Pub Date : 2024-01-10DOI: 10.1007/s40617-023-00897-8
Araya Verojporn, Odessa Luna
Engaging in compassionate communication with caregivers is necessary for behavior-analytic practitioners. There are only a few studies focused on training graduate students to perform behavior-analytic activities with compassion. We present two case studies in which we evaluated the effectiveness of a training package on two participants’ level of compassionate care and interpersonal skills when conducting three behavior-analytic tasks: intake interviews, functional analysis interviews, and progress updates. Participants experienced various caregiver behavioral profiles ranging from cooperative, neutral, and uncooperative. Following the training package, participants scored higher on a compassionate care checklist and interpersonal skills data collection system when conducting intake interviews. Implications of the effectiveness of these training procedures and future research directions are discussed.
{"title":"Using a Training Package to Increase Compassionate Care Skills: A Preliminary Analysis of Two Case Studies","authors":"Araya Verojporn, Odessa Luna","doi":"10.1007/s40617-023-00897-8","DOIUrl":"https://doi.org/10.1007/s40617-023-00897-8","url":null,"abstract":"<p>Engaging in compassionate communication with caregivers is necessary for behavior-analytic practitioners. There are only a few studies focused on training graduate students to perform behavior-analytic activities with compassion. We present two case studies in which we evaluated the effectiveness of a training package on two participants’ level of compassionate care and interpersonal skills when conducting three behavior-analytic tasks: intake interviews, functional analysis interviews, and progress updates. Participants experienced various caregiver behavioral profiles ranging from cooperative, neutral, and uncooperative. Following the training package, participants scored higher on a compassionate care checklist and interpersonal skills data collection system when conducting intake interviews. Implications of the effectiveness of these training procedures and future research directions are discussed.</p>","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":"239 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139414217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-09DOI: 10.1007/s40617-023-00895-w
Christine D. Evanko, Tricia Moss-Lourenco, Rachel Kramer, Deborah A. Napolitano
Many behavior analysts, like professionals in other health-related fields, are not trained to promote themselves, affect public policy, or disseminate information to individuals outside of their field, including to lawmakers. One of the reasons professionals can be experts in their own professions is because they devote their time to advancing their knowledge in their field; thus, they have limited time to spend becoming proficient in public relations, advocacy, and public policy. However, it is precisely these skills that behavior analysts need to hone and utilize effectively if the profession is to be sustainable. This article gives a brief history of the professionalization of behavior analysis, discusses the pitfalls of sometimes only being recognized as a single-disability industry (i.e. autism), explores the behavior of other professions that serve as models for advocacy, and provides recommendations for advocacy at different levels. The intent is to guide the profession and professionals of applied behavior analysis to a sustainable future based on the experiences of leaders of three U.S. state organizations.
{"title":"Why We All Need to Shape the Profession of Behavior Analysis through Advocacy and How to Get Started","authors":"Christine D. Evanko, Tricia Moss-Lourenco, Rachel Kramer, Deborah A. Napolitano","doi":"10.1007/s40617-023-00895-w","DOIUrl":"https://doi.org/10.1007/s40617-023-00895-w","url":null,"abstract":"<p>Many behavior analysts, like professionals in other health-related fields, are not trained to promote themselves, affect public policy, or disseminate information to individuals outside of their field, including to lawmakers. One of the reasons professionals can be experts in their own professions is because they devote their time to advancing their knowledge in their field; thus, they have limited time to spend becoming proficient in public relations, advocacy, and public policy. However, it is precisely these skills that behavior analysts need to hone and utilize effectively if the profession is to be sustainable. This article gives a brief history of the professionalization of behavior analysis, discusses the pitfalls of sometimes only being recognized as a single-disability industry (i.e. autism), explores the behavior of other professions that serve as models for advocacy, and provides recommendations for advocacy at different levels. The intent is to guide the profession and professionals of applied behavior analysis to a sustainable future based on the experiences of leaders of three U.S. state organizations.</p>","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":"1 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139414448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-08DOI: 10.1007/s40617-023-00902-0
Abraham Graber, Allison Maguire
The practice of clinical informed consent in America is governed by over 100 years of case law. Although predominant ethics resources for behavior analysts offer some guidance regarding the provision of clinical informed consent, such guidance remains limited. The goal of this article is thus to expand the contemporary literature on clinical informed consent in behavior analysis by providing a historical and contemporary guide to relevant case law. The article will highlight seminal moments in the history of case law regarding clinical informed consent, discuss their applicability to the process of clinical informed consent in behavior analysis, and provide an enhanced understanding of the ethical and legal obligations related to informed consent in the therapeutic context.
