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Adapting a Functional Assessment of Cigarette Smoking for People with Intellectual and Developmental Disabilities 为智力和发育障碍人士改编吸烟功能评估方法
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-22 DOI: 10.1007/s40617-024-00958-6
Sean D. Regnier, Lindsey C. Mullis, Austin Nugent, Trenton Marcum, Morgan Turner, Jonathan A. Schulz, Joshua Lile, Thomas Shellenberg, William W. Stoops

There is a concerning lack of published smoking cessation research on people with intellectual and developmental disabilities (IDD). A Functional Assessment for Smoking Treatment Recommendations (FASTR) was recently developed to help personalize patients’ tobacco treatment. Adapting this tool to effectively identify putative environmental variables that maintain smoking for people with IDD is predicted to improve current treatments. The purpose of this study was to pilot the FASTR with people with IDD to understand modifications necessary to implement it in this population. During 1-hour interviews participants (n = 8) described the extent they agreed with each FASTR statement using a Likert scale, corresponding to one of five potential functions of smoking (i.e., Automatic Positive, Automatic Negative, Social Positive, Social Negative, and Antecedent). Participants gave input on potential modifications to make the assessment more inclusive for people with IDD. A quantitative approach was used to pilot the FASTR and participant narratives were used to understand difficulties and potential modifications. For each participant a function was endorsed if the average response to questions corresponding to that function was greater than 3 (neutral) or over 50% “yes” responses. The two most frequently endorsed functions were Automatic Negative (87.5% participants) and Social Negative (75% of participants). Participants recommended making the focus of each statement larger and in bold so respondents can understand the most important part of the statement. The FASTR was modified based on their feedback and will be distributed to a larger sample of people with IDD for further validation.

令人担忧的是,针对智力和发育障碍(IDD)患者的戒烟研究还很缺乏。最近开发了一种 "吸烟治疗建议功能评估"(FASTR),以帮助对患者进行个性化的烟草治疗。通过调整该工具来有效识别导致 IDD 患者持续吸烟的环境变量,有望改善目前的治疗方法。本研究的目的是在 IDD 患者中试用 FASTR,以了解在该人群中实施 FASTR 所需的修改。在 1 小时的访谈中,参与者(n = 8)使用李克特量表描述了他们对 FASTR 各项陈述的认同程度,这些陈述与吸烟的五种潜在功能(即自动积极、自动消极、社会积极、社会消极和前因后果)中的一种功能相对应。参与者对可能的修改提出了意见,以使评估对 IDD 患者更具包容性。FASTR 采用定量方法进行试点,并通过参与者的叙述来了解困难和可能的修改。对于每位参与者而言,如果对与该功能相对应的问题的平均回答大于 3(中性)或超过 50% 的回答为 "是",则该功能即被认可。最常被认可的两个功能是自动否定功能(87.5% 的参与者)和社会否定功能(75% 的参与者)。参与者建议将每项陈述的重点部分放大并用粗体字标出,以便受访者了解陈述中最重要的部分。根据他们的反馈意见对 FASTR 进行了修改,并将分发给更多的 IDD 患者样本,以进一步验证其有效性。
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引用次数: 0
Development of the Values-Centered Assessment Tool (VCAT) to Inform Culturally Responsive Behavioral Services 开发 "以价值观为中心的评估工具"(VCAT),为文化适应性行为服务提供依据
IF 2.1 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-15 DOI: 10.1007/s40617-024-00945-x
Daniel Kwak, Kwang-Sun C. Blair, Danielle Russo
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引用次数: 1
Blending Staff Preference Assessments and Contingent Reinforcement to Enhance Data Collection in a Residential Facility for Adults with Severe Aggressive Behavior 将员工偏好评估与条件强化相结合,加强有严重攻击性行为的成人寄宿机构的数据收集工作
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-12 DOI: 10.1007/s40617-024-00961-x
John M. Guercio, Kimberley Frame, Trinity Hartnell, Lauren Rosen

The present article details the data collection behavior of residential staff employed in community-based settings for adults with intellectual disabilities and significant behavioral challenges. The staff members who participated in the study were responsible for collecting behavioral data related to episodes of aggressive behavior that were observed in their residential settings. A descriptive analysis data collection system was in place for each of the residences in the study. Individualized preference assessments were performed with a representative staff member from each of the homes. Once a highly preferred item was identified by the staff person, they were able to earn the item that had been identified contingent upon data collection in the house meeting or exceeding 80% completion of their daily data expectations. The assessment and intervention were examined across all three of the residences in the study via a multiple baseline design with a reversal design embedded within one of the legs of the design. The results demonstrated increases in data collection across each of the residences in the study as the intervention was introduced at each of the sites.

