Cited by 30Behavioral and Psychological StudiesHuman Resource Development and Performance EvaluationAutism Spectrum Disorder Research

Training individuals to implement discrete‐trial teaching procedures using behavioral skills training: A scoping review with implications for practice and research

Open access
Briggs, Adam M., Zohr, Samantha J., Harvey, Olivia B.·2024·Journal of Applied Behavior Analysis

Abstract

Behavioral skills training (BST) is an evidence-based approach for training individuals to implement discrete-trial teaching procedures. Despite the effectiveness of this approach, implementing BST can be time and resource intensive, which may interfere with a clinical organization's adoption of this training format. We conducted a scoping review of studies using BST components for training discrete-trial teaching procedures in peer-reviewed articles between 1977 and 2021. We identified 51 studies in 46 publications involving 354 participants. We coded descriptive data on (a) participant characteristics, (b) study characteristics, (c) training conditions (including instructions, modeling, rehearsal, and feedback), and (d) training outcomes. The results indicated that studies have primarily attempted to improve the efficacy and efficiency of BST by modifying or omitting common training components. We provide best-practice considerations for using BST to teach discrete-trial teaching procedures and offer a research agenda to guide future investigation in this area.

Integrity signals

Registry

Crossref · 10.1002/jaba.1024

Cites

91 of 92 references verified0 citation errors · 1 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

9 of 86 cited sources checked · 7 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    A survey on staff training and performance management practices indicated that evidence-based training approaches were used in practice about half of the time.

    “Despite research suggesting that BST is an effective method for training individuals to implement DTT (Fingerhut & Moeyaert, 2022;Parsons et al., 2012), results from a survey on staff training and performance management practices indicated that evidence-based training approaches were used in practice about half of the time (DiGennaro Reed & Henley, 2015).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites DiGennaro Reed & Henley, 2015 source

      The Initial or Pre-Service Training section reports that 46.89% of respondents who received initial training got performance feedback, and the Discussion says roughly 60% reported modeling. These are components of evidence-based training, but the Discussion also says a large majority did not receive the full training package. The paper does not establish that evidence-based approaches as a whole were used about half the time. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • Premisecitation

    BST is an evidence-based approach for training individuals to implement DTT procedures.

    “Behavioral skills training (BST) is an evidence-based approach for training individuals to implement discrete-trial teaching procedures.”
    • Also stated in: § Abstract · hedged
      “Despite research suggesting that BST is an effective method for training individuals to implement DTT (Fingerhut & Moeyaert, 2022;Parsons et al., 2012)”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Fingerhut & Moeyaert, 2022 source
    • cites Parsons et al., 2012 source
  • Interpretationcitation

    The instruction component may be insufficient because acquiring knowledge about a complex repertoire does not directly affect one's performance of that skill.

    “The instruction component may be insufficient because acquiring knowledge about a complex repertoire does not directly affect one's performance of that skill (Parsons et al., 2012).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Parsons et al., 2012 source
  • Premisecitation

    RCTs are the gold standard for effectiveness research.

    “Given the number of studies demonstrating the efficacy of BST for teaching DTT procedures, it is somewhat surprising that more have not conducted RCTs, as this is the gold standard for effectiveness research (Hariton & Locascio, 2018).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Hariton & Locascio, 2018 source
  • Findingown data

    The scoping review identified 51 studies within 46 publications involving 354 participants.

    “We identified 51 studies in 46 publications involving 354 participants.”
    • Also stated in: § RESULTS · plain
      “Across the three databases, we identified 51 studies within 46 articles published across 16 peer-reviewed journals from 1977 to 2021 for inclusion in this review”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. 42
  • May combine two claims. 51
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    The review followed the PRISMA-ScR guidelines.

    “We followed the guidelines for the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR; Tricco et al., 2018).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Tricco et al., 2018 source
  • Classified as probably not a substantial claim.

    Interpretationcitation

    Given the number of studies demonstrating the efficacy of BST for teaching DTT procedures, it is somewhat surprising that more have not conducted RCTs.

    “Given the number of studies demonstrating the efficacy of BST for teaching DTT procedures, it is somewhat surprising that more have not conducted RCTs, as this is the gold standard for effectiveness research (Hariton & Locascio, 2018).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Hariton & Locascio, 2018 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingcitation

    Recent advancements have embedded instructions within video-model components as on-screen text or included voiceover instructions where a narrator described what was being demonstrated in the video.

    “Further, recent advancements have embedded instructions within the video-model components as on-screen text (e.g., Spiegel et al., 2016) to enhance the saliency of important training features or included voiceover instructions where a narrator described what was being demonstrated in the video (e.g., Catania et al., 2009).”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Spiegel et al., 2016 source
    • cites Catania et al., 2009 source
  • May combine two claims.

