We look at what people actually do — patients, nurses, and leaders alike — and change the environment and consequences that shape it.
About us
The people behind Threshold Applied Behavior
Threshold Inc. is an Orlando-area practice built on a simple conviction: when care teams understand behavior, patients follow through. Meet the founder and the Adherence Management Coach Consultants who carry that work into hospitals, clinics, and homes.
Our story
Threshold Inc. began with an observation from the field: care plans fail far more often because of behavior — the patient's, the team's, the environment's — than because of medicine. Founder Dr. Bob Wright set out to close that gap by bringing applied behavior analysis, long proven in clinical and organizational settings, directly into patient education and nurse leadership.
Dr. Wright's path here was anything but typical. He is a retired U.S. Army officer and a former Green Beret medic who spent 28 years in uniform — years that taught him more about leading people than any classroom could. Combat medicine and bedside care taught him the same truth from two directions: it is consequences, not commands, that shape what people actually do.
The missing science came from his friend and colleague, the late Dr. Aubrey Daniels, the father of performance management. Aubrey's legacy text, Performance Management, is widely considered the bible of applied behavior; his Measure of a Leader is one of the finest books on leadership Dr. Wright has ever read; and Life is a PICNIC… when you understand behavior remains a classic on evaluating the consequences of behavior. Adherence Management Coaching — Dr. Wright's brainchild — stands on that foundation, adapted for the realities of nursing.
That work grew into Threshold Applied Behavior: Adherence Management Coaching (AdM Coaching) training and certification for healthcare professionals, behavior-based patient education, and leadership development for nurses. Our intellectual property — including our diagrams, visual models, and written training content — is a protected, registered work, because we believe the craft behind the method matters.
Founder biosketch
Robert (Bob) E. Wright, PhD, MHA, BSN, RN, founded Threshold-Behavior in 2011 to bring behavior-based leadership and patient education into healthcare. He is a retired U.S. Army Medical Service Corps officer whose 28 years in uniform began as a Special Forces medic and included TRICARE program development for the Department of Defense, faculty appointments in three physician residency programs, and decorations including the Defense Meritorious Service Medal. His civilian career spans executive leadership — CEO of Threshold Center for Autism and national program management for a nationwide network of veterans' outpatient clinics — and nurse education, with more than 500 nursing students taught to date. He holds a PhD in Health Services Administration (La Salle University, cum laude), an MHA (Chapman University), an MA in Communication Disorders and Audiology (University of Central Florida), and a BSN (Capella University), and completed advanced organizational performance management training with Aubrey Daniels International. He is the author of AdM Home Care Coaching: A Family Guide to Improved Health (2020).
Download Dr. Wright's resume (PDF)Founder, Threshold-Behavior (2011–present) — advised organizations in the United States, Czech Republic, Bahrain, and Saudi Arabia
Nurse educator — taught more than 500 nursing students at Coastal Technical Institute and Gwinnett Institute
Major, Medical Service Corps, U.S. Army (1982–1995); began his service as a Special Forces medic
PhD, Health Services Administration, La Salle University (cum laude); MHA, Chapman University; MA, Audiology; BSN, Capella University
Advanced organizational performance management training — Aubrey Daniels International; TeamSTEPPS Master Trainer
Author, AdM Home Care Coaching: A Family Guide to Improved Health (2020)
Our mission
Our training is built for the bedside, not the lecture hall. Every method we teach is something a nurse can use on their next shift.
We coach alongside care teams rather than handing down one-size-fits-all programs, adapting our approach to each organization and patient.
The team you'll work with
Our Adherence Management Coach Consultants are healthcare professionals trained and certified in the Threshold method. They teach the holistic approach to health and wellness in workshops and certifications — and in the Orlando area, they can support your patients directly, coaching them through the daily behaviors their care plans ask of them. Every consultant leads with observation and reinforcement, not lectures.
Meet the team behind the method
Whether you want to bring behavior-based training to your organization or work with an Adherence Management Coach in the Orlando area, we would like to hear from you.
Get in touch