PRIDE preservice training is a widely-used method of resource parent preparation, yet a program that has been the focus of very little research. This thesis project was carried out in two studies designed to examine the process of training, investigate selected outcomes of the training, and explore the transfer of training into practice. The first study involved 174 prospective resource parents. Investigation of the process of preservice training determined that participant engagement and participant-perceived fidelity, the combination of which was conceptualized as participant-perceived training quality, were high. In terms of outcomes, significant large gains from pre- to posttraining were observed in knowledge of the PRIDE competencies taught by the training. However, no differences were found in resource parent attitudes (erroneous beliefs or motivation to adopt) from pre- to posttraining. Higher training quality was a significant predictor of both greater knowledge gains and higher participant satisfaction. No differences between prospective foster parents and adoptive parents emerged in terms of participant dropout, knowledge gain, participant satisfaction, or attitudes about resource parenting. The second study was a follow-up with 11 foster, adoptive, and kinship parents from study one who had begun parenting a child in care. Interviews with these resource parents focused on the transfer of training of the PRIDE competencies and requested feedback about the training. Participants’ ratings of their transfer of training were high, while the researchers’ ratings fell in the mid-range. Overall, participants’ comments about PRIDE were positive. Participants highlighted how useful they found personal accounts of resource parents’ experiences during training and that child welfare workers played a key role in the implementation of training. The methodological contributions of this project include the development of three measures – a knowledge of PRIDE competencies questionnaire, a measure of participant-perceived quality, and a transfer of training rating scale – that can be used both in future research and in practice. In addition, this project supplied the first evidence of meaningful links between the process, outcomes, and transfer of PRIDE training, all of which were positive. The project provided essential foundational research which future studies of PRIDE should take into account.

The Essential Tools for Positive Behavior Change is a behavioral parenting curriculum that is currently being disseminated throughout the state and Florida and is now being utilized in Texas to teach parents who are at risk or are founded of abuse and neglect. Research on the curriculum thus far has focused on large scale outcomes, skill acquisition of caregivers during analog role-play assessments, and scores on a written quiz. Little research has focused on generalization of classroom performance to the home. The measurement systems that have been used to evaluate positive outcomes also were in need of improvement. The current study was designed to determine whether teaching a component (Stay Close) to typical parents resulted in immediate improvements in written exam scores and on a role-play assessment and if those skills could be seen in a home setting. The results indicated that small improvements were seen across quiz scores in all but one family and some improvements across behavior was seen in both the role-play and home observations. Additionally, a reliable measurement system was created that captured both home observations and role-play assessment data.

Behavior analysts have long recognized the need for direct and reliable measurement of complex behaviors that are important to society. Recently investigators have approached one of the singular most complex behaviors: happiness. Limited research, however, has explored happiness in parent-training programs with children with autism and their families. The current study applied the definitions and data systems used in Broome's 2007 study to obtain indices of happiness within a parent training program for parents of toddlers with autism. Direct measures of smiles and laughs were collected from videotaped assessments. Results suggest that the program increased behaviors associated with happiness. Results are discussed in terms of program development and future research.

Behavior analysts have proposed a primary measure, the "learn unit," to evaluate educational effectiveness. Past research has indicated this is a useful approach. The benefits of "learn units" may also apply to family interventions in autism. The current analysis evaluated the rates of learn units in a naturalistic parent-training program to determine if (1) definitions of learn units previously described in the literature can be reliably applied to family interventions and (2) an increased number of learn units correlate with increased child responding and attainment of child and family goals. Results from the current analysis demonstrated that the rate of learn units increased from baseline to training for all parent-child dyads and the percent of correct child responses increased for all children. Teaching parents the components of effective education may increase the quantity and quality of interventions for children diagnosed with autism.

This study examined the effects of a condensed parent training program on parent-child interactions in the home. Two parents participated in a positive parenting workshop that included explicit training of four skills and indirect training of two additional skills. To determine skill acquisition, both parents performed role plays and completed written exams pre- and post-training. Role play assessment results showed improvements in all skill areas for both participants. Written assessment results showed improvements for all skills directly taught except one. Multiple measures were examined in the home prior to and following the workshop to assess generalization. Results showed an increase in positive interactions and decrease in coercive interactions and undesirable child behavior for both participants.

