The Good Behavior Game: A brief review

The Good Behavior Game (GBG) is a group contingency that reduces disruption and increases engagement in various contexts. In recent years, researchers have extended the GBG in at least 3 ways: (a) demonstrating its efficacy with novel populations, settings, and behaviors, (b) examining procedural variations that improve contextual fit, and (c) using more comprehensive data collection methods to explore the behavior of individual students and indirect effects. The purpose of the current review is to summarize recent advances, discuss implications of recent studies and potential mechanisms for the general efficacy of the GBG, and suggest future directions.     

Gamification: The Intersection between Behavior Analysis and Game Design Technologies

Deterding et al. (Proceedings of the 15th International Academic MindTrek Conference: Envisioning Future Media Environments, USA 15: 9–15, 2011) report a recent rise in popularity of video game inspired software designed to address issues in a variety of areas, including health, energy conservation, education, and business. These applications have been based on the concept of gamification, which involves a process by which nongame activities are designed to be more like a game. We provide examples of how gamification has been used to increase health-related behavior, energy consumption, academic performance, and other socially-significant behavior. We argue that behavior analytic research and practice stands to benefit from incorporating successful elements of game design. Lastly, we provide suggestions for behavior analysts regarding applied and basic research related to gamification.     

The Single-Case Design in Family Therapy Evaluation Research

This paper discusses the need for the development of new research designs for family therapy evaluation, and a manner for meeting that need. The single-case research design has gained acceptance as bona fide experimental designs for evaluating the effectiveness of intervention techniques in drug and psychotherapy outcome research. Although the need for more outcome studies on the effectiveness of family therapy has been frequently noted, there has been virtually no use of the single-case design in family therapy outside of the behavior modification literature on families. This paper presents potential benefits of the application of single case-design for the practice of family therapy. Preliminary guidelines are suggested for the application of these designs.     

The Good Behavior Game

The Good Behavior Game was implemented with four children attending a church-affiliated preschool in efforts to increase concurrent compliance and cooperation. Sessions were conducted individually with each child pair while in free play. The children were given various instructions by “Buddy Bear” (a puppet). Children were praised individually for compliant behavior while noncompliant and inappropriate behaviors were ignored. Further instances in which children complies (i.e., cooperation) were rewarded with tokens make of felt, shaped like happy faced or dinosaurs and placed on a large felt board. If the children earned their criterion levels of tokens, they received animal snacks. Improvements in compliance were noted, with generalization occurring across therapists but not settings. Factors influencing the results and implications of the findings are discussed.     

The Effects of Combining PETTLEP Imagery and Action Observation on Bicep Strength: A Single-Case Design

We investigated the effects of PETTLEP imagery combined with action observation on bicep curl performance. Using a single-case design, four participants completed a baseline phase followed by PETTLEP imagery with and without an observational aid. Results indicated that using an observational aid in conjunction with PETTLEP imagery can improve bicep curl performance, but not to a greater degree than PETTLEP imagery alone. This indicates that observational aids may not be an essential addition to imagery interventions. The study highlights further the benefit of using PETTLEP imagery for enhancing strength performance, which should be considered by practitioners delivering resistance training programs.     

Retracted: The Three-Step Theory of Suicide: An Independent Replication and Conceptual Extension

Retraction: Christopher R. Hagan PhD, Jennifer J. Muehlenkamp PhD, “The Three-Step Theory of Suicide: An Independent Replication and Conceptual Extension,” Suicide and Life-Threatening Behavior, Wiley, © American Association of Suicidology The above article, published online on 30 September 2019 in Wiley Online Library ( wileyonlinelibrary.com ), has been retracted by agreement between the authors, the journal Editor in Chief, Thomas Joiner, PhD, and John Wiley and Sons Ltd. The retraction has been agreed due to errors in variable calculation and a post-publication reviewer's concerns that some analyses did not accurately test the theoretical model. An updated version of this article will soon undergo review for publication at Suicide and Life-Threatening Behavior, and if accepted for publication, will be accompanied by an editorial from the Editor-in-Chief.     

Analysis of Effect for Single-Case Design Research

Single-case design (SCD) research is an experimental approach for analysis of an effect between an independent variable and dependent variable. Traditionally, analysis of effect for SCD has relied on visual analysis, an approach whereby a trained observer analyzes a visual display of the data. Recent advances in statistical approaches have been forwarded for SCD research in the literature to assist in the interpretation of intervention effects. This review outlines the logic of SCD and describes the varied approaches for the analysis of effect in SCD research.     

