Programming maintenance after correspondence training interventions with children

Interventions were employed to program maintenance following correspondence training. The use of reinforcement of verbalization and a mixed sequence of procedures designed to establish indiscriminable contingencies was evaluated in multiple-baseline designs across subjects and behaviors. The results indicated that target behaviors were maintained under less intrusive interventions and in the absence of programmed contingencies during extended follow-up conditions. The results are discussed in terms of changes in reinforcement schedules established in maintenance interventions.     

Say something nice: A meta-analytic review of peer reporting interventions

Peer reporting interventions (i.e., Positive Peer Reporting and tootling) are commonly used peer-mediated interventions in schools. These interventions involve training students to make reports about peers' prosocial behaviors, whether in oral or written form. Although peer reporting interventions have been included in meta-analyses of group contingencies, this study is the first meta-analytic review of single-case research focusing exclusively on peer reporting interventions. The literature search and application of inclusion criteria yielded 21 studies examining the impact of a peer reporting intervention on student behavior compared to baseline conditions. All studies used single-case experimental designs including at least three demonstrations of an effect and at least three data points per phase. Several aspects of studies, participants, and interventions were coded. Log response ratios and Tau were calculated as effect size estimates. Effect size estimates were synthesized in a multi-level meta-analysis with random effects for (a) studies and (b) cases within studies. Overall results indicated peer reporting interventions had a non-zero and positive impact on student outcomes. This was also true when data were subset by outcome (i.e., disruptive behavior, academically engaged behavior, and social behavior). Results were suggestive of more between- than within-study variability. Moderator analyses were conducted to identify aspects of studies, participants, or peer reporting interventions associated with differential effectiveness. Moderator analyses suggested published studies were associated with higher effect sizes than unpublished studies (i.e., theses/dissertations). This meta-analysis suggests peer reporting interventions are effective in improving student behavior compared to baseline conditions. Implications and directions for future investigation are discussed.     

Community Violence and Youth: Affect, Behavior, Substance Use, and Academics

Community violence is recognized as a major public health problem (WHO, World Report on Violence and Health, 2002) that Americans increasingly understand has adverse implications beyond inner-cities. However, the majority of research on chronic community violence exposure focuses on ethnic minority, impoverished, and/or crime-ridden communities while treatment and prevention focuses on the perpetrators of the violence, not on the youth who are its direct or indirect victims. School-based treatment and preventive interventions are needed for children at elevated risk for exposure to community violence. In preparation, a longitudinal, community epidemiological study, The Multiple Opportunities to Reach Excellence (MORE) Project, is being fielded to address some of the methodological weaknesses presented in previous studies. This study was designed to better understand the impact of children’s chronic exposure to community violence on their emotional, behavioral, substance use, and academic functioning with an overarching goal to identify malleable risk and protective factors which can be targeted in preventive and intervention programs. This paper describes the MORE Project, its conceptual underpinnings, goals, and methodology, as well as implications for treatment and preventive interventions and future research.     

Evaluation of publication bias in response interruption and redirection: A meta-analysis

Publication bias is the disproportionate representation of studies with large effects and statistically significant findings in the published research literature. If publication bias occurs in single-case research design studies on applied behavior-analytic (ABA) interventions, it can result in inflated estimates of ABA intervention effects. We conducted an empirical evaluation of publication bias on an evidence-based ABA intervention for children diagnosed with autism spectrum disorder, response interruption and redirection (RIRD). We determined effect size estimates for published and unpublished studies using 3 metrics, percentage of nonoverlapping data (PND), Hedges' g, and log response ratios (LRR). Omnibus effect size estimates across all 3 metrics were positive, supporting that RIRD is an effective treatment for reducing problem behavior maintained by nonsocial consequences. We observed larger PND for published compared to unpublished studies, small and nonsignificant differences in LRR for published compared to unpublished studies, and significant differences in Hedges' g for published compared to unpublished studies, with published studies showing slightly larger effect. We found little, if any, difference in methodological quality between published and unpublished studies. While RIRD appears to be an effective intervention for challenging behavior maintained by nonsocial consequences, our results reflect some degree of publication bias present in the RIRD research literature.     

An evaluation of differential reinforcement of other behavior,differential reinforcement of incompatible behavior,and restitution for the management of aggressive behaviors

A 46 year old institutionalized retarded woman was referred for treatment because of frequent verbal abuse and physically aggressive behaviors. A multicomponent behavioral intervention consisting of differential reinforcement of other behaviors, differential reinforcement of incompatible behaviors, and restitution was implemented. A sequential withdrawal design was used in order to evaluate the effects of components of the original intervention, and to provide a measure of response maintenance. Results indicated a marked decrease in verbal abuse and elimination of physical aggression. Verbal abuse recurred when the restitution procedure was withdrawn. The relative efficacy of the different interventions is discussed with respect to the behavioral management of aggression. © 1998 John Wiley & Sons, Ltd.     

