Effects of Varying Levels of Treatment Integrity on Toddler Aggressive Behavior

Abstract

Effects of different levels of treatment integrity for a time-out intervention in relation to the aggressive behavior of an 18-month-old were investigated. The time-out intervention was composed of four steps and treatment integrity was systematically varied at 50%, 25%, 75%, and 100%. The results suggest that the 75% and 100% treatment integrity conditions were most effective for decreasing aggressive behavior. Further, there were only minor differences in aggressive behavior between the 25% and 50% treatment integrity conditions. Discussion focuses on the need for assessing optimal and minimum levels of treatment integrity for producing behavior change and the implications for classroom-based interventions.     

Behavioral skills training in scent detection research: Interactions between trainer and animal behavior

Animal trainers working in scent detection programs are responsible for arranging training contingencies as well as for observing and recording animal behavior. We provided behavioral skills training (BST) to animal trainers working with scent detection rats to improve the treatment integrity of scent‐detection research sessions. We evaluated the trainers' behavior at baseline and during the sequential introduction of each component of BST (instructions, modeling, and feedback). We observed incremental improvements in treatment integrity with the introduction of each BST component. Posttraining probes revealed that these improvements were sustained at least 3 weeks post‐BST. As the trainers' behavior was modified during BST, we observed decrements in measures of rat performance. We discuss the nature of these interactions and their implications for the use of BST in scent detection research and in situations in which intervention with one party produces concomitant effects on the behavior of another.     

Efficacy of teacher-implemented good behavior game despite low treatment integrity

The Good Behavior Game (GBG) is a well-documented group contingency designed to reduce disruptive behavior in classroom settings. However, few studies have evaluated the GBG with students who engage in severe problem behavior in alternative schools, and there are few demonstrations of training teachers in those settings to implement the GBG. In the current study, 3 teachers were trained to implement the GBG in a restrictive setting for students with histories of emotional and behavioral disorders and delinquency. The teachers used the GBG to produce substantial reductions in problem behavior despite low treatment integrity. Clinical implications and future directions for research are discussed.     

EFFECTS OF TREATMENT INTEGRITY FAILURES DURING DIFFERENTIAL REINFORCEMENT OF ALTERNATIVE BEHAVIOR: A TRANSLATIONAL MODEL

Differential reinforcement of alternative behavior (DRA) is used frequently as a treatment for problem behavior. Previous studies on treatment integrity failures during DRA suggest that the intervention is robust, but research has not yet investigated the effects of different types of integrity failures. We examined the effects of two types of integrity failures on DRA, starting with a human operant procedure and extending the results to children with disabilities in a school setting. Human operant results (Experiment 1) showed that conditions involving reinforcement for problem behavior were more detrimental than failing to reinforce appropriate behavior alone, and that condition order affected the results. Experiments 2 and 3 replicated the effects of combined errors and sequence effects during actual treatment implementation.     

Effects of treatment‐integrity failures on a response‐cost procedure

Effects of incorrect or partial implementation (poor treatment integrity) on response cost are largely unknown. We evaluated reduced treatment integrity during response cost on rates of 2 concurrently available responses. College students earned points by clicking on either a black circle or a red circle on a computer screen. Experiment 1 compared 2 types of treatment‐integrity failures (omission and commission errors) across 2 levels of integrity (20% and 50%). Compared to 100% integrity conditions, omission errors did not suppress responding to the same extent, and commission errors reduced target responding but also decreased rates of alternative behavior. Experiment 2 compared the effects of 20% and 50% omission errors within subjects. Implementation at 50% integrity adequately suppressed responding, but treatment effects were lost at 20% integrity. There may be a critical level at which response cost must be implemented to suppress responding, which has important implications for application.     

IMPROVING INTERVENTION INTEGRITY OF DIRECT‐SERVICE PRACTITIONERS THROUGH PERFORMANCE FEEDBACK AND PROBLEM SOLVING CONSULTATION

The purpose of this study was to improve intervention integrity of behavior support plan implementation by teachers at a specialized school. During the first phase of a multiple baseline design, performance feedback was given to the teachers during (correction) and immediately following (praise) classroom observations. In a second phase, the teachers received problem solving consultation that addressed behavior support plan misapplication and respective procedural modifications. Only one of the three teachers demonstrated improved intervention integrity with performance feedback, whereas problem solving consultation produced uniform improvement. We discuss these findings and implications for intervention integrity assessment and research. Copyright © 2014 John Wiley & Sons, Ltd.     

