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The Challenges Associated with Changing Practice: Barriers to Implementing Naturalistic Developmental Behavioral Interventions in ABA Settings. 与改变实践相关的挑战:在ABA设置中实施自然发展行为干预的障碍。
IF 2.1 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-24 eCollection Date: 2024-12-01 DOI: 10.1007/s40617-024-01011-2
Katherine Pickard, Nailah Islam, Naomi Green, Emma Chatson, Jocelyn Kuhn, Rachel Yosick

Naturalistic developmental behavioral intervention (NDBI) supports early social communication skills in young autistic children. Given their emphasis on child-led learning opportunities, NDBI is thought to be a socially valid approach to autism early intervention. Applied behavior analysis (ABA) practices could be an ideal setting to increase access to NDBIs for young autistic children; however, current ABA services continue to rely primarily on structured and adult-led approaches to teaching, including discrete trial training (DTT), which have been criticized for their intensity, limitations in skill generalization, and possible harms. Thus, while there is growing interest in translating NDBI into ABA settings, delivering NDBI in these settings may require de-implementing or transitioning away from using DTT approaches with young autistic children. The current study sought to understand the perspectives of ABA providers on the use of NDBI strategies within ABA clinical settings and the factors impacting the transition away from DTT approaches to effectively integrate NDBI. Semi-structured interviews were conducted with 18 ABA frontline and supervising clinicians across several ABA organizations. Rapid qualitative methods grounded in standard content analysis were used to analyze qualitative data. Results indicated that ABA clinicians generally viewed NDBI positively. However, several themes emerged related to the relative ease of using NDBI and DTT; the relative effectiveness of NDBI and DTT; client, caregiver, and staff perceptions of NDBI; and clinical decision-making around who might benefit from NDBI. Barriers to implementing NDBI included the need to unlearn existing DTT strategies, limited training and self-efficacy delivering NDBI, mixed attitudes toward NDBI, and broader systemic issues in the delivery of ABA services. Findings underscore the importance of understanding ABA frontline clinicians' perspectives regarding the implementation of NDBI and suggest the need for more targeted strategies to integrate NDBI strategies in ABA clinical settings.

Supplementary information: The online version contains supplementary material available at 10.1007/s40617-024-01011-2.

自然发展行为干预(NDBI)支持早期自闭症儿童的社会沟通技能。鉴于他们强调儿童主导的学习机会,NDBI被认为是一种社会有效的自闭症早期干预方法。应用行为分析(ABA)实践可能是一个理想的环境,以增加获得ndbi的年轻自闭症儿童;然而,目前的ABA服务仍然主要依赖于结构化和成人主导的教学方法,包括离散试验训练(DTT),这种方法因其强度、技能推广的局限性和可能的危害而受到批评。因此,虽然将NDBI转化为ABA设置的兴趣越来越大,但在这些设置中提供NDBI可能需要对年幼的自闭症儿童使用DTT方法进行取消实施或过渡。目前的研究试图了解外源药物提供者在外源药物临床环境中使用NDBI策略的观点,以及影响从DTT方法过渡到有效整合NDBI的因素。对来自多个ABA组织的18位ABA一线和监督临床医生进行了半结构化访谈。采用基于标准含量分析的快速定性方法对定性数据进行分析。结果表明,ABA临床医生普遍对NDBI持积极态度。然而,出现了几个与使用NDBI和DTT相对容易有关的主题;NDBI和DTT的相对有效性;病人、护理者和工作人员对NDBI的看法;以及关于谁可能从NDBI中受益的临床决策。实施NDBI的障碍包括需要忘记现有的DTT策略,有限的培训和提供NDBI的自我效能,对NDBI的混合态度,以及ABA服务提供中更广泛的系统性问题。研究结果强调了了解ABA一线临床医生关于实施NDBI的观点的重要性,并建议需要更有针对性的策略来整合ABA临床环境中的NDBI策略。补充资料:在线版本提供补充资料,网址为10.1007/s40617-024-01011-2。
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引用次数: 0
Efficacy of Strategic Incremental Rehearsal in a Word List.
IF 2.1 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-21 eCollection Date: 2025-03-01 DOI: 10.1007/s40617-024-00999-x
Taylor K Lewis, Tom Cariveau, Alexandria Brown, Paige Ellington, James Stocker

