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Limited research has been conducted on coaching of paraprofessionals who serve students with disruptive behaviors. We investigated the group effects of behavior support coaching for paraprofessionals by examining behavior concerns, coaching goals, and interventions. A sample of 56 elementary school paraprofessionals and 163 elementary school students from 24 schools were included. Behavior support coaches used observational data to set goals and monitor progress towards goals. Results revealed inappropriate physical and verbal behaviors were most often targeted as behavior goals. Coaches and paraprofessionals and classroom teachers utilized a broad range of research-based behavior interventions, with token economy and behavioral contract most often implemented. Behaviors targeted by behavior goals showed statistically significant improvement. Goal-setting led to statistically significant changes in the targeted behavior.