Does Treatment Integrity Matter? A Preliminary Investigation of Instructional Implementation and Mathematics Performance

This study examined the impact of three levels of treatment integrity on students' responding on mathematics tasks. Instruction was provided separately for addition and subtraction to six second-grade students who were referred due to poor performance with these operations. The treatment consisted of a computer delivered delayed prompt to use a counting strategy to solve problems, accuracy feedback, and intermittent presentation of animated praise sequences. Instruction was presented via computerized instruction to assure precise delivery of the varying levels of treatment integrity. The study examined the delivery of prompts for all, two-thirds, and one-third of instructional trials. Continuous delivery of instructional prompts was the most effective treatment or one of the most effective treatments for all participants. Lesser levels of prompt implementation were associated with poorer outcomes for the majority of the students. The implications of these findings for continuing research regarding the impact of reduced treatment integrity on student outcomes are discussed.     

Situational influences on destructive acts

Social psychological approaches to destructive behavior have stressed the importance of environmental factors, but, the range of potentially important life events has not been identified. Using a personality-based model of destructiveness, a pool of relevant biodata items were generated. A sample of 285 college students completed the situational-based biodata measure, the CPI, and two standardized integrity screening measures. A factor analysis of the biodata items resulted in seven factors: alienation, nonsupportive family, negative adult models, life stressors, competitive pressures, negative peer group and financial need. In a series of blocked regressions the situational scales produced significant increases in prediction over the personality variables on the measures of integrity, socialization and delinquency. The implications of these findings for selection and research are discussed. This research was supported by a grant from the U.S. Office of Naval Research (Contract No. 00014-0339, Michael D. Mumford and Theodore L. Gessner, Principal Investigators.     

Discrete‐trial training performance of behavior interventionists with autism spectrum disorder: A systematic replication and extension

Further research is needed on strategies to improve employment outcomes for individuals with autism spectrum disorder (ASD). We replicated and extended prior research by examining the acquisition, maintenance, and generalization of discrete‐trial training (DTT) performance of adults with ASD who were interested in careers as behavior technicians. Three participants received training on how to implement DTT with children and we assessed the maintenance and generalization of DTT performance in the absence of feedback. Results indicated that procedural integrity generalized across children and targets and maintained for 6 to 17 session days without feedback. Results have implications for the successful employment of individuals with ASD as behavior technicians and for future research on strategies to enhance their performance on the job.     

When do errors in reinforcer delivery affect learning? A parametric analysis of treatment integrity

Treatment integrity is the extent to which components of an intervention are implemented as intended (Gresham, 1989). Recent behavior-analytic literature has begun to evaluate the effects of reduced-treatment integrity on the efficacy and efficiency of skill-acquisition interventions. This study extended the current literature on the effects of errors of omission and commission of reinforcer delivery by replicating and extending Hirst and DiGennaro Reed (2015). Using a randomized-control group design, we compared undergraduate student participants' acquisition of conditional discriminations in a parametric analysis of different error values. A computer program erred in reinforcer delivery on 0%, 5%, 10%, 15%, 20%, 25% and 50% of trials. The purpose of the current study was to identify which levels of reduced integrity slowed or prevented acquisition. Our data replicated the findings of Hirst and DiGennaro Reed, and extended parametric analyses by identifying that errors in reinforcer delivery occurring on 15% or fewer trials (i.e., 85% integrity) were unlikely to prevent participants' responding from meeting the mastery criterion. These results could inform future research on how treatment-integrity errors change behavior-analytic procedures and the effects on skill acquisition for consumers of applied behavior analysis.     

Translating multiple assessment techniques into an intervention selection model for classrooms

Translating current research to school-based clinical practice highlights issues not often encountered in laboratory settings. With the assistance of a consultant, teachers conducted functional analyses, brief multielement treatment comparisons, and controlled treatment evaluations under naturalistic conditions in the classroom. Teachers also provided input on treatment selection. Treatment integrity data collected throughout the study suggested that teachers implemented analyses and treatments with high integrity. The functional analysis outcomes combined with effectiveness and acceptability data led to the selection of interventions that reduced problem behavior in the classrooms for each of 3 children.     

How research in behavioral pharmacology informs behavioral science

Behavioral pharmacology is a maturing science that has made significant contributions to the study of drug effects on behavior, especially in the domain of drug-behavior interactions. Less appreciated is that research in behavioral pharmacology can have, and has had, implications for the experimental analysis of behavior, especially its conceptualizations and theory. In this article, I outline three general strategies in behavioral pharmacology research that have been employed to increase understanding of behavioral processes. Examples are provided of the general characteristics of the strategies and of implications of previous research for behavior theory. Behavior analysis will advance as its theories are challenged.     

