title: Professional development improves staff's implementation of rehabilitation programmes for children with severe-to-profound intellectual disability.
abstract: OBJECTIVE
  To evaluate the effectiveness of supervisory feedback and self-management on the acquisition and generalization of correct implementation of rehabilitation training programmes implemented by direct care staff.
  
  
  METHODS
  A non-concurrent multiple baseline design across three trainer-trainee dyads was used.
  
  
  METHODS
  Three staff members were trained in how to implement one-to-one teaching programmes with four children with profound-to-severe intellectual disability. Staff received feedback and were taught to self-manage their (in)correct trainer behaviour.
  
  
  RESULTS
  Supervisory feedback and self-management increased the mean percentage correct entry behaviour and reinforcement during training. Trainer's use of entry behaviour and reinforcement generalized across settings and trainees. As levels of response prompting for three trainers were already high during baseline, no firm statements could be made concerning its acquisition and generalization.
  
  
  CONCLUSIONS
  Staff can improve the accuracy of training as a result of feedback and/or self-management procedures in the rehabilitation of children with severe disabilities.
authors.affiliation: Radboud University Nijmegen, Nijmegen, The Netherlands. a.vanvonderen@pwo.ru.nl
authors.forename: Annemarie
authors.initials: A
authors.lastname: van Vonderen
authors.forename: Pieter
authors.initials: P
authors.lastname: Duker
authors.forename: Robert
authors.initials: R
authors.lastname: Didden
mesh_terms: D000293:Adolescent; D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D017028:Caregivers / Q000193:education*; D002648:Child; D002656:Child Day Care Centers; D005260:Female; D006801:Humans; D007318:Inservice Training / Q000379:methods*; D008607:Intellectual Disability / Q000534:rehabilitation*; D008297:Male; D015397:Program Evaluation; D012655:Self-Evaluation Programs / Q000379:methods*; D012720:Severity of Illness Index