Service Delivery

Feasibility and Acceptability of a Compressed Caregiver Training Program to Treat Child Behavior Problems.

Edelstein et al. (2023) · Behavior modification 2023
★ The Verdict

You can run a full function-based caregiver course in just two weeks and still see big behavior gains.

✓ Read this if BCBAs who run parent-training in clinics, homes, or community settings.
✗ Skip if Teams that already use tech-heavy packages and are happy with longer timelines.

01Research in Context

01

What this study did

Howard et al. (2023) asked: can we squeeze a full caregiver-training package into two weeks? They built a 10-hour program that teaches parents to spot why problem behavior happens and how to handle it.

The team added a twist called wait-training. Parents practice letting the child wait a bit to build frustration tolerance. The whole course lasted five short days spread across two weeks.

02

What they found

Kids’ problem behavior dropped a lot after the short course. Parents said the plan was easy to follow and worth their time.

The gains showed up fast and held while the study tracked them.

03

How this fits with other research

Petrenko (2013) looked at 17 older trials and saw that most parent programs need many weeks. L et al. got the same big drop in only two weeks, so the new plan is a clear update.

Scheithauer et al. (2025) used 12 longer sessions to tame elopement. L et al. hit general behavior problems in half the time, showing speed can still work.

MSáez-Suanes et al. (2023) trimmed weeks by adding a phone app. L et al. did it with live coaching and wait-training instead of tech, giving you a second shortcut when phones are not an option.

04

Why it matters

If your wait-list is long, this two-week model gives families help before problems grow. You keep the parts that matter: function check, teach and practice, then add short wait-times to build tolerance. One long weekend plus a follow-up day can replace a whole month of sessions.

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→ Action — try this Monday

Pick one family on your wait-list, schedule five 2-hour meetings across two weeks, and add a 30-second wait-training trial to each session.

02At a glance

Intervention
parent training
Design
changing criterion
Sample size
12
Population
not specified
Finding
positive
Magnitude
large

03Original abstract

In an effort to address some of the criticisms of Behavioral Parent Training programs (BPT; high attrition, reliance on caregiver report measures), the current study examined the feasibility, acceptability, and outcome of an intensive behavior treatment program (120-minute sessions for 5 days/week over the course of 2 weeks). Using a changing criterion single case experimental design, 12 children (M child age = 4.9 years) and their primary caregivers completed the 2-week function-based intervention procedure designed to increase children's frustration tolerance via a wait training procedure based on the principles of applied behavior analysis. Using both direct observation and standardized measures, results indicated that the treatment was effective in reducing childhood behavior problems, both within and between appointments (Cohen's ds = 3.2 and 1.37, respectively). Preliminary evidence suggests that a compressed treatment package designed to train caregivers in function-based intervention strategies is feasible and acceptable.

Behavior modification, 2023 · doi:10.1177/01454455221137329