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Behavioral Parent Training Via Telehealth for Autistic Children in Rural Appalachia: A Mixed Methods Feasibility Study 阿巴拉契亚农村自闭症儿童远程医疗行为父母训练:混合方法可行性研究
3区 心理学 Q3 EDUCATION, SPECIAL Pub Date : 2023-10-26 DOI: 10.1177/10983007231200541
Kait Gould, Ryan J. Martin, Summer Bottini, Jaime Crowley-Zalaket, Ainsley Losh, Meka McCammon, Jennifer R. Wolgemuth, Cynthia Anderson
Behavioral parent training (BPT) is an empirically supported approach for addressing the behavioral concerns of autistic children. However, many families face barriers to accessing BPT. Adapting BPT via telehealth technology may improve access for families, especially those living in rural regions. This study aims to evaluate the implementation of a Research Units in Behavioral Intervention (RUBI), a BPT program for autistic children, via telehealth to families living in the Appalachian region of the United States. We employed a mixed-methods approach to examine the feasibility and potential efficacy of implementing the Research Units in Behavioral Intervention Autism Network parent training via telehealth (RUBI-T) with seven rural parent-child dyads. RUBI-T was found to be feasible and satisfactory to parents and community providers. RUBI-T also shows promise for reducing children’s disruptive behavior, improving children’s adaptive skills, and reducing parent stress, although a more thorough evaluation of its efficacy is warranted. The limitations and implications of the results are discussed.
行为父母训练(BPT)是一种经验支持的解决自闭症儿童行为问题的方法。然而,许多家庭在获得BPT方面面临障碍。通过远程保健技术调整BPT可改善家庭,特别是生活在农村地区的家庭获得BPT的机会。本研究旨在通过远程医疗对生活在美国阿巴拉契亚地区的家庭实施行为干预研究单位(RUBI),这是一项针对自闭症儿童的BPT计划。本研究采用混合方法对7对农村亲子对实施行为干预自闭症网络家长远程医疗培训(RUBI-T)的可行性和潜在效果进行了研究。RUBI-T对家长和社区提供者来说是可行和满意的。RUBI-T也显示出减少儿童破坏性行为、提高儿童适应技能和减轻父母压力的希望,尽管需要对其功效进行更彻底的评估。讨论了研究结果的局限性和意义。
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引用次数: 0
The Impact of Fidget Toys on Story Detail Acquisition and Visual Attention for Elementary Students With Autism 坐立不安玩具对自闭症小学生故事细节习得及视觉注意的影响
3区 心理学 Q3 EDUCATION, SPECIAL Pub Date : 2023-10-10 DOI: 10.1177/10983007231200529
Kathleen N. Zimmerman, Jennifer R. Ledford, Virginia R. Turner
Fidget toys are recommended as “sensory” tools to improve the attention and performance of elementary students with autism. The purpose of this study was to evaluate how fidget toys affected the visual attention and skill acquisition of elementary students with autism during storybook reading. Provision of fidget toys was compared with a no-fidget baseline using two separate, concurrent single-case research designs. The provision of fidget toys resulted in a decrease in visual attention for some, but not all, participants. Story detail acquisition was not differentiated between conditions for any participants. Results suggest that the provision of fidget toys may not negatively affect students’ acquisition of story details, despite potential decreases in students’ attention to storybook reading.
坐立不安的玩具被推荐为“感官”工具,以提高自闭症小学生的注意力和表现。摘要本研究旨在探讨烦躁玩具对自闭症小学生阅读故事书时视觉注意及技能习得的影响。使用两个独立的、并发的单例研究设计,将提供烦躁玩具与无烦躁基线进行比较。提供坐立不安的玩具导致一些参与者的视觉注意力下降,但不是所有参与者。故事细节的获取在不同条件下对任何参与者都没有区别。结果表明,提供坐立不安的玩具可能不会对学生获得故事细节产生负面影响,尽管可能会降低学生对故事书阅读的注意力。
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引用次数: 0
Improving Implementation Fidelity With Teacher-Directed Self-Monitoring Interventions: A Systematic Review 通过教师指导的自我监控干预提高实施保真度:系统综述
IF 2.1 3区 心理学 Q3 EDUCATION, SPECIAL Pub Date : 2023-10-01 DOI: 10.1177/10983007221137368
G. Scheibel, Pei-Yu Chen, L. M. Zaeske, Howard P. Wills, Kathleen N. Zimmerman
Teacher-directed self-monitoring (TD-SM) is often recommended to special education teachers as a simple and efficient method for improving the implementation fidelity of evidence-based practices in the classroom and strengthening outcomes for students. This systematic review and outcomes analysis investigated the conditions and intervention packages under which TD-SM can be effective at improving implementation fidelity as well as the associated effects of TD-SM on student outcomes targeted by the practices monitored for fidelity. Results indicate TD-SM demonstrated generally positive outcomes when used to improve the fidelity of instructional methods with varying intervention packages. Gains in instructional method implementation fidelity sometimes resulted in gains in student outcomes. The use of TD-SM to improve the fidelity of behavioral interventions resulted in varied fidelity and student outcomes, despite the use of consistent intervention packages. Implications for future research and practical use of TD-SM are discussed.