{"title":"Clinical Informed Consent and ABA","authors":"Abraham Graber, Allison Maguire","doi":"10.1007/s40617-023-00902-0","DOIUrl":"https://doi.org/10.1007/s40617-023-00902-0","url":null,"abstract":"<p> The practice of clinical informed consent in America is governed by over 100 years of case law. Although predominant ethics resources for behavior analysts offer some guidance regarding the provision of clinical informed consent, such guidance remains limited. The goal of this article is thus to expand the contemporary literature on clinical informed consent in behavior analysis by providing a historical and contemporary guide to relevant case law. The article will highlight seminal moments in the history of case law regarding clinical informed consent, discuss their applicability to the process of clinical informed consent in behavior analysis, and provide an enhanced understanding of the ethical and legal obligations related to informed consent in the therapeutic context.</p>","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":"80 3 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139414450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-05DOI: 10.1007/s40617-023-00900-2
Justin N. Coy, Olivia G. Enders, Douglas E. Kostewicz
Applied behavior analysis (ABA) is a human service profession using the science of behaviorism to promote meaningful changes in the lives of clients. However, misconceptions, misunderstandings, and false information have plagued our field since its inception and challenge the efficacy of our continued dissemination efforts. Effective science communication skills, especially for fields with a highly technical language such as ABA, promote marked improvements in client outcomes. Herein we introduce LADER, a structured and scaffolded approach to effective professional interactions for behavior analysts. The five components of LADER (listen, ask questions, determine misconceptions, engage, and reflect and evaluate) support analysts in navigating complex and potentially challenging conversations with clients, caregivers, collaborative professionals, and other stakeholders. The experiences and insights of current behavior professionals, and empirical research on effective science communication, underpins the components of LADER. Following a description of LADER, a hypothetical scenario provides readers with a vignette on how to apply LADER in practice.
{"title":"Introducing LADER: A Structured Approach to Effective Professional Interactions for Behavior Analysts","authors":"Justin N. Coy, Olivia G. Enders, Douglas E. Kostewicz","doi":"10.1007/s40617-023-00900-2","DOIUrl":"https://doi.org/10.1007/s40617-023-00900-2","url":null,"abstract":"<p>Applied behavior analysis (ABA) is a human service profession using the science of behaviorism to promote meaningful changes in the lives of clients. However, misconceptions, misunderstandings, and false information have plagued our field since its inception and challenge the efficacy of our continued dissemination efforts. Effective science communication skills, especially for fields with a highly technical language such as ABA, promote marked improvements in client outcomes. Herein we introduce LADER, a structured and scaffolded approach to effective professional interactions for behavior analysts. The five components of LADER (listen, ask questions, determine misconceptions, engage, and reflect and evaluate) support analysts in navigating complex and potentially challenging conversations with clients, caregivers, collaborative professionals, and other stakeholders. The experiences and insights of current behavior professionals, and empirical research on effective science communication, underpins the components of LADER. Following a description of LADER, a hypothetical scenario provides readers with a vignette on how to apply LADER in practice.</p>","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":"37 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139373251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-04DOI: 10.1007/s40617-023-00894-x
Bobbi Rogers, Dana Reinecke, Tricia Moss-Lourenco
The New York State Association for Behavior Analysis (NYSABA) is a state chapter of the Association for Behavior Analysis International (ABAI) and an affiliate chapter of the Association for Professional Behavior Analysts (APBA). From early in the history of the organization, NYSABA leadership has included a consumer representative position on the Board of Directors. Historically filled by a parent of an individual receiving applied behavior analysis (ABA) services, this position has proven invaluable to the organization. As described in this article, the consumer representative has not only allowed for important dialogue among individuals we support and professionals but has also had a major impact on public policy around the practice of behavior analysis in this state. NYSABA has worked closely with consumer representation to expand organizational knowledge and to obtain support for efforts related to insurance coverage for behavior analysis services and licensure for behavior analysts. A discussion of these efforts and the impact of this relationship is presented, along with specific action steps that are recommended for any organization seeking to include consumer voices in their leadership.