    Premisecitation

    There is an immense need for services and a limited number of qualified behavior analysts to provide training.

    “However, with the immense need for services and the limited number of qualified behavior analysts to provide training (Behavior Analyst Certification Board, 2023;Yingling et al., 2021;Yingling et al., 2022), it is no wonder that the major research trends we observed in the literature were related to improving the efficacy and efficiency of BST for training individuals to implement DTT procedures.”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites Behavior Analyst Certification Board, 2023

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Yingling et al., 2021 source
    • cites Yingling et al., 2022 source

      The Introduction reports substantially increased demand for ABA services, and the Discussion says that the limited number of BCBAs in most counties would require caseloads above recommendations. The paper addresses shortages of providers serving children with ASD, but does not establish a shortage of behavior analysts specifically available to provide training. (LLM, conf=0.87)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    We closely followed the guidelines for the PRISMA-ScR (Tricco et al., 2018).

    “Although we closely followed the guidelines for the PRISMA-ScR (Tricco et al., 2018), we omitted several steps.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Tricco et al., 2018 source
  • May combine two claims.

    Findingcitation

    The types of DTT programs taught differed both within and across studies, and the three most commonly taught DTT programs were matching, auditory-visual conditional discrimination, and imitation.

    “The types of DTT programs taught differed both within and across studies.The three most commonly taught DTT programs were matching (e.g., match to sample; Nosik & Williams, 2011), auditory-visual conditional discrimination (e.g., pointing to named objects; Thomson et al., 2012), and imitation (e.g., gross motor imitation; Nosik et al., 2013).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Nosik & Williams, 2011 source
    • cites Thomson et al., 2012 source
    • cites Nosik et al., 2013 source
  • May combine two claims.

    Findingcitation

    Within this literature, researchers evaluated the accuracy of two training procedures: the trainer's behavior during different components of the training program or the confederate's script-following during rehearsal.

    “Within this literature, researchers evaluated the accuracy of two training procedures: (a) the trainer's behavior during different components of the training program (e.g., Clayton & Headley, 2019) or (b) the confederate's script-following during rehearsal (e.g., Fisher et al., 2020).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Clayton & Headley, 2019 source
    • cites Fisher et al., 2020 source
  • May combine two claims.

    Findingcitation

    Neither performance on a quiz nor the fluency measured by the time it took to complete the quiz predicted performance scores.

    “Results indicated that neither the performance on a quiz nor the fluency measured by the time it took to complete the quiz predicted performance scores.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Across the 51 studies, 47 (92%) used a within-subject experimental design and four (8%) used a between-groups design.

    “Across the 51 studies, 47 (92%) used a within-subject experimental design and four (8%) used a between-groups design.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Six of the 31 (19%) participants in these studies reached DTT performance mastery criteria following experience with only the self-instruction manual, and the remaining 25 of 31 (81%) participants required additional training components to reach mastery criteria.

    “Six of the 31 (19%) participants in these studies reached DTT performance mastery criteria following experience with only the self-instruction manual.The remaining 25 of 31 (81%) participants required additional training components (e.g., modeling, feedback) to reach mastery criteria.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    40 out of the 51 (78%) studies used individual training formats, five (10%) used group formats, the remaining used individual and group formats (9%) or did not specify the format (4%).

    “Further, 40 out of the 51 (78%) studies used individual training formats.Only five of the 51 (10%) studies used group training formats.The remaining studies used individual and group formats (9%) or did not specify the format (4%).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingreasoning

    The remaining studies using a self-instruction manual did not provide sufficient details to judge whether enhanced components were used.

    “The remaining studies using a self-instruction manual did not provide sufficient details to judge whether enhanced components were used.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Of the studies using a within-subject design, 42 (89%) used some variation of a multiple-baseline design, multiple-probe design, or multiresponse baseline design, and five (12%) used a quasi-experimental, two-phase design.

    “Of the studies using a within-subject design, 42 (89%) used some variation of a multiple-baseline design, multiple-probe design, or multiresponse baseline design, and five (12%) used a quasi-experimental, twophase design.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation

    Salem et al. (2009) included practice data sheets within their self-instruction manual, and Severtson and Carr (2012) reported using step-by-step nontechnical jargon, pictures depicting how to implement DTT, and detailed examples of procedures within their self-instruction manual.

    “Similarly, Salem et al. (2009) included practice data sheets within their self-instruction manual and Severtson and Carr (2012) reported using (a) stepby-step nontechnical jargon, (b) pictures depicting how to implement DTT, and (c) detailed examples of procedures within their self-instruction manual.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Salem et al. (2009)

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Severtson and Carr (2012) source
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Findingnone given

    Baseline conditions typically varied as a function of the research question or independent variable.

