Command use and compliance in staff communication with elderly residents of long-term care facilities

Verbal communication between nursing assistants and individuals with dementia can be challenging, particularly during hands-on caregiving tasks. Although there are many aspects of verbal communication that can affect the quality of an interaction, one potentially important communication variable is the types of commands issued by nursing assistants when they need a resident to complete a task. The purpose of this study was to examine the kinds of commands used by nursing care staff when they interact with patients with dementia during activities of daily living. Commands were categorized according to their feasibility/specificity as well as form. An additional goal of this study was to measure compliance and noncompliance rates associated with the various categories of commands. Results indicate that alpha commands (clear, concise, and feasible) account for higher compliance and less noncompliance compared with beta commands (ambiguous, interrupted, and not feasible). In addition, commands that are stated directly, that clarify a previous command, and that are repeated exactly produce better compliance. It is concluded that training nursing staff to change the types of commands they provide during caregiving tasks may reduce distress experienced by both staff and residents.     

Preventing conduct problems, promoting social competence: a parent and teacher training partnership in head start

Studied the effectiveness of parent and teacher training as a selective prevention program for 272 Head Start mothers and their 4-year-old children and 61 Head Start teachers. Fourteen Head Start centers (34 classrooms) were randomly assigned to (a) an experimental condition in which parents, teachers, and family service workers participated in the prevention program (Incredible Years) or (b) a control condition consisting of the regular Head Start program. Assessments included teacher and parent reports of child behavior and independent observations at home and at school. Construct scores combining observational and report data were calculated for negative and positive parenting style, parent-teacher bonding, child conduct problems at home and at school, and teacher classroom management style. Following the 12-session weekly program, experimental mothers had significantly lower negative parenting and significantly higher positive parenting scores than control mothers. Parent-teacher bonding was significantly higher for experimental than for control mothers. Experimental children showed significantly fewer conduct problems at school than control children. Children of mothers who attended 6 or more intervention sessions showed significantly fewer conduct problems at home than control children. Children who were the "highest risk" at baseline (high rates of noncompliant and aggressive behavior) showed more clinically significant reductions in these behaviors than high-risk control children. After training, experimental teachers showed significantly better classroom management skills than control teachers. One year later the experimental effects were maintained for parents who attended more than 6 groups. The clinically significant reductions in behavior problems for the highest risk experimental children were also maintained. Implications of this prevention program as a strategy for reducing risk factors leading to delinquency by promoting social competence, school readiness, and reducing conduct problems are discussed.     

LONG-TERM EFFECTS OF OPPOSITIONAL CHILD TREATMENT WITH MOTHERS AS THERAPISTS AND THERAPIST TRAINERS

The follow-up data reported represent a long-term (3 to 9 years out of treatment) evaluation of 40 children who were clients of the Regional Intervention Program (RIP) from 1969 to 1978. As 3-, 4-, and 5-year olds, these youngsters exhibited severe and prolonged tantrums, continual opposition to adults' requests and commands, and physical aggression toward parents. Each child and mother participated in a standardized intervention package modeled after Wahler's Opposition Child Treatment. Results from school and home-based follow-up showed that: (a) commands, demands, or requests made by parents were likely to be followed by former clients' compliance; (b) former clients' social interactions in the home were overwhelmingly positive and their nonsocial behavior was by and large appropriate; (c) parent behavior in the home was consistent with the child management skills taught many years ago; (d) there were no differences between the compliant, on-task, social interaction and appropriate/inappropriate nonsocial behaviors of former clients and randomly selected class peers; (e) there were no differences in teachers' commands, negative feedback, positive social reinforcement, and repeated commands that were directed toward either former clients or randomly selected class peers; (f) both teachers' and parents' rating of former clients on the modified Walker Problem Behavior Checklist were highly correlated; (g) there were no differences in teachers' rating of former clients and class peers; and (h) of all the studied demographic variables, only age that treatment began and family intactness were related to current levels of behavior.     