{"title":"For the Love of this Field: Advocating and Collaborating with a United Purpose","authors":"Bobbi Rogers, Dana Reinecke, Tricia Moss-Lourenco","doi":"10.1007/s40617-023-00894-x","DOIUrl":"https://doi.org/10.1007/s40617-023-00894-x","url":null,"abstract":"<p>The New York State Association for Behavior Analysis (NYSABA) is a state chapter of the Association for Behavior Analysis International (ABAI) and an affiliate chapter of the Association for Professional Behavior Analysts (APBA). From early in the history of the organization, NYSABA leadership has included a consumer representative position on the Board of Directors. Historically filled by a parent of an individual receiving applied behavior analysis (ABA) services, this position has proven invaluable to the organization. As described in this article, the consumer representative has not only allowed for important dialogue among individuals we support and professionals but has also had a major impact on public policy around the practice of behavior analysis in this state. NYSABA has worked closely with consumer representation to expand organizational knowledge and to obtain support for efforts related to insurance coverage for behavior analysis services and licensure for behavior analysts. A discussion of these efforts and the impact of this relationship is presented, along with specific action steps that are recommended for any organization seeking to include consumer voices in their leadership.</p>","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":"139 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139373260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-02DOI: 10.1007/s40617-023-00899-6
Kendra E. Guinness, Ryan S. Atkinson, Edward G. Feil
Evaluating social validity of interventions is paramount to the applied dimension of applied behavior analysis, but in research contexts, social validity is frequently assessed only after an intervention has concluded. The present study sought to evaluate the social validity of a proposed intervention prior to intervention development through qualitative analysis of interviews with stakeholders. We interviewed ten caregivers of children with autism about their experiences and challenges engaging in play with their children. We also solicited their opinions on the proposed components of the intervention, including (1) video models; (2) smart speaker prompts; and (3) feedback and coaching via video chat. Qualitative analysis of the interview transcripts revealed several domains related to caregivers’ experiences, including challenges with social communication, openness to learning skills, and desires to build connections with one’s child. Opinions about the proposed intervention components were largely positive, citing the convenience of using technology to access the mostly asynchronous intervention. Some participants expressed hesitation or discomfort surrounding feedback and coaching via video chat. Participants made several helpful suggestions regarding the content and features of the intervention. We discuss our findings in the context of an interactive social validation process.
{"title":"Evaluating Social Validity to Inform Intervention Development: Qualitative Analysis of Caregiver Interviews","authors":"Kendra E. Guinness, Ryan S. Atkinson, Edward G. Feil","doi":"10.1007/s40617-023-00899-6","DOIUrl":"https://doi.org/10.1007/s40617-023-00899-6","url":null,"abstract":"<p>Evaluating social validity of interventions is paramount to the applied dimension of applied behavior analysis, but in research contexts, social validity is frequently assessed only after an intervention has concluded. The present study sought to evaluate the social validity of a proposed intervention prior to intervention development through qualitative analysis of interviews with stakeholders. We interviewed ten caregivers of children with autism about their experiences and challenges engaging in play with their children. We also solicited their opinions on the proposed components of the intervention, including (1) video models; (2) smart speaker prompts; and (3) feedback and coaching via video chat. Qualitative analysis of the interview transcripts revealed several domains related to caregivers’ experiences, including challenges with social communication, openness to learning skills, and desires to build connections with one’s child. Opinions about the proposed intervention components were largely positive, citing the convenience of using technology to access the mostly asynchronous intervention. Some participants expressed hesitation or discomfort surrounding feedback and coaching via video chat. Participants made several helpful suggestions regarding the content and features of the intervention. We discuss our findings in the context of an interactive social validation process.</p>","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":"65 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139078567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-29DOI: 10.1007/s40617-023-00896-9
Abstract
Children diagnosed with autism spectrum disorder (ASD) are eligible to receive behavioral health services in Michigan, including those based on the principles of applied behavior analysis (ABA). Demand for these specific services far outpaces the number of qualified professionals in the state (Yingling et al., 2022), thus resulting in delayed access to a much-needed service. The purpose of our survey was twofold. First, we surveyed families throughout Michigan (N = 78) to identify the types of barriers encountered and the extent to which families of autistic individuals experience them when pursuing ABA services. Second, our survey assessed the needs of these families during service delays in an attempt to understand how to best support them during this time. Results indicated that 73% of children spent time on a waitlist, varying in duration from 1 month to over 1 year. Further, most caregivers indicated they were concerned about their children’s behavior while awaiting services and would have been interested in training to help them manage behavioral concerns and teach new skills to their children. We conclude by reviewing recommendations for addressing child and caregiver needs during this time and discussing implications for public policy advocacy initiatives.
