Abstract
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.
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References
Adams, J. (2009). Cost savings from health promotion and stress management interventions. OD Practitioner, 41, 31–37.
American Health Care Association. (2003). Results of the 2002 AHCA survey of nursing staff vacancy and turnover in nursing homes. Health Services Research and Evaluation. Retrieved from http://publish.ahcatech.org/research_data/staffing/Documents/Vacancy_Turnover_Survey2002.pdf
Andrews, F. M., & Whitey, S. B. (1976). Social indicators of well-being: America’s perception of life quality. New York, NY: Plenum Press.
Biglan, A., & Hayes, S. C. (1996). Should the behavioral sciences become more pragmatic? The case for functional contextualism in research on human behavior. Applied & Preventive Psychology, 5, 47–57. https://doi.org/10.1016/S0962-1849(96)80026-6.
Bond, F. W., & Bunce, D. (2000). Mediators of change in emotion-focused and problem-focused worksite stress management interventions. Journal of Occupational Health Psychology, 5, 156–163. https://doi.org/10.1037/1076-8998.5.1.156.
Bond, F. W., Flaxman, P. E., & Bunce, D. (2008). The influence of psychological flexibility on work redesign: Mediated moderation of a work reorganization intervention. Journal of Applied Psychology, 93, 645–654. https://doi.org/10.1037/0021-9010.93.3.645.
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., et al. (2011). Preliminary psychometric properties of the acceptance and action questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. https://doi.org/10.1016/j.beth.2011.03.007.
Bond, F. W., Hayes, S. C., & Barnes-Holmes, D. (2006). Psychological flexibility, ACT, and organizational behavior. Journal of Organizational Behavior Management, 26, 25–54. https://doi.org/10.1300/J075v26n01_02.
Brown, K. M., Willis, B. S., & Reid, D. H. (1981). Differential effects of supervisor verbal feedback and feedback plus approval on institutional staff performance. Journal of Organizational Behavior Management, 3, 57–68. https://doi.org/10.1300/J075v03n01_05.
Burgio, L. D., Whitman, T. L., & Reid, D. H. (1983). A participative management approach for improving direct-care staff performance in an institutional setting. Journal of Applied Behavior Analysis, 16, 37–53. https://doi.org/10.1901/jaba.1983.16-37.
Ganster, D. C., Kiersch, C. E., Marsh, R. E., & Bowen, A. (2011). Performance-based rewards and work stress. Journal of Organizational Behavior Management, 31, 221–235. https://doi.org/10.1080/01608061.2011.619388.
Harchik, A. E., Sherman, J. A., Sheldon, J. B., & Strouse, M. C. (1992). Ongoing consultations as a method of improving performance of staff members in a group home. Journal of Applied Behavior Analysis, 25, 599–610. https://doi.org/10.1901/jaba.1992.25-599.
Harris, R. (2008). The happiness trap: How to stop struggling and start living. Boston, MA: Shambhala Publications.
Harris, R. (2009). ACT made simple: An easy-to-read primer on acceptance and commitment therapy. Oakland, CA: New Harbinger Publications.
Hayes, S. C., Barnes-Holmes, D., & Roche, B. (Eds.). (2001). Relational frame theory: A post-Skinnerian account of human language and cognition. New York, NY: Springer Science & Business Media.
Hayes, S. C., Bissett, R., Roget, N., Padilla, M., Kohlenberg, B. S., Fisher, G., et al. (2004). The impact of acceptance and commitment training and multicultural training on the stigmatizing attitudes and professional burnout of substance abuse counselors. Behavior Therapy, 35, 821–835. https://doi.org/10.1016/S0005-7894(04)80022-4.
Hayes, S. C., Bunting, K., Herbst, S., Bond, F. W., & Barnes-Holmes, D. (2006a). Expanding the scope of organizational behavior management: Relational frame theory and the experimental analysis of complex human behavior. Journal of Organizational Behavior Management, 26, 1–23. https://doi.org/10.1300/J075v26n01_01.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006b). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. https://doi.org/10.1016/j.brat.2005.06.006.
Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York, NY: Guilford Press.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). New York, NY: Guilford Press.
Kahn, R. L., Wolfe, D. M., Quinn, R. P., Snoek, J. D., & Rosenthal, R. A. (1964). Organizational stress: Studies in role of conflict and ambiguity. New York, NY: John Wiley.
Lawson, D., & O’Brien, R. (1994). Behavioral and self-report measures of staff burnout in developmental disabilities. Journal of Organizational Behavior Management, 14, 37–54. https://doi.org/10.1300/J075v14n02_04.
Michie, S., & Williams, S. (2003). Reducing work related psychological ill health and sickness absence: A systematic literature review. Occupational and Environmental Medicine, 60, 3–9. https://doi.org/10.1136/oem.60.1.3.
Miller, M. V., Carlson, J., & Sigurdsson, S. O. (2014). Improving treatment integrity in a human service setting using lottery-based incentives. Journal of Organizational Behavior Management, 34, 29–38. https://doi.org/10.1080/01608061.2013.873381.
Murphy, L. R. (1995). Occupational stress management: Current status and future direction. Trends in Organizational Behavior, 2, 1–14.
Page, T. J., Iwata, B. A., & Reid, D. H. (1982). Pyramidal training: A large-scale application with institutional staff. Journal of Applied Behavior Analysis, 15, 335–351. https://doi.org/10.1901/jaba.1982.15-335.
Schepis, M. M., & Reid, D. H. (1994). Training direct service staff in congregate settings to interact with people with severe disabilities: A quick, effective and acceptable program. Behavioral Interventions, 9, 13–26. https://doi.org/10.1002/bin.2360090103.
Strosahl, K. D., Hayes, S. C., Wilson, K. G., & Gifford, E. V. (2004). An ACT primer: Core therapy processes, intervention strategies, and therapist competencies. In S. C. Hayes & K. D. Strosahl (Eds.), A practical guide to acceptance and commitment therapy (pp. 31–58). New York, NY: Springer Science & Business Media.
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Pingo, J.C., Dixon, M.R. & Paliliunas, D. Intervention Enhancing Effects of Acceptance and Commitment Training on Performance Feedback for Direct Support Professional Work Performance, Stress, and Job Satisfaction. Behav Analysis Practice 13, 1–10 (2020). https://doi.org/10.1007/s40617-019-00333-w
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DOI: https://doi.org/10.1007/s40617-019-00333-w