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Positive reinforcement is a powerful method for teaching new behaviors to both animals and humans. B.F. Skinner demonstrated this with his experiments using rats in a Skinner box. When a rat pressed a lever, it received a food pellet. This immediate reward encouraged the rat to repeat the behavior. This method, where a reward follows every instance of the behavior, is known as continuous reinforcement. It is highly effective for establishing new behaviors quickly.
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Caregiver-Implemented Digital Activity Schedules With Virtual Coaching.

Juliana Aguilar1, Sara Peck1, Stephanie L Mattson1

  • 1Utah State University, Logan, UT, USA.

Behavior Modification
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PubMed
Summary

Digital activity schedules delivered via Google Slides® and caregiver coaching effectively improved independent play in children with Autism Spectrum Disorder (ASD). This telehealth approach offers a practical solution for behavior analytic services.

Keywords:
activity schedulesbug-in-ear coachingdigital activity schedulesremote service deliverytelehealthvirtual coaching

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Area of Science:

  • Behavior Analysis
  • Developmental Psychology
  • Telehealth Interventions

Background:

  • The COVID-19 pandemic accelerated the adoption of telehealth for behavior analytic services.
  • Activity schedules are effective for enhancing independence in children with Autism Spectrum Disorder (ASD).
  • Digital formats offer improved portability and accessibility for activity schedules compared to paper-based versions.

Purpose of the Study:

  • To evaluate the effectiveness of a caregiver-implemented digital activity schedule intervention.
  • To assess the impact on independent play behaviors in children with ASD.
  • To explore the utility of Google Slides® and bug-in-ear (BIE) coaching for remote service delivery.

Main Methods:

  • A non-concurrent multiple baseline design was employed across three child-caregiver dyads.
  • Digital activity schedules were created using Google Slides® and implemented by caregivers.
  • Practitioner coaching was delivered remotely using bug-in-ear (BIE) technology.

Main Results:

  • The digital activity schedule intervention significantly increased independent schedule following.
  • Caregivers required minimal training to implement the intervention effectively.
  • The telehealth approach, despite minor implementation challenges, proved successful.

Conclusions:

  • Caregiver-implemented digital activity schedules are an effective telehealth intervention for improving independent play in children with ASD.
  • Bug-in-ear (BIE) coaching facilitates remote implementation of behavior analytic interventions.
  • This study provides guidance for Board Certified Behavior Analysts (BCBAs) on remote service delivery strategies.