Blackman Abigail L, Ruby Sandra A, Bartle Grace, Reed Florence D DiGennaro, Strouse Michael, Erath Tyler G, Leon-Barajas Marren
Department of Applied Behavioral Science, University of Kansas, 4001 Dole Human Development Center, 1000 Sunnyside Avenue, Lawrence, KS 66045-7555 USA.
GoodLife Innovations, Inc, Lenexa, KS USA.
Adv Neurodev Disord. 2022;6(3):304-314. doi: 10.1007/s41252-022-00245-x. Epub 2022 Mar 2.
Direct support professionals (DSPs) play a critical role in health-related outcomes for individuals with intellectual and developmental disabilities (IDD) who reside in congregate living settings. Large behavioral healthcare organizations often rely on staff to function as peer trainers for newly hired DSPs. Organizations should adopt empirically supported training techniques to prepare peer trainers for their role and develop systems to ensure ongoing integrity of the training system. The purpose of this program description is to summarize consultation activities that attempted to create these systems.
Staff members were trained to function as peer trainers, an assessment was conducted to determine the barriers to training in the natural environment, and a systems-level intervention informed by the assessment was implemented to improve peer trainer integrity.
The assessment revealed peer trainers were often unaware when they were expected to train and did not receive feedback or programmed consequences for training newly hired DSPs. A systems-level intervention containing a prompt (reminder) about upcoming training and feedback plus a monetary incentive produced improvements in trainer integrity.
A systems-level intervention based on an assessment can improve peer trainer integrity. Ensuring peer trainer integrity increases the likelihood that newly hired DSPs will implement health-related protocols with individuals with IDD.
直接支持专业人员（DSPs）对于居住在集体生活环境中的智力和发育障碍（IDD）患者的健康相关结果起着关键作用。大型行为医疗保健组织通常依靠员工担任新聘用DSPs的同伴培训师。组织应采用经验支持的培训技术，使同伴培训师胜任其角色，并开发系统以确保培训系统的持续完整性。本项目描述的目的是总结为创建这些系统而进行的咨询活动。
工作人员接受培训以担任同伴培训师，进行评估以确定自然环境中的培训障碍，并根据评估实施系统层面的干预措施，以提高同伴培训师的完整性。
评估显示，同伴培训师通常不知道何时需要进行培训，在培训新聘用的DSPs时没有收到反馈或预设的结果。一项包含即将进行培训的提示（提醒）、反馈以及金钱激励的系统层面干预措施，使培训师的完整性得到了改善。
基于评估的系统层面干预措施可以提高同伴培训师的完整性。确保同伴培训师的完整性增加了新聘用的DSPs对IDD患者实施健康相关方案的可能性。