    “Baseline conditions typically varied as a function of the research question or independent variable.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    The reviewed studies reported demographic variables at the following rates: age 36/51 (71%), sex/gender 34/51 (67%), ethnicity/nationality 6/51 (12%), and socioeconomic status 3/51 (6%).

    “Specifically, 36 out of 51 (71%) studies reported the age of participants, 34 out of 51 (67%) studies reported the sex/gender of participants, six out of 51 (12%) studies reported the ethnicity/nationality of participants, and only three out of 51 (6%) studies reported the socioeconomic status of participants.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Across the 51 studies, 31 (61%) included a combination of written plus vocal instructions, 15 (29%) included written instructions only, four (8%) included vocal instructions only, and one (2%) included either a combination of written plus vocal instructions or vocal instructions only.

    “Across the 51 studies, 31 (61%) included a combination of written plus vocal instructions, 15 (29%) included written instructions only, four (8%) included vocal instructions only, and one (2%) included either a combination of written plus vocal instructions or vocal instructions only.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Across the 51 studies, participants were trained to implement DTT procedures that varied greatly by the number of steps, with the number of steps trained ranging from 4 to 45 among studies providing these details.

    “Across the 51 studies, participants were trained to implement DTT procedures that varied greatly by the number of steps.Of the studies providing these details, the number of steps trained ranged from 4 to 45.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation

    Enhanced self-instruction manuals used easy-to-understand language, detailed examples of procedures, pictures depicting each step, and detailed data sheets.

    “Enhanced self-instruction manuals used easy-to-understand language, detailed examples of procedures, pictures depicting each step, and detailed data sheets.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    BST components have been used to train various types of individuals (e.g., undergraduate students, clinical staff) across a wide range of ages (18-70 years) and settings (e.g., school, clinic, home).

    “The findings indicate that BST components have been used to train various types of individuals (e.g., undergraduate students, clinical staff) across a wide range of ages (i.e., 18-70 years) and settings (e.g., school, clinic, home).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation

    Other studies did not combine rehearsal with feedback because they either did not include a feedback component at all or they did not need to program a feedback component to produce desirable performance.

    “In contrast, the other studies did not combine rehearsal with feedback because they either (a) did not include a feedback component at all (Thomson et al., 2012;Zaragoza Scherman et al., 2008) or (b) they did not need to program a feedback component to produce desirable performance (Salem et al., 2009;Thiessen et al., 2009;Ward-Horner & Sturmey, 2008).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Thomson et al., 2012 source
    • cites Zaragoza Scherman et al., 2008

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Salem et al., 2009

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Findingcitation

    Some training approaches embedded a self-practice component within the self-instruction component or included rehearsal with a computer program simulating a child's behavior, incorporating the practice aspect of the rehearsal component without requiring someone else to be present.

    “For instance, some training approaches embedded a self-practice component within the selfinstruction component (e.g., Salem et al., 2009) or included rehearsal with a computer program simulating a child's behavior (e.g., Serna et al., 2016), either of which incorporates the practice aspect of the rehearsal component without requiring someone else to be present.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Vocal feedback was evaluated in isolation in 24 of the 44 (55%) studies and in combination with other modalities in 16 of the 44 (36%) studies, thus being represented in 40 of the 44 (91%) studies that incorporated feedback.

    “Specifically, vocal feedback was evaluated in isolation (24 of the 44 [55%] studies) or in combination with other modalities (16 of the 44 [36%] studies), thus being represented in most studies (40 of the 44 [91%] studies) that incorporated feedback.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation

    Studies have supplemented video models with interactive media and audio components, and some studies embedded quiz questions within online training modules.

    “Studies have also supplemented video models with interactive media and audio components (e.g., embedded clickable text and exercises; Serna et al., 2016).Finally, some studies also embedded quiz questions within the online training modules (e.g., Nosik & Williams, 2011).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Serna et al., 2016 source
    • cites Nosik & Williams, 2011 source
  • May combine two claims.

    Findingown data

    Procedural-fidelity data on the confederate's performance during the rehearsal component were often absent; only 52% of studies using a confederate reported procedural-fidelity data.

    “Further, procedural-fidelity data on the confederate's performance during the rehearsal component were often absent (only 52% of studies using a confederate reported procedural-fidelity data).”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Findingnone given

    The influence of BST mastery criteria on the short-and long-term maintenance of DTT procedures is unknown.

    “Relatedly, the influence of BST mastery criteria on the short-and long-term maintenance of DTT procedures is unknown.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Feedback was the second most common component incorporated into BST used to teach DTT procedures, included within 86% of studies reviewed.

    “Feedback was the second most common component incorporated into BST used to teach DTT procedures (included within 86% of studies reviewed).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Among studies using rehearsal, 17 of 41 (41%) conducted rehearsal with a trainer or trainee posing as a child confederate, 10 of 41 (24%) with a child, six of 41 (15%) as self-practice or via e-learning with a virtual child, six of 41 (15%) used a combination, and two of 41 (5%) did not describe their rehearsal conditions.