{"title":"Delays to Behavioral Therapy in Michigan for Children Diagnosed with Autism: A Summary of Needs Assessment Outcomes to Inform Public Policy Advocacy Initiatives","authors":"","doi":"10.1007/s40617-023-00896-9","DOIUrl":"https://doi.org/10.1007/s40617-023-00896-9","url":null,"abstract":"<h3>Abstract</h3> <p>Children diagnosed with autism spectrum disorder (ASD) are eligible to receive behavioral health services in Michigan, including those based on the principles of applied behavior analysis (ABA). Demand for these specific services far outpaces the number of qualified professionals in the state (Yingling et al., <span>2022</span>), thus resulting in delayed access to a much-needed service. The purpose of our survey was twofold. First, we surveyed families throughout Michigan (<em>N</em> = 78) to identify the types of barriers encountered and the extent to which families of autistic individuals experience them when pursuing ABA services. Second, our survey assessed the needs of these families during service delays in an attempt to understand how to best support them during this time. Results indicated that 73% of children spent time on a waitlist, varying in duration from 1 month to over 1 year. Further, most caregivers indicated they were concerned about their children’s behavior while awaiting services and would have been interested in training to help them manage behavioral concerns and teach new skills to their children. We conclude by reviewing recommendations for addressing child and caregiver needs during this time and discussing implications for public policy advocacy initiatives.</p>","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":"8 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139067457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-29DOI: 10.1007/s40617-023-00898-7
Abstract
Promoting excellence in autism intervention is arguably more urgent than ever for the field of applied behavior analysis. To fulfill this objective, autism agencies must operate from validated program systems and do so with fidelity. Program components include, but are not limited to, staff training and evaluation of clinical skills, functional personnel roles designed to promote positive outcomes for those served, and professional staff-communication-skill repertoires. Data on client outcomes must be tied to implementation of core program variables; and, contingencies between the data on client outcomes and staff performance must exist. Furthermore, these contingencies must be yoked across members of the organization to ensure a sustainable and effective program model. Finally, data on consumer satisfaction must be collected and used to evaluate program components and agency practices. Members of the Alliance for Scientific Autism Intervention have implemented key program-wide systems based upon the work of McClannahan and Krantz Journal of Applied Behavior Analysis, 26, 589–596 (1993) for decades and across various agency cultures. Data collected by six independent educational agencies on client outcomes, program implementation, and consumer feedback for a 10-year time span demonstrate the sustainability of the model and support the importance of key organizational systems and the relationship between implementation of the model and high-quality outcomes for individuals with autism.
摘要 对于应用行为分析领域来说,促进自闭症干预的卓越性可以说比以往任何时候都更为迫切。为了实现这一目标,自闭症机构必须在经过验证的项目系统中运作,并做到忠实。项目的组成部分包括但不限于:员工培训和临床技能评估、旨在促进服务对象取得积极成果的员工职能角色,以及专业员工沟通技能复习。服务对象的结果数据必须与核心计划变量的执行情况挂钩;服务对象的结果数据与工作人员的表现之间必须存在或然性。此外,这些应急措施必须与组织内的所有成员挂钩,以确保计划模式的可持续性和有效性。最后,必须收集有关消费者满意度的数据,并用于评估项目组成部分和机构实践。几十年来,自闭症科学干预联盟的成员们根据麦克兰纳汉(McClannahan)和克兰茨(Krantz)的研究成果,在不同的机构文化中实施了关键的全项目系统,《应用行为分析杂志》(Journal of Applied Behavior Analysis),26,589-596(1993)。六家独立教育机构在 10 年时间跨度内收集的有关客户成果、项目实施和消费者反馈的数据证明了该模式的可持续性,并支持关键组织系统的重要性以及该模式的实施与自闭症患者的高质量成果之间的关系。
{"title":"Alliance for Scientific Autism Intervention: System Components and Outcome Data from High-Quality Service Delivery Organizations","authors":"","doi":"10.1007/s40617-023-00898-7","DOIUrl":"https://doi.org/10.1007/s40617-023-00898-7","url":null,"abstract":"<h3>Abstract</h3> <p>Promoting excellence in autism intervention is arguably more urgent than ever for the field of applied behavior analysis. To fulfill this objective, autism agencies must operate from validated program systems and do so with fidelity. Program components include, but are not limited to, staff training and evaluation of clinical skills, functional personnel roles designed to promote positive outcomes for those served, and professional staff-communication-skill repertoires. Data on client outcomes must be tied to implementation of core program variables; and, contingencies between the data on client outcomes and staff performance must exist. Furthermore, these contingencies must be yoked across members of the organization to ensure