This comparison draws in part from “Effects of an Adapted Telehealth Training Curriculum for Registered Behavior Technicians” (Special Learning), and extends it with peer-reviewed research from our library of 27,900+ ABA research articles. The decision framework, BACB ethics code references, and cross-links below are synthesized by Behaviorist Book Club.
View the original presentation →Organizations designing RBT training programs face a meaningful decision about delivery format. In-person training offers proximity, physical modeling, and immediate environmental feedback that are natural advantages for skill development. Telehealth training offers flexibility, accessibility, and the ability to simulate the actual service delivery environment for RBTs who will practice remotely. The choice is not always binary — hybrid approaches are increasingly common — but understanding the tradeoffs along specific dimensions helps BCBAs and program directors make deliberate design decisions rather than defaulting to whichever format is most administratively convenient. The research on adapted telehealth curricula suggests that the format itself matters less than the quality of the training design: structured, competency-based training with adequate practice and feedback produces mastery in both formats when implemented well.
| Factor | Evidence-Based Approach | Traditional Approach |
|---|---|---|
| Physical modeling | In-person: Trainer can physically demonstrate skills, use proximity cues, and make immediate physical corrections | Telehealth: Modeling is verbal and visual through video; physical prompting unavailable, requiring more explicit verbal instruction |
| Ecological validity for remote RBTs | In-person: Practice conditions differ from actual telehealth service environment; skills must transfer across formats | Telehealth: Training environment matches service delivery environment directly, reducing transfer burden |
| Access and scheduling | In-person: Requires travel, co-location, and synchronized schedules for trainer and trainee | Telehealth: Accessible from any location with adequate internet; scheduling more flexible for distributed teams |
| Technology as a training variable | In-person: Technology management is not a training component; this competency remains unaddressed | Telehealth: Technology management is embedded in training; trainees develop platform fluency as part of the curriculum |
| Supervisor observation of trainee performance | In-person: Supervisor can observe nuanced behavioral cues, body language, and environmental management | Telehealth: Supervisor observation limited to what is visible on camera; some behavioral data is unavailable |
| Mastery timeline | In-person: Dependent on training design quality; no inherent format advantage for mastery speed | Telehealth: Research demonstrates mastery achievable in approximately three sessions with structured curriculum and BCBA supervision |
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Use this framework when approaching effects of an adapted telehealth training curriculum for registered behavior technicians in your practice:
Does the data support a need for intervention? Is there a meaningful impact on the individual's quality of life, safety, or access to reinforcement?
YES → Proceed to assessment NO → Document reasoning, monitor
A functional assessment should guide intervention selection. Avoid defaulting to standard protocols without individual analysis. Consider environmental variables, setting events, and private events.
YES → Select evidence-based approach matched to function NO → Complete assessment first
Goals should be co-developed. Assent and informed consent are ethical requirements. The individual's preferences and values matter in selecting both goals and methods.
YES → Proceed with collaborative plan NO → Engage in shared decision-making
This course covers the clinical and ethical dimensions in detail with structured learning objectives and CEU credit.
Effects of an Adapted Telehealth Training Curriculum for Registered Behavior Technicians — Special Learning · CEUs available · $19
Take This Course →We extended this decision guide with research from our library — dig into the peer-reviewed studies behind each approach, in plain-English summaries written for BCBAs.
279 research articles with practitioner takeaways
252 research articles with practitioner takeaways
225 research articles with practitioner takeaways
BACB General CEUs · $19 · Special Learning
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All behavior-analytic intervention is individualized. The information on this page is for educational purposes and does not constitute clinical advice. Treatment decisions should be informed by the best available published research, individualized assessment, and obtained with the informed consent of the client or their legal guardian. Behavior analysts are responsible for practicing within the boundaries of their competence and adhering to the BACB Ethics Code for Behavior Analysts.