本文详细介绍了受雇于社区机构、为有智力障碍和严重行为障碍的成年人提供服务的住宿员工的数据收集行为。参与研究的工作人员负责收集在其居住环境中观察到的攻击行为发作的相关行为数据。研究中的每个居住地都建立了描述性分析数据收集系统。每所养老院都有一名具有代表性的工作人员进行个性化偏好评估。一旦工作人员确定了高度偏好的项目,他们就可以获得已确定的项目,但条件是院舍的数据收集必须达到或超过其日常数据预期完成率的 80%。这项研究通过多基线设计对所有三个宿舍的评估和干预措施进行了检查,并在其中一个设计中嵌入了逆转设计。结果表明,随着干预措施在各个地点的引入,研究中每个宿舍的数据收集量都有所增加。
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引用次数: 0
Correction: Behavior Analysts' Use of Treatments for Individuals with Autism: Trends within the Field 更正:行为分析师对自闭症患者治疗方法的使用:领域内的趋势
IF 2.1 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-11 DOI: 10.1007/s40617-024-00976-4
Kimberly B. Marshall, Kristin S. Bowman, Lisa M. Tereshko, Victor Suarez, K. Schreck, Thomas Zane, Justin B. Leaf
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引用次数: 0
Interobserver Agreement among a Staff Member and Visitors at a Wolf Sanctuary 狼群保护区工作人员与游客之间的观察者间一致性
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-11 DOI: 10.1007/s40617-024-00959-5
Christine M. Anckner, Kenneth W. Jacobs

The purpose of this study was to determine whether untrained visitors at a wolf sanctuary could collect behavioral data, within an acceptable range of interobserver agreement (IOA), using a freely available instrument on their smartphones. Two independent groups of untrained visitors continuously recorded one target behavior only or two target behaviors simultaneously. Observations occurred during a 50-min educational presentation with multiple wolves. Whereas IOA was at or above 80% for all participants, kappa was below the acceptable range of 0.6 or greater for some participants observing two target behaviors simultaneously.

• Clinicians may consider the use of untrained observers for limited data collection purposes

• Simple recording rules or pictures of conspicuous target behaviors may facilitate acceptable interobserver agreement

• Clinicians may consider the use of a similar smartphone data collection instrument for untrained observers

• Clinicians should be cautious of any competing smartphone behaviors that may interfere with the behavior of observing a target

本研究的目的是确定在狼群保护区,未经训练的游客是否可以使用智能手机上免费提供的工具收集行为数据,且观察者之间的一致性(IOA)在可接受的范围内。两组独立的未经培训的游客只连续记录一个目标行为或同时记录两个目标行为。观察是在 50 分钟的多狼教育演示过程中进行的。虽然所有参与者的 IOA 均达到或超过 80%,但同时观察两个目标行为的一些参与者的 kappa 却低于 0.6 或更高的可接受范围。
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引用次数: 0
Using Functional Communication and Competing Stimuli to Gradually Increase the Distance of Transitions in the Treatment of Tangibly Maintained Elopement 使用功能性交流和竞争性刺激逐步增加过渡距离来治疗明显维持的离家出走行为
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-09 DOI: 10.1007/s40617-024-00957-7
Michelle A. Frank-Crawford, Savannah A. Tate, Amanda Goetzel, Matthew Finn

Behavioral interventions are highly efficacious in reducing elopement. However, few studies explicitly examine elopement during transitions, and they typically do not discuss distance traveled during the transition. We report on a successful treatment consisting of functional communication to “go see” stimuli during transitions along with blocking and competing stimuli during reinforcer delays for a young boy whose elopement occurred during transitions and was maintained by positive reinforcement in the form of access to tangibles. During generalization, the distance of the transitions was gradually increased while maintaining low levels of elopement.