Exploring the relation of depression and overt behavior with daily diaries

Behavioral models of depression highlight decreased response-contingent positive reinforcement as critical toward conceptualizing depressive affect, decreased reinforcement being caused by changes in the quantitative (i.e., number or intensity) or qualitative (i.e., type or function) aspects of reinforcing events, availability of reinforcement, inadequate instrumental behaviors, and/or an increased frequency of punishment [Lewinsohn, P. M. (1974). A behavioral approach to depression. In R. M. Friedman, & M. M. Katz (Eds.), The psychology of depression: Contemporary theory and research. New York: Wiley]. Building on previous research and addressing methodological limitations, this study utilized a daily diary method and behavioral coding system to directly assess whether qualitative aspects (or types) of human behavior differed as a function of depression level. Relative to non-depressed individuals, mildly depressed participants engaged less frequently in social, physical, and educational behaviors and more frequently in employment-related activities. These data support behavioral models of depression and have clinical relevance as highlighted with reference to behavioral activation interventions for depression.     

Primary Prevention Mental Health Programs for Children and Adolescents: A Meta-Analytic Review

Used meta-analysis to review 177 primary prevention programs designed to prevent behavioral and social problems in children and adolescents. Findings provide empirical support for further research and practice in primary prevention. Most categories of programs produced outcomes similar to or higher in magnitude than those obtained by many other established preventive and treatment interventions in the social sciences and medicine. Programs modifying the school environment, individually focused mental health promotion efforts, and attempts to help children negotiate stressful transitions yield significant mean effects ranging from 0.24 to 0.93. In practical terms, the average participant in a primary prevention program surpasses the performance of between 59% to 82% of those in a control group, and outcomes reflect an 8% to 46% difference in success rates favoring prevention groups. Most categories of programs had the dual benefit of significantly reducing problems and significantly increasing competencies. Priorities for future research include clearer specification of intervention procedures and program goals, assessment of program implementation, more follow-up studies, and determining how characteristics of the intervention and participants relate to different outcomes.     

Methodological and assessment considerations in evaluating reinforcement programs in applied settings

The extensive use of reinforcement programs in applied settings has led to experimentation that often fails to consider potential problems in design. The logic of the within-subject design is reviewed and specific designs employed in reinforcement programs are discussed. For each design (ABAB, or multiple-baseline design across behaviors, individuals, or situations), effects are discussed that make that design less powerful with respect to demonstrating the effect of the experimental variable. Problems in interpreting results of experiments in this area of inquiry are evaluated from the standpoint of internal and external validity. The issue of control groups is presented with considerations as to situations that require their use. Finally, the assessment strategy for evaluating operant programs is discussed and recommendations are made for measurement of behaviors in addition to the target response.     

Evaluation of Indicated Preventive Intervention (Secondary Prevention) Mental Health Programs for Children and Adolescents

Evaluated the outcomes of 130 indicated preventive interventions (secondary prevention) mental health programs for children and adolescents that seek to identify early signs of maladjustment and to intervene before full-blown disorders develop. Results indicate such programs significantly reduce problems and significantly increase competencies. In particular, behavioral and cognitive-behavior programs for children with subclinical disorders (mean ESs in the 0.50s) appear as effective as psychotherapy for children with established problems and more effective than attempts to prevent adolescent smoking, alcohol use, and delinquency. In practical terms, the average participant receiving behavioral or cognitive-behavior intervention surpasses the performance of approximately 70% of those in a control group. Of particular interest was the high mean effect (0.72) achieved by programs targeting incipient externalizing problems which are customarily the least amenable to change via traditional psychotherapeutic efforts when they reach clinical levels. Priorities for future research include greater specification of intervention procedures, assessment of treatment implementation, more follow-up studies, and identifying how different participants respond to early intervention.     

Improving adherence to fluid restrictions in male hemodialysis patients: a comparison of cognitive and behavioral approaches.

A cognitive intervention and a behavioral intervention were compared to determine their relative effectiveness in reducing interdialytic weight gain (IWG) among eight adult male hemodialysis patients. The behavioral model consisted of positive reinforcement, shaping, and self-monitoring. The cognitive model consisted of a counseling intervention designed to modify health beliefs. Three small-sample experimental studies showed that both interventions produced immediate reductions in IWG. However, the behavioral intervention was superior to the cognitive intervention in producing maintenance of reduced weight gain. Combining the interventions resulted in no improvement over the behavioral intervention alone. Continuation of self-monitoring procedures produced maintenance of improvements up to 2 months posttreatment. Repeated-measures analysis of variance showed changes for only the "barriers" dimension of the health belief model (Hartman & Becker, 1978) (p < .001), and this occurred only following or concurrent with adherence behavior change. Suggestions for treatment and future research are offered.     