Using a High Probability Command Sequence to Increase Classroom Compliance: The Role of Behavioral Momentum

One of the most problematic behaviors in children with developmental disabilities is noncompliance. Although behavioral research has provided strategies to impact noncompliance, oftentimes the methodologies are consequent techniques, which may not be conducive to implementation by the classroom teacher. In this teacher-designed and implemented study, a sequence of high-probability instructional commands preceded the targeted low-probability command, in an attempt to increase compliance to the low-probability command. Results, discussed within the body of behavioral momentum research, showed an increase in compliance to low-probability classroom commands for a seven year-old student with moderate mental retardation and Down Syndrome. Results are discussed as (a) an effective, antecedent approach to classroom compliance and (b) re-connecting the gap between applied behavioral research and experimentally controlled classroom practice.     

An examination of project aware: The effects on children's attitudes toward themselves,others, and school

The purpose of this study was to determine the impact of Project AWARE on children's attitudes about themselves, peers, teachers, principals, and school. Data were collected on children's sex, race, stanine score on achievement tests, and pretest performance in order to determine the differential effects of the treatment. Eighty students were included in the study, 40 in the experimental group and 40 in the control group. All were from fourth and fifth grade classrooms. The major findings were that children involved in the program achieved greater personal adjustment and accepted responsibility for negative outcomes in social situations (internal control). White children scored higher in personal and social adjustment. Black children evidenced more positive attitudes toward school. Girls scored significantly higher than boys on the social adjustment subtests and attitudes toward peers. Black children in the control group had less positive attitudes toward teachers than white children in the experimental group     

初中流动儿童的内隐群体偏爱、社会支持及其对学校适应的影响

以群体偏爱的IAT测验为实验材料,结合社会支持和学校适应问卷,考察初中流动儿童在内隐群体偏爱、社会支持上与本地儿童之间的差异,并探讨这两种变量对流动儿童学校适应的影响.结果表明：（1）流动儿童存在内隐外群体偏爱,对自身所属群体表现出内隐的消极认同;本地儿童存在内隐内群体偏爱,对流动儿童具有内隐的消极认知;（2）流动儿童在父亲、教师以及同性朋友的社会支持上显著差于本地儿童;（3）在对流动儿童学校适应的影响上,社会支持的主效应显著,内隐群体偏爱和社会支持的交互作用显著;高内隐群体偏爱组中,高社会支持流动儿童的学校适应优于低社会支持儿童.     

Embedding a functional analysis of compliance in small group instruction

Research on adaptations to standard functional analyses for use in classroom settings has increased in recent years. However, few studies have focused on procedural variations specific to assessing noncompliance in the context of academic instruction. In the current study, we trained a special education teacher to embed a functional analysis of compliance in small group instruction. The goal of the functional analysis was to identify an effective reinforcement contingency for compliance for a second grade student with an intellectual disability. Results suggested a combined escape + tangible contingency increased compliance to instructional prompts relative to other conditions. The functional analysis of compliance represents a variation on previous functional analyses of noncompliance with potential to increase ecological and social validity of assessment procedures for classroom settings.     

初中生的社会支持与学校适应的关系

采用问卷法对328名初中生的社会支持和学校适应状况进行研究,探讨不同支持源的社会支持和初中生的学校适应之间的关系。结果表明;(1)母亲是初中生最经常的支持源。(2)初一年级学生感受到的社会支持显著高于初二学生,其学校适应状况也显著好于初二学生。(3)社会支持水平不同的初中生在学校适应的质量上存在差异,高支持水平学生的适应质量显著高于低支持水平学生的适应质量。(4)教师支持、同学支持对初中生的学校适应具有显著的回归效应。两者对积极的学校适应具有增益作用,而对消极的学校适应具有缓冲作用。     

THE EFFECTS OF SOCIAL PUNISHMENT ON NONCOMPLIANCE: A COMPARISON WITH TIMEOUT AND POSITIVE PRACTICE

The effects of social punishment, positive practice, and timeout on the noncompliant behavior of four mentally retarded children were assessed in a multitreatment withdrawal design. When programmed, the experimental procedure occurred contingent on noncompliance to experimenter-issued commands. Commands were given at 55-sec intervals throughout each experimental session. The results showed (1) lower levels of noncompliance with social punishment than with the positive-practice or timeout conditions, and (2) that relatively few applications of social punishment were required to obtain this effect. The advantages of social punishment over other punishment procedures, considerations to be made before using it, and the various aspects of the procedure that contribute to its effectiveness were discussed.     

