online tools to support the delivery of evidence-based ... · implement evidence-based practices...
TRANSCRIPT
745654 TCXXXX10.1177/0040059917745654<sc>Council for Exceptional Children</sc><sc>TEACHING Exceptional Children</sc>research-article2017
Online Tools to Support the Delivery
of Evidence-Based Practices for
Students With ASDAnn M. Sam, Suzanne Kucharczyk, and Victoria Waters
TEA
CH
ING
Exc
epti
onal
Chi
ldre
n,
Vol
. 50
, N
o. 3
, pp
. 14
1 –15
2. C
opyr
ight
201
7 T
he A
utho
r(s)
. D
OI:
10.
1177
/004
0059
9177
4565
4
Autism Spectrum Disorders
142 CounCil for ExCEptional ChildrEn
Ms. Crouch was a first-year special education teacher at Douglas High School. With support from school administrators and the special education team, Ms. Crouch expanded the work-based learning opportunities for students with more intense support needs, including students with autism spectrum disorder (ASD). The changes in instructional settings and focus were especially challenging for one student, Mateo, who began to exhibit new and challenging behaviors that were more likely to limit his future success in work settings.
Mr. Welling, an elementary-level special educator, has co-taught in an inclusive classroom for 4 years. Soon after the first day of school, Mr. Welling connected with the individualized education program (IEP) team of his new student, Lauren. The IEP team included the second-grade general education teacher, the speech language pathologist (SLP), and Lauren’s parents. Although Lauren had become much more independent with her use of a speech-generated device with adults, she communicated very little with peers. Each team member expressed a desire to increase Lauren’s engagement with peers in order to develop her social and communication skills.
Educators, like Ms. Crouch and Mr. Welling, continually encounter new challenges that require different tools or ways to utilize current tools in novel ways. Common challenges when working with students with ASD may include addressing interfering behavior, developing communication systems, increasing social opportunities for students, and addressing academic needs. The emergence of online learning modules, however, can provide the support that teachers, who work in a variety of settings, need to implement evidence-based practices (EBPs).
EBPs
The field of special education is continually expanding and honing what is known about the needs of students with ASD and effective
practices that lead to positive outcomes with this population (Cook & Cook, 2011). The Individuals With Disabilities Education Act (IDEA; 2006) and the Every Student Succeeds Act (ESSA; 2015) have mandated that programs provided in public schools be based on EBPs. However, identifying EBPs and using these practices can be a challenge for teachers, related service providers, and school staff. Beyond the challenge of finding the time to conduct their own research into EBPs, non-evidence-based interventions are promoted in conference settings, through popular media, on webpages, and in books (Travers, 2017). In addition to being exposed to unreliable sources, educators can struggle with finding reliable sources that are supported by research and are easy to understand. Once these practices are identified, implementing these practices with fidelity (i.e., as intended) is difficult to do in schools without specific support and resources (Cook & Odom, 2013). Yet, implementing EBPs is essential for students with ASD, who require specifically focused interventions in order to acquire new skills and behaviors.
EPBs are focused interventions that (a) produce specific behavioral outcomes for a student (e.g., greeting a peer, completing work task, raising hand), (b) are known to be effective based on research conducted in applied settings (e.g., schools, homes), and (c) can be implemented in schools (Odom, Collet-Klingenberg, Rogers, & Hatton, 2010). Two groups, the National Professional Development Center on ASD (NPDC; Wong et al., 2015) and the National Standards Project (NSP; 2015), followed a systematic review process to determine focused interventions that met criteria for EBPs (e.g., high-quality single-case design or randomized control trial methodology, conducted by different researchers). Both groups identified many of the same EBPs that reflected peer-based interventions, naturalistic teaching interventions, parent-implemented interventions, behavioral interventions, and self-management (for comparison
of identified practices from NPDC and NSP, see NPDC, 2017). Given the overlap of practices identified, this article will focus on specific EBPs identified by NPDC. NPDC identified 27 EBPs for children ages zero to 22 years based on a total of 456 high-quality research articles (Wong et al., 2015). EBPs identified included prompting, time delay, peer-mediated instruction and intervention, and social narratives. Educators invested in student progress and positive outcomes would do well to invest their professional learning time and effort on these EBPs.
Support for Implementation of EBPs
Ms. Crouch and her team of three paraprofessionals felt increasingly challenged to effectively address Mateo’s new behaviors. They, and the rest of the IEP team, met to brainstorm ways to intervene and turn things around for their struggling student. Feeling overwhelmed with where to start, Ms. Crouch suggested to team members that they examine NPDC’s list of EBPs. Although each team member was familiar with some EBPs, team members found that their knowledge was limited to their own prior experience. In fact, all team members felt that they had exhausted their individual toolboxes. In an after-school strategy meeting, the school psychologist noted that although the team felt like it had “thrown the kitchen sink” at the challenge, the team had not completed a functional behavior assessment (FBA). The team agreed that an FBA should be the next step and looked to Ms. Crouch to lead implementation. Although she had conducted a mock FBA during her master’s program, Ms. Crouch felt nervous about leading the effort. Ms. Crouch felt she needed concrete information on how to plan for, use, and monitor this practice with her student. Ms. Crouch was unsure where to turn for more information and guidance.
Meanwhile, Lauren’s family scheduled an IEP meeting a couple weeks after the start of school. Mr.