Strategic incremental rehearsal (SIR) involves the systematic introduction of targets during instruction. Specifically, SIR includes an incrementing set size such that correct responding to a subset of targets is required before additional targets are included during instructional sessions. Prior research has arranged SIR using flashcards, although the features of SIR that are likely responsible for its efficacy may not be restricted to flashcards. In the current study, we arranged SIR in a word list (SIR-WL), which includes the presentation of target words on a single page. Instruction using SIR-WL was effective across all evaluations during sight word instruction for children exhibiting reading deficits and resulted in durable responding during maintenance and generalization probes for most targets.Several trial interspersal methods have been described in the extant literature and may confer unique benefits for skill acquisition interventions in applied practice.SIR has been shown to be effective, likely due to the arrangement of an incrementing target set size and within-session prompt delay fading.These features of SIR might also result in fewer errors than static set sizes and across-session prompt delay fading procedures.Presentation modalities, such as word lists rather than flashcards, might improve the feasibility of effective instructional methods by reducing material management.

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引用次数: 0
Evaluating the Efficacy of and Preference for Interactive Computer Training with Student-Generated Examples. 用学生生成的例子评估交互式计算机训练的效果和偏好。
IF 2.1 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-21 eCollection Date: 2024-12-01 DOI: 10.1007/s40617-024-01007-y
Sylvia C Aquino, Stephanie A Hood, Tara A Fahmie, Richard Tanis

Designing effective and preferred teaching practices for undergraduate students are common goals in behavior analytic training programs. A preliminary study by Nava et al. (2019) showed that undergraduate students generally rated peer-generated examples of the principles of behavior analysis as more preferred, relatable, and culturally responsive than traditional textbook examples. However, peer-generated examples did not result in any improvement in performance on concept knowledge assessments. The current study extended the study by Nava et al. by embedding peer-generated examples within interactive computer training (ICT) to provide opportunities for active responding, prompt fading, automated feedback, and practice with examples and nonexamples. Results showed that ICT did not produce reliable improvements in knowledge assessments but were preferred to video examples and textual examples. In addition, students reported that certain interactive features contributed to their preference for ICT. We discuss ways to further improve the efficacy of the preferred ICT package.

为本科生设计有效的、优选的教学实践是行为分析训练项目的共同目标。Nava等人(2019)的一项初步研究表明,与传统的教科书示例相比,本科生通常认为同行生成的行为分析原则示例更受欢迎、更相关、更能反映文化。然而,同伴生成的例子并没有导致概念知识评估成绩的任何改善。当前的研究扩展了Nava等人的研究,通过在交互式计算机训练(ICT)中嵌入对等生成的示例,为主动响应、快速衰落、自动反馈以及示例和非示例练习提供机会。结果表明,ICT在知识评估方面没有产生可靠的改进,但比视频示例和文本示例更受欢迎。此外,学生们报告说,某些互动功能有助于他们对信息通信技术的偏好。我们将讨论如何进一步提高首选信息通信技术一揽子方案的效力。
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引用次数: 0
Using a Group Stimulus Preference Assessment to Design an Effective Group Contingency. 利用群体刺激偏好评估设计有效的群体权变。
IF 2.1 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-17 eCollection Date: 2024-12-01 DOI: 10.1007/s40617-024-01003-2
Amber S E Fluharty, Lauren M LeJeune, Mark D Samudre

The purpose of this study was to extend the limited research on group stimulus preference assessment (SPA) procedures. The study occurred in two sections of a middle school special education classroom and included 20 students with multi-categorical disabilities. A paired stimulus group SPA was used to identify a preference hierarchy for each class, and results were validated using single case designs in which baseline conditions were compared to group contingency conditions with alternating sessions of the highest-preferred (high-p) and lowest-preferred (low-p) consequences. Both group contingency conditions increased the percentage of students prepared for class relative to baseline; however, consistently higher levels of students were prepared for class during high-p sessions. Student responses on a daily quiz were similar in both conditions, but social validity surveys indicated students felt the most motivation and enjoyment during high-p sessions.

