IN-HOME GENERALIZATION OF SOCIAL INTERACTIONS IN FAMILIES OF ADOLESCENTS WITH BEHAVIOR PROBLEMS

The effects of a three-phase family communication program were evaluated. In the skill-teaching phase, family members were taught reciprocal social communication skills in a clinic setting. During the skill-review phase, each family member practiced the skills in their homes with the teacher. During the home-based family conference phase, each family was taught to use a structured format to resolve current family issues using their newly acquired skills. In-home parent-youth interactions were observed during a series of 1-hr sessions that involved directed and nondirected situations. Evaluation included a multiple baseline design across skills during the skill-teaching phase and a multiple baseline design across families for the family conference phase. Although the procedures of the skill-teaching phase resulted in parent-adolescent dyads learning to use the skills in the teaching setting, competent use of the skills in the home was not observed until the family conference phase was implemented. These results suggest the importance of home-based intervention if changes are to be obtained at home.     

THE EFFECT OF FEEDBACK ON THE ACCURACY OF CHECKLIST COMPLETION DURING INSTRUMENT FLIGHT TRAINING

This study examined whether pilots completed airplane checklists more accurately when they receive postflight graphic and verbal feedback. Participants were 8 college students who are pilots with an instrument rating. The task consisted of flying a designated flight pattern using a personal computer aviation training device (PCATD). The dependent variables were the number of checklist items completed correctly. A multiple baseline design across pairs of participants with withdrawal of treatment was employed in this study. During baseline, participants were given postflight technical feedback. During intervention, participants were given postflight graphic feedback on checklist use and praise for improvements along with technical feedback. The intervention produced near perfect checklist performance, which was maintained following a return to the baseline conditions.     

Single Session Psychology Clinic for Parents of Children with Autism Spectrum Disorder: A Feasibility Study

Children are being diagnosed with autism spectrum disorder at much higher rates than in the past, with the increasing rates arising primarily from the broadened diagnostic criteria and increased public and professional awareness of the disorder. In turn, this has resulted in increased demands for psychological services, which many service providers struggle to meet. Single session clinics are an innovative form of intervention which can facilitate quick access to psychological services, without the burden of lengthy waiting times. This feasibility study examined the nature of presenting problems, attendance rates and parental satisfaction with a single session clinic for parents of children with autism spectrum disorder. The service offers short one-to-one consultation with a psychologist and sessions can be booked up to one month in advance. The single session clinic was developed to provide individual intervention to families within the constraints of an overwhelmed service. Good attendance rates and relatively high satisfaction suggest the single-session consultation for parents of children with autism spectrum disorder is an acceptable form of service. Limitations include the a need for more detailed evaluation of the impact of the sessions on both parental anxiety and child outcomes, and to identify more clearly who may benefit most from this model.     

Infant sign training and functional analysis

We taught manual signs to typically developing infants using a reversal design and caregiver-nominated stimuli. We delivered the stimuli on a time-based schedule during baseline. During the intervention, we used progressive prompting and reinforcement, described by Thompson et al. (2004, 2007), to establish mands. Following sign training, we conducted functional analyses and verified that the signs functioned as mands. These results provide preliminary validation for the verbal behavior functional analysis methodology and further evidence of the functional independence of verbal operants.     

Increasing Positive Health Behaviors in Adolescents with Nutritional Goals and Exercise

Research has documented that low-income urban youth are at risk for obesity and related health problems. Our goal was to develop a brief, developmentally informed intervention to increase positive health behaviors (e.g., diet and exercise) among low-income, minority adolescents. Our study was designed to examine the feasibility and potential impact of our single session intervention that was delivered in a primary care setting. The participants were 100 adolescents from an urban adolescent medicine clinic who were randomly assigned to one of two conditions: a) a 3–5?min goal-only session or b) a 15–20?min motivationally enhanced intervention. Health behaviors and individual characteristics (i.e., autonomous motivation, self-efficacy) were assessed at baseline and re-assessed at follow-up 1 month later with 53?% of the youth completing the follow-up assessment. Those in the enhanced intervention group were more likely to participate in the follow-up as were those who reported higher baseline motivation and self-efficacy. Both groups reported statistically significant health behavior improvements over time and older adolescents reported more improvements. The two conditions did not significantly differ in reported health improvements. Self-efficacy predicted improvements in self-reported fruit and vegetable intake at follow-up. Results support that a brief “chat” with adolescents about their personal goals and values appears to have the potential to increase their positive health behaviors and appears to be useful as a preparatory intervention for weight management efforts for urban teens. The study demonstrates the feasibility and potential efficacy of implementing this 20?min intervention into primary care settings, thereby helping urban youth focus on their individualized goals, values, and motivations for health.     

