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Using a Training Package to Increase Compassionate Care Skills: A Preliminary Analysis of Two Case Studies 使用培训包提高仁爱护理技能:两项案例研究的初步分析
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-01-10 DOI: 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.

对于行为分析从业者来说,与照顾者进行富有同情心的交流是必要的。目前仅有少数研究关注于培训研究生以同情心开展行为分析活动。我们介绍了两个案例研究,在这两个案例研究中,我们评估了一套培训方案对两名参与者在执行三项行为分析任务(入组访谈、功能分析访谈和进度更新)时的同情关怀水平和人际交往技巧的效果。参与者经历了合作、中立和不合作等不同的照顾者行为特征。在接受培训后,参与者在进行入院面谈时,在爱心护理核对表和人际交往技能数据收集系统中的得分更高。本文讨论了这些培训程序的有效性以及未来的研究方向。
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引用次数: 0
Why We All Need to Shape the Profession of Behavior Analysis through Advocacy and How to Get Started 为什么我们都需要通过宣传塑造行为分析专业以及如何开始行动
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-01-09 DOI: 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.

许多行为分析师与其他健康相关领域的专业人员一样,没有接受过宣传自己、影响公共政策或向本领域以外的个人(包括立法者)传播信息的培训。专业人员之所以能够成为本行业的专家,原因之一是他们将时间都投入到了提高本行业的知识水平上;因此,他们用于精通公共关系、宣传和公共政策的时间是有限的。然而,行为分析师恰恰需要磨练和有效利用这些技能,才能使这一职业得以持续发展。本文简要介绍了行为分析专业化的历史,讨论了行为分析有时仅被视为单一残疾行业(如自闭症)的弊端,探讨了可作为宣传典范的其他专业的行为,并为不同层面的宣传提供了建议。该书旨在根据美国三个州组织领导人的经验,指导应用行为分析行业和专业人士走向可持续发展的未来。
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引用次数: 0
Clinical Informed Consent and ABA 临床知情同意和 ABA
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-01-08 DOI: 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.

在美国,临床知情同意的实践受 100 多年判例法的制约。尽管行为分析师的主要伦理学资源为临床知情同意的提供提供了一些指导,但这些指导仍然有限。因此,本文旨在通过提供相关案例法的历史和当代指南,扩展行为分析临床知情同意的当代文献。文章将重点介绍有关临床知情同意的判例法历史上的开创性时刻,讨论它们对行为分析中临床知情同意过程的适用性,并加深对治疗背景下与知情同意相关的伦理和法律义务的理解。
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引用次数: 0
Introducing LADER: A Structured Approach to Effective Professional Interactions for Behavior Analysts 介绍 LADER:行为分析师有效专业互动的结构化方法
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-01-05 DOI: 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.

应用行为分析(ABA)是一种利用行为主义科学促进客户生活发生有意义变化的人类服务专业。然而,误解、误解和虚假信息从一开始就困扰着我们的领域,并对我们持续传播努力的有效性提出了挑战。有效的科学交流技巧,尤其是对于像 ABA 这样使用高度技术性语言的领域来说,能够显著改善客户的治疗效果。在此,我们介绍 LADER,这是一种结构化、支架式的有效专业互动方法,适用于行为分析师。LADER 的五个组成部分(倾听、提问、确定误解、参与、反思与评估)可帮助分析师在与客户、照顾者、合作专业人员及其他利益相关者进行复杂且可能具有挑战性的对话时游刃有余。当前行为学专业人员的经验和见解,以及关于有效科学交流的实证研究,是 LADER 各组成部分的基础。在对 LADER 进行描述之后,一个假设场景为读者提供了如何在实践中应用 LADER 的小故事。
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引用次数: 0
For the Love of this Field: Advocating and Collaborating with a United Purpose 为了热爱这片土地为了一个共同的目标而倡导与合作
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-01-04 DOI: 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.

纽约州行为分析协会(NYSABA)是国际行为分析协会(ABAI)的一个州分会,也是专业行为分析师协会(APBA)的一个附属分会。从该组织成立之初,纽约行为分析协会的领导层就在董事会中设立了一个消费者代表的职位。该职位历来由接受应用行为分析(ABA)服务者的家长担任,事实证明,这一职位对该组织非常宝贵。正如本文所述,消费者代表不仅为我们所支持的个人和专业人士提供了重要的对话机会,还对本州有关行为分析实践的公共政策产生了重大影响。纽约州行为分析协会与消费者代表紧密合作,扩大了组织的知识面,并为行为分析服务的保险范围和行为分析师的执业资格争取到了支持。本文讨论了这些努力和这种关系的影响,并提出了具体的行动步骤,建议任何组织在其领导层中加入消费者的声音。
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引用次数: 0
Evaluating Social Validity to Inform Intervention Development: Qualitative Analysis of Caregiver Interviews 评估社会有效性,为干预措施的开发提供依据:护理人员访谈的定性分析
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-01-02 DOI: 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.

