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Evaluating a Treatment Package to Reduce Toe Walking and Improve Ankle Mobility in Children with Autism Spectrum Disorder: A Multi-Component Intervention. 评估减少自闭症谱系障碍儿童足趾行走和改善踝关节活动能力的一揽子治疗方案:多成分干预
IF 1.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-23 eCollection Date: 2025-03-01 DOI: 10.1007/s40617-024-01035-8
Martina Semino, Emanuela Riccio, Samantha Giannatiempo, Francesca Cavallini, Luca Vascelli

This study evaluates the effects of a treatment package to reduce toe-walking (TW) in four male children with autism spectrum disorder, aged between three and six years, with persistent TW. The treatment package involved a combination of motor exercises, positive reinforcement, corrective feedback, and precision teaching. We used concurrent multiple probes across participants design, with RESA checks, to evaluate the effectiveness of the intervention. We measured the correct steps during probe sessions, the rate per minute of correct steps during the training, the ankle joint's passive range of motion, and social validity, measured through caregiver questionnaires before and after the intervention. The results indicated a decrease in TW across all participants, with a beneficial effect on the participants' gait patterns and overall physical mobility. It also underscored the potential for applying such an intervention to improve the daily lives of children with ASD. However, the study has several limitations, including not directly measuring generalization, the brief follow-up period post-intervention, and the absence of a component analysis to determine the differential effects of the intervention components.

Supplementary information: The online version contains supplementary material available at 10.1007/s40617-024-01035-8.

本研究评估了四名患有自闭症谱系障碍的男性儿童,年龄在3至6岁之间,持续出现脚趾行走(TW)的治疗方案的效果。治疗方案包括运动练习、正强化、纠正反馈和精确教学。我们在参与者设计中使用并发多重探针,并进行RESA检查,以评估干预的有效性。我们在干预前后通过护理者问卷测量了探测过程中的正确步数、训练过程中每分钟正确步数的频率、踝关节的被动活动范围和社会效度。结果表明,所有参与者的TW都有所减少,这对参与者的步态模式和整体身体活动能力都有有益的影响。它还强调了应用这种干预来改善自闭症儿童日常生活的潜力。然而,该研究有一些局限性,包括没有直接测量泛化,干预后随访时间短,以及缺乏成分分析来确定干预成分的差异效应。补充资料:在线版本提供补充资料,网址为10.1007/s40617-024-01035-8。
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引用次数: 0
Introduction to the Special Section: Spotlight on Acceptance and Commitment Training. 专题介绍:聚焦接纳与承诺训练。
IF 1.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-23 eCollection Date: 2025-03-01 DOI: 10.1007/s40617-024-01039-4
Alyssa N Wilson
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引用次数: 0
The Performance-based IISCA Can Inform Effective and Socially Meaningful Skill-based Treatment. 基于绩效的IISCA可以为有效和有社会意义的技能治疗提供信息。
IF 1.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-08 eCollection Date: 2025-12-01 DOI: 10.1007/s40617-024-01036-7
Tess Fruchtman, Joshua Jessel, Bai Pan, Shauntae McLeod, Adithyan Rajaraman

Jessel et al. (Behavior Analysis in Practice, 17, 727-745, 2024) demonstrated that results from the performance-based, interview-informed synthesized contingency analysis (IISCA) had strong correspondence when compared to typical IISCA procedures and produced positive outcomes with resultant functional communication training procedures. On the basis of the assumption that functional analyses may include potentially adverse events insofar as they deliberately and repeatedly arrange conditions suspected to evoke dangerous behavior, Jessel and colleagues argued in favor of aligning functional analysis procedures with guidelines of trauma-informed care. We replicated and extended Jessel et al. (Behavior Analysis in Practice, 17, 727-745, 2024) by conducting a performance-based IISCA with three children with autism referred for behavioral services due to dangerous behavior and by evaluating a comprehensive skill-based treatment informed by the performance-based IISCA. The skill-based treatment resulted in the eventual elimination of dangerous behavior and the acquisition of multiple important skills, with caregivers implementing treatment sessions for two of the three participants. Assessment and intervention procedures and outcomes were socially validated by all participating families.