RESPONSE INTERRUPTION AND DRL FOR THE REDUCTION OF RAPID EATING

We assessed the efficacy of several procedures for reducing the rate of eating responses during mealtime by three institutionalized mentally retarded clients. A time-based (15 s) response interruption procedure was implemented which resulted in little change in eating responses for 2 of 3 subjects. A spaced-responding DRL 15-s procedure resulted in decreases in eating responses to target levels only after a prompting procedure was added. Procedures were evaluated using a multiple baseline across subjects design with assessment of generalization to nontreated meals. A change in eating behavior during breakfast occurred only after direct training in the breakfast setting. Maintenance data were collected at 1- and 5-month follow-up periods.     

Hazard function effects on promoting self-control in variable interval time-based interventions in rats

The present experiments investigated properties of time-based interventions used to increase self-control. Rats received impulsive-choice assessments before and after interventions that consisted of different distributions of delays to reinforcement. In Experiment 1, rats received an intervention with an increasing hazard function where delays were more evenly distributed, a decreasing hazard function where delays were mostly short, or a constant hazard function where delays were exponentially distributed. Surprisingly, rats that received the decreasing hazard function made the most self-controlled choices. Response rates during intervention trials showed that rats anticipated reinforcement based on the shape of the distributions they received. In Experiment 2, rats received an intervention with a decreasing hazard function with a steep slope or a shallow slope. Both time-based interventions increased self-control and produced similar response-rate patterns, indicating that the slope of the decreasing hazard function may not play a strong role in intervention efficacy. While this research aligns with previous literature showing that time-based interventions improved self-control, exposure to short delays produced the biggest improvements. Ultimately, exposure to short delays may increase the subjective value of the larger–later choice while occasional long delays may promote the ability to wait, which may have important implications for translational applications.     

EFFECT OF SUPPORTED EMPLOYMENT ON THE VOCATIONAL OUTCOMES OF PERSONS WITH TRAUMATIC BRAIN INJURY

This paper reports the job placement of 5 males with severe traumatic brain injury. An individual placement model of supported employment was used. All individuals were placed in competitive employment and received staggered intervention over time by trained employment specialists. A multiple baseline design across persons was used to evaluate results. All individuals had been unable to work consistently or at all in competitive work environments. The range of wages was $4.25 to $5.00 per hour with an average of 339 hours of employment specialist intervention time required per case. The major problems experienced by employment specialists were insubordinate and disruptive behaviors as well as other inappropriate social behaviors displayed at the job site.     

Time-based and event-based prospective memory across adulthood: underlying mechanisms and differential costs on the ongoing task

The authors investigated the phenomenon that performance in an ongoing task declines when individuals must carry out a prospective memory (PM) task. This effect is referred to as the PM interference effect. The authors examined whether the PM interference effect differs between event-based and time-based PM tasks and whether it is increased among the elderly. The authors also investigated adult age differences in PM performance and the potential underlying mechanisms of the age deficits in PM. They found that the PM interference effect was greater in event-based than in time-based tasks. However, aging was not associated with an increase in PM interference effects. Age differences in PM performance were more exaggerated in time-based than event-based PM, but they were not mediated by age differences in traditional cognitive ability measures. In time-based PM, age showed a unique adverse effect even after controlling for the ability to externally monitor the time, leading to the possibility that aging disrupts time-based PM because of deficits in internally processing the time.     

