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Comparison of Acquisition Criteria Applied to Individual and Sets of Tacts: A Systematic Replication 适用于单个战术和成套战术的习得标准比较:系统复制
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-28 DOI: 10.1007/s40617-024-00933-1
Hung Chang, Tania Nainani, Ji Young Kim

The experimenters examined two different levels of acquisition criteria—Set and Operant Analysis—to assess acquisition and response maintenance of tact operants for four participants. Set Analysis involved replacing acquired operants at a set level, whereas Operant Analysis involved replacing acquired operants at an individual operant level. All participants required fewer instructional trials to acquire tacts under the Operant Analysis condition. Three participants maintained a similar number of operants in both conditions, whereas one participant maintained more operants under the Set Analysis condition.

实验人员研究了两种不同水平的习得标准--集合分析和操作分析,以评估四名参与者对触觉操作的习得和反应维持情况。集合分析法涉及在集合水平上替换习得的操作动作,而操作分析法涉及在单个操作动作水平上替换习得的操作动作。在操作分析条件下,所有参与者都需要较少的指令试验来获得触觉。三名参与者在两种条件下保持的操作数相近,而一名参与者在 "集合分析 "条件下保持的操作数较多。
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引用次数: 0
Neurodiversity-Affirming Applied Behavior Analysis 肯定神经多样性的应用行为分析
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-25 DOI: 10.1007/s40617-024-00918-0
Lauren Lestremau Allen, Leanna S. Mellon, Noor Syed, Joy F. Johnson, Armando J. Bernal

Individuals within the Autistic and Neurodivergent communities have shared numerous concerns about applied behavior analysis (ABA). These criticisms often relate to the ableism reflected within current practices, which have impeded the dignity and autonomy of many individuals with disabilities served through ABA. Both within the field and outside of the field, there is a growing acknowledgment of the need to listen, reflect, and reconsider approaches to service delivery, which can ultimately benefit service recipients well beyond the Autistic or Neurodivergent communities. ABA is committed to being responsive to consumers, even when the social validity data are unfavorable, and the path forward is unclear. This article will provide an overview of historical and current perspectives regarding disability rights, the Autistic and Neurodiversity advocacy movements, and disability as a form of diversity. Calls to action will be presented with accompanying neurodiversity-affirming actions for behavior analytic practitioners. These calls to action are informed by feedback from the Autistic and Neurodivergent communities as well as other interested parties and are related to (1) client identity and language; (2) dignity, self-determination, choice, and assent; and (3) social validity, which may be acted on through compassionate and affirming approaches.

自闭症和神经分裂社区的成员对应用行为分析(ABA)有许多担忧。这些批评通常与当前实践中反映出的能力主义有关,它妨碍了许多通过 ABA 服务的残障人士的尊严和自主性。在该领域内外,越来越多的人认识到需要倾听、反思和重新考虑提供服务的方法,最终使服务对象受益的范围远远超出自闭症或神经障碍群体。即使在社会有效性数据不利、前进道路不明朗的情况下,美国自闭症协会也致力于对消费者做出回应。本文将概述有关残疾人权利、自闭症和神经多样性倡导运动以及作为多样性一种形式的残疾的历史和当前观点。文章将呼吁行为分析从业者采取行动,并附有神经多样性确认行动。这些行动呼吁参考了自闭症和神经变异群体以及其他相关方的反馈意见,涉及(1)客户身份和语言;(2)尊严、自决、选择和同意;以及(3)社会有效性,可通过同情和肯定的方法加以实施。
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引用次数: 0
Organizational Behavior Management Approaches to Advancing Compassionate Care in Research and Practice 在研究与实践中推进仁爱护理的组织行为管理方法
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-22 DOI: 10.1007/s40617-024-00927-z
Kristin M. Hustyi, Tabitha N. Hays