Jessel等人(《实践中的行为分析》,17,727-745,2024)证明,与典型的IISCA程序相比,基于绩效的、基于访谈的综合应急分析(IISCA)的结果具有很强的一致性,并通过由此产生的功能性沟通培训程序产生了积极的结果。基于功能分析可能包括潜在的不良事件的假设,只要他们故意和反复地安排可能引起危险行为的条件,Jessel和同事们主张将功能分析程序与创伤知情护理指南保持一致。我们复制并扩展了Jessel等人的研究(行为分析在实践中,17,727 -745,2024),方法是对三名因危险行为而转介行为服务的自闭症儿童进行基于绩效的IISCA,并评估基于绩效的IISCA提供的综合技能治疗。以技能为基础的治疗最终消除了危险行为,并获得了多种重要技能,护理人员对三名参与者中的两名进行了治疗。所有参与家庭都对评估和干预程序及结果进行了社会验证。
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引用次数: 0
Henry S. Pennypacker: It Is Not What You Call It, It's What You Do that Makes the Difference. 亨利·彭尼派克:重要的不是你怎么称呼它,而是你做了什么。
IF 1.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-07 eCollection Date: 2025-03-01 DOI: 10.1007/s40617-024-01034-9
William L Heward, Jonathan W Kimball, John W Eshleman
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引用次数: 0
Preparation of Behavior Analysts for School-based Practice. 为校本实践准备行为分析师。
IF 1.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-06 eCollection Date: 2025-12-01 DOI: 10.1007/s40617-024-01028-7
Susan R Copeland, Peg Duffie, Rolanda Maez

While working in educational settings remains the second largest area of professional emphasis for Board Certified Behavior Analysts (BCBAs), there is a scarcity of research about how these professionals are prepared to provide services and supports in school-based placements. We investigated perceptions of school-based behavior analysts about their levels of preparation and confidence in applying their understanding of knowledge areas specific to school-based practice (i.e., multidisciplinary teaming, Individual Education Program teams, educational curricula and assessments, grade level benchmark standards and alternate standards for students with extensive support needs, educational law, and case law). Our focus was on identifying facilitators and barriers to effective school-based practice within their initial preparation. Additionally, we investigated how these professionals continued their education in these areas after receiving their initial credential. A total of 116 BCaBAs, BCBAs, or BCBA-Ds across each major geographic area of the United States completed a 26-item survey containing closed and open-ended questions. Most respondents perceived their initial behavior analysis training as providing no or minimal preparation in specific areas related to provision of services in educational settings. Those who had received supervised fieldwork in school settings rated their confidence in application of these areas in their practice higher than those who lacked such experience. Many respondents indicated that they had pursued or planned to seek additional training in these areas. They also identified facilitators and barriers to preparation for effective school-based practice. We discuss the results, implications for systems change, professional practice, and areas of future research.

Supplementary information: The online version contains supplementary material available at 10.1007/s40617-024-01028-7.

虽然在教育环境中工作仍然是委员会认证行为分析师(bcba)的第二大专业重点领域,但关于这些专业人士如何准备好在学校实习中提供服务和支持的研究却很少。我们调查了校本行为分析师对他们的准备水平的看法,以及他们对校本实践中特定知识领域的理解的信心(即多学科团队、个人教育项目团队、教育课程和评估、年级基准标准和有广泛支持需求的学生的替代标准、教育法和判例法)。我们的重点是在初步准备阶段确定有效的校本实践的促进因素和障碍。此外,我们还调查了这些专业人士在获得初始证书后如何继续在这些领域接受教育。共有116名来自美国各主要地理区域的bcba、bcba或bcba - d完成了一项包含封闭和开放式问题的26项调查。大多数答复者认为,他们最初的行为分析培训在与教育环境中提供服务有关的具体领域没有或只有很少的准备。那些在学校环境中接受过监督的实地考察的人比那些缺乏这种经验的人对这些领域在实践中应用的信心更高。许多答复者表示,他们已寻求或计划寻求这些领域的额外培训。他们还确定了为有效的校本实践做准备的促进因素和障碍。我们将讨论结果、对系统变化的影响、专业实践和未来研究的领域。补充资料:在线版本提供补充资料,网址为10.1007/s40617-024-01028-7。
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引用次数: 0
Acting, Charting, and Fluency: Using a Modified SAFMEDS Procedure to Increase Recall in a Stage Actor and Non-Actor. 表演,图表和流畅性:使用改进的safmed程序提高舞台剧演员和非演员的回忆。
IF 1.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-06 eCollection Date: 2025-12-01 DOI: 10.1007/s40617-024-01038-5
Demitria Fragale, Salvador Ruiz, Kendra Brooks Newsome, Jessica Day-Watkins, Victoria Verdun