TREATMENT INTEGRITY IN APPLIED BEHAVIOR ANALYSIS WITH CHILDREN

Functional analysis of behavior depends upon accurate measurement of both independent and dependent variables. Quantifiable and controllable operations that demonstrate these functional relationships are necessary for a science of human behavior. Failure to implement independent variables with integrity threatens the internal and external validity of experiments. A review of all applied behavior analysis studies with children as subjects that have been published in the Journal of Applied Behavior Analysis between 1980 and 1990 found that approximately 16% of these studies measured the accuracy of independent variable implementation. Two thirds of these studies did not operationally define the components of the independent variable. Specific recommendations for improving the accuracy of independent variable implementation and for defining independent variables are discussed.     

Using performance feedback to improve treatment integrity of classwide behavior plans: an investigation of observer reactivity

The current study replicated the positive effects of performance feedback on treatment integrity and extended previous work by examining reactivity using a multiple baseline design with alternating treatments for observer-present and observer-absent conditions on teachers' implementation of a classwide behavior plan. No differences were found between conditions, and treatment integrity improved across all teachers, suggesting that performance feedback, rather than observer reactivity, was responsible for reported behavior changes.     

On the status of knowledge for using punishment implications for treating behavior disorders

In this paper, we review basic and applied findings on punishment and discuss the importance of conducting further research in this area. The characteristics of responding during punishment and numerous factors that interact with basic processes are delineated in conjunction with implications for the treatment of behavior disorders in clinical populations. We conclude that further understanding of punishment processes is needed to develop a highly systematic, effective technology of behavior change, including strategies for improving the efficacy of less intrusive procedures and for successfully fading treatment.     

Assessing the Effectiveness of Integrity Tests: A Review

Integrity tests, and other methods of assessing "honesty," are widely used in pre-employment screening, as most employers want to minimize dishonest and counterproductive behavior among their employees. This review applies a structured framework to the research literature to assess the general effectiveness of integrity tests. The framework employed evaluates integrity tests in terms of their scope, accuracy (reliability), relevance (validity), fairness, acceptability, and practicality. Such a framework based on these six aspects allows for an objective and systematic analysis of the qualities of integrity tests, as well as a structure for the evaluation of other methods of assessing honesty and integrity. For both narrow, overt measures of integrity and broader personality-based measures, research has shown favorable evidence of reliability, validity, fairness, and practicality. Even though in terms of acceptability research has indicated that integrity tests are viewed neither positively nor negatively, there is still considerable debate surrounding the issues of false positive rates and labeling. Comparisons with other methods of assessing honesty and integrity are also reviewed.     

睡眠质量对冒险行为影响的证据及解析

睡眠质量影响个体冒险行为已得到许多研究的验证和支持。睡眠缺失既影响大脑前额叶功能的完整性, 也影响杏仁核、纹状体等脑区的激活, 从而降低了个体对危险的知觉和对损失的敏感, 导致冒险意愿和冒险行为增加。已往相关研究多以成人群体为研究对象, 且忽略了个体特质与所处社会环境在睡眠质量与冒险行为关系中的交互影响。由于青少年期睡眠不足和高冒险行为普遍存在, 未来研究应对青少年睡眠质量与冒险行为的关系及其中的影响作用机制, 尤其是神经机制给予更多关注。     

Current Perspectives on Interventions for Self-Injurious Behavior of Children with Autism Spectrum Disorder: A Systematic Review of the Literature

Our purpose in this systematic review was to identify, evaluate, and summarize the single-case research design studies examining behavioral interventions to address self-injurious behavior for young children with autism spectrum disorder. We identified 24 studies published between 2000 and 2016 that met the inclusion criteria. We reviewed and coded each study across five content areas using systematic procedures. These content areas consisted of the methodological quality of single-case research designs, children’s demographic information, conditions under which the intervention was implemented, characteristics of intervention, and outcomes. Our findings indicate that procedural integrity data were reported for only one study and social validity for two studies. The majority of studies were implemented by researchers or therapists in the school setting. For 24 of 30 children included in the studies reviewed, the authors taught a replacement behavior selected on the basis of an assessment conducted prior to intervention. All authors reported a decrease in the self-injurious behavior post-intervention. A limited number of authors examined generalization and maintenance of low rates of self-injurious behavior. Limitations of the present review and future directions and implications for research and practice are discussed.