Behavioral staff management: An analogue study of acceptability and its behavioral correlates

This study examined the acceptability of four behavioral staff management techniques: instruction/ modeling, reinforcement, punishment, and self-management. Staff working with developmentally handicapped clients were randomly assigned to these conditions, which were presented in role-plays with a handicapped confederate, while the experimenter directed the management techniques toward the reinforcing behaviors of staff. Dependent variables included number of reinforcers delivered by the staff person, number of problems attempted by the confederate, and ratings of acceptability from staff. Instruction/modeling was most acceptable, followed, in order, by self-management, reinforcement, and punishment. A significant interaction showed number of reinforcers to increase only for instruction/modeling and self-management conditions.     

AN INSTITUTIONAL STAFF TRAINING AND SELF-MANAGEMENT PROGRAM FOR DEVELOPING MULTIPLE SELF-CARE SKILLS IN SEVERELY/PROFOUNDLY RETARDED INDIVIDUALS

Although considerable attention has been given to the development of institutional staff training and management programs, the generalized effects of such programs on staff and resident behavior have seldom been examined. This study evaluated a program for teaching institutional staff behavioral training and self-management skills during self-care teaching sessions with severely and profoundly retarded residents. Following baseline observations in three self-care situations (toothbrushing, haircombing, handwashing), four direct care staff were sequentially taught to use verbal instruction, physical guidance, and contingent reinforcement in the toothbrushing program. During maintenance, staff were simultaneously taught to record, graph, and evaluate resident and their own behavior in the toothbrushing sessions. Staff were taught use of the training and self-management skills through a sequence of written instructions, videotaped and live modeling, rehearsal, and videotaped feedback. Observer presence and experimenter supervision were gradually decreased during the maintenance condition. Results indicated that during training and maintenance staff: (a) learned to use the training skills appropriately and consistently in the example situation (toothbrushing); (b) applied the skills in the generalization situations (haircombing and handwashing); and thereafter (c) maintained consistent and appropriate use of the skills with infrequent supervision. In addition, important changes in retarded residents' independent self-care responding occurred as staff training skills developed. Results are discussed in terms of their implication for future research and continued development of effective staff training and management programs.     

Case manager: A clinical tool for training residential treatment staff

Various behavioral approaches to institution staff training have appeared in the literature, with some showing that traditional didactic-type instruction or tangible extrinsic reinforcement is not always necessary for effective training. The system described here used principles of modeling and feedback to teach institution staff behavior management skills. In addition, staff were assigned special titles, i.e., “case manager.” Results indicate that this individualized system was associated with improvements in the target behaviors in question, and also increased the amount of time staff properly interacted with assigned residents. Implications are with regard to using this efficient approach as a clinical tool for training staff to be effective behavioral technicians.     

The Influence of Race and Income on Community Mothers’ Acceptance of Child Management Methods

The consideration of diverse family factors on parents’ acceptance of behavioral parent training (BPT) components aids in the development and delivery of culturally sensitive parenting programs. Perceptions of acceptability are particularly important to investigate among low-income and racial-minority families, as they are less likely to engage in nonadapted BPT programs. Therefore, the current study examines the synergistic effects of race and income on mothers’ acceptance of five common child management methods relevant to BPT. The relationship between mothers’ acceptability ratings and self-reported parenting practices was also explored. Participants were 106 White and Black mothers from different income levels who completed measures related to the acceptability of response cost, positive reinforcement, time-out, spanking, and medication. The results indicated that mothers from varying backgrounds differed in their acceptance of child management methods, particularly with regard to corporal punishment. Additionally, a relationship was found between parents’ acceptability ratings and their self-reported parenting behavior. The findings support the consideration of parents’ perceptions of child discipline methods when recommending and delivering BPT programs to diverse parents.     

EFFECTS OF SELF-MANAGEMENT TRAINING AND REINFORCEMENT ON THE TRANSFER OF IMPROVED CONDUCT IN THE ABSENCE OF SUPERVISION

The instruction, maintenance, and transfer of training of social skills of 3 seriously emotionally disturbed adolescents were accomplished by a self-management training and reinforcement package. During baseline sessions these students, who were covertly filmed in their classroom, averaged over 90% off-task or socially inappropriate behavior while their teacher was out of the room. They showed similar behaviors when walking between classes, unattended by their teacher. Treatment was introduced in the classroom and consisted of social skills and self-management training and reinforcement. Treatment procedures included instruction, modeling, and role playing of social skills, as well as self-assessment, self-recording, and self-reinforcement for correct approximations of these skills. After 5 weeks of training, all subjects demonstrated substantial improvements in the classroom during the teacher's absence and when distracted by other students; however, transfer of social skills did not occur to the between-class setting until students were given explicit instruction to initiate self-managing procedures in this setting.     