TEACHING ExCEptional ChildrEn | January/fEbruary 2018 143
Welling and the SLP needed ideas for potential EBPs to present to the team to address building Lauren’s social and communication skills in the second-grade classroom. Mr. Welling looked online for information about interventions focusing on social communication for students with ASD. He identified a number of online learning modules that described EBPs and presented information on how to implement these EBPs across settings (e.g., school, community, and home).
Dissemination of information on how to conduct EBPs is a recognized priority (Cook & Odom, 2013; Klingner, Boardman, & McMaster, 2013). When EBPs are used as intended, students are more likely to meet identified goals and outcomes. Similar to Ms. Crouch, educators may feel they have tried everything they can think of to address an interfering behavior—or, as with Mr. Welling, educators might struggle with supporting communication or social skills of students with ASD. EBPs provide a mechanism to address the needs of students that current approaches are failing to meet. Further, through effective dissemination of how to implement EBPs, teachers can be better prepared to recognize when practices they encounter are not based on research and can better advocate for practices that are, without misusing student time, opportunity to learn, and other resources (Travers, 2017).
Although there are multiple avenues by which educators can receive information on EBPs, teachers report low levels of confidence (Brock, Huber, Carter, Juarez, & Warren, 2014) and implementation (Hendricks, 2011; Hess, Morrier, Heflin, & Ivey, 2008; Morrier, Hess, & Heflin, 2011). Unfortunately, preservice teacher candidates receive little preparation on how to use EBPs with children with ASD (Morrier et al., 2011). Once they begin their careers, most systematic knowledge dissemination for teachers and paraprofessionals occurs in didactic training (McLeskey, 2011; Walker & Smith, 2015) without the benefit of coaching, which is important to mastery of application (Cornett &
Knight, 2009; Kretlow & Bartholomew, 2010). Under these conditions, teachers may modify implementation practices (Stahmer, Collings, & Palinkas, 2005) to the extent that the EBP is no longer implemented with fidelity (Stahmer et al., 2015). Implementation of practices with fidelity means that the essential components are accurately and completely followed, leading to greater chance of effectiveness to meet educational goals (Kretlow & Blatz, 2011).
For educational professionals and parents seeking to better understand how to use EBPs and to maintain effectiveness, online learning modules provide tools to get started, problem-solve, and reassess implementation. Online tools help educators and parents to accurately implement practices that have been identified through research to be effective.
Online Tools and EBPs for ASD
In order to learn about new EBPs, educators and families have different options: (a) learn about the practice on their own; (b) receive didactic, general training on the practice; and (c) receive individualized, application-focused coaching on the practice. For many individuals, coaching is an unrealistic option given funding limitations, time constraints, or the amount of resources required to provide this support. Also, teachers—personnel ultimately
responsible for the implementation of many EBPs—may not be receiving sufficient preservice training on implementation of EBPs (Morrier et al., 2011), and stand-alone professional development trainings have proven limited in effectiveness without follow-up implementation supports such as coaching (Kretlow & Bartholomew, 2010). Yet, online
learning resources offer a cost-effective means of support for practitioners and school professionals to learn about practices on their own or as teams (Barrio & Hollingshead, 2017; Da Fonte & Capizzi, 2015).
Self-paced online modules offer a platform to support dissemination of knowledge from research to practice. Table 1 provides an overview of websites that specifically provide online modules to support the implementation of EBPs for students with ASD. The majority of websites provide information developed for educators (e.g., AFIRM, START Project); however, other websites address the unique needs of families or technical assistance providers. Most of the modules are accessible for free, providing a mechanism for practitioners and families to access information on EBPs. Professional certificates are offered for two websites (e.g., AFIRM for free, AIM for a fee).
To further help practitioners and families select online learning modules, Table 2 highlights specific, NPDC-identified EBPs addressed by each website. One website, AFIRM, presents information on all 27 EBPs identified by the NPDC review of literature (Wong et al., 2015).
Most of these websites include detailed implementation strategies for practices with students with ASD and supplemental materials. Across the websites, these materials include
alignment of content with Council for Exceptional Children standards, the evidence-base for the practice, step-by-step guides for implementing the EBP, video and photo examples, planning worksheets, data forms, fidelity forms, and informational handouts for families and practitioners. Planning guides, data forms, and fidelity checklists can help guide
Self-paced online modules offer a platform to support dissemination of knowledge from research to practice.
144 CounCil for ExCEptional ChildrEn
Tab
le 1
. O
nlin
e R
eso
urc
es
for
Evi
de
nce
-Bas
ed
Pra
ctic
e M
od
ule
s
Pro
gram
or
orga
niz
atio
nW
ebsi
te
Nu
mbe
r of
EB
P
mod
ule
sT
arge
t au
dien
cea
Tar
get
lear
ner
w
ith
ASD
a
Supp
lem
enta
l m
ater
ials
av
aila
ble
Cos
tC
erti
fica
te o
r cr
edit
s of
fere
d
ASD
Tod
dler
Ini
tiat
ive
http
://a
sdto
ddle
r.fp
g.un
c.ed
u/6
Fam
ilies
and
pr
acti
tion
ers
Tod
dler
sY
esFr
ee
AD
EPT
bht
tp:/
/med
ia.m
indi
nsti
tute
.or
g/ed
ucat
ion/
AD
EPT
/M
odul
e1M
enu.