    “Seventeen of the 41 (41%) studies conducted rehearsal with a trainer or trainee posing as a child confederate.Ten of the 41 (24%) studies conducted rehearsal with a child.Six of the 41 (15%) studies arranged the rehearsal component as either a self-practice session or offered via an e-learning platform with a virtual child.Six of 41 (15%) studies used some combination of the three aforementioned”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation

    Most of the studies in this review set a global measure mastery criterion and did not report DTT steps performed with errors.

    “Most of the studies in this review set a global measure mastery criterion and did not report DTT steps performed with errors (see Cook et al., 2015, for a demonstration of and discussion on how using global measures can mask critical performance errors).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Only 19% of the total studies reviewed required a mastery criterion of 100%, and even fewer required this criterion across multiple consecutive sessions.

    “Given that only 19% of the total studies we reviewed required a mastery criterion of 100% and even fewer required this criterion across multiple consecutive sessions, we suggest researchers replicate and extend the effects of different mastery criteria on the skill maintenance of DTT procedures.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingcitation

    The modality of social-validity data collection also differed across studies, with some using a face-to-face interview approach, whereas other approaches had participants complete an open-ended or closed-ended questionnaire on their own.

    “The modality of social-validity data collection also differed across studies, with some using a face-to-face interview approach (e.g., McBride & Schwartz, 2003) to assess participant preference, whereas other approaches had participants complete an open-ended (e.g., Williams & Gallinat, 2011) or closed-ended (e.g., Likert-type scale measure; Fazzio et al., 2009) questionnaire on their own.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation

    Video models with voiceover instruction and interactive computer-based training improved the integrity with which individuals implemented DTT procedures.

    “For instance, video models with voiceover instruction (e.g., Catania et al., 2009) and interactive computer-based training (e.g., Pollard et al., 2014) improved the integrity with which individuals implemented DTT procedures.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingcitation

    This finding is identical to the research themes in the general BST literature.

    “This finding is identical to the research themes in the general BST literature (Erath & DiGennaro Reed, 2020;Gerencser et al., 2020;Marano et al., 2020).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingcitation

    The studies used different types of questions to assess for social validity, including questions about perceived effectiveness of training materials and BST training components, participant opinions about the training experience, participants' perceived confidence in their successful implementation of DTT posttraining, or open-ended questions directed at obtaining participant feedback on how the培训

    “The studies used different types of questions to assess for social validity, including questions about the perceived effectiveness of training materials (Thiessen et al., 2009) and BST training components (Lerman et al., 2020), participant opinions about the training experience (Lerman et al., 2013), participants' perceived confidence in their successful implementation of DTT posttraining (Al-N”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingnone given

    We are unaware of any studies that have compared the results of live synchronous and remote synchronous or asynchronous methods or individual versus group instruction.

    “we are unaware of any studies that have compared the results of (a) live synchronous and remote synchronous or asynchronous methods or (b) individual versus group instruction.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Of the 34 studies conducting probes for generality, 25 (74%) assessed for generality across novel programs, 19 (56%) assessed for generality across novel learners, and two (6%) assessed for generality across novel settings.

    “Of the 34 studies conducting probes for generality, 25 (74%) assessed for generality across novel programs, 19 (56%) assessed for generality across novel learners, and two (6%) assessed for generality across novel settings.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingcitation

    Comparison studies found little difference between live synchronous and remote synchronous or asynchronous formats and individual versus group instruction.

    “In addition, comparison studies found little difference between live synchronous and remote synchronous or asynchronous formats and individual versus group instruction (e.g., Geiger et al., 2018).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    One study conducted maintenance checks up to 25 weeks postmastery, and the next closest study conducted maintenance checks up to 16 weeks postmastery.

    “One study conducted maintenance checks up to 25 weeks postmastery.The next closest study conducted maintenance checks up to 16 weeks postmastery.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    10 of the 17 (59%) studies only performed one maintenance check, whereas the other seven (41%) conducted multiple maintenance checks over time.

    “Additionally, 10 of the 17 (59%) studies only performed one maintenance check, whereas the other seven (41%) conducted multiple maintenance checks over time.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Findingnone given

    Time-to-completion data are lacking, and comparative studies are needed to demonstrate whether one approach is more efficient while still producing desirable outcomes.

    “However, time-to-completion data are lacking, and comparative studies are needed to demonstrate whether one approach is, in fact, more efficient while still producing desirable outcomes.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    The second and third authors independently reviewed each study and extracted data for each descriptive variable.

    “The second and third authors independently reviewed each study and extracted data for each descriptive variable described above.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Raters agreed on 100% of studies for inclusion.

