Association for Behavior Analysis International

Empirical evidence supports that pre-session pairing or rapport building, between a clinician and client, can increase clinical outcomes in ABA services. Kelly, Axe, Allen, and Maguire noted the effects of pre-session pairing on decreasing challenging behaviors in 2015 while Shillingsburg, Hansen, and Wright (2018) delineated 9 steps in the pairing process to best support children with Autism for in seat, at a table, discrete trial instruction. Furthermore, Lugo, King, Lamphere, and McArdle (2017) sought to operationally define the behaviors characteristic of pre-session pairing to then train staff to better implement these skills. This presentation explores the systematic approach to training BCBA supervisors and technicians in pre-session pairing and the addition of a “Rapport Building” curriculum to a client’s individualized learning program. The presenters will describe the training of clinicians across skills, review the development of a systematic pre-session pairing program, and compare clinical outcomes between clients whose programs include a systematic approach to pairing and those without. Finally, the presenters will examine the social validity from parents, payers, and technicians to support the pre-session pairing program.

The audience should be competent in basic principles of behavior analysis, running center or home-based programming, writing, running, and supervising behavior analytic programming.