Evaluation of a Supervisor Toolkit to Support Autism Provider Use of Pivotal Response Training.
Allison Jobin, Jessica Suhrheinrich, Kelsey Oliver and 2 others
PMID 40338512WHAT IT FOUND
Supervisor training improved coaching for some staff but not others.
Providers showed better use of difficult PRT components after feedback, though overall fidelity remained low and varied widely.
Key findings
01The Toolkit had a mixed effect on supervisor coaching, with positive effects for some supervisors but minimal change for others.
02Providers improved their use of specific PRT components that were initially below competency, but overall fidelity remained low.
03Supervisors and providers reported high satisfaction and feasibility with the Toolkit.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
Small sample size (5 supervisors, 20 providers). Mixed results for supervisor coaching effectiveness. Potential reactivity to being filmed. Lack of stable baseline data for some supervisors. Overall provider fidelity remained low despite component-level improvements.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not assume the Toolkit leads to high overall PRT fidelity. While it improved specific difficult components, overall strategy use remained low and variable, and supervisor coaching effects were inconsistent.