    “Raters agreed on 100% of studies for inclusion.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Practical constraints related to time and resources required for developing and administering evidence-based training may prevent adoption in practice.

    “One possibility is that considerable practical constraints related to the time (e.g., the number of trials required to demonstrate performance mastery) and resources (e.g., use of training materials and the presence of an experienced trainer) required for developing and administering evidence-based training may prevent adoption in practice (Sherman et al., 2021).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Sherman et al., 2021 source
  • May combine two claims.

    Premisecitation

    Leaf et al. (2019) considered all training approaches separately and did not conceptualize the components within the framework of BST.

    “The results indicated robust literature on training individuals to implement DTT; however, Leaf et al. considered all training approaches separately (i.e., it did not conceptualize the components within the framework of BST).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Leaf et al. (2019) source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Interrater agreement for the search procedures was 100%.

    “Interrater agreement was 100%.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationcitation

    The asynchronous self-instruction approach represents a more time- and resource-efficient method, which translates to improved cost effectiveness.

    “Therefore, this asynchronous approach represents a more time-and resource-efficient method, which translates to improved cost effectiveness (Marano et al., 2020).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Marano et al., 2020 source
  • May combine two claims.

    Interpretationcitation

    As video models do not require the presence of a trainer, they permit easy distribution of standardized training.

    “As video models do not require the presence of a trainer, they permit easy distribution of standardized training (Gerencser et al., 2020;Marano et al., 2020).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Gerencser et al., 2020 source
    • cites Marano et al., 2020 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationcitation

    A self-instruction option may be desirable when clinics operate with low trainer-to-staff ratios.

    “This option may be desirable when clinics operate with low trainer-to-staff ratios (Karsten et al., 2015).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Karsten et al., 2015 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Raters agreed on all data extracted for 44 of 51 (86%) studies.

    “After they completed an independent review and data extraction for each study, raters agreed on all data extracted for 44 of 51 (86%) studies.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Instruction components presented with a computer-based approach require that trainees have access to this technology.

    “Finally, instruction components presented with a computerbased approach (e.g., Pollard et al., 2014) require that trainees have access to this technology.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Pollard et al., 2014 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    The single disagreement resulted from an oversight on the first author's behalf and did not require resolution or modification to the data-charting table.

    “The first author reviewed the single disagreement and found it to result from an oversight on his behalf, which did not require any resolution or modification to the data-charting table.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    Overall, raters agreed on all data extracted from 9 out of 10 (90% agreement) studies and 139 out of 140 (99% agreement) variables assessed.

    “Overall, raters agreed on all data extracted from 9 out of 10 (90% agreement) studies and 139 out of 140 (99% agreement) variables assessed.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    The first author randomly selected 10 (20%) studies to independently review and extract data for each descriptive variable.

    “After completing this data-charting table, the first author randomly selected 10 (20%) studies to independently review and extract data for each descriptive variable.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Performance feedback is an often-researched independent variable within the staff training and organizational behavior management literature.

    “Thus, performance feedback is an often-researched independent variable within the staff training and organizational behavior management literature (Alvero et al., 2001;Gravina et al., 2018).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Alvero et al., 2001 source
    • cites Gravina et al., 2018 source
  • Classified as probably not a substantial claim.

    Premisecitation

    Recent research suggests that requiring 100% mastery criteria may improve the maintenance of trained skills.

    “Recent research suggests that requiring 100% mastery criteria may improve the maintenance of trained skills (Richling et al., 2019).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Richling et al., 2019 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    A recent review of technology-based staff training procedures suggests incorporating voiceover instruction into video models may enhance participant mastery of trained skills.

    “A recent review of technology-based staff training procedures suggests incorporating voiceover instruction into video models may enhance participant mastery of trained skills (Erath & DiGennaro Reed, 2020).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Erath & DiGennaro Reed, 2020 source
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Interpretationcitation

    Staff preference for feedback may be idiosyncratic.

    “Another implication is that staff preference for feedback may be idiosyncratic and that trainers should consider these preferences when designing training sessions.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Recent outcomes from Simonian and Brand (2022) suggest that when learning a novel task, corrective feedback is more effective and preferred.

    “and recent outcomes from Simonian and Brand (2022) suggest that when learning a novel task, corrective feedback is more effective (and preferred).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Simonian and Brand, 2022 source
  • Classified as probably not a substantial claim.

    Premisecitation

    Requiring repeated rehearsals may not necessarily lead to higher fidelity or greater performance levels.

    “This would be important to determine, given that some studies have found that requiring repeated rehearsals may not necessarily lead to higher fidelity or greater performance levels and fewer rehearsal opportunities may be sufficient and, ultimately, more efficient (Jenkins & DiGennaro Reed, 2016).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Jenkins & DiGennaro Reed, 2016 source
  • May combine two claims.

