Using Remote Coaching to Promote Caregiver-Friendly NDBI Strategies

Abstract

Naturalistic Developmental Behavioral Interventions (NDBIs) refers to interventions grounded in behavioral learning and developmental sciences. These interventions are commonly implemented in natural settings with children with autism and intellectual developmental disabilities. Although NDBI is a relatively new term in the behavior analytic literature, several models already exist that fall under this term, such as Pivotal Response Treatment (PRT), Incidental Teaching (IT), Early Start Denver Model (ESDM), Project Improving Parents as Communication Teachers (Project ImPACT), Enhanced Milieu Teaching (EMT), and Joint Attention Symbolic Play Engagement and Regulation (JASPER). These models rest on the core tenet that caregivers of children with disabilities are children’s first and best teachers. One of the many benefits of NDBIs is the naturalistic nature of the intervention, creating numerous opportunities for caregivers to serve as key implementers. A remote coaching package focused specifically on validated, caregiver-friendly NDBI strategies has yet to be implemented with caregivers of children with disabilities. This study examines the effects of a remote caregiver coaching package incorporating implementation of NDBI strategies at home. Results suggest this intervention increased caregivers’ implementation of NDBI strategies. Limitations and future research are discussed.