Karen M. Lionello-DeNolf, David Eckerman, Rebecca Hise, Elizabeth Pinzino, Roger Ray
Procedural fidelity is an important component of behavioral intervention programs. The Train-to-Code software was used to teach skilled observation of implementation of three types of discrete-trial programs, and improvement to procedural fidelity was assessed. Participants completed a training package that involved coding video examples and non-examples of a teacher delivering each discrete trial program. The degree of prompting given to the trainee increased or decreased dynamically during training sessions based on participants' coding accuracy. The efficacy of the training was tested within subjects via pre- and posttest role plays in which participants delivered discrete-trial programs to a scripted research assistant. Results indicated substantial improvement in discrete trial delivery at posttest. These results suggest that Train-to-Code may be an effective method for training delivery of discrete trial programs in applied settings.
{"title":"Improvement of procedural fidelity in discrete-trial programs using computer-based instruction to teach skilled observation","authors":"Karen M. Lionello-DeNolf, David Eckerman, Rebecca Hise, Elizabeth Pinzino, Roger Ray","doi":"10.1002/jaba.70027","DOIUrl":"10.1002/jaba.70027","url":null,"abstract":"<p>Procedural fidelity is an important component of behavioral intervention programs. The <i>Train-to-Code</i> software was used to teach skilled observation of implementation of three types of discrete-trial programs, and improvement to procedural fidelity was assessed. Participants completed a training package that involved coding video examples and non-examples of a teacher delivering each discrete trial program. The degree of prompting given to the trainee increased or decreased dynamically during training sessions based on participants' coding accuracy. The efficacy of the training was tested within subjects via pre- and posttest role plays in which participants delivered discrete-trial programs to a scripted research assistant. Results indicated substantial improvement in discrete trial delivery at posttest. These results suggest that <i>Train-to-Code</i> may be an effective method for training delivery of discrete trial programs in applied settings.</p>","PeriodicalId":14983,"journal":{"name":"Journal of applied behavior analysis","volume":"58 4","pages":"821-840"},"PeriodicalIF":3.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145185664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Previous research supports behavioral interventions, such as contingency management, to increase physical activity. A common limitation of these interventions is a lack of maintenance effects or assessment of the target behavior following the withdrawal of the intervention. This study evaluated self-tailored deposit contracts and reinforcement thinning to increase daily steps of sedentary adults using a nonconcurrent multiple-baseline-across-participants design. Participants selected a step goal and a predetermined amount of money to deposit, which would be returned contingent on meeting their goal daily, every 3 days, and weekly. Results showed an increase in step count during the intervention for all three participants, extending previous findings that self-tailored deposit contracts and reinforcement thinning can increase adults' physical activity. However, the combination of procedures did not result in increased daily steps when the intervention was withdrawn.
{"title":"Using self-tailored deposit contracts and reinforcement thinning to increase physical activity of sedentary adults","authors":"Madeline N. McCullen, Heather M. Zerger","doi":"10.1002/jaba.70032","DOIUrl":"10.1002/jaba.70032","url":null,"abstract":"<p>Previous research supports behavioral interventions, such as contingency management, to increase physical activity. A common limitation of these interventions is a lack of maintenance effects or assessment of the target behavior following the withdrawal of the intervention. This study evaluated self-tailored deposit contracts and reinforcement thinning to increase daily steps of sedentary adults using a nonconcurrent multiple-baseline-across-participants design. Participants selected a step goal and a predetermined amount of money to deposit, which would be returned contingent on meeting their goal daily, every 3 days, and weekly. Results showed an increase in step count during the intervention for all three participants, extending previous findings that self-tailored deposit contracts and reinforcement thinning can increase adults' physical activity. However, the combination of procedures did not result in increased daily steps when the intervention was withdrawn.</p>","PeriodicalId":14983,"journal":{"name":"Journal of applied behavior analysis","volume":"58 4","pages":"760-770"},"PeriodicalIF":3.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145175410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shawn P. Gilroy, Jennifer R. Ledford, Tyler-Curtis C. Elliott, Kevin M. Ayres, Felicia McGill
Single-case experimental design has been increasingly represented in research over the past several decades. Increasing rates of publication, combined with unique features inherent in single-case research, have complicated efforts to synthesize published literature. This work reviews technical challenges associated with single-case research synthesis and how tools such as the Single Case Analysis and Review Framework (SCARF) can supplement these efforts while retaining critical features of visual analysis. A web-based user interface for the SCARF (SCARF-UI) is presented, described, and accompanied by a guide on its use and relevance to behavior analysts and other single-case design researchers. This free and open-source software is reviewed and presented with training materials and demonstrations of prior research reviews completed using SCARF. Additional discussion is also provided regarding avenues for increasing consistent appraisal of behavior analytic research.