Home-Based Preventive Parenting Intervention for at-Risk Infants and Their Families: An Open Trial

The purpose of this study was to examine the feasibility, acceptability, and initial outcome of a home-based adaptation of Parent-Child Interaction Therapy for at-risk infants with externalizing behavior problems. Seven 12- to 15-month-old infants and their families were recruited at a large pediatric primary care clinic to participate in a home-based parenting intervention to prevent subsequent externalizing behavior problems. Home-based assessments were conducted at baseline, postintervention, and a 4- to 6-month follow-up. Six of the 7 (86%) families completed the intervention, and all completers reported high satisfaction with the intervention. All of the mothers demonstrated significant improvements and statistically reliable changes in their interactions with their infant, and most reported clinically significant and statistically reliable changes in infant behavior problems. The current study provides preliminary support for the use of this brief, home-based parenting intervention in addressing behavior problems as early as possible to improve access to an intervention for at-risk infants and their families. Successes and challenges with the development and implementation of this intervention are discussed along with directions for future research and clinical practice.     

The Duration and Intensity of the Exposure Light as Factors in Determining the Course of the Subsequent Dark-Adaptation: I. the Matching Method

The authors investigated the phenomenon that performance in an ongoing task declines when individuals must carry out a prospective memory (PM) task. This effect is referred to as the PM interference effect. The authors examined whether the PM interference effect differs between event-based and time-based PM tasks and whether it is increased among the elderly. The authors also investigated adult age differences in PM performance and the potential underlying mechanisms of the age deficits in PM. They found that the PM interference effect was greater in event-based than in time-based tasks. However, aging was not associated with an increase in PM interference effects. Age differences in PM performance were more exaggerated in time-based than event-based PM, but they were not mediated by age differences in traditional cognitive ability measures. In time-based PM, age showed a unique adverse effect even after controlling for the ability to externally monitor the time, leading to the possibility that aging disrupts time-based PM because of deficits in internally processing the time.     

BEHAVIORAL COMMUNITY INTERVENTION TO REDUCE THE RISK OF SKIN CANCER

Peer leader modeling, posted feedback, posted goals, and a commitment raffle were used at two swimming pools to increase behaviors associated with skin cancer prevention. During the intervention condition, pool lifeguards modeled the protective behaviors by wearing sunglasses, t-shirts, and hats, using zinc oxide and sunscreen, and staying in the shade. Children and adolescents (1 to 16 years old) increased their use of two or more protective behaviors from a baseline mean of 6.5% to 26.9% during the intervention. Adults (older than 16 years) increased their protective behaviors from a baseline mean of 22% to 37.95% during the intervention. The lifeguards increased their use of all the protective behaviors from a baseline mean of 16.7% to 63.5% during intervention. Ways to improve and expand this intervention are discussed.     

CONTINGENT REINFORCEMENT FOR BENZODIAZEPINE-FREE URINES: EVALUATION OF A DRUG ABUSE TREATMENT INTERVENTION

This study evaluated contingent reinforcement for benzodiazepine-free urines as a therapeutic intervention for promoting reduced use of supplemental benzodiazepine drugs among methadone maintenance outpatients. Ten methadone maintenance patients were selected for participation on the basis of positive urinalysis results. During a 12-week intervention period these patients were offered clinic privileges, including monetary payments or methadone take-home doses, contingent on benzodiazepine negative urinalysis test results. Eight of ten participants responded to the intervention with at least 2.5 weeks of consecutive clean urines. An increase in benzodiazepine-negative tests during the contingent reinforcement period was significant for the group as a whole. The results suggest that more widespread application of contingent reinforcement procedures may be warranted in drug abuse treatment clinics.     

