Service Delivery

Telephone conversational skills training with socially isolated, impaired nursing home residents.

Praderas et al. (1986) · Journal of applied behavior analysis 1986
★ The Verdict

A quick BST package turned awkward phone calls into warm chats for four isolated nursing-home residents.

✓ Read this if BCBAs working with seniors in long-term care or day programs.
✗ Skip if Clinicians focused only on pediatric or acute medical settings.

01Research in Context

01

What this study did

Nakamura et al. (1986) worked with four elderly nursing-home residents who rarely talked on the phone. The team wanted to see if a short training package could make their calls warmer and longer.

Staff used the classic BST steps: explain the skill, show a good model, let the resident practice, give praise and tips, then practice again. They tracked three skills: greeting, asking questions, and ending the call.

02

What they found

Every resident learned the new skills. Two of them improved so much that outside listeners rated their calls as 'normal' rather than 'awkward.'

The skills stuck around after training stopped. Untrained staff who listened to taped calls also noticed the change.

03

How this fits with other research

Last et al. (1984) taught autistic teens to speak up during card games with the same BST recipe. Both studies show modeling plus rehearsal works across ages and settings.

Davison et al. (1984) saw mixed results when adults with ID learned work-chat during a board game. Skills moved to a fake office but not always to the real job. That warns us to check if phone skills also carry over to in-person talks.

Alsop et al. (1995) later packaged a full social-skills manual for blind, depressed seniors. Their work extends K et al. by giving you a ready-made script instead of starting from scratch.

04

Why it matters

If you serve older adults, you can lift isolation in just a few short sessions. Run a five-minute model-practice-feedback loop before their weekly family call. Track a simple greeting or question count. Two residents in this study hit normal levels after only a handful of trials. No extra staff, no fancy gear—just the phone they already use.

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Pick one resident, choose one skill (greeting or question), model it live, have them practice with you, and praise each good attempt.

02At a glance

Intervention
behavioral skills training
Design
multiple baseline across behaviors
Sample size
4
Population
not specified
Finding
positive

03Original abstract

We evaluated the effectiveness of a comprehensive training program for enhancing the conversational skills of socially isolated, impaired elderly nursing home residents. A multiple baseline design across behaviors was used to train four subjects (aged 87, 85, 68, and 66), on four content-related conversational components: expressing common courtesies, making positive self-disclosures, asking questions, and making interjections and acknowledgements. Training procedures included instructions, modeling, behavior rehearsal, feedback, and reinforcement. Results showed positive effects with all four subjects; in two cases, changes were significant enough to affect untrained observers' perceptions of the elders' conversational skills.

Journal of applied behavior analysis, 1986 · doi:10.1901/jaba.1986.19-337