htm
l
1Fa
mili
esC
hild
ren
Yes
Free
AFI
RM
http
://a
firm
.fpg
.unc
.edu
/27
Educ
ator
s0-
22 y
ears
of
age
Yes
Free
Cer
tifi
cate
of
com
plet
ion
AIM
http
://w
ww
.au
tism
inte
rnet
mod
ules
.org
/24
Fam
ilies
and
pr
acti
tion
ers
All
ages
Yes
Free
Gra
duat
e cr
edit
wit
h a
fee;
pro
fess
iona
l de
velo
pmen
t ce
rtif
icat
e w
ith
a fe
e
Cad
re T
rain
ing
Mod
ules
http
://g
uru.
loui
svill
e.ed
u/m
oodl
e/lo
gin/
inde
x.ph
p2
Tec
hnic
al a
ssis
tant
pr
ovid
ers
Yes
Free
Cen
ter
on S
econ
dary
Ed
ucat
ion
for
Stud
ents
w
ith
Aut
ism
Spe
ctru
m
Dis
orde
rs
http
://c
sesa
.fpg
.unc
.edu
/hig
h-sc
hool
-cas
e-st
udie
s6
Educ
ator
sH
igh
scho
ol a
geY
esFr
ee
Lear
ning
AB
A!
(Ser
na
et a
l., 2
015)
http
s://
ww
w.u
disc
over
ing.
org/
prod
ucts
/lea
rnin
g-ab
a3
Para
prof
essi
onal
sC
hild
ren
$129
for
3-
mon
th
acce
ss
Cer
tifi
cate
of
com
plet
ion
STA
RT
Pro
ject
http
s://
ww
w.g
vsu.
edu/
auti
smce
nter
/sel
f-m
anag
emen
t-m
odul
e-22
0.ht
m
1EI
and
K–1
2 ed
ucat
ors
Earl
y ch
ildho
od
and
scho
ol
age
Yes
Free
Not
e. A
BA
= a
pplie
d be
havi
oral
ana
lysi
s; A
DEP
T =
Aut
ism
Dis
tanc
e Ed
ucat
ion
Pare
nt T
rain
ing;
AFI
RM
= A
utis
m F
ocus
ed I
nter
vent
ion
Res
ourc
es a
nd M
odul
es; A
IM =
Aut
ism
In
tern
et M
odul
es;
ASD
= a
utis
m s
pect
rum
dis
orde
r; E
BP
= e
vide
nce-
base
d pr
acti
ce; EI
= e
arly
inte
rven
tion
; ST
AR
T =
Sta
tew
ide
Aut
ism
Res
ourc
es a
nd T
rain
ing.
a Tar
get
audi
ence
and
tar
get
lear
ner
wit
h A
SD a
re a
s id
enti
fied
by
the
onlin
e re
sour
ce. bA
utis
m D
ista
nce
Educ
atio
n Pa
rent
Tra
inin
g ha
s on
e m
odul
e w
ith
less
ons
on t
hree
diffe
rent
EB
Ps.
TEACHING ExCEptional ChildrEn | January/fEbruary 2018 145
Tab
le 2
. T
ype
s o
f E
vid
en
ce-B
ase
d P
ract
ice
Mo
du
les
Off
ere
d b
y O
nlin
e R
eso
urc
es
EB
PA
SD T
oddl
er
Init
iati
veA
DE
PT
AFI
RM
AIM
aC
adre
Tra
inin
g M
odu
les
CSE
SALe
arn
ingA
BA
! (S
ern
a et
al.
, 201
5)ST
AR
T
Pro
ject
Ant
eced
ent-
base
d in
terv
enti
ons
++
Cog
niti
ve b
ehav
iora
l int
erve
ntio
n+
Diffe
rent
ial r
einf
orce
men
t+
+a
Dis
cret
e tr
ial t
rain
ing
++
+
Exer
cise
+
Exti
nction
++
Func
tion
al b
ehav
iora
l ass
essm
ent
++
++
Func
tion
al c
omm
unic
atio
n tr
aini
ng+
+
Mod
elin
g+
Nat
ural
isti
c in
terv
enti
on+
++
Pare
nt-i
mpl
emen
ted
inte
rven
tion
s+
+
Peer
-med
iate
d in
stru
ctio
n an
d in
terv
enti
on+
+
Pict
ure
Exch
ange
Com
mun
icat
ion
Syst
em+
+
Pivo
tal r
espo
nse
trai
ning
++
+
Prom
ptin
g+
++
++
+
Rei
nfor
cem
ent
++
++
++
Res
pons
e in
terr
upti
on/r
edir
ecti
on+
+
Scri
ptin
g+
Self-m
anag
emen
t+
++
+
Soci
al n
arra
tive
s+
+
Soci
al s
kills
tra
inin
g+
++
Stru
ctur
ed p
lay
grou
p+
+a
Tas
k an
alys
is+
++
Tec
hnol
ogy-
aide
d in
stru
ctio
n an
d in
terv
enti
on+
+a
Tim
e de
lay
++
+
Vid
eo m
odel
ing
++
++
Vis
ual s
uppo
rt+
++
Not
e. T
he li
st o
f ev
iden
ce-b
ased
pra
ctic
es is
Won
g et
al.