空气污染对个体直接和溢出行为的影响

空气污染对行为影响的研究日渐丰富, 且大致分为两个方向:一是与环境健康有关的直接行为, 二是与之无直接相关的社会行为(溢出行为)。基于此, 在回顾空气污染对两种行为影响研究的同时, 进一步综述了用于解释直接行为产生机制的计划行为理论和健康行动过程取向模型, 以及用于解释社会行为机制的焦虑与自我损耗。而更全面的探究现象背后的机制有助于发现更多有效应对空气污染的举措, 未来的研究可以采用更多纵向的研究范式、增加对行为机制的探究, 从而改善人们的风险应对行为。     

Pediatric Feeding Disorders: A Quantitative Synthesis of Treatment Outcomes

A systematic review of the literature regarding treatment of pediatric feeding disorders was conducted. Articles in peer-reviewed scientific journals (1970–2010) evaluating treatment of severe food refusal or selectivity were identified. Studies demonstrating strict experimental control were selected and analyzed. Forty-eight single-case research studies reporting outcomes for 96 participants were included in the review. Most children presented with complex medical and developmental concerns and were treated at multidisciplinary feeding disorders programs. All studies involved behavioral intervention; no well-controlled studies evaluating feeding interventions by other theoretical perspectives or clinical disciplines met inclusion criteria. Results indicated that behavioral intervention was associated with significant improvements in feeding behavior. Clinical and research implications are discussed, including movement toward the identification of key behavioral antecedents and consequences that promote appropriate mealtime performance, as well as the need to better document outcomes beyond behavioral improvements, such as changes in anthropometric parameters, generalization of treatment gains to caregivers, and improvements in nutritional status.     

IMPROVING BEHAVIOR IN A RESIDENTIAL SERVICE FOR YOUTH IN DRUG AND ALCOHOL REHABILITATION

A token reinforcement program, named ‘Thumbs Up’, was introduced in a residential therapeutic community for drug and alcohol rehabilitation. Sixteen young people aged 14–17 years participated for varying durations. Participants were able to negotiate target behaviors and choose backup reinforcers. We evaluated the program within a multiple baseline design across participants, settings, and behaviors. Improvements occurred in positive verbal statements across settings, timely room cleaning, and leadership responsibilities. Inappropriate statements were also measured and did not change. One staff member was trained in the use of Thumbs Up with positive results. Difficulties with implementing behavioral interventions in a non‐behaviorally oriented treatment service were identified. Despite needing refinements, it was concluded that a token reinforcement program can be an effective and acceptable means of improving behavior within a therapeutic community framework. Copyright © 2012 John Wiley & Sons, Ltd.     

The effects of a video vignette on increasing treatment acceptability

The effects of a video vignette on the treatment acceptability ratings of four behavioral interventions were evaluated. Two interventions involved positive reinforcement (DRO and DRI) and two negative consequences (contingent physical restraint and contingent electric shock). Eighty-five individuals involved in programs for individuals with developmental disabilities were randomly assigned into two groups. The experimental group (n=41) viewed a video vignette of an extremely aggressive individual whereas the control group (n=44) did not. Acceptability ratings prior to the video showed no differences between the experimental and control groups except for the physical restraint intervention. The experimental group’s post video ratings indicated significant acceptability increases for electric shock and significant decreases for DRO. There also was a significant group by testing effect with the means for the experimental group rising whereas the control group means were stable. These results showed that acceptability is alterable through video. © 1997 John Wiley & Sons, Ltd.     

A Review of Technology-Based Youth and Family-Focused Interventions

In the past 10 years, mental and behavioral health has seen a proliferation of technology-based interventions in the form of online and other computer-delivered programs. This paper focuses on technology-based treatment and preventive interventions aimed at benefitting children and adolescents via either involving the parents and families, or only the youth. The review considered only technology-based interventions that had at least one published study with a randomized controlled trial design. Questions being addressed included: (1) What are the technology-based interventions in the mental/behavioral health area that have been systematically evaluated in published studies? (2) What are the common and unique characteristics of these interventions and their application with respect to sample characteristics, target problems, and technology characteristics (platforms, structures, elements, and communication formats)? and (3) Which intervention approaches and strategies have accrued the greatest evidence? The review identified 30 technology-based psychosocial interventions for children and families, 19 of which were parent or family-focused (32 studies) and 11 of which were youth-focused (in 13 studies). For the parent/family-focused interventions, greatest promise was found in those that addressed either youth behavioral problems or depressive/anxious symptoms, as well as more general bolstering of parenting efficacy. The youth-focused interventions showed some promise in reducing depressive/anxious symptoms. Advantages and disadvantages of the technology-based approaches were considered, and areas for future research and development were discussed.     