The Influence of Function,Topography, and Setting on Noncontingent Reinforcement Effect Sizes for Reduction in Problem Behavior: A Meta-analysis of Single-Case Experimental Design Data

Richman et al. (J Appl Behav Anal 48:131–152, 2015) completed a meta-analytic analysis of single-case experimental design data on noncontingent reinforcement (NCR) for the treatment of problem behavior exhibited by individuals with developmental disabilities. Results showed that (1) NCR produced very large effect sizes for reduction in problem behavior, (2) NCR implemented with the functional reinforcer resulted in a slightly larger effect size compared to NCR using nonfunctional reinforcers, and (3) schedule thinning for the delivery of reinforcers typically produced temporary and modest increases in levels of problem behavior. The purpose of the current study was to conduct follow-up analyses to determine whether treatment implementation setting, topography, or the function of problem behavior influenced the treatment effect size for problem behavior exhibited by individuals with developmental disabilities. Follow-up analyses showed that NCR effect sizes were very similar across inpatient and outpatient settings and across aggression and property destruction versus self-injurious behaviors. Results showed that NCR effect size for treatment of problem behavior maintained by a form of social reinforcement was slightly greater than problem behavior maintained by automatic reinforcement. Results are discussed in terms of applying NCR in school settings as an initial treatment for problem behaviors that can interfere with academic, adaptive, and vocational skill acquisition for students with developmental disabilities.     

Meta-Analysis of Single-Case Design Research: Introduction to the Special Issue

Single-case design (SCD) research focuses on finding powerful effects, but the influence of this methodology on the evidence-based practice (EBP) movement is questionable. Meta-analytic procedures may help facilitate the role of SCD research in the EBP movement, but meta-analyses of SCDs are controversial. The current article provides an introduction to the special issue on meta-analyses of SCD research by discussing concerns regarding the internal and external validity of these designs. Specific considerations for increasing the validity of SCD meta-analyses are provided, as are brief overviews of the articles included in the special issue.     

The Unconscious: A Conceptual Study

Books reviewed:
Alasdair MacIntyre, The Unconscious: A Conceptual Study , Revised Edition (London and New York: Routledge, 1958, 2004). 119 pages + index. ISBN 0-415-33304-0 Reviewed by Louis A. Ruprecht, Jr., Claremont School of Theology Claremont School of Theology 1325 North College Ave Claremont California 91711 lruprecht@cst.edu     

Appetitive and Aversive Reinforcement Schedule Effects on Behavior: A Systematic Replication

Three male volunteers lived for six successive days within a laboratory environment programmed for continuous residence. During days when subjects' work on a multiple task performance battery had the effect of preventing reductions in accumulated group earnings, all subjects complained, one subject stopped working, and another subject's productivity declined. When identical work had the effect of incrementing group earnings, such byproducts of aversive control were absent. These results extend the generality of previous analyses of reinforcement schedule effects on behavior and thereby demonstrate their reliability. The reactions of the subjects to the aversive reinforcement schedule were similar to the reactions of the crew manning the last Skylab mission.     

The Theory of Planned Behavior: A Conceptual Framework to View the Career Development of Women

This study explores the role played by self-efficacy in predicting employees' intentions to apply for promotion, and also to confirm its importance as a third independent determinant of intention within the theory of planned behavior. To this end, questionnaires were administered to 108 employees of an organization operating in the north of Ireland. Regression analyses not only provided strong support for the addition of self-efficacy to the variables contained within Ajzen & Fishbein's (1980) framework, but also highlighted its importance in the context of women. Indeed, for women, it helped to explain some 77% of the variance and produced the strongest relationship with the intention variable. For men, however, only 54% of the variance was explained, and some importance was also attributed to the normative component of the model.     

The Analysis of Single-Case Research Data: Current Instructional Practices

Visual analysis is the predominant method of analysis in single-case research (SCR). However, most research suggests that agreement between visual analysts is poor, which may be due to a lack of clear guidelines and criteria for visual analysis, as well as variability in how individuals are trained. We developed a survey containing questions about the content and methods used to teach visual and statistical analysis of SCR data in verified course sequences (VCS) and distributed it via the VCS Coordinator Listserv. Thirty-seven instructors completed the survey. Results suggest that there is variability across instructors in some fundamental aspects of data analysis (e.g., number of effects required for a functional relation) but a great deal of consistency in others (e.g., emphasizing visual over statistical analysis). We discuss our results along with their implications both for teaching students to analyze SCR data and for conducting additional research on behavior-analytic training programs.