{"title":"Extending the Single Case Analysis and Review Framework (SCARF-UI): A review and discussion","authors":"Shawn P. Gilroy, Jennifer R. Ledford, Tyler-Curtis C. Elliott, Kevin M. Ayres, Felicia McGill","doi":"10.1002/jaba.70033","DOIUrl":"10.1002/jaba.70033","url":null,"abstract":"<p>Single-case experimental design has been increasingly represented in research over the past several decades. Increasing rates of publication, combined with unique features inherent in single-case research, have complicated efforts to synthesize published literature. This work reviews technical challenges associated with single-case research synthesis and how tools such as the Single Case Analysis and Review Framework (SCARF) can supplement these efforts while retaining critical features of visual analysis. A web-based user interface for the SCARF (SCARF-UI) is presented, described, and accompanied by a guide on its use and relevance to behavior analysts and other single-case design researchers. This free and open-source software is reviewed and presented with training materials and demonstrations of prior research reviews completed using SCARF. Additional discussion is also provided regarding avenues for increasing consistent appraisal of behavior analytic research.</p>","PeriodicalId":14983,"journal":{"name":"Journal of applied behavior analysis","volume":"58 4","pages":"687-700"},"PeriodicalIF":3.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145175307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michelle A. Frank-Crawford, Louis P. Hagopian, Mindy Scheithauer, Meara X. H. McMahon, Tracy Argueta, Nathan A. Call, Jonathan D. Schmidt
Pica includes the persistent ingestion of nonnutritive, nonfood items at a level that is inappropriate given the individual's developmental level and cultural or religious practices. Behavioral treatments involve a variety of components to target the motivating operations that evoke pica, disrupt its occurrence, and reinforce adaptive alternatives; they have been characterized as well established and empirically supported. However, the literature consists of mostly small-n studies, limiting analysis of the general and comparative efficacy of different treatment components. The current study describes outcomes from two different sites for 33 consecutively encountered cases for whom a behavioral treatment for pica was evaluated. The final treatment reduced pica by at least 90% for 30 participants. Positive outcomes were maintained when treatment was extended to novel implementers, settings, and discard apparatuses for 26 of 29 participants. We examine the comparative efficacy of treatment components and discuss tactics used to safely assess and treat pica.
{"title":"Assessment and treatment of pica: A consecutive controlled case series study","authors":"Michelle A. Frank-Crawford, Louis P. Hagopian, Mindy Scheithauer, Meara X. H. McMahon, Tracy Argueta, Nathan A. Call, Jonathan D. Schmidt","doi":"10.1002/jaba.70035","DOIUrl":"10.1002/jaba.70035","url":null,"abstract":"<p>Pica includes the persistent ingestion of nonnutritive, nonfood items at a level that is inappropriate given the individual's developmental level and cultural or religious practices. Behavioral treatments involve a variety of components to target the motivating operations that evoke pica, disrupt its occurrence, and reinforce adaptive alternatives; they have been characterized as well established and empirically supported. However, the literature consists of mostly small-<i>n</i> studies, limiting analysis of the general and comparative efficacy of different treatment components. The current study describes outcomes from two different sites for 33 consecutively encountered cases for whom a behavioral treatment for pica was evaluated. The final treatment reduced pica by at least 90% for 30 participants. Positive outcomes were maintained when treatment was extended to novel implementers, settings, and discard apparatuses for 26 of 29 participants. We examine the comparative efficacy of treatment components and discuss tactics used to safely assess and treat pica.</p>","PeriodicalId":14983,"journal":{"name":"Journal of applied behavior analysis","volume":"58 4","pages":"771-793"},"PeriodicalIF":3.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145175323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara Peck, Conor O'Brien, Jason Bourret, Darryl Agostinelli
The potential utility of artificial intelligence (AI) in applied behavior analysis (ABA) is an emerging discussion. There has been limited investigation on the current use, acceptability, or limitations of common AI tools within the field. The current study contributes to these topics by comparing expert clinician and AI (ChatGPT-4) responses to questions specific to ABA. Fifty-one behavior analysts were recruited as participants and indicated their preference for and level of agreement with ChatGPT-4 versus human clinical team responses in a blind assessment. Next, participants' distinctions between the two response sources were evaluated. Finally, participants were asked about their current use of AI to aid in their behavior-analytic work. Participants significantly preferred and agreed more with ChatGPT-4 responses than with human responses. Participants could not reliably discriminate between ChatGPT-4 and human responses. Some of the participants (15.69% of sample) indicated they have used AI to assist in aspects of behavior-analytic work.