A step towards ending the isolation of behavior analysis: A common language with evolutionary science

In spite of repeated efforts to explain itself to a wider audience, behavior analysis remains a largely misunderstood and isolated discipline. In this article we argue that this situation is in part due to the terms we use in our technical discussions. In particular, reinforcement and punishment, with their vernacular associations of reward and retribution, are a source of much misunderstanding. Although contemporary thinking within behavior analysis holds that reinforcement and punishment are Darwinian processes whereby behavioral variants are selected and deselected by their consequences, the continued use of the terms reinforcement and punishment to account for behavioral evolution obscures this fact. To clarify and simplify matters, we propose replacing the terms reinforcement and punishment with selection and deselection, respectively. These changes would provide a terminological meeting point with other selectionist sciences, thereby increasing the likelihood that behavior analysis will contribute to Darwinian science.     

Discrimination learning of delinquent boys as a function of reinforcement contingency and delinquent subtype

Previous research has demonstrated the effectiveness of contingency management as a means of behavioral resocialization with delinquent boys on an individual basis. The present study was designed to examine and clarify systematically the reinforcement parameters that underlie the male delinquent's response to verbal and token reward and/or punishment. The principal findings of the study were: (1) Neurotic subjects performed at the highest level for punishment, at the lowest level for reward, and at an intermediate level for a combination of reward and punishment, regardless of verbal or token contingency modality. (2) Psychopathic subjects performed best for the joint verbal reward and punishment contingency, but they did not learn over trials for the joint token reward and punishment contingency. Their performance was undifferentiated at asymptote under the separate verbal and token reward or punishment contingencies. (3) Neurotic subjects performed at a significantly higher level than did psychopathic subjects for verbal and token punishment, while psychopathic subjects performed at a significantly higher level than neutric subjects for verbal and token reward.The authors wish to thank the staff and students of the Lookout Mountain School for Boys and the Golden Gate Youth Camp at Golden, Colorado, for their cooperation in this study. Special thanks are due to Mr. Loren Adlfinger, director, and Mr. George Taylor of the Lookout Mountain School for Boys, and to Mr. John P. McIlwee of the Golden Gate Youth Camp. The study was submitted in 1974 by the first author to the Graduate School of the University of Colorado in partial fulfillment of the requirements for the degree of doctor of philosophy in clinical psychology.     

BEHAVIORAL GERONTOLOGY: APPLICATION OF BEHAVIORAL METHODS TO THE PROBLEMS OF OLDER ADULTS

Elderly persons are under-represented in research and clinical applied behavior analysis, in spite of data suggesting that behavior problems are quite prevalent in both community dwelling and institutionalized elderly. Preliminary investigations suggest that behavioral procedures can be used effectively in treating various geriatric behavior problems. We discuss a number of areas within behavioral gerontology that would profit from additional research, including basic field study, self-management, community caregiver training, institutional staff training and management, and geriatric behavioral pharmacology. Special considerations for adapting behavioral procedures are discussed, and suggestions for expanding the role of behavior analysis in geriatric care are offered.     

The effect of self-recording and social reinforcement components of parent training programs

This investigation attempted to assess the effectiveness of two components of parent training programs: (1) the effect of a self-behavior management project prior to intervention with deviant child behaviors, and (2) that of social reinforcement from peers and the consultant. Four groups of parents were exposed to a basic training program and were measured on their success in an intervention program in the inappropriate behavior of their children (ages 7–9 years). Two groups of parents were requested to do a self-modification program prior to the intervention with deviant child behavior; two groups did a child intervention program without a self-management project. One group in the self-management and one group without self-management received verbal social reinforcement from peers and the consultant during interventions. Results obtained indicate that the parent group whose training involved a self-behavior management project prior to intervention with their child's inappropriate behavior and verbal social reinforcement achieved a significantly greater reduction of these behaviors when compared to the groups where either self-management of social reinforcement was used.     

Behavioral Self-Management with At-Risk Children

This paper presents an overview of the use of behavioral self-management techniques with students at-risk for academic or behavioral problems. The major components of self-management are reviewed (self-monitoring, self-evaluation, self-reinforcement, and self-instruction) with illustrations from the educational literature. The two major theoretical models of self-management (cognitive-behavioral and operant) are discussed, followed by suggestions for practitioners on how they may design and implement self-management programs for students identified as at-risk for special education placements. Self-management techniques may help to prevent at-risk students from being placed in restrictive special education placements.     