教师指导的自我监控(TD-SM)通常被推荐给特殊教育教师,作为一种简单有效的方法,可以提高课堂上循证实践的实施忠诚度,并加强学生的成果。这项系统综述和结果分析调查了TD-SM能够有效提高实施保真度的条件和干预方案,以及TD-SM对保真度监测实践所针对的学生结果的相关影响。结果表明,TD-SM在用于提高不同干预包的教学方法的保真度时,总体上表现出积极的结果。教学方法实施忠诚度的提高有时会导致学生成绩的提高。尽管使用了一致的干预包,但使用TD-SM来提高行为干预的保真度会导致不同的保真度和学生结果。讨论了TD-SM对未来研究和实际应用的启示。
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引用次数: 0
Roles and Responsibilities of School-Based Behavior Analysts: A Survey 校本行为分析学者的角色与责任研究
3区 心理学 Q3 EDUCATION, SPECIAL Pub Date : 2023-09-30 DOI: 10.1177/10983007231200528
Selena J. Layden, Daria K. Lorio-Barsten, Kristin A. Gansle, Kira Austin, Samreen Rizvi
Behavior analysts have been working in and with public schools for decades. However, there is a paucity of research related to their work; specifically, their roles and responsibilities and needed support. We conducted a 37-item online survey of 98 nationally certified behavior analysts who work in public schools in a Southeastern state in the United States to gather information about what these professionals do and whether they feel supported to complete their work effectively. The roles and responsibilities of school-based behavior analysts vary but frequently include facilitating professional development opportunities including coaching, administration and supervision tasks, and supporting programming for both special and general education students with less emphasis on direct services to students. When asked about the types of students with whom they work, behavior analysts shared they work with a variety, including those with and without disabilities. Behavior analysts shared mixed results related to their feelings of support from school districts and their supervisors. We discuss implications for practitioners and future research.
几十年来,行为分析师一直在公立学校工作,并与之合作。然而,与他们的工作相关的研究很少;具体来说,他们的角色和职责以及所需的支持。我们对在美国东南部一个州的公立学校工作的98名获得国家认证的行为分析师进行了一项37项的在线调查,以收集有关这些专业人士做什么以及他们是否感到得到了有效完成工作的支持的信息。校本行为分析师的角色和职责各不相同,但通常包括促进专业发展机会,包括指导、管理和监督任务,以及支持特殊教育和普通教育学生的计划,而不是直接为学生服务。当被问及与他们一起工作的学生的类型时,行为分析师表示,他们与各种各样的学生一起工作,包括有残疾和没有残疾的学生。行为分析师分享了不同的结果,这些结果与他们从学区和主管那里得到的支持有关。我们讨论了对从业者和未来研究的影响。
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引用次数: 0
Effects of Tiered SWPBIS Fidelity on Exclusionary Discipline Outcomes for Students With Disabilities: A Conceptual Replication 分层SWPBIS保真度对残疾学生排他性纪律结果的影响:概念上的重复
IF 2.1 3区 心理学 Q3 EDUCATION, SPECIAL Pub Date : 2023-09-04 DOI: 10.1177/10983007231193173
Jesse I. Fleming, Nicolette M. Grasley-Boy, Nicholas A. Gage, Michael Lombardo, Lucas Anderson
School-wide positive behavior interventions and supports (SWPBIS) is a tiered framework that supports the academic, social, and behavioral needs of students. In this study, we conducted a conceptual replication of Grasley-Boy et al. (2022a) and used a series of two-level linear multilevel analyses to examine the impact of SWPBIS fidelity on 10 exclusionary discipline outcomes for students with disabilities (SWD). Specifically, we compared schools that implemented multiple SWPBIS tiers with fidelity to schools that only implemented Tier 1 with fidelity from a sample of 558 schools in 113 districts in California. Findings indicate a statistically significant decrease in multiple out-of-school suspension categories as well as referrals to law enforcement for SWD in schools that implemented all tiers with fidelity. We provide recommendations for using findings to inform school efforts to reduce exclusionary discipline for SWD.
