Further analysis of variables that affect self-control with aversive events

The purpose of this study was to examine variables that affect self-control in the context of academic task completion by elementary school children with autism. In the baseline assessment of Study 1, mathematics problem completion was shown to be an aversive event, and sensitivity to task magnitude, task difficulty, and delay to task completion were measured. The effects of manipulating values of those parameters on self-control then were assessed. For all participants, self-control increased as a function of one or more changes in task parameter values. In Study 2, the effects of a commitment response on self-control was assessed. Results indicated that for all participants, levels of self-control were higher when the opportunity to commit to the immediate aversive event was available.     

Group Cognitive Behavioral Treatment for Parents and Children At-Risk for Physical Abuse: An Initial Study

To compare the relative efficacy of two types of group cognitive-behavioral therapy for treating the traumatized child and at-risk or offending parent in cases of child physical abuse (CPA), 24 parents and their children were treated with Combined Parent-Child Cognitive Behavioral Therapy (CPC-CBT) and 20 parents were treated with Parent-Only CBT. Outcome measures assessing children's emotional and behavioral functioning and parents' parenting skills were administered to both parent and child participants before treatment, after 15 sessions of treatment, and 3 months after the completion of treatment. A series of correlated t tests and analyses of covariance were used to compare the scores on the outcome measures. The children and parents in the CPC-CBT group demonstrated greater improvements in total posttraumatic symptoms and positive parenting skills, respectively, compared to those who participated in the Parent-Only CBT group. The parents in the Parent-Only CBT group reported using less corporal punishment to manage their children's behavior at posttest than the parents in the CPC-CBT group. The differential benefits of including the child in treatment are discussed.     

Life skills instruction for children with developmental disabilities

The Preschool Life Skills program is an intervention package designed to teach functional skills to prevent problem behavior in typically developing children. The purpose of the current study was to evaluate the effects of the instructional package (renamed “Life Skills”) with children with developmental disabilities. The program involved teaching 12 life skills to nine participants across four instructional units. The units were instruction following, functional communication, tolerance of denial and delay, and friendship skills. Teachers provided instruction through a three-tiered instructional approach, starting with class-wide instruction followed by small group and one-to-one instruction as necessary. We extended previous research by using visual prompts during all three tiers and progressively increasing intertrial intervals during one-to-one instruction. Results indicated that the intervention led to skill acquisition with all nine participants. The skills maintained 4 weeks after instruction ended.     

The Care and Development of Children Living in Contexts of Poverty

Human development is determined by both genetic and environmental factors, especially during early childhood. Recently, research has indicated that the circumstances surrounding poverty can significantly influence children’s development. In this study, we aimed to measure the developmental level of children living in low-income, rural areas in northern Colombia. A total of 629 children (aged 0–5 years) were assessed using the Battelle Developmental Inventory. Results indicated that 17?% of the participants had a general developmental delay for their age group. This was especially true for scores on cognitive development (35.5?%) and communication (21.5?%). Moreover, the number of children with developmental delay increased at 6 months of age and continued to increase after 1 year in the communication and cognitive domains. The findings of this study suggest that impoverished social contexts—such as the one studied herein—offer opportunities that favor the development of the social domain, but restrict the development of the cognitive domain. Therefore, to promote cognitive development, individuals within children’s environment need to actively and intentionally stimulate them. Thus, there is a need for interventions that will improve environmental conditions; especially those that will help parents improve their caregiving practices and train educational staff to recognize and respond to the stimulation needs of children, especially those developmental domains that are affected by the environment.     

Testing the feasibility of a briefer school-based preventive intervention with aggressive children: A hybrid intervention with face-to-face and internet components

This study describes the results from a feasibility study of an innovative indicated prevention intervention with hybrid face-to-face and web-based components for preadolescent youth. This intervention includes a considerably briefer set of face-to-face sessions from the evidence-based Coping Power program and a carefully integrated internet component with practice and teaching activities and cartoon videos for children and for parents. The Coping Power – Internet Enhanced (CP-IE) program introduces a set of cognitive-behavioral skills in 12 small group sessions for children delivered during the school day and 7 group sessions for parents. Eight elementary schools were randomly assigned to CP-IE or to Control, and six children at each school were identified each year based on 4th grade teacher ratings of aggressive behavior. Path analyses of teacher-rated disruptive behavior outcomes for 91 fifth grade children, across two annual cohorts, indicated Control children had significantly greater increases in conduct problem behaviors across the 5th grade year than did CP-IE children. This much briefer version of Coping Power provided beneficial preventive effects on children's behavior in the school setting similar to the effects of the longer version of Coping Power. The website materials appeared to successfully engage children, and parents' use of the website predicted children's changes in conduct problems across the year.     