(201
5, p
p. 1
959–
1960
). P
lus
sign
(+
) de
note
s an
evi
denc
e-ba
sed
prac
tice
mod
ule
offe
red
by a
n on
line
reso
urce
. A
BA
=
appl
ied
beha
vior
al a
naly
sis;
AD
EPT
= A
utis
m D
ista
nce
Educ
atio
n Pa
rent
Tra
inin
g; A
FIR
M =
Aut
ism
Foc
used
Int
erve
ntio
n R
esou
rces
and
Mod
ules
; A
IM =
Aut
ism
Int
erne
t M
odul
es;
ASD
= a
utis
m s
pect
rum
dis
orde
r; C
SESA
= C
ente
r on
Sec
onda
ry E
duca
tion
for
Stu
dent
s w
ith
Aut
ism
Spe
ctru
m D
isor
ders
; EB
P =
evi
denc
e-ba
sed
prac
tice
; ST
AR
T =
Sta
tew
ide
Aut
ism
Res
ourc
es a
nd T
rain
ing.
a Thr
ee E
BP
mod
ules
fro
m A
IM h
ave
diff
eren
t na
mes
for
the
EB
Ps.
146 CounCil for ExCEptional ChildrEn
implementation of a new practice, especially when this practice is new to the education team. Table 3 provides a list of available supplemental materials by corresponding websites.
Step-by-Step Process for Using Online Tools
Knowing where to find relevant resources for implementation of EBPs is typically the first hurdle; however, deep understanding of the practice and strong implementation require structured engagement. To support use of online tools, we delineate three steps that will assist practitioners to plan for, use, and monitor progress related to the implementation of EBPs. Although online learning modules can and have been used by schools to supplement comprehensive professional development, (Kucharczyk et al., 2012), including didactic group training and coaching, the description that follows is intended to support practitioners and families seeking to
independently use such online tools. Self-directed learning, whether as
individuals or groups (e.g., IEP team members), has the benefit of flexibility (e.g., learning time is not restricted to allocated professional development time) and immediacy (e.g., to solve new challenges).
Self-directed learning is the natural process that adults embark on for various professional and personal reasons to gain new information and skills (Merriam, Caffarella, & Baumgartner, 2007). Costa and Kallick (2004) described criteria for effective self-directed learning, including seeking feedback from appropriate sources for improved performance, establishing and reflecting on learning goals, and making checklists of key
implementation steps or competencies throughout the learning process. These
criteria are adapted and integrated into Figure 1. Consistent with some of the supplemental resources embedded in the online learning modules listed in Table 1, this implementation checklist supports users through three steps: plan, use, and monitor. In using this tool, practitioners keep track of the implementation, take note of when steps are completed, and reflect on their work in order to inform future use of EBPs.
Step 1: Plan. Effective implementation of self-directed learning begins with self-assessment and goal setting. Practitioners will bring different levels of background knowledge related to
Table 3. Supplemental Materials From Online Evidence-Based Practice Modules
Supplemental material
ASD Toddler
Initiative ADEPT AFIRM AIMa
Cadre Training Modules CSESA
LearningABA! (Serna et al.,
2015)START Project
CEC professional standards
+ +a
Summary of the EBP + +a +
Evidence base for the EBP
+ + +a
Step-by-step guide for the EBP
+ +
Planning worksheets + + + +
Data forms + + + +
Fidelity checklists + + +
Information sheet for families
+ +
Information sheet for practitioners
+
Note. Plus sign (+) denotes a downloadable supplemental material. ABA = applied behavioral analysis; ADEPT = Autism Distance Education Parent Training; AFIRM = Autism Focused Intervention Resources and Modules; AIM = Autism Internet Modules; ASD = autism spectrum disorder; CEC = Council for Exceptional Children; CSESA = Center on Secondary Education for Students with Autism Spectrum Disorders; EBP = evidence-based practice; START = Statewide Autism Resources and Training.aThree supplemental materials for AIM are available within the content of the module and can be printed but are not downloadable.
Effective implementation of self-directed learning begins with self-assessment and goal setting.
TEACHING ExCEptional ChildrEn | January/fEbruary 2018 147
specific EBPs, and this knowledge will affect the utility of a learning module. For example, a teacher may have in-depth knowledge and use of foundational practices, such as prompting and reinforcement, but might need to learn to know how to apply this knowledge in the use of the Picture Exchange Communication System (PECS; Bondy & Frost, 2001). In contrast, the paraprofessional who works with the teacher may have emerging knowledge of the foundational behavioral principles important for PECS implementation. Learning more about these principles
can help the paraprofessional understand why each feature of the system is necessary and important. These professionals might assess (Step 1.1) their knowledge by reviewing the step-by-step resource for the selected practice.
Assessing self-knowledge will inform development of learning goals (Step 1.2) and use of the selected modules. By creating goals for learning, practitioners (a) clarify the form of knowledge they are expecting to achieve (e.g., awareness, application, analysis), (b) consider the most effective process to meet the
goal (e.g., review a complete module in one sitting, break up the module over time), and (c) identify the form of progress monitoring (e.g., print out certificates of completion, check off when each step of module has been applied to fidelity). After goal development, individual learners or teams or groups should create contracts for learning (Step 1.3), detailed agreements that describe expected activities and timelines. Such contracts might be formal (e.g., team plan for execution, part of a mentoring agreement) or informal (e.g., three special educators across a
Figure 1. EBP implementation checklist
Participant(s):
Selected EBP:
Reason(s) for learning:
Check if completed
with fidelityDate
completedReflection/adaptation
Step 1: Plan
1.1 Assess your own knowledge
1.2 Set goals for learning
1.3 Create learning contract with self and/or others
1.4 Gather necessary tools and resources
Step 2: Use
2.1 Complete lessons as appropriate based on assessed level of knowledge
2.2 Create and use tools for self-management of learning
2.3 Apply learning often
2.4 Identify when content is not clear and seek learning support
2.5 Seek and create ongoing motivation
2.6 Model learning process for others
Step 3: Monitor
3.1 Report on progress
3.2 Seek feedback
3.3 Assess fidelity of implementation
Notes:
148 CounCil for ExCEptional ChildrEn
district’s elementary schools check in on each other once a week). Contracts should include the steps to be taken, a timeline for completion, expectations of knowledge of and use of EBPs, and what supports will be necessary to enhance success. Figure 2 provides a template for a contract. Once a plan is constructed, all necessary tools or resources for completion should be gathered (Step 1.4). Tools or resources might be access to technology (e.g., laptops, tablets) that efficiently streams online videos; printers for downloaded resources, including implementation checklists; and the time to complete learning modules.