学校范围内的积极行为干预和支持(SWPBIS)是一个分层框架,支持学生的学术、社会和行为需求。在这项研究中,我们对Grasley Boy等人(2022a)进行了概念复制,并使用一系列两级线性多水平分析来检验SWPBIS忠诚度对残疾学生(SWD)10个排斥性学科结果的影响。具体而言,我们从加利福尼亚州113个区的558所学校样本中,比较了实施多个SWPBIS等级的学校和仅实施一级等级的学校。调查结果显示,在忠实实施所有级别的学校中,多个校外停课类别以及向社会福利署执法部门转介的人数在统计上显著减少。我们提供建议,利用调查结果为学校减少社署排外纪律的努力提供信息。
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引用次数: 0
Rates of nursing home closures were relatively stable over the past decade, but warrant continuous monitoring. 在过去十年中,养老院的关闭率相对稳定,但仍需继续监测。
3区 心理学 Q3 EDUCATION, SPECIAL Pub Date : 2023-07-22 eCollection Date: 2023-08-01 DOI: 10.1093/haschl/qxad025
Kelly Hughes, Zhanlian Feng, Qinghua Li, Micah Segelman, Iara Oliveira, Judith Goldberg Dey

For years, nursing home closures have been a concern for the industry, policymakers, consumer advocates, and other stakeholders. We analyzed data from 2011 through 2021 and did not find persistent increases in the closure rates. Closures were relatively stable from 2011 to 2017, averaging 118 facilities (0.79%) per year and increasing to 143 (0.96%) in 2018 and 200 (1.34%) in 2019. Closures decreased during the COVID-19 pandemic, averaging 133 facilities in 2020 and 2021 (0.90%). Medicaid-only nursing facilities had higher closure rates than Medicare-only skilled-nursing facilities and dually certified nursing homes. The Census regions (divisions) of the South (West South Central) and Northeast (New England) had the highest closure rates, while the South (South Atlantic and East South Central) had the lowest rates. Facility characteristics associated with increased closure risk included smaller size, lower occupancy rate, urban location, no ownership changes, lower inspection survey ratings, higher staffing ratings, higher percentages of non-White residents and Medicaid residents, lower percentages of Medicare residents and residents with severe acuity, and location in states with more nursing home alternatives. Additional research should examine the impact of closures on resident outcomes and access to care.

多年来,养老院关闭一直是业界、政策制定者、消费者权益倡导者和其他利益相关者关注的问题。我们分析了 2011 年至 2021 年的数据,并未发现关闭率持续上升。从 2011 年到 2017 年,关闭率相对稳定,平均每年关闭 118 家设施(0.79%),2018 年增加到 143 家(0.96%),2019 年增加到 200 家(1.34%)。在 COVID-19 大流行期间,关闭率有所下降,2020 年和 2021 年平均为 133 家(0.90%)。只享受医疗补助的护理机构的关闭率高于只享受医疗补助的专业护理机构和双重认证的护理院。南部(中南西部)和东北部(新英格兰)人口普查地区(分区)的关闭率最高,而南部(南大西洋和中南东部)的关闭率最低。与关闭风险增加相关的设施特征包括:规模较小、入住率较低、位于城市、所有权未发生变化、检查调查评分较低、人员配备评分较高、非白人居民和医疗补助居民的比例较高、医疗补助居民和严重急性病居民的比例较低,以及位于有更多养老院可供选择的州。更多的研究应探讨关闭养老院对住院患者的治疗效果和获得护理的机会的影响。
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引用次数: 0
Evaluating the Effects of Training Plus Practice-Based Coaching Delivered Via Text Message on Teacher Use of Pyramid Model Practices 评估通过短信提供的培训加实践指导对教师使用金字塔模型实践的影响
IF 2.1 3区 心理学 Q3 EDUCATION, SPECIAL Pub Date : 2023-06-02 DOI: 10.1177/10983007231172188
Adrienne K. Golden, M. Hemmeter, Jennifer R. Ledford
The purpose of this study was to evaluate the effectiveness of training plus Practice-Based Coaching (PBC), delivered via text message, on teacher use of targeted Pyramid Model (PM) practices. A multiple baseline design across behaviors was replicated across three early childhood teachers. Following training on self-selected target practices, the coach watched observations recorded by the teacher and engaged the teacher in a back-and-forth coaching conversation via text message. Coaching sessions included supportive and constructive feedback from the coach as well as prompts for teachers to engage in reflection about their use of the target practice. Training plus PBC, delivered via text message, was both effective and efficient for increasing teacher use of targeted PM practices. Results were maintained up to 3 weeks after the withdrawal of coaching across all targeted practices, and there was some evidence of generalization.
