| How might data be collected for this target response? | Identify an intervention, or set of interventions, based on the PDC-HS data. |
|---|---|
| Checklist of preparation for session routine. | Model, review updated checklist, take IOA data. |
| Direct supervision/observation of interventions, checklists | Providing task clarification on antecedent interventions, providing step by step instructions on the utilization of the antecedent interventions, providing verbal or written reminders to the staff |
| Take data on each step of the task by observing in vivo | Start with BST. |
| - | - |
| self monitoring checks and observations from supervisor | put up visuals of antecedent interventions to prompt staff to use them |
| Frequency data | BST |
| Since the PDC-HS results indicate that the task clarification and prompting domain requires intervention, data collection should focus on staff implementation of antecedent interventions and how consistently these procedures are used to support consumers’ stress management. Procedures for Data Collection: Direct Observation of Staff Behavior: Observe counselors during daily routines and interactions with consumers. Use a fidelity checklist or task analysis that includes each step of the antecedent interventions (e.g., providing clear instructions, giving environmental cues, offering choices, using scheduled breaks, proactive redirection). Record whether each step is implemented correctly for each opportunity. Frequency / Percentage Measures: Calculate percentage of correct implementation: (Number of correctly implemented steps ÷ Total opportunities) × 100. Track the frequency of antecedent interventions provided when expected, noting omissions. Contextual Data: Record time of day, setting, and specific consumer needs to identify patterns in inconsistent implementation. Note environmental barriers that may interfere with antecedent strategies (e.g., staffing shortages, high noise levels). Indirect Measures: Conduct brief staff interviews or self-reports to assess understanding of procedures and perceived barriers. Review any documentation logs or intervention plans to see whether antecedent strategies are recorded as used. Consumer Outcomes (Optional): Track consumer stress-related behaviors (e.g., agitation, aggression, self-injury) to evaluate whether consistent antecedent intervention correlates with improved outcomes. Summary: Data collection would focus on treatment integrity and consistency of antecedent interventions, using direct observation, fidelity checklists, and contextual information to measure both implementation and environmental factors that influence performance. | Based on the PDC-HS results indicating that the task clarification and prompting domain requires intervention, the focus should be on improving counselors’ understanding and consistent use of antecedent interventions to support consumer stress management. Intervention Plan: Staff Training and Behavioral Skills Training (BST) Provide training on antecedent interventions, including rationale, steps, and examples. Use BST components: instruction, modeling, rehearsal, and feedback to ensure mastery of procedures. Include role-play and practice sessions with simulated consumer scenarios. Visual Aids and Task Clarification Tools Provide step-by-step checklists, flowcharts, or cue cards outlining each antecedent intervention. Post visual reminders in staff areas or provide portable tools for quick reference during interactions. Prompting and Performance Feedback Deliver immediate feedback following live sessions, highlighting correct and incorrect implementation. Use coaching and guided prompts to help staff implement steps correctly until mastery is achieved. Ongoing Monitoring and Fidelity Checks Conduct regular observation and fidelity assessments to ensure interventions are implemented consistently. Use data-driven decision making to identify areas needing refresher training or additional support. Booster Sessions and Maintenance Schedule periodic refresher trainings or booster sessions to maintain high fidelity over time. Encourage peer modeling and mentoring among staff to reinforce correct implementation. Summary: |
| Observation and data collection on antecedent interventions protocol. | Implement a prompting strategy for staff to use an antecedent intervention. REview the protocol. |
| train second person to collect data | train all staff |
| direct observation, frequency data, IOA | clarify procedures, model implementation, implement performance feedback, provide reminders in routine |
| self-monitoring data, observational data | BST and prompting |
| self administered checklist of antecedent interventions | The supervisor could provide immediate feedback upon observation of missed antecedent intervention opportunities |
| Data collection for interventions | Checklists |
| Checklist | BST |
| # of times ant intv implemented | Checklist/self monitoring |
| Response Data | LYO |
| Checklists and prompts | Utilize checklists and prompts to help assure that the staff are following procedures accurately and fully. |
| Retrain and checklists | Retrain the staff for the procedures and implement a daily TA for them to follow as a textual prompt |
| collect data on the frequency of use for each antecedent intervention | place checklists and other prompts within clear view of the practitioners in environments where these interventions should be implemented |
| checklists | self-monitoring |
| not sure | not sure |
| reminding staff at the start of their shift what the expectations are for the staff and what they need to do to stay in compliance with the interventions | sending the staff a text message at the start of the shift in order to prompt them to implement the needed antecedent interventions |
| Precursor behavior | Prompting |
| Direct observation, staff questionaire | Instructions Yes ☐ No ☐ The employee received step-by-step instructions on how to perform the task. ☐ Vocal instructions ☐ Written instructions ☐ Both vocal and written instructions 1b. Demonstration/Modeling Yes ☐ No ☐ The employee was shown how to perform the task. ☐ Live modeling ☐ Video modeling ☐ Both live and video modeling 1c. Rehearsal/Practice Yes ☐ No ☐ The employee had opportunities to practice the task correctly during training. ☐ Practiced with trainer ☐ Practiced alone ☐ Practiced with coworkers 1d. Feedback Yes ☐ No ☐ The employee received feedback about performance during training. ☐ Vocal feedback ☐ Positive feedback for steps performed correctly ☐ Corrective feedback for steps performed incorrectly ☐ Written feedback ☐ Positive feedback for steps performed correctly ☐ Corrective feedback for steps performed incorrectly |
| use a treatment integrity sheet to mark whether staff are implementing interventions correctly | BST, prompting, modeling |
| How might data be collected for this target response? | Identify an intervention, or set of interventions, based on the PDC-HS data. |