a sustainable and effective program model. Finally, data on consumer satisfaction must be collected and used to evaluate program components and agency practices. Members of the Alliance for Scientific Autism Intervention have implemented key program-wide systems based upon the work of McClannahan and Krantz <em>Journal of Applied Behavior Analysis, 26</em>, 589–596 (<span>1993</span>) for decades and across various agency cultures. Data collected by six independent educational agencies on client outcomes, program implementation, and consumer feedback for a 10-year time span demonstrate the sustainability of the model and support the importance of key organizational systems and the relationship between implementation of the model and high-quality outcomes for individuals with autism.</p>","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":"161 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139067446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-26DOI: 10.1007/s40617-023-00891-0
Maeve G. Donnelly, Amanda M. Karsten
Behavior-analytic toilet training (BATT) methods to support urine continence have been reviewed and replicated in numerous studies. Despite empirical validations of BATT, children with disabilities may not experience successful toilet training nor access the associated health and social benefits of urinary continence. It is possible these outcomes are partially due to practical barriers that arise throughout urine training. In practice, barriers may interfere with toilet training to the extent that training is postponed or discontinued, resulting in long-term incontinence and other related problems. Examples of barriers include problem behavior, excessive urine retention, recurrent accidents, and excessive or insufficient independent self-initiations to toilet. Researchers have sometimes described strategies to address these types of barriers. However, practitioners may not be aware of these strategies because they are secondary to the purpose of an investigation and may only apply to a subset of participants. The purpose of this review article is to synthesize the collection of barrier solutions described in published research on urine training for children with developmental disabilities. Results may assist practitioners in modifying BATT according to an evidence-based practice framework until their clients overcome barriers to achieve urine continence.
{"title":"Resolving Barriers to Continence for Children with Disabilities: Steps Toward Evidence-Based Practice","authors":"Maeve G. Donnelly, Amanda M. Karsten","doi":"10.1007/s40617-023-00891-0","DOIUrl":"https://doi.org/10.1007/s40617-023-00891-0","url":null,"abstract":"<p>Behavior-analytic toilet training (BATT) methods to support urine continence have been reviewed and replicated in numerous studies. Despite empirical validations of BATT, children with disabilities may not experience successful toilet training nor access the associated health and social benefits of urinary continence. It is possible these outcomes are partially due to practical barriers that arise throughout urine training. In practice, barriers may interfere with toilet training to the extent that training is postponed or discontinued, resulting in long-term incontinence and other related problems. Examples of barriers include problem behavior, excessive urine retention, recurrent accidents, and excessive or insufficient independent self-initiations to toilet. Researchers have sometimes described strategies to address these types of barriers. However, practitioners may not be aware of these strategies because they are secondary to the purpose of an investigation and may only apply to a subset of participants. The purpose of this review article is to synthesize the collection of barrier solutions described in published research on urine training for children with developmental disabilities. Results may assist practitioners in modifying BATT according to an evidence-based practice framework until their clients overcome barriers to achieve urine continence.</p>","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":"97 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139054313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-21DOI: 10.1007/s40617-023-00892-z
Rachel E. Rees, Christopher J. Seel, Barney G. Huxtable, Jennifer L. Austin
{"title":"Using the Preschool Life Skills Program to Support Skill Development for Children with Trauma Histories","authors":"Rachel E. Rees, Christopher J. Seel, Barney G. Huxtable, Jennifer L. Austin","doi":"10.1007/s40617-023-00892-z","DOIUrl":"https://doi.org/10.1007/s40617-023-00892-z","url":null,"abstract":"","PeriodicalId":47310,"journal":{"name":"Behavior Analysis in Practice","volume":"62 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138952289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}