Compassion in health care has been associated with improved patient outcomes, better treatment adherence, patient engagement, and satisfaction. However, much of this literature is limited by weak design and measurement strategies. Despite researchers’ efforts to demystify compassion and produce an evidence-based understanding of it, empirical models and definitions remain a work in progress. In this article, we discuss how contemporary methodological features of organizational behavior management (OBM) could be used to advance our understanding of compassionate care and its impact on important outcomes for patients, clinicians, and organizations alike. Recommendations for measuring, assessing, and intervening at both the individual and systems-level to promote compassionate care are provided. Though the origin, development, and maintenance of compassion may be complex, it is clear that behavior analysts have an ethical obligation to invoke compassion in their service to others. Likewise, those at the executive level of decision making in organizations have an obligation to purposefully design environments that support behavior analysts’ engagement in compassionate care. Viewing compassionate care through a systems lens may help to align the values and goals of patients, clinicians, and organizations by treating compassion like a critical business metric.

医疗保健中的同情心与患者治疗效果的改善、治疗依从性的提高、患者的参与度和满意度有关。然而,由于设计和测量策略薄弱,大部分文献都受到了限制。尽管研究人员努力揭开同情心的神秘面纱,并以证据为基础对其进行理解,但实证模型和定义仍在不断完善中。在本文中,我们将讨论如何利用组织行为管理(OBM)的当代方法论特征来促进我们对同情心护理及其对患者、临床医生和组织等重要结果的影响的理解。我们还提供了在个人和系统层面进行测量、评估和干预以促进仁爱护理的建议。尽管同情心的起源、发展和维持可能很复杂,但行为分析师显然有道德义务在为他人服务时唤起同情心。同样,组织中的行政决策层也有义务有目的地设计环境,支持行为分析师参与同情关怀。通过系统视角来看待仁爱护理,可以将仁爱作为一项重要的业务指标来对待,从而帮助患者、临床医生和组织统一价值观和目标。
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引用次数: 0
Avoiding Abuse of Power: A Case for Compassionate, Participant-Centered Research 避免滥用权力:以参与者为中心开展富有同情心的研究
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-14 DOI: 10.1007/s40617-024-00925-1
Jamine Dettmering, Tajma Hodzic

Although applied behavior analysis (ABA) is a science committed to improving the lives of others in socially meaningful ways, it exists within complex structures of power that are at odds with the values of our science. Current research practices perpetuate the oppression of people with disabilities. For too long ABA researchers have disproportionately conducted research with people with disabilities without their input. It is time for a paradigmatic change toward more compassionate and participant-centered research practices. In this article, we (1) highlight the concerns with current research practices and how ABA may perpetuate ableism; (2) provide suggestions for more compassionate, participant-centered research using two applied research studies to illustrate compassionate research in action; and (3) point to systems-level changes that we believe will disrupt oppressive and ableist research practices.

尽管应用行为分析(ABA)是一门致力于以对社会有意义的方式改善他人生活的科学,但它存在于复杂的权力结构之中,与我们科学的价值观相悖。当前的研究实践延续了对残疾人的压迫。长期以来,ABA 的研究人员在没有听取残疾人意见的情况下,过多地对残疾人进行研究。现在是时候改变研究范式,采取更富有同情心和以参与者为中心的研究方法了。在这篇文章中,我们(1)强调了当前研究实践的问题,以及 ABA 如何使能力主义永久化;(2)使用两个应用研究来说明行动中的同情研究,为更具同情心、以参与者为中心的研究提供建议;以及(3)指出系统层面的变化,我们相信这些变化将打破压迫性和能力主义的研究实践。
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引用次数: 0
Behavior Analysis Services on the Island of Curaçao: Increasing Dissemination, Capacity Building, and Access to Care 库拉索岛上的行为分析服务:加强传播、能力建设和获得护理的机会
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-14 DOI: 10.1007/s40617-024-00922-4
Gabrielle I. Torres, Moraini A. U. Isenia