评估干预措施的社会有效性对于应用行为分析的应用层面至关重要,但在研究背景下,社会有效性往往在干预措施结束后才进行评估。本研究试图通过对利益相关者的访谈进行定性分析,在干预措施开发之前评估拟议干预措施的社会有效性。我们采访了十位自闭症儿童的照顾者,了解他们与孩子一起游戏的经历和挑战。我们还征求了他们对干预措施建议内容的意见,包括(1)视频模型;(2)智能扬声器提示;以及(3)通过视频聊天进行反馈和指导。对访谈记录的定性分析揭示了与照顾者的经验有关的几个领域,包括社会交流方面的挑战、学习技能的开放性以及与孩子建立联系的愿望。对所建议的干预内容的看法大多是积极的,认为使用技术来进行大部分是异步的干预很方便。一些参与者对通过视频聊天获得反馈和指导表示犹豫或不适应。参与者就干预的内容和特点提出了一些有益的建议。我们将在互动社会验证过程的背景下讨论我们的研究结果。
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引用次数: 0
Delays to Behavioral Therapy in Michigan for Children Diagnosed with Autism: A Summary of Needs Assessment Outcomes to Inform Public Policy Advocacy Initiatives 密歇根州被诊断患有自闭症的儿童行为治疗延迟:为公共政策宣传活动提供信息的需求评估结果摘要
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-29 DOI: 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.

摘要 在密歇根州,被诊断患有自闭症谱系障碍(ASD)的儿童有资格接受行为健康服务,包括基于应用行为分析(ABA)原则的服务。对这些特定服务的需求远远超过了该州合格专业人员的数量(Yingling 等人,2022 年),因此导致了获得急需服务的延迟。我们的调查有两个目的。首先,我们对密歇根州的家庭(N = 78)进行了调查,以确定自闭症患者家庭在寻求 ABA 服务时遇到的障碍类型和程度。其次,我们的调查评估了这些家庭在服务延迟期间的需求,试图了解如何在此期间为他们提供最佳支持。结果显示,73% 的儿童在等待名单上花费了时间,时间长短不一,从 1 个月到 1 年多不等。此外,大多数照顾者表示,他们担心孩子在等待服务期间的行为,并希望接受培训,以帮助他们管理行为问题并向孩子传授新技能。最后,我们回顾了在此期间满足儿童和照顾者需求的建议,并讨论了对公共政策倡导倡议的影响。
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引用次数: 0
Alliance for Scientific Autism Intervention: System Components and Outcome Data from High-Quality Service Delivery Organizations 自闭症科学干预联盟:来自优质服务机构的系统组件和成果数据
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-29 DOI: 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。
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引用次数: 0
Resolving Barriers to Continence for Children with Disabilities: Steps Toward Evidence-Based Practice 为残疾儿童解决排便障碍:基于证据的实践步骤
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-26 DOI: 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.

行为分析式如厕训练(BATT)方法可帮助儿童保持小便通畅,该方法已在多项研究中得到验证和推广。尽管行为分析式如厕训练(BATT)得到了实证验证,但残疾儿童可能无法成功进行如厕训练,也无法享受到尿失禁带来的相关健康和社会益处。造成这些结果的部分原因可能是在整个排尿训练过程中出现的实际障碍。在实践中,障碍可能会干扰如厕训练,以至于训练推迟或中断,造成长期尿失禁和其他相关问题。障碍的例子包括问题行为、尿潴留过多、反复发生的尿意、过多或过少的自主如厕。研究人员有时会介绍解决这些障碍的策略。但是,从业人员可能并不了解这些策略,因为它们对调查目的而言是次要的,而且可能只适用于一部分参与者。本综述文章的目的是对已发表的有关发育障碍儿童尿液训练的研究中描述的障碍解决方法进行汇总。研究结果可帮助从业人员根据循证实践框架修改 BATT,直到他们的客户克服障碍,实现尿失禁。
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引用次数: 0
Using the Preschool Life Skills Program to Support Skill Development for Children with Trauma Histories 利用学前生活技能计划支持有创伤史儿童的技能发展
IF 2.2 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2023-12-21 DOI: 10.1007/s40617-023-00892-z
Rachel E. Rees, Christopher J. Seel, Barney G. Huxtable, Jennifer L. Austin
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引用次数: 0
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Behavior Analysis in Practice
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