“…However, Van Acker et al (2005) suggest that staff training alone is insufficient to embed new interventions, and staff may require multiple opportunities for practice, modelling, coaching, feedback and support in real environments with real individuals to improve the development and implementation of a BSP (see also, Chandler, Dahlquist, Repp & Feltz, 1999;Scott, Nelson & Zabala, 2003). This need for "a culture of support" (Bambara, Gomez, Koger, Lohrmann-O'Rourke and Xin, 2001) with feedback for direct support staff on an on-going basis echoes the implementation science literature that describes effective implementation not as a one off event, but as an ongoing process (Ogden & Fixsen, 2014).…”