As a first-year teacher, Ms. Crouch had not implemented an FBA with her students. Worried she would forget a crucial step, Ms. Crouch wanted a resource that would lead her through the FBA process. She selected an online module that had a step-by-step guide, planning forms, examples of implementation, and data forms. Ms. Crouch discussed with her team of paraprofessionals and other IEP team members their roles in learning about the FBA process. She created a document with team members’ names and the timeline for completing steps for learning about FBA. She worked with the administrative team to find 20 minutes a day for each paraprofessional to access
the online modules. Other IEP team members were asked to find time within the school schedule. Team members met for 10 minutes after school for a week to discuss what they learned, what resources to gather, and how to plan for implementation. Ms. Crouch made notes of what the team learned, how they decided to implement the plan for Mateo, and what resources they needed, such as a Google Doc to which everyone had access. This Google Doc became an evolving learning contract.
Mr. Welling and the SLP, in the meantime, discussed potential EBPs appropriate for social skill development. Mr. Welling had experience using speech-generated
Figure 2. EBP learning contract template for establishing steps and timeline
Team Members:
Selected EBP:
Goal(s) for Learning:
Steps/Activities (Plan, Use, Monitor)Date to be completed
Resources/supports needed Progress notes
Summary notes:
TEACHING ExCEptional ChildrEn | January/fEbruary 2018 149
devices with students. The SLP had experience with speech-generating devices and social skills instruction. After reviewing possible EBPs, Mr. Welling and the SLP decided that using peer-mediated instruction and intervention would help bridge the gap between Lauren’s developing communication and her social skill use with peers. They created a timeline for reviewing materials from the online learning modules specific to peer-mediated instruction and intervention with the goal of presenting the information and developing a plan at the upcoming IEP meeting.
Step 2: Use. Once practitioners have assessed their knowledge, developed goals, negotiated plans for completion of modules, and gathered tools to support success, they are ready to embark on using the EBP. The six steps listed in Figure 1 can help guide professionals through this process, beginning with the step of completing the selected module (Step 2.1). For some of the websites, such as AFIRM and AIM, the module components scaffold knowledge, beginning with awareness through the research basis for the practice and moving through planning, using, and monitoring. Although some experienced practitioners with advanced knowledge of an EBP may benefit from simply downloading implementation checklists or other support tools, other practitioners—such as novice teachers, paraprofessionals (Brock & Carter, 2015), and general educators (Kucharczyk et al., 2015), with less background knowledge—would benefit from a sequential progression through each phase of the learning module.
Practitioners are cautioned not to assume knowledge based on their experience, as even advanced users of EBPs can fall into habits of ineffective implementation over time. As much as possible, a sequential progression through all the steps of an EBP module is recommended. Tools for self-management can support professionals’ learning as they move through lessons (Step 2.2). Through effective self-management of learning, educational
professionals ensure that time is allocated effectively to (a) create opportunities to take into consideration past experience (e.g., why a previous version of a visual support might have been ineffective due to poor planning); (b) gather information through reading, watching videos, applying knowledge to case studies, and practicing aspects of modules; and (c) reinforce learning and application efforts (e.g., literal and figurative pats on the back). Just as self-management strategies work for youth and adolescents with ASD (Brock, 2013; Kern, Marder, Boyajian, Elliot, & McElhattan, 1997), self-management strategies help professionals stay aware of their learning through persistent monitoring of application of learning. As practitioners move through module lessons, the module resources (e.g., step-by-step practice guides, implementation checklists, tip sheets) can be helpful tools to keep track of learning. For example, practitioners can check off steps of EBP knowledge acquisition on a step-by-step practice guide. In order to be prepared for effective learning, online module users should review the content and tools available for each module.
After exploring module content, individuals, pairs, and practitioner teams should seek opportunities to apply their learning to students with ASD across settings (Step 2.3). By applying this learning, knowledge of the EBP is intertwined with “the doing” of the practice and situated in the learner’s context (Merriam & Bierema, 2014). Often, the planning steps across modules can be applied immediately. For example, an IEP team concerned about a student’s behavior might complete the FBA individually and then come together to begin the planning process. As the plan emerges, the team may return to the module for clarification and identification of tools to use specific to its application. In order to prepare for effective application, practitioners can note opportunities for application to particular students and settings as they progress through a learning module. Such notes will help in integrating of
new knowledge by consistently focusing on application and will prepare the professional for discussions of application.