Actors need to memorize lines of text to audition for roles with a limited amount of time; therefore, an evidenced-based system may help ensure adequate preparation for auditions. Precision Teaching is a subspecialty within behavior analysis focused on precise definitions and continuous measurement of dimensional features of behavior and analyzes behavioral data to accelerate behavioral repertoires by promoting fluency. One way to promote fluency is through Say All Fast Minute Each Day Shuffled (SAFMEDS), a procedure that has been shown to increase recall through practice and assessment and is a systematic tool for learning that is an improvement over standard flashcard methods. The current study compares the effects of see-say and hear-say learning channel sets on the recall of long theatrical texts for one actor and one non-actor using an adapted alternating treatments design. Results demonstrate that the hear-say learning channel set was most effective for both participants. Additionally, these skills generalized during MESAA tests for both monologues and participants in the absence of the SAFMEDS cards and in novel environments. Participants reported high satisfaction with both treatments, indicating high utility in developing fluency.

演员需要在有限的时间内记住台词来试镜角色;因此,一个以证据为基础的系统可能有助于确保为试镜做充分的准备。精准教学是行为分析中的一个分支,侧重于对行为维度特征的精确定义和连续测量,并分析行为数据,通过提高流利度来加速行为的表现。提高流利程度的一种方法是通过每天快速说一分钟(safmed),这一方法已经被证明可以通过练习和评估来提高记忆力,是一种系统的学习工具,是对标准抽认卡方法的改进。目前的研究比较了“看-说”和“听-说”学习渠道对一名演员和一名非演员回忆长戏剧文本的影响,采用了一种适应的交替治疗设计。结果表明,听说学习渠道集对两种参与者都是最有效的。此外,在没有safmed卡片和新环境的情况下,这些技能在MESAA测试中对独白和参与者进行了推广。参与者对两种治疗方法的满意度都很高,这表明在发展流利性方面有很高的效用。
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引用次数: 0
The Road to Licensure of Behavior Analysts in Texas: History and Lessons Learned. 德州行为分析师执照之路:历史与教训。
IF 1.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-03 eCollection Date: 2025-06-01 DOI: 10.1007/s40617-024-01030-z
Berenice de la Cruz, Gordon Bourland, Katherine M Johnson-Patagoc, Jeffrey Dillen, Rany Thommen, Jennifer N Fritz, Regina Crone

In over 30 US states since early this century, behavior analysts have worked for months and years to secure laws to license behavior analysts. At present, very few published accounts exist to document those efforts and to provide models and recommendations for behavior analysts who are interested in advocating for licensure or some form of governmental regulation of behavior analysts. Many are well-prepared in behavior analysis but have little preparation for dealing effectively with the contingencies and procedures involved in making public policies. We provide an account of the extended, complicated efforts by behavior analysts in one state that culminated in establishment of state licensure of behavior analysts. Key activities described here include foundational organizational work by a state behavior analysis organization, preliminary licensure efforts, educating behavior analysts on public policy advocacy, establishing relationships with legislators and their staff as well as government regulatory agency personnel, developing of important alliances with various stakeholders, and review of final successful efforts. Successful efforts and lessons learned are reviewed.

Supplementary information: The online version contains supplementary material available at 10.1007/s40617-024-01030-z.

自本世纪初以来,在美国30多个州,行为分析师已经工作了数月或数年,以确保法律允许行为分析师。目前,很少有公开的账户记录这些努力,并为那些有兴趣倡导许可或某种形式的政府对行为分析师的监管的行为分析师提供模型和建议。许多人在行为分析方面准备充分,但在有效处理突发事件和制定公共政策过程中所涉及的程序方面准备不足。我们提供了行为分析师在一个州进行的扩展的、复杂的努力,最终建立了行为分析师的州执照。这里描述的关键活动包括:州行为分析组织的基础组织工作、初步许可工作、教育行为分析人员宣传公共政策、与立法者及其工作人员以及政府监管机构人员建立关系、与各种利益相关者建立重要联盟,以及审查最终成功的努力。回顾成功的努力和吸取的教训。补充信息:在线版本包含补充资料,提供地址为10.1007/s40617-024-01030-z。
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引用次数: 0
Creating Plots for Single-Subject Research Designs in R. 在R中创建单主题研究设计的情节。
IF 1.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-31 eCollection Date: 2025-03-01 DOI: 10.1007/s40617-024-01032-x
Jorge A Ruiz, Cristina G Guerrero Sánchez

The use of single-subject research designs is common among behavior analysts, as well as among other professionals interested in the study of behavior. Although there are clear guidelines for creating graphs to represent data collected with these designs, the type of tools used to produce them requires considerable time and effort to cover the specific criteria to plot data for each type of design and always involves the purchase of a software's license. This manuscript describes four functions created in R language to automatically produce plots with specific characteristics for data collected using single-subject experimental designs. These functions were included in a package created in R to facilitate their sharing, installation, and use (R package for data analysis and representation in behavior science, https://github.com/ruizvja/RDARBS). The application of these functions is exemplified for the cases of reversal design, multi-element design, changing criteria, and multiple baseline. The relevance and convenience of functions is illustrated and discussed in the context of other proposals that have been made for the specialized production of plots for single-subject research designs.