Although applied behavior analysis (ABA) is a well-supported evidence-based practice in the United States, other countries have a lack of national practice standards, training programs, and public policy that has made it challenging for practitioners to provide services to individuals diagnosed with autism spectrum disorders and other developmental disabilities. In addition to these barriers, smaller countries, like the island of Curaçao, must also contend with their small size and limited resources. Nonetheless, over the past 6 years a small multidisciplinary team has established an ABA therapy center, identified some funding sources for families who may not have the resources to afford these private pay services, and created a training program for local people interested in a career in behavior analysis. The steps taken, barriers encountered, and successes achieved, provide a guide for others attempting to make an impact when resources are limited. With these achievements, Curaçao joins a small group of other islands that are paving the way for the establishment and regulation of behavior analysis in the Caribbean.

尽管应用行为分析(ABA)在美国是一种得到充分支持的循证实践,但其他国家却缺乏国家实践标准、培训计划和公共政策,这使得从业人员在为被诊断患有自闭症谱系障碍和其他发育障碍的个人提供服务时面临挑战。除了这些障碍之外,像库拉索岛这样的小国还必须面对国土面积小、资源有限的问题。尽管如此,在过去的 6 年中,一个小型的多学科团队建立了一个 ABA 治疗中心,为那些可能没有资源负担这些私人付费服务的家庭找到了一些资金来源,并为有志于从事行为分析工作的当地人制定了一项培训计划。所采取的步骤、遇到的障碍和取得的成功,为其他试图在资源有限的情况下发挥影响力的人提供了指导。凭借这些成就,库拉索岛加入了其他一些岛屿的行列,为在加勒比地区建立和规范行为分析铺平了道路。
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引用次数: 0
The Waxing and Waning of Establishing Behavior Analysis in a Latin American Country 在拉美国家开展行为分析的兴衰历程
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-12 DOI: 10.1007/s40617-024-00923-3
Jessie Arroyave Tefel

Behavior analysis is an extraordinary science and used wisely, can make crucial contributions to individuals, groups, and even entire countries. Thus, behavior analysis should be a science available and known to all, regardless of origin, culture, race, ethnicity, or gender. As an advocate for the use and dissemination of behavior science in Latin American countries and as the first person to be certified in my country, I present my experience as a Latin American woman in the field of behavior analysis and invite other women in Latin America to pursue behavior analysis. This article provides a description of the challenges in practicing ABA internationally, outlines my actions to overcome those challenges, and includes specific recommendations to other practitioners in the field.

行为分析是一门非凡的科学,它的合理使用可以为个人、群体甚至整个国家做出重要贡献。因此,行为分析应该是一门不分出身、文化、种族、民族或性别,人人都能使用和了解的科学。作为行为科学在拉美国家应用和传播的倡导者,作为我国第一个获得认证的人,我介绍了我作为一名拉美女性在行为分析领域的经验,并邀请其他拉美女性从事行为分析工作。本文描述了在国际上从事行为分析的挑战,概述了我为克服这些挑战所采取的行动,并向该领域的其他从业人员提出了具体建议。
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引用次数: 0
Effect of Repeated Reading on Reading Fluency for Adults with Specific Learning Disabilities 重复阅读对特殊学习障碍成人阅读流畅性的影响
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-11 DOI: 10.1007/s40617-024-00926-0
Madeline Halkowski, Richard M. Kubina

The current study implemented an alternating-treatments design with Standard Celeration Charting. The applied experiment occurred via telecommunication and assessed the effectiveness of repeated reading (RR) on reading fluency for two adults with specific learning disabilities using high-level and low-level reading passages. Participants reread each passage until they met a predetermined fluency criterion. We measured participants reading fluency using correct words per 1 min (CWPM) and assessed for retention at 1 week, 2 weeks, and 1 month. Both participants reached their fluency aims and maintained their progress postintervention.

• RR can improve reading fluency for children and adults with reading deficits.

• RR practice sessions require minutes to implement, which offers great flexibility for scheduling.