Frequent application allows the professional to identify challenges, return to modules to understand why implementation is not working as expected, and to problem-solve. Confusing steps should be highlighted for deeper analysis and discussion with fellow team members, mentors, or coaches (Step 2.4). Self-directed learning does not mean learning in isolation (Merriam & Bierema, 2014). Seeking assistance from subject matter experts or peers implementing EBPs is essential to minimize errors in learning and application for professionals and their students—an integral component of the prompting EBP. Another important EBP for students and practitioners alike is reinforcement. Reinforcement should be planned to ensure learning is a pleasant and motivating experience (Step 2.5). Individual educators and teams can plan to conduct preference assessments (e.g., discuss when and how often to note progress with reinforcers) and provide themselves and each other social (e.g., encouraging emails and texts) and tangible (e.g., a special coffee drink at completion of a section) reinforcers. Ultimately, collecting data on student progress based on effective implementation likely serves as an excellent reinforcer in itself. As their own comfort with new knowledge builds, professionals should consider opportunities to model learning (Step 2.6) with other professionals (e.g., families, paraprofessionals, related service providers) using strategies such as sharing resources, identifying key aspects of modules (e.g., case study, video) that apply to a specific child, and modeling their application of learning.
Ms. Crouch downloaded the planning form from the FBA online module. She and the team used the form alongside the step-by-step guide as they began to implement the practice with their student. Ms. Crouch modified the data forms from AFIRM for use with
150 CounCil for ExCEptional ChildrEn
Mateo and shared these with relevant team members who would be collecting data. She modeled how to collect data with her paraprofessionals across settings. When a team member was confused about implementation, the team revisited the learning module to find clarification.
Although Mr. Welling and the SLP had informally guided peers in their support of students with ASD in inclusive classrooms, they were cautious about assuming they were proficient with the practice. They reviewed elements of the module and planned for use of the practice with Lauren. They met with the general education teacher and Lauren’s parents to review the plan and consider how Lauren’s family might help her generalize these skills in their home and in the community. The team returned to the module when questions came up about the complexity of encouraging Lauren to use her speech-generated device with peers and teaching peers how to respond and initiate. They decided that Lauren’s second-grade teacher would identify four children to participate in a microteaching session with Mr. Welling at the beginning of each school day for a week to discuss ways to initiate and respond with Lauren. They included Lauren in some of these sessions when beginning the practice. Lauren’s teacher watched videos of these sessions. Lauren’s teacher, the SLP, and Mr. Welling took turns reinforcing peers and Lauren in the classroom, prompting them when opportunities arose, or creating opportunities.
Step 3: Monitor. Important to effective implementation, and thus positive outcomes for students, is the fidelity of application of the EBP given the context and child-specific variables accompanied by clear data (Harn, Parisi, & Stoolmiller, 2013). Reporting on progress (Step 3.1) is a crucial accountability step, which can take the form of an informal email, shared data sheet on cloud service, or check-off on the module’s implementation checklist. Although practitioners can track progress through the modules, they should also seek feedback on
implementation (Step 3.2). Both the AFIRM and AIM modules provide resources meant to elicit feedback. For example, practitioners can ask more experienced team members, mentors, or coaches to observe their use of EBPs using implementation checklists so that both the professional seeking feedback and the observer are clear on expected behaviors. Another approach to seeking feedback is to self-analyze a video of implementation (Baecher, Kung, Jewkes, & Rosalia, 2013; Fukkink & Tavecchio, 2010). For example, teachers can video-record themselves conducting a peer-mediated instruction and intervention and afterward analyze EBP implementation using a checklist or step-by-step directions. The purpose of an implementation checklist is to gather data on fidelity of implementation (Step 3.3). Fidelity data can be gathered across team implementers or across observations of a single practitioner. The final using phase supports educators appropriately applying the practice.
Ms. Crouch used the implementation checklist available on the FBA online module to analyze the team’s fidelity in implementing the FBA. She marked off the FBA steps completed as described in the module and made adjustments as needed to ensure the team was on the same page. For example, while analyzing the checklist, she realized that the team had not tested its developed hypothesis statement for the function of the behavior. She worked
with the team to test the hypothesis before considering strategies for addressing the identified interfering behavior. By following the checklist and monitoring the team, Ms. Crouch
ensured fidelity of implementation for the EBP, as proven effective in applied research, and thus increased the likelihood that Mateo’s behavior would be addressed.
At their school, Mr. Welling, the SLP, and general education teacher observed one another implementing the use of peer-mediated instruction and intervention based on their plan. At a debrief meeting, they reviewed the plan they developed and the weeklong data on the implementation checklist. They used this information to discuss how implementation could be modified or adapted to increase the likelihood of success for developing Lauren’s social and communication skills in the classroom.
Considerations and Conclusions
A few considerations should be taken into account when planning for self-directed learning of EBP modules or supporting others’ learning. Not all practitioners may be ready to engage in self-directed learning to the same level (Brookfield, 1984). Administrators and coaches should be prepared to offer varying degrees of support. Some practitioners might be prepared to manage their own learning based on a negotiated learning plan, whereas others may need more support in identifying time to complete modules and opportunities to practice and assess implementation. Some practitioners may have more personal resources (e.g., time, printing resources) to complete modules on their own; others may not have such
flexibility. Administrators need to identify specific strategies to support practitioners who have less flexibility. For example, a school district could pay paraprofessionals to complete modules
Supporting self-directed learning requires administrators, educators, and team members to individualize learning for themselves and others to ensure success for professionals, parents, and ultimately, students with ASD.