A CLASSIFICATION SCHEME OF SOCIAL CONDITIONS OF REINFORCEMENT WITHIN GROUP OPERANT SYSTEMS1

Many different reinforcement contingencies are found in group operant systems, such as token economies and point systems. Some systems use group contingencies in which the reinforcement of any one participant may depend on the behavior of some other group member. Other programs are individual, in that participants earn reinforcers dependent only on their own behavior. The various possible arrangements of people and their response requirements are labelled “social conditions of reinforcement” in this paper. Previous attempts at classification have failed to categorize the variety of social conditions of reinforcement. In addition, some conditions that may produce behaviorally different effects have not been separated. The present paper classifies the social conditions of reinforcement found in applied programs in a three-dimensional scheme. The efficacy of the three major dimensions—reinforcing agent, recipient response requirement, and group response requirement—is supported by clinical and research data. The reinforcing agent dimension refers to the person(s) who dispenses reinforcers to group members. This major dimension is further subdivided: one or several agents may be either designated or nondesignated. Recipients are the group members who receive reinforcement. This dimension is also subdivided: one or several recipients in a social condition of reinforcement may obtain reinforcers either contingently or noncontingently. The group response requirement is a criterion that must be satisfied before any group participant is eligible for reinforcement. Some systems have no group requirement, and others have a group requirement that must be met by some designated or nondesignated participant(s). Supportive references and examples are given in the explanation of each dimension and subdimension. The behavioral impact of the various categories is emphasized. For all major dimensions, applied implications and research suggestions are discussed. Concluding remarks center on the utility of the present scheme, the classification of operant procedures other than positive reinforcement, and both theoretical and applied issues requiring further study (e.g., the long-term effects of participation in group contingencies).     

Recent advances in the modification of establishing operations to reduce aberrant behavior

The term establishing operation (EO) refers to an event that alters the reinforcement effects of a particular stimulus. Although EOs have received more attention in the basic, non-human literature, reports of EO manipulations in the treatment of aberrant behavior are increasingly appearing. We discuss EO interventions for behaviors maintained by social positive reinforcement (e.g., noncontingent reinforcement), social negative reinforcement (e.g., noncontingent escape, curricular revision, demand fading), and automatic reinforcement (e.g., environmental enrichment, noncontingent stimulation, reduced aversive stimulation). Suggestions for future research concerning both specific EO interventions and the general manipulation of EOs as a behavior-change technique are provided. © 1998 John Wiley & Sons, Ltd.     

Training behavioral technicians to implement naturalistic behavioral interventions using behavioral skills training

Training behavioral technicians mainly focuses on teaching accurate implementation of structured behavioral intervention programs. Often behavioral technicians are unable to adequately promote their clients' learning in less structured environments, which can limit opportunities for generalization of the clients' skills to the natural environment. The aim of the present study was to evaluate the effectiveness of using behavioral skills training to coach behavioral technicians on the implementation of naturalistic behavioral interventions. Naturalistic behavioral interventions take advantage of naturally occurring situations to teach new skills and practice mastered skills in natural settings, thus promoting generalization across environments and in the presence of natural contingencies. Five behavioral technicians were trained to implement a novel protocol based on play therapy. Specifically, they were coached to engage in well‐defined positive behaviors during their interactions with clients (e.g., labeled praise). All participants reached mastery criteria, maintained skills at follow‐up, and demonstrated generalization of skills with novel clients.     

Increased accessibility of semantic concepts after (more or less) subtle activation of related concepts: support for the basic tenet of priming research

Abstract

Increasingly remote concepts and behaviors have been primed, which have come under increasing criticism. In this present experiment, we take a step back and try to strengthen the roots of priming research. In this experiment, we systematically varied the activation or priming of a concept in six experiments (N?=?1285). We then measured accessibility for semantic concepts using a word stem completion task. Across the six experiments, our investigations showed that the activation of semantic concepts is possible through greater accessibility of semantically congruent words (with only one experiment failing to reach a conventional level of significance). These results provide a prerequisite for further investigation into behavioral priming. The present experiment showed that the basal priming mechanisms are robust effects. The meta-analytic integration showed that women reliably had access to more baby-related words. A possible explanation is that social role stereotypes associate women more with the reproductive sphere than men and that women, to a certain extent, internalize these societal views. Other explanations and potential future applications are discussed.