Supplementary information: The online version contains supplementary material available at 10.1007/s40617-024-01003-2.

本研究的目的是对群体刺激偏好评估(SPA)程序的有限研究进行扩展。该研究在一所中学特殊教育教室的两个区域进行,包括20名多类别残疾学生。配对刺激组SPA用于确定每个类别的偏好层次,并使用单个案例设计验证结果,其中基线条件与具有最高偏好(高p)和最低偏好(低p)结果交替会话的组应急条件进行比较。相对于基线,两组应急条件都增加了备课学生的百分比;然而,在高p课程中,水平较高的学生一直在为上课做准备。在这两种情况下,学生们在日常测试中的回答是相似的,但社会效度调查显示,学生们在高强度的训练中感到最有动力和乐趣。补充资料:在线版本提供补充资料,网址为10.1007/s40617-024-01003-2。
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引用次数: 0
A Preliminary Analysis of a Prosocial Intervention to Support Teachers and Staff Implementing Behavioral Interventions in a Specialized School Setting. 亲社会干预对支持特殊学校师生实施行为干预的初步分析。
IF 2.1 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-17 eCollection Date: 2024-12-01 DOI: 10.1007/s40617-024-01005-0
Dana Paliliunas, Raymond Burke, Steve Taylor, Jordan Belisle, Chynna Frizell, Elana Sickman

Prosocial is a systems-level intervention framework that incorporates elements of acceptance and commitment therapy (ACT) with Ostrom's core design principles (CDPs) guiding effective organizations and collective action (Ostrom, 1990). We evaluated a Prosocial intervention to support teachers and staff in a specialized school. AB analysis supported improvements in group cohesion and values-behavior alignment during the intervention and pre-post analyses showed significant improvements in psychological flexibility and perceived stress of participants. These preliminary outcomes may support future empirical research on Prosocial in educational settings.

亲社会是一个系统层面的干预框架,它将接受和承诺治疗(ACT)的元素与Ostrom的核心设计原则(CDPs)结合起来,指导有效的组织和集体行动(Ostrom, 1990)。我们评估了亲社会干预,以支持教师和工作人员在一个特殊的学校。AB分析支持干预期间群体凝聚力和价值观-行为一致性的改善,前后分析显示参与者的心理灵活性和感知压力显著改善。这些初步结果可能支持未来亲社会在教育环境中的实证研究。
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引用次数: 0
Navigating Collaboration: Factors Influencing Special Education Teachers' Relationships with BCBAs in Diverse School Contexts. 引导合作:不同学校背景下特殊教育教师与bcba关系的影响因素。
IF 2.1 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-17 eCollection Date: 2024-12-01 DOI: 10.1007/s40617-024-01009-w
Megan Squires, Elizabeth A Cutrer-Párraga, Jared R Morris, Erica Ellsworth Miller, Blake D Hansen

This Multiperspectival Interpretative Phenomenological Analysis (MIPA) delves into the nuanced experiences of 20 special education teachers across severe, mild to moderate, and early childhood backgrounds collaborating with Board Certified Behavior Analysts (BCBAs) in school settings. While identifying facilitators and barriers to this collaboration, the study sheds light on factors that contribute to a breakdown in rapport between teachers and BCBAs. Notable challenges include perceived condescension, feelings of blame for intervention shortcomings, and receiving recommendations deemed non-feasible or impractical. Despite these hurdles, special education teachers acknowledge the expertise of BCBAs and value their contributions. The study underscores the imperative for enhanced collaboration, communication, and mutual understanding between BCBAs and special education teachers to effectively support students exhibiting challenging behaviors in diverse school settings. Recommendations include BCBAs incorporating teacher-focused measures of social validity to foster a more collaborative and supportive partnership and tailoring BCBA training to address specific challenges encountered within educational settings.

