Children with diagnosed disabilities, teachers and classroom staff, and families living in rural areas have difficulty accessing any and all behavioral services, including parent training, due to a lack of providers, distance to clinics, cost of transportation, low income and/or inadequate health insurance, and confidentiality concerns from living in small communities. In this study, Project ECHO (Extension for Community Healthcare Outcomes) was used to train early childhood professionals on how to implement Prevent–Teach–Reinforce for Young Children, which is a step-by-step manualized approach to the assessment and treatment of challenging behavior that reflects a commitment to evidence-based practice. Results of the pilot study, study limitations, and future directions are discussed.

由于缺乏提供者、到诊所的距离、交通成本、低收入和/或不足，诊断为残疾的儿童、教师和课堂工作人员以及生活在农村地区的家庭难以获得任何和所有行为服务，包括家长培训健康保险，以及居住在小社区的保密问题。在这项研究中，ECHO 项目（社区医疗保健成果扩展）用于培训幼儿专业人员如何实施幼儿预防-教学-强化，这是一种评估和治疗具有挑战性的逐步手动方法反映对循证实践的承诺的行为。讨论了试点研究的结果、研究的局限性和未来的方向。