行为干预在减少离家出走方面非常有效。然而,很少有研究明确研究了过渡期间的私奔行为,而且这些研究通常不讨论过渡期间所走的距离。我们报告了一种成功的治疗方法,该方法包括在过渡期间与 "去看 "刺激物进行功能性交流,以及在强化物延迟期间阻断和竞争刺激物。在普及过程中,过渡的距离逐渐增加,同时保持较低的逃逸水平。
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引用次数: 0
Using Peer-Led Behavioral Skills Training to Teach Trainees Active and Empathic Listening Skills in a Virtual Environment 利用同伴引导的行为技能培训,在虚拟环境中向受训者传授主动倾听和移情倾听技能
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-09 DOI: 10.1007/s40617-024-00954-w
Valerie Law, Laura B. Turner, Adam T. Brewer

Active and empathic listening skills are considered crucial to the success of behavior analytic practitioners; however, minimal feasible, technological, and generalizable training methods and outcome data are available to guide the development of these skills in trainees. The current study evaluated the effects of a novel, peer-led behavioral skills training on increasing active and empathic listening skills in six behavior analytic trainees split into three dyads. A concurrent multiple baseline across participants design demonstrated the positive and generalized effects of this training across four of the six participants (i.e., two dyads). One additional, expert-led rehearsal and performance feedback session led to the immediate acquisition and generalization of the skills in the final two participants (i.e., one dyad). Results are discussed in terms of trainer feasibility and trainee acceptability, considerations when using peer-led BST, and the importance to the field of explicitly teaching socially valid interpersonal skills in various environments.

主动聆听和移情聆听技能被认为是行为分析从业者取得成功的关键;然而,用于指导受训者发展这些技能的可行、技术性和可推广的培训方法和结果数据却少之又少。本研究评估了一种新颖的、由同伴引导的行为技能培训对提高六个行为分析受训者的主动倾听和移情倾听技能的效果。同时进行的跨参与者多基线设计表明,该培训对六名参与者中的四名(即两个二人组)产生了积极而普遍的影响。在专家的指导下,学员进行了一次额外的排练和表演反馈,最后两名学员(即一个二人组)立即掌握并普遍运用了这些技能。本文从培训师的可行性和受训者的可接受性、使用同伴引导的 BST 时的注意事项以及在各种环境中明确教授社会有效人际交往技能对该领域的重要性等方面对结果进行了讨论。
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引用次数: 0
Practice Makes Progress: Evaluating Ethics Instruction Using Competency-Based Assessments 实践出进步:利用基于能力的评估来评价伦理教学
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-28 DOI: 10.1007/s40617-024-00949-7
Christen E. Russell, Jill Harper, Mary Jane Weiss, Jon Bailey

This pre/post-group design examined the efficacy of using competency-based assessments to teach students of behavior analysis to engage in ethical decision making. Students in the experimental group received feedback on identifying potential, ethical scenarios in quizzes and Behavior Skills Training (BST) on identifying all components of and developing potential action plans for the 11-step decision-making model (Behavior Analyst Certification Board, 2020) and for role plays that simulated meetings that people would encounter in practice to review concerns, gain additional information, and develop solutions-based plans with relevant parties. Students in the control group received treatment as usual. The findings were not statistically significant, and students only met criteria for role plays. The content was iterated, and Study 2 was developed. In Study 2, two students received feedback on the identification of examples and nonexamples of ethical dilemmas and behavior analyst’s best course of action in the situation and BST on identifying and creating actions plans of the decision-making model. Both students met criteria for mastery. Implications, based on this preliminary research, for evidence-based practice and future research are discussed.

这种前/后分组设计考察了使用基于能力的评估来教授行为分析专业学生参与道德决策的效果。实验组的学生在测验和行为技能培训(BST)中获得了关于识别潜在道德情景的反馈信息,包括识别 11 步决策模型(行为分析师认证委员会,2020 年)的所有组成部分和制定潜在行动计划,以及角色扮演,模拟人们在实践中会遇到的会议,以审查问题、获取更多信息并与相关方制定基于解决方案的计划。对照组的学生则照常接受治疗。研究结果没有统计学意义,学生只达到了角色扮演的标准。对内容进行了反复修改,并开发了研究 2。在 "研究 2 "中,两名学生收到了关于识别道德困境的实例和非实例以及行为分析师在这种情况下的最佳行动方案的反馈,以及关于识别和创建决策模型行动计划的 BST。两名学生都达到了掌握标准。本文讨论了基于这项初步研究的循证实践和未来研究的意义。
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引用次数: 0
Creating a Therapeutic Alliance with Caregivers: An Introduction to Motivational Interviewing 与护理人员建立治疗联盟:动机访谈法简介
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-25 DOI: 10.1007/s40617-024-00948-8
Callie Plattner, Cynthia Anderson

