Inclusive Preschool Practitioners’ Implementation of Naturalistic Developmental Behavioral Intervention Using Telehealth Training

  • Sophia D’AgostinoEmail author
  • Sarah N. Douglas
  • Elizabeth Horton
Original Paper


This single-case investigation was designed to evaluate the effects of telehealth training on practitioner implementation of a naturalistic developmental behavioral intervention (NDBI). Six general education preschool practitioners engaged in an intervention with six children with varying disabilities in inclusive classroom settings. The telehealth training package included a collaborative approach to intervention planning, online training module, video self-evaluation, and performance feedback via videoconferencing. Following telehealth training, practitioners reached criteria for implementation fidelity and increased communication opportunities. Additionally, child participants increased communication behaviors above baseline levels. All behaviors generalized to a different activity context and maintained over time. Social validity was measured and results suggest high levels of acceptability for the telehealth training package.


Telehealth Preschool Inclusion Naturalistic developmental behavioral intervention Single-case design 



The authors would like to acknowledge that this manuscript was prepared from the first author’s doctoral dissertation. Research enhancement funds from Michigan State University partially supported technology purchases for this dissertation research. The authors would also like to thank the participants and education professionals for their collaboration and support of this study.

Author Contributions

SRD conceived of the study, participated in the design and coordination, conducted all intervention sessions, analyzed and interpreted data, and drafted and revised the entire manuscript. SND participated in the design, assisted in data analyzation, and helped to draft and revise the manuscript. EH was the secondary coder of data and helped draft and revise the manuscript. All authors read and approved of the final manuscript.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Michigan State University institutional research committee (STUDY00000919) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained for all individual participants included in this study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Hope CollegeHollandUSA
  2. 2.Human Development and Family Studies, 1C Human EcologyMichigan State UniversityEast LansingUSA

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