{"title":"ChatGPT versus clinician responses to questions in ABA: Preference, identification, and level of agreement","authors":"Sara Peck, Conor O'Brien, Jason Bourret, Darryl Agostinelli","doi":"10.1002/jaba.70029","DOIUrl":"10.1002/jaba.70029","url":null,"abstract":"<p>The potential utility of artificial intelligence (AI) in applied behavior analysis (ABA) is an emerging discussion. There has been limited investigation on the current use, acceptability, or limitations of common AI tools within the field. The current study contributes to these topics by comparing expert clinician and AI (ChatGPT-4) responses to questions specific to ABA. Fifty-one behavior analysts were recruited as participants and indicated their preference for and level of agreement with ChatGPT-4 versus human clinical team responses in a blind assessment. Next, participants' distinctions between the two response sources were evaluated. Finally, participants were asked about their current use of AI to aid in their behavior-analytic work. Participants significantly preferred and agreed more with ChatGPT-4 responses than with human responses. Participants could not reliably discriminate between ChatGPT-4 and human responses. Some of the participants (15.69% of sample) indicated they have used AI to assist in aspects of behavior-analytic work.</p>","PeriodicalId":14983,"journal":{"name":"Journal of applied behavior analysis","volume":"58 4","pages":"731-743"},"PeriodicalIF":3.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The HIV/AIDS epidemic remains a global health challenge. This secondary analysis evaluated time-course effects of a contingency management intervention designed to improve antiretroviral therapy (ART) adherence and sustained HIV viral suppression. Participants were randomized to a usual care or an incentive group. Incentive participants could earn monetary incentives for submitting blood samples with reduced or undetectable HIV viral loads. A thinning procedure gradually reduced testing and reinforcer delivery frequency for participants who consistently met reinforcement criteria. Over the 2-year intervention period, the incentive group demonstrated significantly shorter times to viral suppression and significantly longer durations of sustained suppression and maintained undetectable viral loads even as testing intervals increased. Engagement in the intervention correlated strongly with treatment success. These findings illustrate the potential of adaptive, reinforcement-based strategies to enhance ART adherence, sustain HIV viral suppression, inform scalable interventions for HIV care, and contribute to ending the HIV/AIDS epidemic.
{"title":"Patterns of HIV viral suppression in a clinical trial evaluating a contingency management intervention","authors":"Cory Toegel, Forrest Toegel, Kenneth Silverman","doi":"10.1002/jaba.70030","DOIUrl":"10.1002/jaba.70030","url":null,"abstract":"<p>The HIV/AIDS epidemic remains a global health challenge. This secondary analysis evaluated time-course effects of a contingency management intervention designed to improve antiretroviral therapy (ART) adherence and sustained HIV viral suppression. Participants were randomized to a usual care or an incentive group. Incentive participants could earn monetary incentives for submitting blood samples with reduced or undetectable HIV viral loads. A thinning procedure gradually reduced testing and reinforcer delivery frequency for participants who consistently met reinforcement criteria. Over the 2-year intervention period, the incentive group demonstrated significantly shorter times to viral suppression and significantly longer durations of sustained suppression and maintained undetectable viral loads even as testing intervals increased. Engagement in the intervention correlated strongly with treatment success. These findings illustrate the potential of adaptive, reinforcement-based strategies to enhance ART adherence, sustain HIV viral suppression, inform scalable interventions for HIV care, and contribute to ending the HIV/AIDS epidemic.</p>","PeriodicalId":14983,"journal":{"name":"Journal of applied behavior analysis","volume":"58 4","pages":"701-716"},"PeriodicalIF":3.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abigail L. Blackman, Florence D. DiGennaro Reed, Megan Gunter, Butler Braren
Meetings are one of the most common work activities in which employees engage. Most meetings are considered ineffective. Survey research has revealed the characteristics necessary for a meeting to be considered effective. However, there is no experimental research on how to teach individuals to effectively lead meetings. Recent research suggests that group virtual training is often used to enhance employee skills, but its effect on employee behavior is unknown. The current two-experiment study evaluated the effects of group virtual training and self-monitoring on leading a meeting. Experiment 1 evaluated the effects of group virtual training in isolation and the added effects of self-monitoring on meeting fidelity. Group virtual training alone did not produce substantial changes; self-monitoring was necessary to produce desired improvements. Experiment 2 evaluated the combined effects of group virtual training and self-monitoring on meeting fidelity. Participants reached mastery within three sessions following the packaged intervention.
