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Assessing and Enhancing the Maintenance and Generalization of Staff Implementation of Healthy Behavioral Practices using the Performance Diagnostic Checklist—Human Services
Kanaman, Nicole Ashley
Kanaman, Nicole Ashley
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Abstract
Variables that may impede employee performance include insufficient training, a lack of performance consequences, and competing tasks/contingencies, among others (Austin, 2000). The Performance Diagnostic Checklist-Human Services (PDC-HS; Carr et al., 2013) is an indirect assessment used to assess employee performance, identify barriers to satisfactory performance, and develop interventions that address the variables influencing performance deficits in human service settings (e.g., Ditzian et al., 2015). In Study 1 of the current evaluation, we conducted the PDC-HS with various staff and managers in three group homes at a large residential program for adults with intellectual and developmental disabilities to identify barriers to staff implementation of a company-wide prevention and intervention procedure (healthy behavioral practices [HBP]; Kamana et al., in preparation). Across practices and respondents, results of the initial PDC-HS revealed barriers in all four PDC-HS domains with higher reports of barriers in the Task Clarification and Prompting and Resources, Materials, and Processes domains. Based on the outcomes of the PDC-HS, we derived a packaged intervention to address the two major barriers identified: participant skill deficits and other tasks impeding implementation of the practices. In Study 2, we evaluated the efficacy of the treatment package which included the development of a home schedule and implementation of a staff intervention package (i.e., booster training [including a discussion on how to implement HBP in conjunction with other tasks], introduction of two job aids, and on-the-job feedback) to increase staff implementation of HBP across the day in the absence of in-person observation. Baseline and post-training observations were conducted remotely and participants were not made aware of the observation times to reduce potential reactive responding (Kazdin, 1979). Results of Study 2 demonstrated the efficacy of the function-based intervention package for increasing staff implementation of HBP in the group home setting.
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Date
2022-08-31
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University of Kansas
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Behavioral psychology,