Service Delivery

Remote training of educators in Taiwan to disseminate discrete trial training for students with developmental disabilities

Chen et al. (2024) · Behavioral Interventions 2024
★ The Verdict

Remote coach-the-coach training lets Taiwanese teachers hit and keep high DTT fidelity, then pass it on.

✓ Read this if BCBAs who support school teams or run regional training in any rural or travel-restricted area.
✗ Skip if Clinicians who only provide one-to-one in-home therapy with no plan to train others.

01Research in Context

01

What this study did

Zhao et al. (2024) built a three-tier remote train-the-trainer program in Taiwan. First, experts taught teachers to run discrete trial training. Next, those teachers coached other educators. Finally, the new coaches trained classroom staff. The whole chain happened online. A multiple-baseline design tracked each tier’s DTT fidelity.

02

What they found

Every tier reached and kept high DTT fidelity. Teachers who learned remotely could pass the skill on. Their own coaching later produced the same gains in coworkers. Improvements held after the cameras turned off.

03

How this fits with other research

Zhu et al. (2020) showed remote feedback alone lifts BCBA trainee fidelity in China. Chen adds the train-the-trainer twist and proves the effect travels down two more levels. Shin et al. (2021) and Downs et al. (2008) already showed brief in-person BST plus feedback pushes DTT accuracy near 100 %. Chen matches those gains without anyone flying in. Bao et al. (2017) warned that online modules by themselves do little; real coaching is the active part. Chen agrees, but shows the coach can also be a local teacher trained through Zoom.

04

Why it matters

You can now scale DTT across schools without travel costs. Train a small group of teachers online, then let them coach the rest. Use the same script, checklists, and Zoom rooms you already own. Start with one willing teacher, measure baseline, and roll tier by tier. Remote growth chains beat remote modules every time.

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Pick one lead teacher, schedule three Zoom BST sessions on DTT, and set a date for her to coach a peer while you watch and score.

02At a glance

Intervention
discrete trial training
Design
multiple baseline across participants
Sample size
6
Population
developmental delay
Finding
positive

03Original abstract

AbstractEducators in many areas of the world lack the necessary resources and training to serve students with developmental disabilities effectively. Telehealth technologies and a train‐the‐trainer approach may help disseminate evidence‐based instructional strategies to teachers in underserved areas. In this study, experimenters combined synchronous and asynchronous remote training to prepare six teachers in Taiwan to implement discrete trial training (DTT) with students. First, the experimenter taught three teachers from a private school to implement DTT with their students. Then, they trained these participants to teach another educator at their school. Finally, the three teachers trained those additional educators. Results indicated that the training was effective for all participants and that the DTT skills of the three trainers maintained over time and transferred to their in‐classroom instruction. These findings replicate and extend the current literature suggesting that the use of telehealth and a train‐the‐trainer model is a promising and socially valid method for disseminating ABA to countries with limited resources.

Behavioral Interventions, 2024 · doi:10.1002/bin.1980