本研究的目的是评估培训加基于实践的指导(PBC),通过短信传递,对教师使用目标金字塔模型(PM)实践的有效性。在三名幼儿教师身上复制了跨行为的多重基线设计。在自我选择的目标练习训练之后,教练观看了老师记录的观察结果,并通过短信与老师进行了来回的指导对话。辅导课程包括来自教练的支持性和建设性的反馈,以及教师对他们使用目标练习进行反思的提示。培训加上PBC,通过短信传递,对于增加教师使用目标项目管理实践既有效又高效。在所有有针对性的训练结束后,结果维持了3周,并且有一些泛化的证据。
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引用次数: 0
Use of Behavior Function and Teacher Practices to Intensify Tier II Intervention: A Comparison of Check-In, Check-Out Adaptations 使用行为功能和教师实践加强第二级干预:入住和退房适应的比较
IF 2.1 3区 心理学 Q3 EDUCATION, SPECIAL Pub Date : 2023-06-02 DOI: 10.1177/10983007231172195
C. Chauvin, J. Wehby, L. Kern
Within the context of a multi-tiered framework for behavior support, intervention intensification is warranted when a Tier II intervention fails to adequately address a targeted behavior. A traditional approach to intensification is to shift from standardized supports at Tier II to individualized and more resource-intensive supports at Tier III. Recent conceptualizations, however, reflect the use of a process-oriented, adaptive approach in which a continuum of responsive intensifications connects the framework’s tiers. Adaptive intervention design relies on the identification of critical factors to inform responsive adaptations to a standard treatment protocol. This study examined the distinct and relative influence of adaptations to Check In Check Out (CICO), a targeted intervention, informed by two critical factors—behavioral function and teachers’ use of behavior-specific praise. Results indicated that, relative to traditional CICO, CICO adapted to address behavioral function was less effective in producing differentiated levels of disruptive behavior. However, CICO adapted to strengthen a teaching practice—the delivery of behavior of behavior-specific praise—was effective in producing differentiated levels of disruptive behavior relative to the standard treatment protocol. Additional research on treatment adaptations informed by behavioral function and evidence-based teacher practices is needed to evaluate whether the variables may serve as critical factors within an adaptive approach to building treatment intensity at Tier II.