    Premisecitation

    Bacotti et al. (2021) found that undergraduate students initially preferred feedback following each step while learning a task; however, as they acquired the skill, participant preference for feedback shifted to following the completion of the task.

    “For instance, Bacotti et al. (2021) found that undergraduate students initially preferred feedback following each step while learning a task; however, as they acquired the skill, participant preference for feedback shifted to following the completion of the task.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Bacotti et al., 2021 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Feedback timing is another characteristic that might influence the efficacy of performance feedback.

    “Feedback timing is another characteristic that might influence the efficacy of performance feedback (Lechermeier & Fassnacht, 2018), and several recent examples outside of training DTT procedures might illuminate some interesting areas for future research.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Lechermeier & Fassnacht, 2018

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Fewer rehearsal opportunities may be sufficient and more efficient.

    “This would be important to determine, given that some studies have found that requiring repeated rehearsals may not necessarily lead to higher fidelity or greater performance levels and fewer rehearsal opportunities may be sufficient and, ultimately, more efficient (Jenkins & DiGennaro Reed, 2016).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Jenkins & DiGennaro Reed, 2016 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationcitation

    Such training innovations may enhance participants' learning of the material and subsequent performance.

    “Such training innovations may enhance participants' learning of the material and subsequent performance (Gerencser et al., 2020;Marano et al., 2020); however, the studies using these interactive media and audio components did not directly evaluate their utility compared with that of traditional training components (e.g., in-person modeling, video modeling without added interactive features; cf.Ge”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Gerencser et al., 2020 source
    • cites Marano et al., 2020 source
  • May combine two claims.

    Interpretationcitation

    Blending teaching components and the self-paced nature of self-instruction manuals or computer-based training modules may allow for trainees to move more quickly through training, thus representing approaches that may be relatively more efficient.

    “For instance, blending teaching components (e.g., modeling with voiceover instructions; Vladescu et al., 2012) and the self-paced nature of self-instruction manuals or computer-based training modules (e.g., Geiger et al., 2018) may allow for trainees to move more quickly through training, thus representing approaches that may be relatively more efficient.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable). May combine two claims.

    Interpretationown data

    Although the repeated demonstration that BST can be used to train implementers in various DTT programming addresses the generality of these procedures, there is a need for more rigorous procedures that include explicit descriptions of how generality is programmed during training and studies that demonstrate multiple types of generality rather than targeting one feature.

    “Although the repeated demonstration that BST can be used to train implementers in various DTT programming addresses the generality of these procedures, there is a need for more rigorous procedures that include explicit descriptions of how generality is programmed during training and studies that demonstrate multiple types of generality rather than targeting one feature.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    BST can be time intensive and resource intensive.

    “That is, despite BST representing an evidence-based approach for training various skills (Shapiro & Kazemi, 2017), it can be time intensive (i.e., requires time to present training modules and practice opportunities until the desired mastery criterion is reached) and resource intensive (i.e., requires the presence of a trainer and various training materials).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites DiGennaro Reed et al., 2013 source
    • cites Gerencser et al., 2020 source
    • cites Shapiro & Kazemi, 2017 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    BST represents an evidence-based approach for training various skills.

    “That is, despite BST representing an evidence-based approach for training various skills (Shapiro & Kazemi, 2017), it can be time intensive (i.e., requires time to present training modules and practice opportunities until the desired mastery criterion is reached) and resource intensive (i.e., requires the presence of a trainer and various training materials).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Shapiro & Kazemi, 2017 source
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationreasoning

    If more rigorous mastery criteria are associated with better performance maintenance, the time and resources invested in initial training may be justified.

    “If more rigorous mastery criteria are associated with better performance maintenance, the time and resources invested in initial training may be justified.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    The other half of the studies (16 of the 34; 47%) did not have a baseline measure of performance to compare generality performance, which limits the authors' ability to determine the generality of these skills.

    “Therefore, the other half of the studies (16 of the 34; 47%) did not have a baseline measure of performance to compare generality performance, which limits the authors' ability to determine the generality of these skills.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    This training approach may present an unreasonable time or financial burden for some human service organizations, or some organizations may not have enough well-trained individuals to implement BST.

    “As a result, this training approach may present an unreasonable time or financial burden for some human service organizations, or some organizations may not have enough welltrained individuals to implement BST (DiGennaro Reed et al., 2013;Gerencser et al., 2020;Shapiro & Kazemi, 2017).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites DiGennaro Reed et al., 2013 source
    • cites Gerencser et al., 2020 source
    • cites Shapiro & Kazemi, 2017 source
  • May combine two claims.

    Interpretationreasoning

    Alternative training formats and feedback methods are equally effective and offer organization leaders various options when selecting practices for their training programs.