     

Motivational Text Message Intervention for Eating Disorders: A Single-Case Alternating Treatment Design Using Ecological Momentary Assessment

ObjectiveThis study tested a motivational text message treatment adjunct for individuals with eating disorders (EDs) who exhibited high dietary restraint/restriction. Method: A replicated single-case alternating treatment design was used to examine (a) the feasibility of combining a brief motivational interview with subsequent text messages and (b) the influence of the text messages on eating behaviors and motivation to change in individuals with EDs (N = 12). The protocol was 8 weeks and the text messages were adjunctive to cognitive-behavioral therapy. Results: The intervention was well accepted (mean rating = 7/10) and feasible within the context of monetary compensation (mean daily monitoring compliance = 91%). Text messages did not impact behavioral outcomes: dietary restraint and kilocalorie intake. They had mixed effects on motivation to change dietary restraint, measured by the Readiness and Motivation Questionnaire (RMQ). When receiving text messages, RMQ precontemplation scores (desire to restrict) significantly increased, indicating decreased motivation; however, action scores (effort toward reducing dietary restraint) significantly increased, indicating increased motivation. These effects were moderated by weight status. Underweight individuals (n = 4; body mass index [BMI] < 19.0) reported increased ambivalence—that is, an increased desire to restrict and increased action toward reducing restriction—in response to the text messages. Normal weight participants (n = 8; BMI > 19.0) reported only increased action toward reducing restriction in response to the text messages. Discussion: These data demonstrate text messages are a potentially feasible and acceptable treatment adjunct and may be effective at increasing motivation to change for normal weight individuals, while their influence on underweight patients is more complex. These findings provide a foundation for future research in technology-based motivational interventions for EDs and offer preliminary evidence for using these methods among normal weight individuals.     

Augmenting Diaphragmatic Breathing With Behavioral Exposure: Single-Case Experimental Design for Rumination Disorder

ObjectiveRumination disorder (RD) is a feeding/eating disorder and disorder of gut-brain interaction characterized by repeated, effortless regurgitations. Diaphragmatic breathing is the most widely used treatment technique for RD, theoretically as a competing response to the habitual contraction of the abdominal wall. However, in light of diaphragmatic breathing’s lack of effectiveness for some patients, we created a comprehensive treatment to test the incremental effect of behavioral exposure on symptom change.MethodIn a single-case experimental design, we present the treatment of a 27-year-old patient with a 9-year history of untreated RD. The patient completed a comprehensive six-session cognitive-behavioral treatment for RD, comprising a 1-week phase of self-monitoring regurgitations + psychoeducation (Phase A), a 6-week phase of diaphragmatic breathing (+ identification of secondary maintenance mechanisms) (Phase B), and a 3-week phase of diaphragmatic breathing + behavioral exposure (Phase C). We compared change in daily symptom data between Phases B and C, and also report 20-month follow-up data.ResultsThe patient’s daily regurgitation frequency did not change during Phase B (diaphragmatic breathing alone), even with the elimination of foods that had become associated with regurgitations. However, she achieved a significant reduction in regurgitations during Phase C, with symptom remission extending to 20-month follow-up. Phase C included purposefully breaking learned associations with food stimuli using behavioral exposure.ConclusionsOur data suggest that when diaphragmatic breathing alone is not effective in reducing symptoms, further cognitive and behavioral techniques like behavioral exposure can augment the effect of diaphragmatic breathing on symptom reduction.     

The Double-Rating Method: A Replication and Extension

The purpose of this study was to replicate and extend Hui's (2001 ) findings of effectiveness of the double-rating method. To address a statistical analysis concern in Hui's original study, this study employed 2 measures of social desirability: the Marlowe–Crowne Social Desirability Scale (MCSDS; Crowne & Marlowe, 1964 ) and the Balanced Inventory of Desirable Responding (BIDR; Paulhus, 1984, 1988 ). For both scales, participants in the single-rating method condition had higher social desirability scores than did those in the double-rating method. There were also positive correlations between socially desirable responses for others and socially desirable responses for self. However, only for the BIDR did participants respond for themselves in the manner that they believed fellow students would respond.