在行为分析师以及其他对行为研究感兴趣的专业人士中,使用单一主题的研究设计是很常见的。尽管有明确的指导方针来创建图形来表示用这些设计收集的数据,但是用于生成它们的工具类型需要大量的时间和精力来涵盖为每种类型的设计绘制数据的特定标准,并且总是涉及购买软件许可证。本文描述了用R语言创建的四个函数,用于对使用单受试者实验设计收集的数据自动生成具有特定特征的图。这些函数包含在一个用R创建的包中,以方便它们的共享、安装和使用(R包用于行为科学中的数据分析和表示,https://github.com/ruizvja/RDARBS)。这些功能的应用,举例说明了反转设计,多元素设计,改变标准,和多基线的情况下。函数的相关性和便利性在其他建议的背景下进行了说明和讨论,这些建议是为单主题研究设计专门制作的绘图。
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引用次数: 0
A Qualitative Analysis of Variables Contributing to Registered Behavior Technicians' Burnout and Turnover in Florida. 佛罗里达州注册行为技术人员职业倦怠和离职影响因素的定性分析。
IF 1.7 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-31 eCollection Date: 2025-12-01 DOI: 10.1007/s40617-024-01033-w
Jessica A Nastasi, Kacie M McGarry, Kerri P Peters, Yanerys León, Janelle K Bacotti, Nicole Gravina

Despite the increasing number of registered behavior technicians (RBTs) certified yearly, applied behavior-analytic organizations report difficulties in hiring and retaining RBTs in Florida. The current study evaluated RBTs' work experiences related to the shortage of RBTs in Florida, particularly work concerns that lead to burnout and turnover. Eleven RBTs were interviewed regarding their working conditions and perspectives on the RBT working conditions. A thematic analysis yielded four main themes: (1) challenges establishing and maintaining competency; (2) difficult working conditions; (3) a transient or unheard-of career; and (4) dissatisfaction with pay and benefits. Results suggested that RBTs' experiences vastly differed across organizations and that a combination of variables impact RBT burnout and turnover, which may contribute to burnout and turnover among RBTs in Florida. Implications for future research on RBT burnout and turnover and recommendations for organizations are discussed.

Supplementary information: The online version contains supplementary material available at 10.1007/s40617-024-01033-w.

尽管每年有越来越多的注册行为技术人员(rbt)获得认证,但应用行为分析组织报告说,在佛罗里达州雇佣和留住rbt很困难。目前的研究评估了与佛罗里达州rbt短缺相关的rbt工作经验,特别是导致倦怠和离职的工作问题。采访了11位RBT员工的工作条件以及他们对RBT员工工作条件的看法。专题分析得出了四个主要主题:(1)建立和保持竞争力的挑战;(二)艰苦的劳动条件;(3)短暂的或闻所未闻的事业;(4)对薪酬和福利的不满。结果表明,不同组织的RBT经历差异很大,并且多种变量的组合影响了RBT的倦怠和离职,这可能导致佛罗里达州RBT的倦怠和离职。讨论了对未来RBT职业倦怠与离职研究的启示及对组织的建议。补充信息:在线版本包含补充资料,提供地址:10.1007/s40617-024-01033-w。
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引用次数: 0
Correction: A Discussion of Positive Behavior Support and Applied Behavior Analysis in the Context of Autism Spectrum Disorder in the UK and Ireland. 更正:关于英国和爱尔兰自闭症谱系障碍背景下的积极行为支持和应用行为分析的讨论。
IF 2.1 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-10 eCollection Date: 2025-03-01 DOI: 10.1007/s40617-024-01029-6
David Stalford, Scott Graham, Michael Keenan

[This corrects the article DOI: 10.1007/s40617-023-00905-x.].

[这更正了文章DOI: 10.1007/s40617-023-00905-x.]。
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引用次数: 0
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Behavior Analysis in Practice
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