Self and external management compared with psychotherapy in the control of obesity

Seventy-four obese TOPS (Take Off Pounds Sensibly) members were assigned to one of five conditions: delayed treatment control, insight psychotherapy, self-management training plus external reinforcement, self-management training only, or external reinforcement only. The latter four groups met once per week for ten weeks and were seen at three and six months and followup. It was hypothesized that self-management plus external reinforcement would be superior to other conditions at both post-treatment and followup, and that this condition alone would produce continuing weight losses. Analysis of covariance on body weight, with pretreatment weight as covariate, indicated that self-management plus external reinforcement, self-management only, and external reinforcement only, did not differ in mean body weight at post-treatment. These three groups differed significantly from control and psychotherapy conditions, which did not differ from one another. Self-management plus external reinforcement produced better performance of techniques. At three and six month followup, differences between the four treatment conditions were no longer significant. Results are discussed in terms of evaluation of psychotherapy and behavior modification and durability of results.     

Evaluation of staff management strategies to increase positive interactions in a vocational setting

The purpose of this study was to determine the minimal components of a self-management program necessary to increase positive interactions among staff and clients working in a vocational setting. Three interventions were implemented, as needed, in an additive fashion including: Instruction and Goal Setting, Self-management, and Feedback. Instruction and Goal Setting did not increase staff positive interactions to a criterion level of 30% of intervals. However, during the self-management phase, all staff increased their positive interactions with clients, but two staff required feedback to maintain their positive interactions at the criterion level. Measures of generalization, compliance, and acceptability showed that increases in positive interactions occurred outside the assessment sessions; staff were consistently employing the procedures; and staff found all procedures to be acceptable.     

A Review of Self-Management Interventions Targeting Academic Outcomes for Students with Emotional and Behavioral Disorders

The purpose of this review was to report on the effectiveness and focus of academic self-management interventions for children and adolescents with emotional and behavioral disorders. Twenty-two studies published in 20 articles and involving 78 participants met inclusionary criteria. The overall mean effect size (ES) across those studies was 1.80 (range –0.46 to 3.00), indicating effects were generally large in magnitude and educationally meaningful. Self-monitoring interventions were the predominant type of self-management technique used by researchers. The mean ES for intervention types were self-evaluation (1.13), self-monitoring (1.90), strategy instruction techniques (1.75), self-instruction techniques (2.71), and multiple-component interventions (2.11). Interventions targeted improvement in math calculation skills more than any other area. The mean ES by academic area were math interventions (1.97), writing (1.13), reading (2.28), and social studies (2.66). There was evidence to support a claim of the generalization and maintenance of findings. Implications, limitations, and areas for future research are discussed.     

PEER TRAINING OF SAFETY-RELATED SKILLS TO INSTITUTIONAL STAFF: BENEFITS FOR TRAINERS AND TRAINEES

A peer training program, in which experienced staff trained new staff, was evaluated as a method for teaching and maintaining safety-related caregiver skills in an institutional setting for the developmentally disabled. Three sets of safety-type skills were assessed in simulated emergency situations: responding to facility fires, managing aggressive attacks by residents, and assisting residents during convulsive seizures. Using a multiple-baseline research design, results indicated that the peer training program was an effective method of training the three types of emergency skills to new direct care staff. The program also appeared effective in improving the skills of the peer trainers. Perhaps most importantly, results indicated that if experienced staff functioned as peer trainers for particular emergency skills, then their proficiency in those skills maintained over time whereas their proficiency declined in emergency skills for which they did not act as peer trainers. Social validity information collected from available staff 23 months after the program was completed supported the utility of the training in terms of staff responses during actual emergencies. Also, acceptability measures indicated that staff liked participating in the program. However, some inconsistencies between staff verbal reports and performance-based measures of acceptability were noted. Results are discussed regarding the overall effectiveness of the peer training program, the importance of maintenance strategies for safety-related skills, and the need for multidimensional analyses of staff acceptability in staff training/management research.     

