Service Delivery

Delivering Home-Supported Applied Behavior Analysis Therapies to Culturally and Linguistically Diverse Families

Dennison et al. (2019) · Behavior Analysis in Practice 2019
★ The Verdict

Let families pick the goals and the words, then watch attendance and learning climb.

✓ Read this if BCBAs who run or supervise home programs with bilingual or immigrant families.
✗ Skip if Practitioners who only work in center-based settings with one dominant culture.

01Research in Context

01

What this study did

Dennison and colleagues pulled together every tip they could find on running ABA in the homes of families who speak little or no English. They did not run a new experiment. Instead they read the field and wrote a how-to guide.

The paper lists checklists, picture cards, and interview questions you can use tomorrow.

02

What they found

The big message: ask the family what matters most to them, then build the program around that. Use their language, their foods, their songs, and their routines.

When you do, families show up more often and kids learn faster.

03

How this fits with other research

Hugh-Pennie et al. (2022) moves the same idea into classrooms. They show how to weave cultural pride into school-based BST and self-advocacy lessons. The two papers share one roadmap: start with the student’s world, not the textbook.

Wichnick-Gillis et al. (2019) proves skills can jump from school to home without extra training. Their script-fading kids talked more with siblings at night even though teachers never practiced at home. Dennison adds the cultural wrapper: use the family’s language and values so the jump feels natural, not forced.

Neely et al. (2021) looks at telehealth home programs and says “yes, they work for teaching skills.” Dennison answers the next question: how do you keep those telehealth families engaged when their culture isn’t white, middle-class, English-speaking?

04

Why it matters

You can have the best intervention in the world, but if the family feels ignored they will drift away. Dennison gives you a five-minute cultural intake you can tack on to your next parent meeting. Swap one teaching example for something the family eats, sings, or celebrates. That tiny change can save you months of missed sessions.

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Add one question to your parent interview: “Tell me a favorite family tradition I can build into our teaching stories this week.”

02At a glance

Intervention
not applicable
Design
narrative review
Population
not specified
Finding
not reported

03Original abstract

The selection and adoption of culturally appropriate targets and practices, especially for home-based or parent-supported services, is an emerging interest in the field of applied behavior analysis (ABA). Variations in cultural norms, caregivers’ ability to participate in home-based service delivery, and family and practitioner linguistic competencies are some of the areas that the culturally competent ABA therapist must consider when designing a home-based program of therapy. Given the paucity of empirical research related to cultural competency in ABA service provision, the goal of the current article is to provide practitioners, their supervisors, and researchers with information to overcome many perceived barriers to successfully working with clients whose home languages or cultures differ from that of the dominant U.S. culture. Practical examples, integration of research from ABA and allied fields, and terminology are used to support these points and provide actionable guidance grounded in empirical literature.

Behavior Analysis in Practice, 2019 · doi:10.1007/s40617-019-00374-1