Child maltreatment affects 900 thousand children in the U.S. every year and impacts all areas of daily functioning. Behavioral parent training (BPT) programs have effectively taught parenting and demonstrated externally valid outcomes (i.e., lower recidivism rates). Skill maintenance assessments for BPTs have mixed results. The Behavior Management and Parenting Services (BMAPS) program has shown effective skill training for court-mandated families. This study assessed skill maintenance and performance factors that may have impaired parents using an ABAB single-case research design in Phase 1 & external validity with a survey in Phase 2. Results for Phase 1 found that most BMAPS parents acquired all parenting tools to criteria, dropped below criteria at the 3 month probe, then fully demonstrated their regained skills after a brief review. Psychological and classroom factors do not appear to have systematically influenced performance at any time, although homework completion was associated with better scores at the end of class. Phase 2 results found a 91% reunification rate and a 0% recidivism rate over 1-3 years. All limitations aside, it appears that the BMAPS program is able to effectively train skills to criteria and these skills can be sustained with a booster session. The vast majority of parents we contacted were reunified with their children and none were involved with additional charges of child maltreatment.

abstract: The purpose of this study is to evaluate the effects of parent training in the Enhanced Milieu Teaching with Phonological Emphasis (EMT+PE) intervention program, using a secure internet-based conferencing software (telepractice), on parent strategy use and child speech and language outcomes for children with repaired cleft lip and/or palate (CL/P). Three participant dyads composed of a parent and child participated in this study. Children ranged in age from 21 to 27 months at the beginning of this study and all had a diagnosis of nonsyndromic CL/P. Participating dyads received three in- person training sessions and three weekly telepractice intervention sessions. Assessment and intervention sessions were administered by a trained Speech Language Pathologist (SLP) and a graduate SLP student clinician. Parents demonstrated a positive intervention effect by significantly increasing their use of EMT+PE intervention strategies during training. Based on preliminary results, parents were able to maintain their increased use of strategies following the conclusion of intervention as well. Telepractice proved to be a valid service delivery model for conducting early intervention sessions and for supporting the early speech and language development for children with CL/P. / Dissertation/Thesis / Masters Thesis Communication Disorders 2020

A two-part study explored the maintenance effect of Behavioral Parent Training (BPT) featuring multi-component treatments by examining one year follow-up data from a larger study. Participants were ten parents of children (ages 3-5) with developmental disabilities and severe problem behaviors. Parents were also identified as having high levels of pessimism. BPT featuring multi-component treatments was provided in two conditions: Positive Behavior Support (PBS) and Positive Family Intervention (PFI). PBS included a standardized protocol to teach parents how to conduct a functional assessment, develop and implement a multi-component treatment, which includes the following strategies: prevention, teaching replacement skills, and managing consequences. PFI embedded optimism training in the same protocol used in PBS. Optimism training included presenting parents with their negative self-talk and having them practice using more positive self-talk throughout all sessions. In the first study, improvements in child behavior were observed after treatment, which maintained one year later for both conditions. The second study further revealed that participants in the PBS condition frequently used passive strategies vs. participants in the PFI condition who frequently used proactive strategies during post and one year follow-up. The current study did not reveal a specific treatment component to be responsible for behavior change and maintenance, but provided some insight as to the type of prevention strategies pessimistic parents are likely to use depending on whether or not they received optimism training. Suggestions for future research in assessing the remaining treatment components are discussed.

Children with autism have deficits in social interactions and verbal and nonverbal communication and engagement in rigid and repetitive activities and/or interests (ASA, 2008). A joint attention (JA) repertoire has been identified as a behavioral cusp for later social development and thus, JA deficits serve as an early indicator for diagnosis of autism spectrum disorder (Vismara & Lyons, 2007; Whalen & Schbreibman, 2003). A JA repertoire consists of both responses to- and initiations for-bids for coordinated attention. Previous research has shown teaching strategies such as pivotal response and discrete trial training for joint attention skills to be effective (Vismara & Lyons, 2007; Whalen & Schreibman, 2003). The purpose of the current study was to evaluate a mixture of pivotal response and discrete trial training as an intervention method for training joint attention behaviors with children diagnosed with autism spectrum disorder in a home setting. In addition, this study evaluated the effects of interspersing targets during training and incorporated generalization probes to assess JA initiations in the form of shifting eye gaze and pointing. Lastly this study examined a parent training procedure to determine if it would promote maintenance after skill acquisition. Results show that all targets were acquired when taught simultaneously. The results show that 2 of the 3 participants made JA initiations during probes throughout intervention. Lastly, the results indicated that parent training did not help maintain JA responding for participant one.

There have been many studies on teaching behavior analytic skills to parents for addressing problem behavior exhibited by their children. However, very few studies have addressed the issue of teaching parents to conduct a functional assessment and design a treatment for the problem behavior. The present study utilized behavioral skills training to teach parents how to conduct ABC recording, write a summary statement based on the data collected, and determine the proper treatment choices. The 8 participants participated in one 3 hour class in which a trainer used instructions, modeling, rehearsal, and feedback to teach these three skill sets. Prior to class, during class, directly after class training, and 1 to 2 weeks following class, the participants viewed at least four videos with each showing a problem behavior serving a different function in the context of a parent child interaction. The percentage of correct responding for each dependent variable (ABC recording, summary statement, and treatment choices) was calculated and baseline and post-treatment scores were compared via a multiple baseline across participants design. The results showed an increase in the percentage correct for most skills for most participants. These results show that it is possible to teach parents to conduct a functional assessment and chose proper treatment strategies. Future implications in parent training are discussed.