这个多视角解释现象学分析(MIPA)深入研究了20名特殊教育教师在学校环境中与委员会认证行为分析师(bcba)合作的细微经历,这些教师有严重、轻度到中度和早期儿童背景。在确定这种合作的促进因素和障碍的同时,该研究揭示了导致教师与bcba之间关系破裂的因素。值得注意的挑战包括感知到的屈尊俯就,对干预缺陷的责备感,以及接受被认为不可行或不切实际的建议。尽管存在这些障碍,特殊教育教师仍然承认bcba的专业知识,并重视他们的贡献。该研究强调了加强bcba和特殊教育教师之间的合作、沟通和相互理解的必要性,以有效地支持在不同学校环境中表现出挑战性行为的学生。建议包括将BCBA纳入以教师为中心的社会效度测量,以促进更具协作性和支持性的伙伴关系,并定制BCBA培训以解决教育环境中遇到的具体挑战。
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引用次数: 0
Understanding and Reacting to Relapse: Considerations for Practitioners.
IF 2.1 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-15 eCollection Date: 2025-03-01 DOI: 10.1007/s40617-024-00997-z
Jennifer A Neely, Clare J Liddon, Ryan T Kimball, Ashley M Fuhrman, Amber L Valentino

Severe challenging behaviors, such as aggression and self-injurious behavior, have a high comorbidity with autism spectrum disorder (ASD; Hill et al., 2014; Soke et al., 2016). Although we have effective assessment and treatment procedures for severe challenging behavior, the relapse of severe challenging behavior following effective treatment is highly prevalent (Briggs et al., 2018; Falligant et al., 2022; Haney et al., 2022; Muething et al., 2021). Effective in 2025, the Board Certified Behavior Analyst (BACB) Test Content Outline (TCO; 6th ed.) includes a task-item requirement for Board Certified Behavior Analysts to plan for and attempt to mitigate possible relapse (BACB, 2022). Thus, it is important for practitioners to understand the variables that impact relapse of severe challenging behavior, and it is critical that they have access to tools to help them in preparing for and reacting to relapse in practice. The purpose of the current paper is to provide (a) a consumable framework on relapse for practitioners and (b) considerations for practitioners on managing relapse when it occurs.

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引用次数: 0
Beyond Trial Counts: Considerations for Measuring Play and Engagement During Early Intervention for Autistic Children. 超越试验计数:在自闭症儿童早期干预中测量游戏和参与的考虑。
IF 2.1 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-11 eCollection Date: 2024-12-01 DOI: 10.1007/s40617-024-01002-3
Tracy J Raulston, Ciara L Ousley, Emily M Hinton, Andrea M Ramirez

Play is critical to child development. In early childhood, object play evolves from exploratory behavior to complex symbolic play. Engagement during play, particularly joint engagement, is essential for learning and social interaction. Board Certified Behavior Analysts® (BCBAs) who provide early intervention services to young autistic children may experience barriers when designing programming and data collection systems for play and engagement. In this paper, we compare Naturalistic Developmental Behavioral Intervention (NDBI) and Natural Environment Teaching (NET) approaches. Considerations for measuring object play and engagement during naturalistic play routines are presented. We encourage BCBAs to consider simple frequency counts when measuring object play actions and interval recording or rating scales for tracking engagement states. These methods may better accommodate the variability in play and engagement behavior, allow for more flexible play routines, and support a more nuanced analysis of child progress.