The effects of Promoting Alternative Thinking Strategies Preschool Program on teacher–children relationships and children's social competence in Turkey

This quasi‐experimental study examined the effects of the Promoting Alternative Thinking Strategies (PATHS) Preschool Program on the outcomes of children's social‐emotional competence, perceived relationships between teacher and children and teachers' ability to create a positive classroom atmosphere. Two hundred and eighty five children (48–72 months) and teachers in Izmir participated in the intervention, and 280 children (48–72 months) and teachers participated as comparison group. Intervention teachers implemented PATHS in their classrooms. For data triangulation, multiple sources of data were collected in the study. Classrooms were observed using two different scales. Teacher rated students using another two different scales. Children were assessed with an interview to evaluate their perceptions of relationships. Intervention group teachers reported greater improvement of children's social‐emotional skills, interpersonal relationship skills and emotion regulation. Furthermore, when observed intervention group children showed higher levels of pro‐social behaviour, increased levels of compliance, better problem solving skills and more positive feelings. Intervention group children also described their relationships with their teachers as significantly more positively. Finally, intervention group teachers perceived more dependency in their relationships with children.     

新课程背景下上海市中小学教师职业角色认同的研究

本研究是在了解新课程背景所倡导的教师角色的基础上,对教师职业角色认同状况的调查和分析。结果发现：教师在职业角色认同上可以分两个组：“高认同组”和“一般认同组”。在调查的十个教师职业角色中,“教师是文化的传播者”;“教师是学生学习能力的培养者”;“教师是学生人生的引路人”处于角色认同排序的前三位,“教师是专家”、“教师是教育家”、“教师是社区型的开放的教师”处于排序的后三位,其余“教师是教育教学的研究者”;“教师是学生的心理顾问”;“教师是课程的建设者和开发者”和“教师是学者”居中。教师所处的学校类型、教师性别和是否担任行政职务,在职业角色认同上有非常显著和显著的差异。小学教师的职业角色认同要高于初中教师,初中教师又高于高中教师。女教师的职业角色认同要高于男教师。学校行政领导的职业角色认同要高于普通教师。     

The effect of task and maternal verbosity on compliance in toddlers

The purpose of the study was to examine the relationship between compliance in toddlers and maternal verbosity as well as the type of task. Mothers and their toddlers completed a warm‐up task, a proactive toy clean‐up task, and a prohibitive forbidden objects task. Mothers were assigned to one of two verbosity conditions (high versus low) and to one of two nurturance conditions (high versus low) where the rates of verbosity and nurturance were experimentally manipulated. It was hypothesized that toddlers would demonstrate higher noncompliance when given high levels of verbosity than toddlers given low levels of verbosity. It was expected that toddlers would demonstrate higher noncompliance when given low levels of nurturance than toddlers given high levels of nurturance. It was also expected that toddlers would demonstrate more noncompliance in the prohibitive task than they would in the proactive task. Results indicated that the rates of child compliance were related to the level of maternal verbosity with greater noncompliance being exhibited by children who received high levels of verbosity than those who received low levels of verbosity. Child compliance rates were also related to the type of task, with greater noncompliance exhibited in the proactive task versus the prohibitive task. Excessive detail about what children should or should not do appears to be related to child behavior and supports Patterson's premise of ‘nattering’. Child behavior also was related to the type of task in which the child was engaged. These findings have direct implications for individuals working with or raising very young children. Copyright © 2009 John Wiley & Sons, Ltd.     

Parents' attributions for achieving compliance from attention-deficit-disordered children

Ninety-one parents provided reasons for the compliance and noncompliance of either their attention-deficit-disordered, hyperactive (ADDH) or non-ADDH child in six different situations. These attributions were rated on Weiner's (1979) dimensions of locus, stability, and controllability. While parents used the same categories to explain the reasons for their children's complaince behavior, they used different dimensional ratings for these explanations. Mothers rated attributions for noncompliance as more external than did fathers. Mothers of ADDH children viewed the causes of their children's behavior to be more unstable than did mothers of control children. Also, ADDH parents had lower expectations of achieving future compliance from their child than did non- ADDH parents. Results were discussed in terms of parental experiences, the need to consider an idiosyncratic approach to attributional meaning, and treatment implications.     

