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Gain Knowledge. Build Communities

The Fit 4 All Manual is a comprehensive, evidence-based resource designed to guide practitioners, caregivers, and educators in promoting wellness for individuals of all abilities. Rooted in applied behavior analysis (ABA), the manual provides the tools needed to assess, plan, and deliver effective interventions that improve health outcomes while supporting long-term engagement.

Inside the Manual, you’ll find:

  • Assessment Battery – Structured tools to evaluate baseline skills and needs across domains, including nutrition (e.g., water consumption tracking, food frequency questionnaires), exercise (pedometer data, MVPA tracking, functional movement task analysis), physiological health (weight, resting heart rate, blood pressure), and mental health (validated measures such as PHQ-9 and AAQ).

  • Treatment Planning Guide – Step-by-step procedures for creating individualized wellness plans. This section integrates preference assessments to identify effective reinforcers, guides practitioners in setting measurable goals, and includes frameworks for embedding token systems, shaping procedures, and reinforcement schedules to ensure consistent progress. Resources such as CPT code crosswalks and medical necessity criteria are also included to get your plan approved by funders.

  • Curriculum Guide – A structured sequence of lessons and activities that teach and generalize wellness skills. The curriculum includes modules on nutrition education, hydration, exercise routines, functional movement, and mental health strategies. Each lesson is designed with a “train the trainer” model, ensuring skills can be transferred to caregivers, educators, or other providers for maximum generalization.

Together, these components make the Fit 4 All Manual not only a reference, but also a practical implementation toolkit—equipping providers with the confidence and resources to design, deliver, and evaluate wellness interventions that are measurable, replicable, and supported by research.

The Level 1 Certification is a structured professional development pathway that introduces participants to the foundations of the Fit 4 All program. Designed for practitioners, educators, and caregivers, this certification provides the essential knowledge and applied strategies to begin implementing wellness interventions with fidelity.

The Level 1 Certification is divided into four core courses:

  • Background: Understanding Obesity and Health Disparities – Learn about the prevalence, risk factors, and secondary health conditions associated with obesity, with a focus on individuals with developmental disabilities. This course connects public health recommendations to the unique needs of this population (1 CEU).

  • Assessment – Gain hands-on training in the Fit 4 All Assessment Battery, including tools to measure nutrition, exercise, physiological health, and mental health. Participants practice using data to establish baselines and inform individualized treatment planning (3 CEUs).

  • Treatment Planning – Learn how to set measurable wellness goals, identify effective reinforcers through preference assessments, and design reinforcement systems (e.g., token economies, shaping procedures) to increase engagement and success (3 CEUs).

  • Curriculum & Programming – Explore the Fit 4 All Curriculum Guide, which includes modules on nutrition, exercise routines, hydration, and mental health strategies. This course emphasizes the “train-the-trainer” model to ensure generalization across caregivers and settings (3 CEUs).

Upon completion, participants receive Level 1 Certification, demonstrating their ability to apply Fit 4 All strategies in everyday practice.

The Pro Certification is designed for advanced learners and organizations committed to implementing Fit 4 All with the highest level of fidelity and measurable outcomes. Building on Level 1, Pro uses a Behavior Skills Training (BST) model that emphasizes real-world application, feedback, and mastery.

Key Features of Pro:

  • Hands-On Training – Participants go beyond theory, actively practicing implementation of Fit 4 All assessments, reinforcement systems, and curriculum components in their own settings.

  • Video Submissions – Learners upload video demonstrations of themselves conducting assessments, running token systems, or teaching wellness skills.

  • Expert Feedback – The Fit 4 All training team provides individualized coaching, corrective feedback, and skill refinement to ensure interventions are applied accurately and effectively.

  • Advanced Clinical Decision-Making – Training emphasizes ongoing data analysis, troubleshooting barriers, and adapting interventions for diverse client needs.

  • Implementation at Scale – Pro prepares participants to lead Fit 4 All programs within clinics, schools, and community organizations, equipping them to train and support other providers.

Graduates of Pro Certification emerge as advanced practitioners capable of not only delivering Fit 4 All with fidelity but also modeling and training others, helping to expand access to research-driven wellness programming across communities.

What you’ll learn

Meet your instructor

Brandon May, PhD, MSW, BCBA-D

Dr. Brandon May is a board-certified behavior analyst and the President and CEO of Elite ABA Services. Dr. May also practices at the School of Medicine at Washington University in St. Louis and at St. Louis Children’s Hospital. He is the creator of the Fit 4 All curriculum, with the concept being created during his Master’s research course when working at a residential facility for adults with developmental disabilities. He was interested in a more structured approach to wellness for this population that was focused on positive reinforcement. Fit 4 All’s outcomes have been published in peer reviewed journals including Behavior Analysis in Practice and the Journal for Autism and Developmental Disorders, presented at the Association for Behavior Analysis International and Missouri Association for Behavior Analysis conferences, and featured on the top-ranked ABA podcasts.

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