    “This handful of comparison studies suggests that alternative training formats and feedback methods are equally effective and offer organization leaders various options when selecting practices for their training programs.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationcitation

    It may be possible to train relatively simple DTT steps through video modeling, but more complex steps may require more extensive in vivo training with feedback.

    “For instance, it may be possible to train relatively simple DTT steps (e.g., reinforcer delivery) through video modeling, but more complex steps (e.g., error correction) may require more extensive in vivo training with feedback (Gerencser et al., 2020;Marano et al., 2020).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Gerencser et al., 2020 source
    • cites Marano et al., 2020 source
  • Classified as probably not a substantial claim.

    Premisecitation

    Marano et al. (2020) note that individual staff members may respond differently to various training procedures or prefer a particular training approach.

    “Marano et al. (2020) note that individual staff members may respond differently to various training procedures or prefer a particular training approach; therefore, we recommend future studies continue to gather social-validity measures to understand the trainees' perspectives about their training experience and whether specific modalities are more or less preferred or perceived to be more or less”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Marano et al., 2020 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Advances in technology-based training procedures have demonstrated that they are as (if not more) effective than in vivo training methods.

    “Although advances in technology-based training procedures have demonstrated that they are as (if not more) effective than in vivo training methods (see Erath & DiGennaro Reed, 2020, for a review), we are unaware of any studies that have compared the results of (a) live synchronous and remote synchronous or asynchronous methods or (b) individual versus group instruction.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Erath & DiGennaro Reed, 2020 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationcitation

    The relative complexity of certain procedures being taught may directly dictate which training strategy practitioners should use.

    “The relative complexity of certain procedures (e.g., the number or type of steps) being taught may directly dictate which training strategy practitioners should use.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Erath et al. (2021) recently evaluated the feasibility and effectiveness of a technology-based pyramidal training approach to train staff to implement BST to teach job-related skills.

    “Erath et al. (2021) recently evaluated the feasibility and effectiveness of a technology-based pyramidal training approach to train staff to implement BST to teach job-related skills.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Erath et al., 2021 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductreasoning

    We may have excluded the outcomes of other BST-component studies that teach other procedures.

    “Given that our focus was so narrow, we may have excluded the outcomes of other BST-component studies that teach other procedures”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    The scope of the review was limited to BST components used to train DTT procedures, excluding other procedures or skills that behavior-analytic service providers perform with or without consumers.

    “The scope of our review was limited to BST components used to train DTT procedures, which excludes other procedures or skills that behavior-analytic service providers perform with (e.g., functional analysis procedures) or without consumers (e.g., data-based decision making).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Interpretationcitation

    Other areas of research may have discovered advancements in BST components that should be adapted to train all behavior-analytic procedures or skills.

    “other areas of research, like stimulus preference assessments (22.7% of articles reviewed in Gerencser et al., 2020, and 18.6% of articles reviewed in Marano et al., 2020), may have discovered advancements in BST components that should be adapted to train all behavior-analytic procedures or skills.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Gerencser et al., 2020 source
    • cites Marano et al., 2020 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Stimulus preference assessments comprised 22.7% of articles reviewed in Gerencser et al., 2020, and 18.6% of articles reviewed in Marano et al., 2020.

    “like stimulus preference assessments (22.7% of articles reviewed in Gerencser et al., 2020, and 18.6% of articles reviewed in Marano et al., 2020)”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Gerencser et al., 2020 source
    • cites Marano et al., 2020 source
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Study design and conductreasoning

    Our results may lead to inaccurate or incomplete assumptions about the usefulness of specific approaches.

    “our results may lead to inaccurate or incomplete assumptions about the usefulness of specific approaches.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    We did not register our search strategy and review procedures protocol.

    “Second, we did not register our search strategy and review procedures protocol; however, it can be accessed in Supporting Information A.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductreasoning

    Restricting the scope of the review to only research relevant to BST components used for teaching DTT procedures does not allow for an evaluation of the generality of BST used for teaching other behavior-analytic procedures or skills.

    “Additionally, restricting the scope of the review to only research relevant to BST components used for teaching DTT procedures does not allow for an evaluation of the generality of BST used for teaching other behavior-analytic procedures or skills.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    We did not document the specific dates on which we conducted our searches.

    “First, we did not document the specific dates on which we conducted our searches.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductreasoning

    We did not critically appraise the included sources of evidence.

    “Third, we did not critically appraise the included sources of evidence; however, this step is optional and was not completed because it was irrelevant to our objectives.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Study design and conductnone given

    We did not conduct a quantitative analysis of the results from included studies, which limits some of the general conclusions on the efficacy and effectiveness of BST components used for teaching DTT procedures.

