Document Type



Dysphagia is common in individuals with developmental disabilities. Little research exists on the impact of trainings aimed at improving Direct Care Staff’s (DCS) use of safe eating and drinking practices. This article presents two studies using pre-and postexperimental design, evaluating online training to improve DCSs’ knowledge and ability to identify nonadherence to diet orders. A pilot study (n¼18) informed improvements to the intervention. The follow-up study (n¼64) compared those receiving training with those receiving training plus supervisor feedback. There was no significant difference between groups after training. Both groups increased in knowledge and identification of nonadherence to diet orders. Online training may be an effective tool for training DCS in safe eating and drinking practices.



Publication Date


Original Citation

McCulloch E, Cuckler A, Valdes E, Hughes MC. Effectiveness of Online Training and Supervisor Feedback on Safe Eating and Drinking Practices for Individuals With Developmental Disabilities. Intellectual and Developmental Disabilities. 2020 Apr;58(2):111-25.


School of Health Studies

Legacy Department

School of Nursing and Health Studies




American Association on Intellectual and Developmental Disabilities



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