Effects of adding on-the-job feedback to conventional analog staff training in a nursing home.

The aims of this study were to examine effects of on-the-job feedback after conventional analog staff training and to corroborate earlier findings of competent performance maintained without feedback from others. The study took place in a nursing home with four staff participants and a resident with problem behaviors. A multiple baseline design with measures of staff and resident behavior was used, supplemented with social validity reports. The staff training program consisted of conventional group workshops plus individual on-the-job feedback. During maintenance, staff members continued recording resident behaviors but without further on-the-job feedback. Results show that after workshop training, staff performance increased, but only one staff participant demonstrated competency. With on-the-job feedback, all staff participants achieved and maintained competency. Procedures were effective and acceptable, and resident behaviors showed corresponding changes.