{"title":"The effects of group virtual training and self-monitoring on leading a meeting","authors":"Abigail L. Blackman, Florence D. DiGennaro Reed, Megan Gunter, Butler Braren","doi":"10.1002/jaba.70024","DOIUrl":"10.1002/jaba.70024","url":null,"abstract":"<p>Meetings are one of the most common work activities in which employees engage. Most meetings are considered ineffective. Survey research has revealed the characteristics necessary for a meeting to be considered effective. However, there is no experimental research on how to teach individuals to effectively lead meetings. Recent research suggests that group virtual training is often used to enhance employee skills, but its effect on employee behavior is unknown. The current two-experiment study evaluated the effects of group virtual training and self-monitoring on leading a meeting. Experiment 1 evaluated the effects of group virtual training in isolation and the added effects of self-monitoring on meeting fidelity. Group virtual training alone did not produce substantial changes; self-monitoring was necessary to produce desired improvements. Experiment 2 evaluated the combined effects of group virtual training and self-monitoring on meeting fidelity. Participants reached mastery within three sessions following the packaged intervention.</p>","PeriodicalId":14983,"journal":{"name":"Journal of applied behavior analysis","volume":"58 4","pages":"744-759"},"PeriodicalIF":3.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cover, copy, and compare (CCC) is a study strategy in which students cover their notes, attempt to copy them, and then compare for accuracy. We evaluated whether CCC could be used to establish equivalence classes with undergraduate students. A video training package and experimenter feedback were used to teach participants to engage in CCC with notes in the form of a graphic organizer. During the CCC condition, participants constructed graphic organizers depicting the relations among three equivalence classes, each consisting of three familiar stimuli. After completing CCC, five of the seven participants scored over 90% on their first matching-to-sample posttest. We evaluated the use of the strategy with three 5-member classes of abstract stimuli. All participants used CCC when studying the relations and scored over 90% on the first posttest, and three participants constructed graphic organizers during the posttest. The social validity data indicated that participants found the intervention highly acceptable.
Cover, copy, and compare (CCC)是一种学习策略,学生将笔记遮盖起来,尝试抄写,然后比较其准确性。我们评估了CCC是否可以用于建立本科学生的对等班级。采用视频培训包和实验者反馈的方式,以图形组织者的形式教授参与者参与CCC。在CCC条件下,参与者构建图形组织者来描述三个等价类之间的关系,每个等价类由三个熟悉的刺激组成。完成CCC后,7名参与者中有5名在第一次匹配样本后测中得分超过90%。我们用三个5人的抽象刺激类来评估该策略的使用。所有参与者在研究关系时都使用了CCC,并且在第一次后测中得分超过90%,并且有3名参与者在后测中构建了图形组织者。社会效度数据显示,被试对干预的接受度较高。
{"title":"Teaching undergraduates to solve equivalence problems by using cover, copy, and compare: A translational study","authors":"Sarah E. Frampton, Sarah E. Vesely, Ky Jackson","doi":"10.1002/jaba.70026","DOIUrl":"10.1002/jaba.70026","url":null,"abstract":"<p>Cover, copy, and compare (CCC) is a study strategy in which students cover their notes, attempt to copy them, and then compare for accuracy. We evaluated whether CCC could be used to establish equivalence classes with undergraduate students. A video training package and experimenter feedback were used to teach participants to engage in CCC with notes in the form of a graphic organizer. During the CCC condition, participants constructed graphic organizers depicting the relations among three equivalence classes, each consisting of three familiar stimuli. After completing CCC, five of the seven participants scored over 90% on their first matching-to-sample posttest. We evaluated the use of the strategy with three 5-member classes of abstract stimuli. All participants used CCC when studying the relations and scored over 90% on the first posttest, and three participants constructed graphic organizers during the posttest. The social validity data indicated that participants found the intervention highly acceptable.</p>","PeriodicalId":14983,"journal":{"name":"Journal of applied behavior analysis","volume":"58 4","pages":"805-820"},"PeriodicalIF":3.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jaba.70026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We implemented tact matrix training to teach tacts of spatial locations to four children (male, 4–7 years of age) on the autism spectrum in China. The experimental design involved a multiple-probe design across participants with pre- and postinstruction probes on untaught tacts and listener responses. Learning outcomes included taught tacts of object–preposition combinations, generalization of untaught tacts, and derived listener responses to all combinations in the matrix. All four participants acquired taught tacts after matrix training. Untaught tacts and listener responses were demonstrated with direct teaching, indicating the occurrence of recombinative generalization. Two participants maintained these skills with high accuracy for 4 or 8 weeks. The remaining two participants demonstrated high accuracy in untaught tacts and listener responses immediately after instruction; however, accuracy in taught and untaught tacts declined during the 4- or 8-week maintenance probes, whereas listener responses remained stable.