TEACHING ExCEptional ChildrEn | January/fEbruary 2018 151
during time outside of their contract hours, or administrators could incorporate time for EBP modules completion during scheduled professional development time and follow up in professional learning committees across general and special educators. Supporting self-directed learning requires administrators, educators, and team members to individualize learning for themselves and others to ensure success for professionals, parents, and ultimately, students with ASD.
Online learning modules offer professionals and parents tools to become aware of EBPs, how to apply these practices with students with ASD, and how to do so with the fidelity needed to ensure the most effective implementation. For individual professionals, parents, and groups of team members making decisions about where to start, learning new practices can be an overwhelming process. Aligned with many of these online learning modules, we have identified three steps to support professionals and parents in this process. By attending to how to plan, use, and monitor, professionals can prepare themselves to use EBPs effectively and confidently.
References
Baecher, L., Kung, S. C., Jewkes, A. M., & Rosalia, C. (2013). The role of video for self-evaluation in early field experiences. Teaching and Teacher Education, 36, 189–197. doi:10.1016/j.tate.2013.08.001
Barrio, B. L., & Hollingshead, A. (2017). Reaching out to paraprofessionals: Engaging professional development aligned with universal design for learning framework in rural communities. Rural Special Education Quarterly, 36, 136–145. doi:10.1177/8756870517721693
Bondy, A., & Frost, L. (2001). The Picture Exchange Communication System. Behavior Modification, 25, 725–744. doi:10.1177/0145445501255004
Brock, M. E. (2013). Self-management (SM) fact sheet. Chapel Hill: University of North Carolina, Frank Porter Graham Child Development Institute, National Professional Development Center on Autism Spectrum Disorders.
Brock, M. E., & Carter, E. W. (2013). Effects of a professional development package to prepare special education paraprofessionals to implement evidence-based practice. The Journal of Special Education. doi:10.1177/0022466913501882
Brock, M. E., Huber, H. B., Carter, E. W., Juarez, A. P., & Warren, Z. E. (2014). Statewide assessment of professional development needs related to educating students with autism spectrum disorder. Focus on Autism and Other Developmental Disabilities, 29, 67–79. doi:10.1177/1088357614522290
Brookfield, S. D. (1984). Self-directed adult learning: A critical paradigm. Adult Education Quarterly, 35, 59–71. doi:10.1177/0001848184035002001
Center on Secondary Education for Students With Autism Spectrum Disorder. (n.d.). High school case studies. Chapel Hill: University of North Carolina, Frank Porter Graham Child Development Institute, Center on Secondary Education for Students With Autism Spectrum Disorder. Retrieved from http://csesa.fpg.unc.edu/high-school-case-studies
Cook, B. G., & Cook, S. C. (2011). Unraveling evidence-based practices in special education. The Journal of Special Education, 47, 389–390. doi:10.1177/0022466911420877
Cook, B. G., & Odom, S. L. (2013). Evidence-based practices and implementation science in special education. Exceptional Children, 79, 135–144. doi:10.1177/001440291307900201
Cornett, J., & Knight, J. (2009). Research on coaching. In J. Knight (Ed.), Coaching: Approaches and perspectives (pp. 192–216). Thousand Oaks, CA: Corwin Press.
Costa, A. L., & Kallick, B. (2004). Assessment strategies for self-directed learning. Thousand Oaks, CA: Corwin Press/SAGE.
Da Fonte, M. A., & Capizzi, A. M. (2015). A module-based approach: Training paraeducators on evidence-based practices. Physical Disabilities: Education and Related Services, 34, 31–54.
Fukkink, R. G., & Tavecchio, L. W. (2010). Effects of video interaction guidance on early childhood teachers. Teaching and Teacher Education, 26, 1652–1659. doi:10.1016/j.tate.2010.06.016
Every Student Succeeds Act of 2015, Pub. L. No. 114-95 § 114 Stat. 1177 (2015–2016).
Harn, B., Parisi, D., & Stoolmiller, M. (2013). Balancing fidelity with flexibility and fit: What do we really know about
fidelity of implementation in schools? Exceptional Children, 79, 181–193. doi:10.1177/001440291307900204
Hendricks, D. (2011). Special education teachers serving students with autism: A descriptive study of the characteristics and self-reported knowledge and practices employed. Journal of Vocational Rehabilitation, 35, 37–50.
Hess, K. L., Morrier, M. J., Heflin, L. J., & Ivey, M. L. (2008). Autism treatment survey: Services received by children with autism spectrum disorders in public school classrooms. Journal of Autism and Developmental Disorders, 38, 961–971. doi:10.1007/s10803-007-0470-5
Individuals With Disabilities Education Act, 20 U.S.C. §§ 1400 et seq. (2006 & Supp. V. 2011).
Kern, L., Marder, T. J., Boyajian, A. E., Elliot, C. M., & McElhattan, D. (1997). Augmenting the independence of self-management procedures by teaching self-initiation across settings and activities. School Psychology Quarterly, 12, 23–32. doi:10.1037/h0088944
Klingner, J. K., Boardman, A. G., & McMaster, K. L. (2013). What does it take to scale up and sustain evidence-based practices? Exceptional Children, 79, 195–211. doi:10.1177/001440291307900205
Kretlow, A. G., & Bartholomew, C. C. (2010). Using coaching to improve the fidelity of evidence-based practices: A review of studies. Teacher Education and Special Education, 33, 279–299. doi:10.1177/0888406410371643
Kretlow, A. G., & Blatz, S. L. (2011). The ABCs of evidence-based practice for teachers. TEACHING Exceptional Children, 43(5), 8–19.