Relationship between parental discipline and children's ability to cope with stress

A questionnaire was developed to assess the use of disciplinary methods by parents regarding their children's approach to fearful situations. The predictive validity of this tool was evaluated by correlational analyses with the assessment of fear (behavioral, subjective, and physiological) in their children during hospitalizations for surgery. The results confirmed the usefulness of the questionnaire. Parents who reported use of positive reinforcement, modeling, and persuasion as ways of encouraging the child to deal with fearful situations had children who were low in anxiety during the actual stressful life experience. The reported use of punishment, force, or reinforcement of dependency was correlated with higher anxiety. Differences in the use of these methods by mothers and fathers are reported. The reliability of the questionnaire and its relationship to social desirability and the sex of the child are discussed.     

Suppression of Chronic High Frequency Spitting in a Multiply Handicapped and Mentally Retarded Adolescent

Excessive drooling and spitting are maladaptive behaviors often encountered among severely developmentally delayed children. In the present study a blind, deaf and retarded adolescent exhibited an extremely high rate of spitting which had resisted numerous classroom intervention efforts by teachers using punishment techniques. His recalcitrant spitting was eliminated with a behavioral intervention consisting of positive reinforcement for not spitting and facial screening for spitting. Experimental control was demonstrated using a multiple baseline across situations and within subject reversal design. The treatment package successfully eliminated the child's chronic spitting. Teacher reports one year later indicated the results maintained across time and spitting was no longer a problem. Social and academic implications of modifying such behaviors are discussed.     

Consumers' and clients' pretreatment acceptability ratings of classroom group contingencies

Group contingencies are popular with teachers and have been demonstrated to be effective for managing children's classroom behavior. Children's views of the acceptability of such techniques, however, have not been assessed systematically and may have important consequences for long-term treatment effectiveness. In addition, little is known about psychologists' sense of the acceptability of such techniques. The present analog study investigated fifth graders', teachers', and school psychologists' assessment of the acceptability of three types of group contingencies (dependent, independent, and interdependent) that entail a consequence of positive reinforcement for appropriate behavior. Variables of treatment type, sex of rater, and the severity of a hypothetical classroom problem were examined to determine their influence on intervention acceptability scores on a child's and an adult's version of the Intervention Rating Profile. Fifth graders rated all three types of group contingencies mildly acceptable. Teachers and school psychologists rated the dependent form of the group contingency unacceptable, and the independent and interdependent forms acceptable.     

Behavioral contrast and generalization across settings in the treatment of autistic children

Previous research on the generalization of treatment gains across settings has typically focused on the question of whether generalization occurs or does not occur. However, the experimental literature suggests another possibility: that behavioral contrast may occur in extra-therapy settings if the reinforcement procedures in the therapy setting are highly discriminable from those in other settings. Therefore, this investigation was designed to systematically assess whether: (1) a highly discriminable treatment procedure in one setting would produce a behavioral contrast effect in other unmanipulated settings; and (2) such contrast-like trends could be eliminated if initially different reinforcement procedures in two settings were subsequently made similar. The results for the eight autistic children who participated in this investigation showed that: (1) When very different reinforcement procedures (primary rewards or punishment in therapy settings, and no rewards or punishment in extra-therapy settings) were in effect, the children showed contrast-like behavior changes in the untreated extra-therapy settings; and (2) such trends in responding could be eliminated, resulting in generalization of treatment gains, if the reinforcement procedures were subsequently made relatively similar in the two settings, even if the procedures consisted essentially of noncontingent reinforcement.     

Sex differences in reinforcement and punishment on prime-time television

Prime-time television programs were analyzed for frequencies of positive reinforcement and punishment exchanged among performers varying in age and sex. Results indicated that most responses were given by and directed to adult males. Moreover, while adult males exhibited and received similar frequencies of reinforcement and punishment, adult females were likely to give and to be the recipients of more reinforcement than punishment. Proportional analyses which controlled for sex differences in frequencies of responses revealed that females more often exhibited and received reinforcement, whereas males more often exhibited and received punishment. Results are interpreted from a social learning theory perspective and the implications for children's learning of positive and negative behaviors are explored.     

Assessment of Parental Acceptability and Preference for Behavioral Interventions for Childhood Problem Behavior in Saudi Arabia

Abstract

The present study assessed the treatment acceptability and preference for common behavior management strategies with parents of children with Autism Spectrum Disorder in Saudi Arabia. Specifically, parents were asked to evaluate medication, positive reinforcement, response cost, spanking, and timeout using a treatment acceptability measure. Results indicated that positive reinforcement had the highest average acceptability score, and that spanking had the lowest acceptability score. Treatment preference rankings corresponded to treatment acceptability ratings for all interventions assessed. Implications for working with diverse families and contexts are highlighted, and potential avenues for further research are described.