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Implementation Challenges in Translating Pivotal Response Training into Community Settings
Authors:Jessica Suhrheinrich  Aubyn C. Stahmer  Sarah Reed  Laura Schreibman  Erica Reisinger  David Mandell
Affiliation:1. Child and Adolescent Services Research Center, Rady Children’s Hospital San Diego, 3020 Children’s Way, MC 5033, San Diego, CA, 92123, USA
2. Department of Psychology, University of California, San Diego, 9500 Gilman Drive, 0109, La Jolla, CA, 92093-0109, USA
3. Center for Mental Health Policy and Services Research, Center for Autism Research, University of Pennsylvania, 3535 Market St, 8th Floor, Philadelphia, PA, 19104, USA
Abstract:Implementing evidence-based practices (EBPs) for children with autism is challenging for teachers because these practices are often complex, requiring significant training and resources that are not available in most school settings. This brief investigation was designed to identify areas of strength and difficulty for teachers implementing one such EBP, pivotal response training (PRT). Observational data were gathered from 41 teachers participating in two separate investigations involving PRT. Despite differences in training procedures, teachers demonstrated similarities in areas of strength (clear opportunities/instruction and child choice) and difficulty (turn taking and multiple cues). These findings suggest next steps toward systematic adaptation of PRT for classroom use. The research may serve as a model for the process of adapting EBPs for practice settings.
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