    “Finally, we did not conduct a quantitative analysis of the results from included studies, which limits some of the general conclusions on the efficacy and effectiveness of BST components used for teaching DTT procedures.”
    Quote in the paperSubstantial claim
86 of 86
  • The paper relies on this without support.

    A lack of clear guidance on developing and incorporating evidence-based staff training into practice is a barrier preventing organizations from implementing such training.

    “Another potential barrier preventing organizations from implementing evidence-based staff training is the lack of clear guidance on developing and incorporating such training into practice.”
  • The paper relies on this without support.

    BST research seeks to determine the necessary and sufficient components required to produce performance mastery.

    “Given that BST research seeks to determine the necessary and sufficient components required to produce performance mastery, future research should determine the minimum number of rehearsal opportunities needed to meet the mastery criteria.”
  • The paper relies on this without support.

    Vocal feedback allows for the immediate delivery and subsequent discussion of the performance, but it requires the presence of a live trainer, which may not always be feasible.

    “Although vocal feedback allows for the immediate delivery and subsequent discussion of the performance, it requires the presence of a live trainer, which may not always be feasible.”
  • The paper relies on this without support.

    Written and visual feedback do not require the trainer and trainee to be present simultaneously, and vocal feedback is fleeting and may not be recalled as readily (or accurately), whereas written and visual feedback represent a permanent product that can be revisited.

    “First, written and visual feedback do not require the trainer and trainee to be present simultaneously.Second, vocal feedback is fleeting and may not be recalled as readily (or accurately), whereas written and visual feedback represent a permanent product that can be revisited.”
  • The paper relies on this without support.

    Feedback delivery typically requires the presence of an expert who can monitor the trainee's performance and remains available to deliver feedback promptly.

    “Feedback delivery typically requires the presence of an expert who can monitor the trainee's performance and remains available to deliver feedback promptly.”
  • The paper relies on this without support.

    BST is a systematic training program with standardized components (e.g., instructions, modeling, rehearsal, and feedback).

    “as BST is a systematic training program with standardized components (e.g., instructions, modeling, rehearsal, and feedback)”
  • The paper relies on this without support.

    Training formats such as computer-based training create new challenges related to the access to technology and skills required for staff and caregivers to engage with it and the up-front financial costs and skills required to use software and technology to develop such training.

    “Despite the apparent advantages of these training formats, they also create new challenges related to the access to technology and skills required for staff and caregivers to engage with it and the up-front financial costs and skills required to use software and technology to develop such training.”
  • The paper relies on this without support.

    Reducing one resource may increase (at least temporarily) the reliance on other resources.

    “In other words, reducing one resource may increase (at least temporarily) the reliance on other resources.”
8 of 8

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Comparison studies are both reported and said not to exist

    Major

    The discussion says comparison studies found little difference between training formats and between individual and group instruction. A later practice-implications passage says the authors know of no studies comparing those same approaches.

  • Within-subject design percentage is overstated

    Minor

    Five of the 47 within-subject studies is about 11%, not 12%. The two listed design counts otherwise add to 47.

    Reported 12 · recomputed 10.638298

2 of 2

Cites

Flagged first, then by citations

Research works printed but not linked: 4

  1. Daniels A. C., 2014, Performance management: Changing behavior that drives organization effectiveness (5th ed.)
  2. 10.1016/j.rasd.2008.04.002 · DOI · Paper page
  3. Salem S., 2009, A self‐instructional package for teaching university students to conduct discrete‐trials teaching with children with autism, Journal on Developmental Disabilities, 15, 21
  4. Zaragoza Scherman A., 2015, Online training of discrete‐trials teaching for educating children with autism spectrum disorders: A preliminary study, Journal of Developmental Disabilities, 21, 22

Cited by

Sorted by citations

Authors
Briggs, A. M., Zohr, S. J., & Harvey, O. B.
Affiliations
Eastern Michigan University (US)
Corresponding author
Briggs, Adam M.
Venue
Journal of Applied Behavior Analysis
Publisher
Wiley
Published
2023-09-29
Volume
57
Issue
1
Pages
86-103
ISSN
  • 0021-8855 (ISSN-L)
  • 1938-3703
OpenAlex
W4387157119
Cited by
30
References
92
Citations by year
2026: 9 · 2025: 15 · 2024: 6
FWCI
1.73
Type
journal article
Language
en
Open access
Locations
  • Journal of Applied Behavior Analysis (publishedVersion)
  • PubMed (publishedVersion)
Funders
West Virginia University
Topics
  • Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
  • Social Sciences › Psychology › Applied Psychology › Human Resource Development and Performance Evaluation
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Keywords
behavioral skills training, discrete trial teaching, employee training, training protocols, modeling, rehearsal, feedback, training efficiency, autism intervention, best practices
MeSH terms
Feedback, Humans, Learning, Teaching

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-11.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-11.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

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