Developing the Parent-Coaching Assessment, Individualization, and Response to Stressors (PAIRS) Tool for Behavior Analysts.
Cressida Pacia, Ciara Gunning, Aoife McTiernan and 1 others
PMID 35768672WHAT IT FOUND
Fifteen behavior analysts rated a new parent-coaching tool as relevant and appropriate, but experts were less sure it would address barriers.
Four analysts found it useful. It has not been tested with families.
Key findings
01The PAIRS was developed into 11 barriers, six facilitators, and 45 barrier-solution pairings.
02Fifteen behavior analysts rated 33 of 45 solutions above all recommended thresholds, but the overall effectiveness rating was 0.85, below the recommended 0.9.
03Four behavior analysts agreed or strongly agreed on every questionnaire item about the tool's structure and potential usefulness.
STILL TO COME
How it was doneWhat they found
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What it does not show
The paper develops and expert-reviews a tool; it does not test whether the tool improves parent engagement, child communication, or family outcomes. Parents were not consulted at this stage, so the tool was not evaluated by the families it is intended to support. The literature collation was not a systematic review, so the barrier and facilitator list may not be complete. The content validity panel was convenience recruited and included 15 BCBAs. The second evaluation included only four BCBAs, so their views may not represent wider practice. The overall effectiveness rating was below the paper's recommended threshold, and some items had ratings below the recommended minimum. The tool is intended for behavior analysts delivering parent-implemented behavioral interventions, not as a tested physical therapy, occupational therapy, or speech-language therapy program.
Declared interests
The supplied text lists funding from National University Ireland, Galway. It does not state author conflicts of interest.
The easy way to misread this
Do not read the expert ratings as evidence that PAIRS improves parent engagement or child outcomes. The paper reports no tested clinical outcomes and parents were not consulted.