在多层行为支持框架的背景下,当二级干预未能充分解决有针对性的行为时,需要加强干预。传统的强化方法是从第二级的标准化支持转向第三级的个性化和更资源密集型支持。然而,最近的概念化反映了对以过程为导向的适应性方法的使用,在这种方法中,一系列响应性强化将框架的各个层次连接起来。适应性干预设计依赖于关键因素的识别,以告知对标准治疗方案的反应性适应。这项研究考察了适应报到-报到-报到(CICO)的不同和相对影响,这是一种有针对性的干预措施,受两个关键因素的影响——行为功能和教师使用行为特定表扬。结果表明,与传统的CICO相比,适应行为功能的CICO在产生不同程度的破坏行为方面效果较差。然而,与标准治疗方案相比,CICO适应于加强教学实践——提供行为特定表扬的行为——在产生不同程度的破坏性行为方面是有效的。需要根据行为功能和循证教师实践对治疗适应进行额外研究,以评估这些变量是否可以作为建立二级治疗强度的适应性方法中的关键因素。
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引用次数: 0
Effects of the Good Behavior Game on Students’ Academic Engagement in Remote Classrooms During the COVID-19 Pandemic 新冠肺炎疫情期间良好行为游戏对远程教室学生学术参与的影响
IF 2.1 3区 心理学 Q3 EDUCATION, SPECIAL Pub Date : 2023-06-02 DOI: 10.1177/10983007231168400
Bridget O. Hier, Connor K. MacKenzie, Tory L. Ash, Sam Maguire, Kaytlin A. Nelson, E. C. Helminen, Emily A. Watts, E. Matsuba, Ellen C Masters, Carly C. Finelli, Joshua J. Circe, Taylor J. Hitchings, Alec R. Goldstein, William E. Sullivan
This multiple-baseline design study examined the effects of the Good Behavior Game (GBG) on class-wide academic engagement in online general education classrooms. Teachers in three third- through fifth-grade classrooms implemented the GBG remotely during the COVID-19 pandemic. Treatment integrity was supported using aspects of implementation planning and by providing emailed performance feedback. Teachers’ perceived usability and students’ perceived acceptability of the GBG were assessed. Visual analysis results indicated two clear demonstrations of an effect, but experimental control was limited by smaller and delayed effects in one classroom. Statistical analyses of the data suggest that implementing the GBG was associated with moderate to strong, statistically significant improvements in students’ academic engagement in all three classrooms. Teachers reported that the GBG was usable in their online classrooms, and students reported finding the intervention acceptable to participate in remotely. These results provide initial support for further examining the effectiveness and social validity of using the GBG to improve elementary students’ academic engagement during remote instruction.
这项多基线设计研究考察了良好行为游戏(GBG)对在线普通教育课堂中全班学术参与的影响。在新冠肺炎大流行期间,三个三年级至五年级教室的教师远程实施了GBG。通过实施计划的各个方面和通过电子邮件提供绩效反馈,支持治疗的完整性。评估了教师对GBG的可用性和学生对GBG可接受性的感知。视觉分析结果表明,有两个明显的效果演示,但实验控制受到一个教室中较小和延迟效果的限制。对数据的统计分析表明,实施GBG与学生在所有三个教室的学术参与度都有中等到强烈的统计显著改善有关。教师们报告说,GBG在他们的在线课堂上是可用的,学生们报告说他们发现远程参与干预是可以接受的。这些结果为进一步检验在远程教学中使用GBG提高小学生学术参与度的有效性和社会有效性提供了初步支持。
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引用次数: 0
Re-Examining the Reliability and Validity of the SWPBIS Tiered Fidelity Inventory 重新检验SWPBIS分层保真度量表的可靠性和有效性
IF 2.1 3区 心理学 Q3 EDUCATION, SPECIAL Pub Date : 2023-05-09 DOI: 10.1177/10983007231167606
Nicolette M. Grasley-Boy, Nicholas A. Gage, Michael Lombardo, Lucas Anderson
School-wide positive behavior interventions and supports (SWPBIS) is widely implemented across the United States. Evidence suggests that SWPBIS, when implemented with fidelity, has a significant and positive impact on schools, including lower suspensions and higher reading and mathematics achievement. A critical component of this research is measuring fidelity of SWPBIS implementation in schools. In this study, we re-evaluated the reliability and validity of a widely used fidelity tool, the Tiered Fidelity Inventory (TFI), within a single-state sample. Using data from 693 schools in the U.S. state of California, we found a hierarchical factor structure based on subscales and tiers fit the data best when controlling for the multilevel nature of the data; however, there was no relation between the latent fidelity variables and changes in suspensions. Implications of these results are discussed, including different approaches to scoring and conceptualizing fidelity of implementation for SWPBIS, along with considerations for future research using the TFI.
学校范围内的积极行为干预和支持(SWPBIS)在美国被广泛实施。有证据表明,当忠实地实施SWPBIS时,对学校有显著的积极影响,包括减少停学,提高阅读和数学成绩。本研究的一个关键组成部分是衡量SWPBIS在学校实施的保真度。在本研究中,我们重新评估了广泛使用的保真度工具分层保真度量表(TFI)在单一状态样本中的信度和效度。使用来自美国加利福尼亚州693所学校的数据,我们发现基于子尺度和层次的分层因素结构在控制数据的多层次性质时最适合数据;然而,潜在保真度变量与悬浮液的变化之间没有关系。本文讨论了这些结果的含义,包括对SWPBIS实施的保真度进行评分和概念化的不同方法,以及对未来使用TFI进行研究的考虑。
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引用次数: 1
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Journal of Positive Behavior Interventions
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