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Improving Practitioner Skills in Online Therapy: Insights from ABA Service Delivery Quality Research

Improving Practitioner Skills in Online Therapy: Insights from ABA Service Delivery Quality Research

As the field of Applied Behavior Analysis (ABA) continues to expand, understanding and improving service delivery quality (ASDQ) is crucial. The research paper "Exploring Quality in the Applied Behavior Analysis Service Delivery Industry" by Silbaugh and El Fattal (2021) offers valuable insights that can help practitioners enhance their skills and encourage further research.

One of the primary challenges identified in the paper is the lack of a clear, objective definition of ASDQ. Without such a definition, it is difficult for organizations to measure and improve their service quality. The authors propose a comprehensive framework that integrates concepts from culturo-behavioral science and total quality management (TQM) to address this gap.

Key Insights for Practitioners

1. Defining Quality

The paper defines ASDQ as the extent to which an organization's ABA products, services, and outcomes meet professional and consumer standards over time. This definition is flexible enough to accommodate variations across different organizations and evolving standards.

2. Culturo-Behavioral Science

Culturo-behavioral science provides a theoretical foundation for understanding organizational practices. By analyzing interlocking behavioral contingencies (IBCs) and their aggregate products (APs), organizations can identify cultural practices that contribute to high ASDQ.

3. Total Quality Management

TQM principles, such as customer focus, total employee involvement, and continuous improvement, can be applied to ABA service delivery. Organizations can use tools like strategic planning, key performance indicators (KPIs), and quality-dependent KPIs (QD-KPIs) to align financial health with service quality.

Practical Steps for Practitioners

Step 1: Strategic Planning

Engage in strategic planning to identify KPIs and develop strategies to achieve them. Consider the organization's strengths, weaknesses, opportunities, and threats (SWOT analysis).

Step 2: Establish QD-KPIs

Develop KPIs tied to both financial health and service quality. This dual focus ensures that growth initiatives do not compromise service standards.

Step 3: Dashboard Monitoring

Use executive dashboards to monitor progress towards QD-KPIs. Regularly review data to make informed decisions.

Step 4: Develop Standards

Adopt or develop professional and consumer performance standards. Use survey methods to gather consumer feedback and align services with their needs.

Step 5: Implement TQM

Design and implement a TQM system that integrates quality principles into the organization's culture and activities. Use tools like the Plan-Do-Check-Act cycle for continuous improvement.

Step 6: Routine Evaluation

Set a schedule for evaluating ASDQ and publicizing metrics. Regular assessments help maintain high standards and provide transparency for stakeholders.

Encouraging Further Research

The paper highlights the need for ongoing research to refine ASDQ definitions and evaluation methods. Practitioners are encouraged to engage in empirical studies and share their findings to contribute to the collective knowledge base.

To read the original research paper, please follow this link: Exploring Quality in the Applied Behavior Analysis Service Delivery Industry.


Citation: Silbaugh, B. C., & El Fattal, R. (2021). Exploring quality in the applied behavior analysis service delivery industry. Behavior Analysis in Practice, 15(2), 571-590. https://doi.org/10.1007/s40617-021-00627-y
Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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