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Marie-Michèle Dufour, Valérie Martin, Isabelle Préfontaine, Mélissa Hogan, Malena Argumedes
(2026).
Co-construction of a Positive Behavior Interventions and Supports Model in a Residential Care Setting for Autistic Adults: Exploring Implementation Barriers and Facilitators.
Journal of Positive Behavior Interventions, 10983007251389270.
SAGE Publications.
- Publication date
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22 Mar 2026
- Identifier
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10.1177/10983007251389270
- Authors
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Marie-Michèle Dufour,
Valérie Martin,
Isabelle Préfontaine,
Mélissa Hogan,
Malena Argumedes
- Source
- Journal of Positive Behavior Interventions
- Details
- 10983007251389270
- Reference type
- article
- Publisher
- SAGE Publications
- Metadata source
- crossref
Abstract
Autistic adults who require significant support need an adapted living environment. In this study, we co-constructed, with the staff of a Canadian residential setting for autistic individuals, the PBIS-Residential setting for Autistic Adults (PBIS-RA) model, based on the five core components of the original system-wide PBIS model. We then sought to evaluate its implementation by identifying barriers, facilitators, and fidelity. Using a case analysis design, we collected data through field notes, PBIS-RA committee work, meeting minutes, staff interviews, and observations. We analyzed data using multiple modalities, such as coding interviews and analytical workshops, to understand the factors influencing organizational implementation of PBIS-RA, based on the Consolidated Framework for Implementation Research (CFIR). Our results identify the necessary adaptations for PBIS-RA to meet the unique needs of autistic adults in this residential setting. We highlight the specific elements that affected the implementation of the PBIS-RA, such as the expertise and motivation of key actors, the around-the-clock schedule, the high staff turnover, the complexity of the model, and the challenge of engaging all staff members. These findings contribute to a better understanding of adapting the PBIS model in a residential setting for autistic individuals and provide valuable insights to guide future implementation efforts.
Study authors in this cited reference