Evaluating the Use of Video Modeling With Voiceover Instructions to Train Therapists to Deliver Caregiver Training Through Telehealth.

Caregiver training is an important component of behavioral intervention; however, many barriers exist for in-person training. Alternatively, behavioral therapists may use telehealth as a service delivery method. To effectively train caregivers through telehealth, therapists should receive explicit training, but there has been limited research on effective methods for teaching this skill. The purpose of the current study was to evaluate video modeling with voice-over instruction (VMVO) to train therapists to implement 11 component skills of caregiver training through telehealth to teach confederate caregivers to implement a guided compliance procedure. We measured the therapist's implementation of the component skills during a scripted role-play before and after video-model training within a multiple baseline design across participants. We also conducted maintenance and generalization probes to a novel skill. All seven therapists learned the skill, but three therapists required a feedback component in addition to the VMVO. The results suggest that VMVO may be an efficient and effective method for training therapists to conduct caregiver training via telehealth. Furthermore, results indicate that component skill analyses may be valuable to monitor skills that require remediation.

Comparing Matrix-Training Procedures with Children with Autism Spectrum Disorder.

Recombinative generalization is the production of responses in the presence of novel combinations of known components. For example, after learning "red triangle" and "blue square," recombinative generalization is observed when a child can tact "red square" and "blue triangle." Recombinative generalization can emerge from a history of matrix training, which involves carefully selecting and arranging stimuli and responses along at least two axes and training a subset of responses. With three children with autism spectrum disorder, we compared recombinative generalization of object-action or feature-object tacts when the component stimuli were trained before combination stimuli, trained along with combination stimuli, or untrained (i.e., combination only). For two participants, training the components along with some combinations led to the most untrained targets acquired without direct teaching. For the other participant, training the combinations only led to the greatest proportion of untrained targets acquired without direct teaching. We discuss stimulus control promoted by each teaching arrangement and suggestions for future research on recombinative generalization.