Intervention Enhancing Effects of Acceptance and Commitment Training on Performance Feedback for Direct Support Professional Work Performance, Stress, and Job Satisfaction

  • John C. Pingo
  • Mark R. DixonEmail author
  • Dana Paliliunas
Research Article


Direct service professionals (DSPs) provide the majority of treatment to individuals with developmental disabilities in community and residential settings; however, their ability to implement high-quality care is often limited by workplace factors and stress. The present study examined the effect of a verbal and written performance feedback intervention and the addition of an acceptance and commitment therapy (ACT)-based training program on the frequency and technical competence of active treatment provided by DSPs using a multiple-baseline design across 5 participants. Each participant demonstrated an increase in active treatment and technical performance following the implementation of both feedback-only and feedback plus ACT training interventions. Self-reported levels of psychological flexibility, workplace stress, and job satisfaction remained relatively stable for all participants from baseline to intervention despite the increased performance of the DSPs. Implications of the inclusion of an ACT-based training program with traditional behavior-analytic workplace interventions are discussed.


Feedback Acceptance and commitment therapy Organizational behavior management Staff training 


Compliance with Ethical Standards

Conflict of Interest

All authors declare they have no conflicts of interest.

Ethical Approval

All procedures performed in this study that involved human participants were in accordance with the ethical standards of the institution and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained for participation in this research.


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Copyright information

© Association for Behavior Analysis International 2019

Authors and Affiliations

  • John C. Pingo
    • 1
  • Mark R. Dixon
    • 1
    Email author
  • Dana Paliliunas
    • 1
  1. 1.Rehabilitation InstituteSouthern Illinois UniversityCarbondaleUSA

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