The training of behavior analysts emphasizes scientific knowledge and expertise in implementing the principles of behavior analysis. Although knowledge of and skills in the implementation of behavior analysis are important, we argue that the way in which behavior analysis is practiced may be equally important. In many other helping professions (e.g., psychology, medicine), trainees are explicitly taught the skills needed to build a therapeutic alliance and a frequently used training modality is motivational interviewing. Originally developed for, and still used as an intervention component to facilitate client engagement in intervention, motivational interviewing has been demonstrated to be both highly effective in enhancing intervention outcomes and for strengthening rapport between a clinician and a client. We argue that motivational interviewing has relevance to the practice of behavior analysis and should be adopted within training programs.

行为分析师的培训强调科学知识和实施行为分析原则的专业知识。虽然实施行为分析的知识和技能很重要,但我们认为,行为分析的实践方式可能同样重要。在许多其他帮助专业(如心理学、医学)中,受训者都会明确学习建立治疗联盟所需的技能,而经常使用的一种培训方式就是动机访谈。动机访谈最初是为促进客户参与干预而开发的,现在仍被用作干预的一部分,事实证明,动机访谈在提高干预效果和加强临床医生与客户之间的融洽关系方面都非常有效。我们认为,动机访谈与行为分析实践息息相关,应在培训项目中加以采用。
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引用次数: 0
The Pioneering Role of Women from Universidade Estadual de Londrina in the Dissemination of Behavior Analysis in Brazil 隆德里纳州立大学女生在巴西传播行为分析的先锋作用
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-25 DOI: 10.1007/s40617-024-00947-9
Andresa A. De Souza, Silvia R. de Souza, Silvia C. Murari, Verônica Bender Haydu

Behavior analysis arrived in Brazil in the 1960s with Fred Keller's teachings. His demonstrations of the basic principles of behavior and their applications influenced undergraduate and graduate students who were instrumental in consolidating behavior analysis as a line of study and practice in Brazilian universities. Keller's followers spread across the country to different geographic regions of Brazil. In the South, the Universidade Estadual de Londrina (UEL) established its undergraduate psychology program rooted in behavior theory and the experimental analysis of behavior. As one of the first university programs formed by behavior analyst in Brazil, UEL was instrumental in the dissemination and consolidation of the science of behavior in the country. In Brazil, psychology programs often have a high representation of women, with 75% of students being female. This significant presence of women in the field emphasizes their influential role in the dissemination of behavior analysis. This article is an overview of the role of women faculty in developing and advancing the behavior analysis program at UEL. It provides a historical account from the establishment of UEL until the graduate programs in behavior analysis within the psychology program. The contribution of crucial women behavior analysts to the maintenance of the program and their efforts in training students are highlighted.

二十世纪六十年代,行为分析随着弗雷德-凯勒的教学传入巴西。他所展示的行为学基本原理及其应用影响了本科生和研究生,这些学生在巩固行为分析作为巴西大学的研究和实践方向方面发挥了重要作用。凯勒的追随者遍布巴西的各个地区。在南部,隆德里纳州立大学(UEL)开设了以行为理论和行为实验分析为基础的心理学本科课程。作为巴西第一批由行为分析师开设的大学课程之一,隆德里纳大学在传播和巩固行为科学方面发挥了重要作用。在巴西,心理学专业的女生比例通常很高,女生占 75%。女性在这一领域的重要存在强调了她们在传播行为分析方面的影响力。本文概述了女教师在发展和推进巴西大学行为分析专业中的作用。它提供了从欧洲语言大学成立到心理学专业中的行为分析研究生课程的历史记录。文章重点介绍了重要的女性行为分析师在维持该项目方面所做的贡献以及她们在培养学生方面所做的努力。
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引用次数: 0
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Behavior Analysis in Practice
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