A fundamental and persistent challenge for behavior analysts since the inception of our field has been the development of behavioral interventions that produce enduring beneficial outcomes. Two of the most important variables affecting whether treatment effects maintain or whether relapse occurs are: (a) the extent to which parents, teachers, staff members, and other caregivers learn to implement the treatment with high procedural integrity; and (b) whether they continue to apply the treatment with fidelity when the professional behavior analyst is not present. In this symposium, three of our field’s leading experts will describe the best practices they have developed and tested for promoting the acquisition and maintenance of procedural integrity in the implementation of effective behavioral interventions by caregivers. Lynn Bowman of the Kennedy Krieger Institute will describe the development and implementation of a comprehensive staff training and management system. Rebecca MacDonald of the New England Center for Autism will demonstrate how video modeling can be used to produce large and rapid improvements in treatment implementation by both parents and staff. Finally, Cathleen Piazza will illustrate how effective in-clinic and telehealth parent-training strategies can be employed to promote accurate and sustained implementation of feeding interventions by parents in the home setting.
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