Teacher ratings of children's problem and competence behaviors: Normative and parametric characteristics

Teacher-rated adjustment differences among young elementary school children from (a) a recent sample and a 1974 cohort, and (b) urban/suburban, male/female, and grade-level subgroups were examined. A problem behavior checklist (Classroom Adjustment Rating Scale) and a school competence measure (Health Resources Inventory) for 974 children from 5 urban and 5 suburban schools were completed by 101 first- to fourth-grade teachers. Children from the more current cohort were rated as significantly more maladjusted than those from the earlier sample on 8 of 10 adjustment variables. In the recent sample, girls and suburban children evidenced a greater number of school competencies and fewer problem behaviors than boys and urban children, respectively. The implications of these findings for the future use of the teacher rating scales are discussed.     

An examination of predictor variables for child compliance and noncompliance

The purpose of this study was to examine the antecedents of child compliance and noncompliance. Both maternal and child behaviors served as predictors. Fifty-six clinic-referred children and their mothers served as subjects. Data were collected in the home setting by independent observers. Four multiple regression analyses were performed. The results indicated that the behavior immediately preceding child compliance or noncompliance typically was the best predictor. Furthermore, the antecedents for child compliance and noncompliance differed. For maternal antecedents, the type of command that served as the best predictor for child compliance and noncompliance differed; however, the final predictor equation was similar for the two types of child behaviors. For child antecedents, compliance was best predicted by compliance and noncompliance was best predicted by noncompliance. The results are discussed in terms of Patterson's coercion hypothesis.     

An evaluation of strengthening precursors to increase preschooler compliance

We evaluated the strategy of increasing precursors to compliance on the compliance of 2 preschool boys. Modeling and differential reinforcement were used to increase specific responses to his name being called prior to the opportunity to comply with an instruction. The precursors were stopping the ongoing activity and orienting to, making eye contact with, and saying "yes" to the instructor. High levels of precursors occurred during treatment, and increases in compliance also were observed, even though the consequences for compliance and noncompliance did not change.     

An examination of disciplinary procedures with children

In Experiment I the effect of the contingent application of negative attention (a verbal reprimand plus a brief period in which the authority person glares intently at the child) and repeated commands on the noncompliant behavior of children was examined. Thirty-two mother-child pairs served as subjects. The results indicated that negative attention decreased noncompliance whereas repeated commands did not. In Experiment II the effectiveness of negative attention, isolation, ignoring, and a combination of procedures (the alternate use of isolation, ignoring, and negative attention with the same subject) in reducing noncompliance and maintaining it at a low level during a recovery period was examined. Twenty-eight mother-child pairs served as subjects. The results indicated that each of the four disciplinary procedures reduced noncompliance. However, negative attention was associated with less off-task behavior than the isolation and combination procedures when discipline was being imposed and a lower level of noncompliance than ignoring during recovery, whereas the combination condiiton was the only procedure that maintained noncompliance during recovery at the treatment level.     

Effects of a school mental health project: A one-year follow-up

Matched samples of children who had (Terminators) or had not (Nonterminators) successfully participated in a school-based project for the early detection and treatment of school maladaption were compared on teacher ratings of adjustment with a control sample having no prior program contact. Terminators were found to have significantly more positive school adjustment ratings than Nonterminators and Controls, both five and 12 months after their final program contact. These data support the conclusion that the program has positive consequences for children in the primary grades which generalize to new classroom settings and remain stable over time. The absence of adjustment differences between Nonterminators and Controls suggests the importance of developing alternative approaches for those not benefiting from the program.     

An interpersonal relations and group process approach to affective education for young children

Early childhood education programs need to emphasize affective growth and effective interpersonal skills for young children. Teachers have a significant influence on children's affective disposition toward themselves and school. They must be provided with skills to develop children's emotional growth and their interpersonal relations skills. This article attempts to stimulate school psychologists to determine whether their teachers have the competencies necessary to produce positive pupil growth and to train those teachers who lack these skills. A brief review of research on selected aspects of teacher behavior is presented. Specific teacher behaviors related to desired affective growth in young children are discussed. The final section presents in-service training program components; a system for observation, analysis of teacher behavior, and feedback; and the steps in providing an in-service program.