• Telecommunication represents an effective modality for implementing RR procedures for adults with reading disabilities.

• Participants in the study retained their fluency gains post-intervention, supporting that time spent on RR may represent a good investment for clinicians.

本研究采用标准迭代图表法进行交替治疗设计。应用实验通过远程通信进行,使用高水平和低水平阅读段落评估重复阅读(RR)对两名有特殊学习障碍的成年人阅读流利性的影响。参与者重读每个段落,直到达到预先设定的流利程度标准。我们使用每 1 分钟正确单词数(CWPM)来衡量参与者的阅读流畅度,并在 1 周、2 周和 1 个月时对其保留率进行评估。RR 可以提高有阅读障碍的儿童和成人的阅读流利度。RR 练习课程的实施只需几分钟,这为时间安排提供了极大的灵活性。RR 是为有阅读障碍的成人实施 RR 程序的有效方式。
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引用次数: 0
The Ethical Landscape of Behavior Analysis Forums on Reddit 行为分析的伦理前景 Reddit 上的论坛
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-08 DOI: 10.1007/s40617-024-00921-5
Richard A. Price, Melanie R Martin Loya, Rebecca Folkerts, Ban S. Haidar

The Behavior Analyst Certification Board (BACB) released the third iteration of ethical practice guidelines for certificants, which went into effect on January 1, 2022. This Ethics Code for Behavior Analysts (hereafter Ethics Code) is streamlined and more enforceable than its predecessors, with the continued overarching directive to improve consumer protection. In the decades after the BACB was founded, the internet and social media have become ubiquitous in daily life, including within applied behavior analysis (ABA). Social media can benefit ABA stakeholders by providing access to enhanced professional networks, practitioner resources, and study guides or social support for behavior analysis students. However, the use of social media leads to a potentially increased risk of ethical concerns. Therefore, the authors of this article sought to explore how behavioral products in ABA social media forums on Reddit align with the Ethics Code. Findings suggest that most user engagement in ABA subreddit is ethical, but users also engage in ways that potentially misalign with the Ethics Code. Finally, the authors describe implications for future research and practice to promote ethical user engagement online by ABA practitioners.

行为分析师认证委员会(BACB)发布了第三版行为分析师职业道德准则,并于 2022 年 1 月 1 日生效。本《行为分析师道德规范》(以下简称《道德规范》)与之前的《道德规范》相比,更加精简,更具有可执行性,并继续以加强消费者保护为首要任务。在 BACB 成立后的几十年里,互联网和社交媒体在日常生活中无处不在,包括在应用行为分析 (ABA) 领域。社交媒体可以为行为分析专业的学生提供增强的专业网络、从业人员资源、学习指南或社会支持,从而使行为分析专业的利益相关者受益。然而,社交媒体的使用可能会增加道德问题的风险。因此,本文作者试图探索 Reddit 上 ABA 社交媒体论坛中的行为产品如何与《道德规范》保持一致。研究结果表明,大多数用户在 ABA subreddit 中的参与是符合道德规范的,但用户的参与方式也有可能与《道德规范》不一致。最后,作者阐述了未来研究和实践对促进 ABA 从业人员在线道德用户参与的意义。
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引用次数: 0
Compassionate Care Training for Behavior Analysts to Support Caregiver Collaboration 对行为分析师进行 "同情关怀 "培训,以支持护理人员的合作
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-06 DOI: 10.1007/s40617-024-00920-6
Karen Nohelty, Marlena N. Novack, Rachael A. Robinson, Celeste M. Tevis, Dennis R. Dixon