游戏对儿童的发展至关重要。在幼儿时期,客体游戏从探索性行为演变为复杂的符号游戏。游戏中的参与,特别是共同参与,对于学习和社会互动至关重要。委员会认证行为分析师®(bcba)为年幼的自闭症儿童提供早期干预服务,在设计游戏和参与的编程和数据收集系统时可能会遇到障碍。本文比较了自然主义发展行为干预(NDBI)和自然环境教学(NET)两种教学方法。在自然游戏过程中测量物体游戏和参与的考虑。我们鼓励bcba在测量目标游戏动作时考虑简单的频率计数,在跟踪用户粘性状态时考虑间隔记录或评级量表。这些方法可以更好地适应游戏和参与行为的可变性,允许更灵活的游戏程序,并支持对儿童进步的更细致的分析。
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引用次数: 0
Evaluating the Effects of Compound Stimuli on Stimulus Control during Match-to-Sample Procedures. 评估匹配-样本过程中复合刺激对刺激控制的影响。
IF 2.1 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-07 eCollection Date: 2024-12-01 DOI: 10.1007/s40617-024-00990-6
Hannah C Grey, Cody Morris, Jesse Perrin, Jacob P Oliveira

The use of compound stimuli in match-to-sample training arrangements can potentially increase the efficiency of target acquisition in some circumstances as a result of the development of emergent relations. However, utilizing compound stimuli in training arrangements comes with the risk that responding could come under the restrictive control of one of the individual components of the compound stimulus. The purpose of this case study was to demonstrate an evaluation process for determining the impact of compound stimuli on stimulus control within a match-to-sample arrangement.

在配对样本训练安排中使用复合刺激,在某些情况下,由于紧急关系的发展,可能会提高目标获取的效率。然而,在训练安排中使用复合刺激带来的风险是,反应可能受到复合刺激单个成分之一的限制性控制。本案例研究的目的是展示在匹配样本安排下确定复合刺激对刺激控制的影响的评估过程。
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引用次数: 0
Functional Analysis and Treatment of Hoarding in a Child with Autism Spectrum Disorder.
IF 2.1 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-30 eCollection Date: 2025-03-01 DOI: 10.1007/s40617-024-00967-5
Heather Sheen, Tricia Vause, Nicole Neil, Brianna M Anderson, Maurice A Feldman

Excessive collecting is frequently reported in children with autism spectrum disorder, but few studies have used behavior analytic interventions based on functional analysis to treat it. In the current study, functional analysis results informed the creation of a multicomponent treatment package involving parent training for a 12-year-old girl with autism spectrum disorder who engaged in interfering hoarding that was significantly limiting quality of life for both her and her family. Based on the results of the functional analysis, which suggested automatic and potential attention functions, we evaluated differential reinforcement, rules, and acceptability criteria across the two hoarding topographies. Using a multiple baseline across behaviors design, results showed that the multicomponent treatment package successfully reduced hoarding. Social validity measures indicated a reduction in symptom severity, improvements in family quality of life, and high consumer satisfaction. In addition, outcomes were maintained over 2 months. This study shows the utility of functional analysis-based treatments for hoarding in children with autism spectrum disorder.

{"title":"Functional Analysis and Treatment of Hoarding in a Child with Autism Spectrum Disorder.","authors":"Heather Sheen, Tricia Vause, Nicole Neil, Brianna M Anderson, Maurice A Feldman","doi":"10.1007/s40617-024-00967-5","DOIUrl":"https://doi.org/10.1007/s40617-024-00967-5","url":null,"abstract":"<p><p>Excessive collecting is frequently reported in children with autism spectrum disorder, but few studies have used behavior analytic interventions based on functional analysis to treat it. In the current study, functional analysis results informed the creation of a multicomponent treatment package involving parent training for a 12-year-old girl with autism spectrum disorder who engaged in interfering hoarding that was significantly limiting quality of life for both her and her family. Based on the results of the functional analysis, which suggested automatic and potential attention functions, we evaluated differential reinforcement, rules, and acceptability criteria across the two hoarding topographies. Using a multiple baseline across behaviors design, results showed that the multicomponent treatment package successfully reduced hoarding. Social validity measures indicated a reduction in symptom severity, improvements in family quality of life, and high consumer satisfaction. In addition, outcomes were maintained over 2 months. This study shows the utility of functional analysis-based treatments for hoarding in children with autism spectrum disorder.</p>","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":"18 1","pages":"168-178"},"PeriodicalIF":2.1,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11904017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Behavior Analysis in Practice
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