words. The other sheet used more technical words.

Parents then rated how acceptable the procedure felt and answered questions to show they understood it.

02

What they found

Both groups liked the procedure and the therapist the same amount.

The plain-word group answered more questions about time-out correctly.

Simple wording did not hurt buy-in, but it did boost comprehension.

03

How this fits with other research

Roberts et al. (1987) showed parents already rank time-out near the bottom of acceptability. Banks shows the fix is not fancier talk; it is clearer talk.

Kazdin (1980) built the first scale that proved reinforcement beats punishment in the eyes of parents. Banks keeps that pattern and adds that clarity matters too.

Anonymous (2022) and Anonymous (2024) found parents like parent training just as much online as in person. Banks says the same liking holds when you simply re-word the same idea.

04

Why it matters

You can stop worrying that plain language will make time-out sound less professional. Use short sentences and everyday words when you explain it. Parents will understand you better and their approval stays the same. Try it next time you get push-back: swap "contingent exclusion" for "short break away from fun things" and check if they can teach it back to you.

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

Rewrite your parent handout using fourth-grade words and add one check-for-understanding question before you leave the room.

02At a glance

Intervention
not applicable
Design
randomized controlled trial
Population
mixed clinical
Finding
mixed

03Original abstract

It has long been suggested that the words we use when describing treatments may affect treatment acceptability. However, previous research has focused largely on teachers or undergraduates, with mixed results. The purpose of this study was to evaluate how wording impacted the acceptability and understanding of a behavioral treatment described to parents of clinically referred children. Parents visiting an outpatient behavioral health clinic with their children were asked to watch a video description of a common behavioral intervention (time‐out) but were randomly assigned to one of three time‐out wording conditions: (a) technical terminology, (b) nontechnical terminology, or (c) popular terminology. Participants watched a video of a therapist describing time‐out and then completed a survey of treatment and therapist acceptability, as well as their comprehension of the procedure. Results indicate that the language used did not differentially affect parents' acceptability of the treatment or of the therapist. The language used did, however, affect parents' comprehension of the intervention. Results and implications are discussed.

Behavioral Interventions, 2018 · doi:10.1002/bin.1521