时间信息在情景模型建构中的作用

考察时间信息在情景模型建构中的作用 ,探讨被试能否把一系列相关的事实整合进基于时间组织的情景模型中。实验一、二考察明确的空间信息条件下 ,被试能否把绝对和相对的时间信息整合到情景模型中 ;实验三考察无明确的空间信息条件下 ,被试能否把绝对的时间信息整合到情景模型中。运用扇效应研究的提取干扰技术评定是否出现了整合。 3个实验结果一致表明 ,当几个相关的事实发生在相同的时间段时 ,都发现被试建构了基于时间的情景模型的证据。实验三结果同时也表明 ,无明确的空间信息的条件下 ,阅读材料中时间信息本身足以使被试建构基于时间组织的情景模型。     

IMPROVING PEDIATRIC APPOINTMENT KEEPING WITH REMINDERS AND REDUCED RESPONSE REQUIREMENT

We evaluated the effectiveness of appointment reminders and a reduced response requirement for improving appointment keeping in a hospital ambulatory pediatric clinic. Participants received mailed and telephoned reminders along with a parking pass that reduced the time and effort required to attend the clinic. A multiple baseline analysis of 5,261 appointments over one fiscal year showed that the intervention increased the percentage of appointments kept and decreased the percentage of appointments broken in the continuity clinics of five pediatric health care providers. Social validation, consumer satisfaction, and cost-effectiveness measures, as well as an interrupted time-series analysis, all support the effectiveness of the intervention.     

Effects of training, prompting, and self-monitoring on staff behavior in a classroom for students with disabilities

This study extended the limited research on the utility of tactile prompts and examined the effects of a treatment package on implementation of a token economy by instructional assistants in a classroom for students with disabilities. During baseline, we measured how accurately the assistants implemented a classroom token economy based on the routine training they had received through the school system. Baseline was followed by brief in-service training, which resulted in no improvement of token-economy implementation for recently hired instructional assistants. A treatment package of prompting and self-monitoring with accuracy feedback was then introduced as a multiple baseline design across behaviors. The treatment package was successfully faded to a more manageable self-monitoring intervention. Results showed visually significant improvements for all participants during observation sessions.     

Comparing time-based and event-based prospective memory over short delays

The current study compared monitoring in time- and event-based prospective memory (PM). Time- and event-based non-focal task instructions were given after a baseline block of a lexical decision ongoing task. Delay between instruction and presentation of PM cue/time was manipulated between-subjects to examine monitoring across short delays (1–6?min). Longer delays decreased performance in the event-based task, but not in the time-based task. This accuracy decline was accompanied by a decline in monitoring (as measured by PM cost to the ongoing task in the trials immediately before the PM cue was presented) between the 1 and 3?min delays. Monitoring was only evident for the time-based task at the 6?min delay as measured by PM cost to the ongoing task. Clock checks were also not affected by delay, but did increase in frequency as the response time neared. These results suggest that delay from the time of intention formation decreases both accuracy and monitoring in event-based tasks, but does not decrease accuracy or monitoring in time-based tasks.     

INCREASING RECYCLING IN ACADEMIC BUILDINGS: A SYSTEMATIC REPLICATION

We placed recycling receptacles in two locations in academic buildings and studied recycling behavior within an ABA multiple baseline design. During baseline, recycling receptacles were placed in a central location. During the intervention, receptacles were moved into classrooms where beverages were primarily consumed. Baseline conditions were then reinstated. The percentage of cans recycled daily increased during intervention and returned to near-baseline levels during withdrawal. The percentage of cans discarded daily in the trash decreased during the intervention and increased to near-baseline levels during withdrawal. Implications of this study include making recycling more convenient in institutional settings.     

THE EFFECT OF THE AVAILABILITY OF A SIMILAR TOY ON COMPLIANCE WITH INSTRUCTIONS TO SURRENDER A TOY AMONG PRESCHOOL CHILDREN

We evaluated the effect of the availability of a similar toy on compliance with an instruction to surrender a toy among three preschool children. First, high‐preference and medium‐preference toys were identified for each participant. During the treatment evaluation, reversal designs were used to examine compliance with an instruction to surrender these toys when a toy similar to the target toy was added to the environment. The results indicated that, for two participants, the similar toy intervention increased compliance to moderate levels; a consequence‐based intervention was then added to the similar toy intervention and resulted in high levels of compliance. For the third participant, the similar toy intervention did not increase compliance. A separate consequence‐based intervention was necessary to increase compliance and to demonstrate experimental control. Copyright © 2011 John Wiley & Sons, Ltd.