Kucharczyk, S., Shaw. E., Smith Myles, B., Sullivan, L., Szidon, K., & Tuchman-Ginsberg, L. (2012). Guidance & coaching on evidence-based practices for learn ers with autism spectrum disorders. Chapel Hill: The University of North Carolina, Frank Porter Graham Child Development Institute, National Professional Development Center on Autism Spectrum Disorders.
Kucharczyk, S., Reutebuch, C. K., Carter, E. W., Hedges, S., el Zein, F., Fan, H., & Gustafson, J. R. (2015). Addressing the needs of adolescents with autism spectrum disorder: Considerations and complexities for high school interventions. Exceptional Children, 81, 329–349. doi:10.1177/0014402914563703
McLeskey, J. (2011). Supporting improved practice for special education teachers:
152 CounCil for ExCEptional ChildrEn
The importance of learner-centered professional development . Journal of Special Education Leadership , 24 , 26 – 35 .
Merriam , S. B. , & Bierema , L. L. ( 2014 ). Adult learning: Linking theory and practice . San Francisco, CA : Jossey-Bass .
Merriam , S. B. , Caffarella , R. , & Baumgartner , L. ( 2007 ). Learning in adulthood: A comprehensive guide . San Francisco, CA : Jossey-Bass .
Morrier , M. , Hess , K. L. , & Heflin , L. J. ( 2011 ). Teacher training for implementation of teaching strategies for students with autism spectrum disorders . Teacher Education and Special Education , 34 , 119 – 132 . doi: 10.1177/0888406410376660
National Professional Development Center on ASD . ( 2017 ). Comparison of NPDC and NSP EBPs . Chapel Hill : University of North Carolina, Frank Porter Graham Child Development Center, National Professional Development Center on Autism Spectrum Disorder . Retrieved from http://autismpdc.fpg.unc.edu/evidence-based-practices
National Standards Project . ( 2015 ). Findings and conclusions: National Standards Project, Phase 2 . Randolph, MA : National Autism Center: A Center of May Institute . Retrieved from http://www.nationalautismcenter.org/resources/
Odom , S. L. , Collet-Klingenberg , L. , Rogers , S. J. , & Hatton , D. D. ( 2010 ). Evidence-
based practices in interventions for children and youth with autism spectrum disorders . Preventing School Failure: Alternative Education for Children and Youth , 54 , 275 – 282 .
Serna , R. W. , Lobo , H. E. , Fleming , C. K. , Fleming , R. K. , Curtin , C. , Foran , M. M. , & Hamad , C. D. ( 2015 ). Innovations in behavioral intervention preparation for paraprofessionals working with children with autism spectrum disorder . Journal of Special Education Technology , 30 , 1 – 12 . doi: 10.1177/016264341503000101
Stahmer , A. C. , Collings , N. M. , & Palinkas , L. A. ( 2005 ). Early intervention practices for children with autism: Descriptions from community providers . Focus on Autism and Other Developmental Disabilities , 20 , 66 – 79 .
Stahmer , A. C. , Rieth , S. , Lee , E. , Reisinger , E. M. , Mandell , D. S. , & Connell , J. E. ( 2015 ). Training teachers to use evidence-based practices for autism: Examining procedural implementation fidelity . Psychology in the Schools , 52 , 181 – 195 . doi: 10.1002/pits.21815
Travers , J. ( 2017 ). Evaluating claims to avoid pseudoscientific and unproven practices in special education . Intervention in School and Clinic , 52 , 195 – 203 . doi: 10.1177/1053451216659466
Walker , V. L. , & Smith , C. G. ( 2015 ). Training paraprofessionals to support
students with disabilities: A literature review . Exceptionality , 23 , 170 – 191 . doi: 10.1080/09362835.2014.986606
Wong , C. , Odom , S. L. , Hume , K. Cox , A. W. , Fettig , A. , Kucharczyk , S. , & Schultz , T. R. ( 2015 ). Evidence-based practices for children, youth, and young adults with autism spectrum disorder . Journal of Autism and Developmental Disorders , 45 , 1951 – 1966 . doi: 10.1007/s10803-014-2351-z
Ann M. Sam, Research Scientist, Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill; Suzanne Kucharczyk, Assistant Professor of Special Education, Curriculum and Instruction, University of Arkansas, Fayetteville; Victoria Waters, Research Assistant, Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill.
Address correspondence concerning this article to Ann M. Sam, University of North Carolina at Chapel Hill, Frank Porter Graham Child Development Institute, Campus Box 8040, Chapel Hill, NC 27599 ( e-mail: [email protected] ).
TEACHING Exceptional Children, Vol. 50, No. 3, pp. 141–152. Copyright 2017 The Author(s).
CEC’s online catalog has the very latest resources for teachers, administrators, and teacher educators—take a minute and take a gander. Browse by topic, keyword, or format to find the latest evidence-based practices and strategies,
reference and training materials, and more.
Webinars n Books n Quick-reference guides
Peruse the table of contents from a book, post product reviews, or check out the featured author, product, and eBook! New content is added every week, so don’t miss out—stop by today!
www.pubs.cec.sped.org