The field has made significant strides in establishing applied behavior analysis (ABA) interventions as evidenced-based practices in the treatment of autism spectrum disorder; however, treatment delivery has been criticized as lacking compassion. Based on research in other fields, approaching caregiver collaboration with compassion may foster collaborative relationships between clinicians and caregivers, who play a vital role in their child’s treatment, and may bolster treatment adherence, satisfaction, and outcomes. The purpose of this pilot study was to examine the impact of a compassionate care training for clinicians to support therapeutic relationships with caregivers. Participants included nine clinical supervisors employed at a community-based behavioral health agency. Clinical supervisors were randomly assigned to either an immediate-treatment group or delayed-treatment control group. Clinicians participated in a 5-week training program, which involved didactic instruction, behavior skills training, and acceptance and commitment training. At baseline, postdelay, and posttreatment, caregiver collaboration sessions were recorded, and the clinicians’ use of compassionate care was evaluated using a measure developed for the study. A statistically significant difference in clinicians’ use of compassionate care strategies following intervention was observed. Variability observed in pretreatment compassionate care scores for a single clinician across different caregivers appeared to normalize posttreatment for several clinicians. In addition, marked increases were seen in compassionate care scores for clinicians with lower initial ratings. Although limited to a small sample size, the results of the pilot study demonstrated feasibility of the compassionate care training and revealed an overall positive improvement posttreatment.

应用行为分析(ABA)干预作为治疗自闭症谱系障碍的循证实践,在该领域取得了长足进步;然而,治疗方法却因缺乏同情心而饱受诟病。根据其他领域的研究,以同情的态度对待照顾者的合作可能会促进临床医生与照顾者之间的合作关系,而照顾者在孩子的治疗中扮演着至关重要的角色,这可能会提高治疗的依从性、满意度和治疗效果。本试验性研究的目的是考察对临床医生进行同情关怀培训的影响,以支持与照顾者之间的治疗关系。参与者包括受雇于一家社区行为健康机构的九名临床督导。临床督导被随机分配到即时治疗组或延迟治疗对照组。临床督导参加了为期 5 周的培训项目,其中包括说教、行为技能培训以及接纳和承诺培训。在基线、延迟治疗后和治疗后,对护理人员的合作会议进行了记录,并使用为本研究开发的测量方法对临床医生使用同情护理的情况进行了评估。结果显示,临床医生在接受干预后在使用同情护理策略方面存在明显差异。在治疗前观察到的单个临床医生在不同护理人员之间的爱心护理得分差异,在治疗后似乎在几个临床医生身上趋于正常。此外,初始评分较低的临床医生的仁爱护理得分也有明显提高。尽管样本量较小,但试点研究的结果证明了 "体恤关怀 "培训的可行性,并揭示了治疗后的整体积极改善。
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引用次数: 0
Implementing a Picture Prompt and Proximity Intervention in a Classroom with an Adult Learner: A Case Study 在有成人学习者的课堂上实施图片提示和近距离干预:案例研究
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-06 DOI: 10.1007/s40617-024-00924-2
Todd Haydon, Christina Carnahan

The current case study investigated the use of a picture prompt and teacher proximity with an adult learner with significant disabilities during a postsecondary classroom management class and generalization setting. Results indicated that the learner had a higher percentage of intervals of on-task behavior during intervention than baseline. Teacher and learner satisfaction ratings suggested that the intervention was an acceptable strategy. A discussion of study limitations, implications, and future research directions are included.

• A simple low tech instructional strategy can improve student on-task behavior.

• Teachers can use an antecedent strategy to improve student behavior.

• Strategies used in K–12 environments may work in higher education settings.

• Successful applied behavior analysis strategies help include students in group participation.

本案例研究调查了在中学后课堂管理班和通用化环境中,对一名有严重残疾的成年学习者使用图片提示和教师接近的情况。结果表明,与基线相比,学习者在干预期间的任务行为间隔百分比更高。教师和学习者的满意度评分表明,干预是一种可以接受的策略。其中包括对研究局限性、影响和未来研究方向的讨论。 - 一种简单的低技术教学策略可以改善学生的任务行为。 - 教师可以使用前因策略来改善学生的行为。
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引用次数: 0
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Behavior Analysis in Practice
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