Video-modelling as an effective solution for coaching carers of autistic adults

Teaching skills to autistic individuals can increase independence and quality of life. However, staff supporting such individuals often lack the skills needed to teach skills. This study evaluated the use of digital videos (DVDs) to coach three care staff in teaching tooth-brushing skills to three autistic adults with co-occurring intellectual disabilities.

Personalized DVDs provided guidance on key elements of teaching new skills, including graded assistance, contingent reinforcement and environmental configuration. Participants watched their DVD six times over several days. Its impact on their teaching performances was evaluated using a multiple-baseline design. Social validity was investigated by distributing a questionnaire among the participants and family members of autistic adults.

Teaching performances improved substantially following training. The coaching method was rated positively by participants and family members.

Video-modelling technology can be used effectively to provide an efficient, individualized and acceptable method of coaching for care staff.