Jobin Allison, Suhrheinrich Jessica, Oliver Kelsey, Chan Janice, Stahmer Aubyn C
California State University San Marcos, San Marcos, CA, USA.
Child and Adolescent Services Research Center, San Diego, CA, USA.
J Autism Dev Disord. 2025 May 8. doi: 10.1007/s10803-025-06849-1.
Research emphasizes the importance of fidelity assessment in the delivery of evidence-based interventions for autistic children, but it is underutilized in community settings. There is a need for effective tools supporting provider training and fidelity measurement within usual care autism services. The purpose of this study was to examine the feasibility, acceptability, and impact of a supervisor training suite to support community-based provider use of a naturalistic behavioral intervention, Pivotal Response Training (PRT). This study applied a nonconcurrent multiple baseline design to evaluate the feasibility, acceptability, and impact of a supervisor toolkit including a PRT intervention fidelity assessment tool and accompanying package of coaching, feedback, and implementation strategies for supporting provider training. Supervisors (n = 5), providers (n = 17), and autistic children (n = 17) participated in the study. Results indicate high levels of adherence to and satisfaction with the Toolkit. Supervisor training in the Toolkit was effective for supporting most providers in successfully using more difficult PRT components and had varied impact on provider implementation of PRT overall. This study contributes to the literature on effective professional development strategies for training providers in evidence-based naturalistic behavioral interventions. The integration of training in the use of a fidelity tool, with planning, coaching, and implementation strategies to support the process, may improve training quality and warrants further research.
研究强调了在为自闭症儿童提供循证干预措施时进行保真度评估的重要性，但在社区环境中该评估方法未得到充分利用。在常规自闭症护理服务中，需要有效的工具来支持提供者培训和保真度测量。本研究的目的是检验一套主管培训套件的可行性、可接受性和影响，以支持社区提供者使用自然主义行为干预方法——关键反应训练（PRT）。本研究采用非同期多重基线设计，以评估一个主管工具包的可行性、可接受性和影响，该工具包包括一个PRT干预保真度评估工具以及配套的指导、反馈和支持提供者培训的实施策略。主管（n = 5）、提供者（n = 17）和自闭症儿童（n = 17）参与了该研究。结果表明对该工具包的依从性和满意度很高。工具包中的主管培训有效地支持了大多数提供者成功使用更难的PRT组件，并且对提供者总体上实施PRT产生了不同程度的影响。本研究为有关培训提供者采用循证自然主义行为干预措施的有效专业发展策略的文献做出了贡献。将使用保真度工具的培训与支持该过程的规划、指导和实施策略相结合，可能会提高培训质量，值得进一步研究。