{"title":"Using matrix training to promote recombinative generalization by children on the autism spectrum in China","authors":"Gabrielle T. Lee, Yu Sun, Sheng Xu, Kefan Kang","doi":"10.1002/jaba.70025","DOIUrl":"10.1002/jaba.70025","url":null,"abstract":"<p>We implemented tact matrix training to teach tacts of spatial locations to four children (male, 4–7 years of age) on the autism spectrum in China. The experimental design involved a multiple-probe design across participants with pre- and postinstruction probes on untaught tacts and listener responses. Learning outcomes included taught tacts of object–preposition combinations, generalization of untaught tacts, and derived listener responses to all combinations in the matrix. All four participants acquired taught tacts after matrix training. Untaught tacts and listener responses were demonstrated with direct teaching, indicating the occurrence of recombinative generalization. Two participants maintained these skills with high accuracy for 4 or 8 weeks. The remaining two participants demonstrated high accuracy in untaught tacts and listener responses immediately after instruction; however, accuracy in taught and untaught tacts declined during the 4- or 8-week maintenance probes, whereas listener responses remained stable.</p>","PeriodicalId":14983,"journal":{"name":"Journal of applied behavior analysis","volume":"58 4","pages":"794-804"},"PeriodicalIF":3.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Catherine L. McHugh, Claudia L. Dozier, Marissa E. Kamlowsky, Bryan A. Simmons
Failure to engage in or tolerate health-related routines is a major barrier to good health for individuals with intellectual and developmental disabilities (IDD). In the current study, we evaluated the effects of a synchronous schedule of reinforcement (SSR) for five adults with IDD across eight health-related routines (e.g., toothbrushing, handwashing, tolerating wearing health-related devices). The results showed that SSR alone effectively increased tolerance for five of eight health-related routines. Additional modifications were necessary for two other routines, and no effects were observed for one participant. We successfully trained direct-care staff to implement the effective treatment. Social validity outcomes showed higher levels of positive affect and lower levels of negative affect during treatment relative to baseline for all participants as well as staff acceptance of the procedures and training. The current study adds to the literature supporting SSR as an alternative to graduated exposure; however, further research on the efficacy of SSR alone is needed.
{"title":"Synchronous reinforcement schedules promote tolerance of health-related routines for adults with disabilities","authors":"Catherine L. McHugh, Claudia L. Dozier, Marissa E. Kamlowsky, Bryan A. Simmons","doi":"10.1002/jaba.70020","DOIUrl":"10.1002/jaba.70020","url":null,"abstract":"<p>Failure to engage in or tolerate health-related routines is a major barrier to good health for individuals with intellectual and developmental disabilities (IDD). In the current study, we evaluated the effects of a synchronous schedule of reinforcement (SSR) for five adults with IDD across eight health-related routines (e.g., toothbrushing, handwashing, tolerating wearing health-related devices). The results showed that SSR alone effectively increased tolerance for five of eight health-related routines. Additional modifications were necessary for two other routines, and no effects were observed for one participant. We successfully trained direct-care staff to implement the effective treatment. Social validity outcomes showed higher levels of positive affect and lower levels of negative affect during treatment relative to baseline for all participants as well as staff acceptance of the procedures and training. The current study adds to the literature supporting SSR as an alternative to graduated exposure; however, further research on the efficacy of SSR alone is needed.</p>","PeriodicalId":14983,"journal":{"name":"Journal of applied behavior analysis","volume":"58 3","pages":"504-521"},"PeriodicalIF":2.9,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jaba.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}