Does dose of early intervention matter for preschoolers with externalizing behavior problems? A pilot randomized trial comparing intensive summer programming to school consultation

The goals of this study were to (a) isolate the ideal length (i.e., 4 or 8 weeks) of the Summer Treatment Program for Kindergarteners (STP-PreK) for improving school readiness and kindergarten success outcomes of preschool children with externalizing behavior problems (EBPs) during the transition to kindergarten; and (b) compare the STP-PreK model to a more standard approach in school settings (i.e., behavioral school consultation). Forty-five preschool children (82% boys; Mage = 5.16 years; 93% Hispanic/Latino background) were randomized to one of three intervention conditions: 1) 8-week STP-PreK (8W); 2) 4-week STP-PreK (4W); or 3) school year behavioral consultation (SC). Both STP-PreK groups included an 8-week parent training component. Baseline, post-intervention, and 6-month follow-up data were collected on children's school readiness and kindergarten success outcomes including parent, teacher, and objective assessment measures. Analyses using linear mixed models indicated that children's behavioral, academic, social-emotional, and self-regulation functioning significantly improved across groups. Few significant differences were found between children receiving the 4W and 8W programs, suggesting that both programs have the potential to prepare preschool children with EBP for the transition to school. Both 4W and 8W groups experienced greater initial growth across time in most domains compared to children in the SC group. However, by the end of the kindergarten year, children in the SC group caught up to children in both 4W and 8W groups on most domains. Overall, these findings suggest that all three intervention doses are effective in improving kindergarten year functioning, with some important considerations for intervention timing in preparation for the transition to elementary school. Clinical implications for school personnel are discussed.     

Exposure-based cognitive behavior therapy for anxiety related to asthma: A feasibility study with multivariate baseline design

In the presence of asthma, the risk of having an anxiety disorder is increased twofold. The few trials conducted on cognitive behavior therapy (CBT) for anxiety and asthma have mainly targeted panic disorder, and with mixed results. Experimental laboratory research indicates that increased anxiety may lead to hypervigilance toward asthma. Hence, fear and avoidance associated with increased anxiety due to asthma may be an important treatment target. A treatment that learn participants to differentiate between anxiety and asthma through gradual exposure to situations that risk triggering anxiety for asthma may be a possible avenue. As a first step to investigate this issue further, we developed a 10-week exposure-based CBT protocol for anxiety related to asthma and tested it in six participants using multivariate baseline design with repeated assessments throughout treatment. All participants reported satisfaction with treatment, as well as subjective overall improvement after treatment. Visual analysis, using graphs over each individual's trajectory, as well as potential efficacy on group level analyzing standardized mean change, indicated improvements in important outcomes. We conclude that exposure-based CBT is feasible and may improve anxiety related to asthma. Further investigation under randomized controlled trial conditions is warranted.     

Using intraverbal training to increase symbolic play in children with autism spectrum disorder

We evaluated the effects of an intraverbal training procedure on the acquisition, maintenance, and generalization of object‐substitution symbolic play in three 6‐year‐old Korean boys with autism spectrum disorder. A multiple probe across four behaviors design was used. All children acquired target symbolic play behavior, and novel responses emerged in training and follow‐up conditions. Generalization of object substitutions to untaught objects occurred in all three children. Free play observations indicated that symbolic play emerged in one child, and functional play increased in all three children.     

Reinforcement schedule thinning following treatment with functional communication training

We evaluated four methods for increasing the practicality of functional communication training (FCT) by decreasing the frequency of reinforcement for alternative behavior. Three participants whose problem behaviors were maintained by positive reinforcement were treated successfully with FCT in which reinforcement for alternative behavior was initially delivered on fixed-ratio (FR) 1 schedules. One participant was then exposed to increasing delays to reinforcement under FR 1, a graduated fixed-interval (FI) schedule, and a graduated multiple-schedule arrangement in which signaled periods of reinforcement and extinction were alternated. Results showed that (a) increasing delays resulted in extinction of the alternative behavior, (b) the FI schedule produced undesirably high rates of the alternative behavior, and (c) the multiple schedule resulted in moderate and stable levels of the alternative behavior as the duration of the extinction component was increased. The other 2 participants were exposed to graduated mixed-schedule (unsignaled alternation between reinforcement and extinction components) and multiple-schedule (signaled alternation between reinforcement and extinction components) arrangements in which the durations of the reinforcement and extinction components were modified. Results obtained for these 2 participants indicated that the use of discriminative stimuli in the multiple schedule facilitated reinforcement schedule thinning. Upon completion of treatment, problem behavior remained low (or at zero), whereas alternative behavior was maintained as well as differentiated during a multiple-schedule arrangement consisting of a 4-min extinction period followed by a 1-min reinforcement period.     

Influence of self-concept on school adjustment among middle-school students

The view that children's self-concepts influence their school adjustment and behavior is widely accepted, but the strength of the influence and the contribution of specific self-concept dimensions to children's nonacademic performance in school are uncertain. This issue is important in view of evidence that behavior problems are acute among minority children in inner-city public schools. The purpose of the present study was to examine the relationship between specific self-concept dimensions and school adjustment in three areas: (a) general classroom behavior, (b) group participation, and (c) attitude toward authority, as assessed by teachers. The sample consisted of 142 American middle-school children who attended four inner-city public schools. The results showed that significant bivariate correlations existed between each self-concept dimension on the Tennessee Self-Concept Scale and the three behavioral domains studied. Stepwise multiple regression procedures also indicated strong individual and combined predictive power among the self-concept dimensions.     

Efficacy of Fun to Learn for the Young Program: Randomized Controlled Trial

Early intervention for children from disadvantaged backgrounds has been found to be effective in improving their learning and psychosocial outcomes. This study aimed to evaluate the efficacy of the Fun to Learn for the Young (FLY) program using randomized controlled trial design with no blinding of participants. Participants included 200 Hong Kong Chinese parent–child dyads (intervention:101; control: 99) with children aged 18?months from disadvantaged backgrounds. Participants were recruited from three non-governmental organizations. The intervention group participated in the 60-session FLY program which consisted of direct teaching to children and parent training. Parent participants from both groups completed questionnaires on child learning, child behavior and parenting before the intervention, at the end of 40 sessions, and 60 sessions. The children were individually assessed on their preschool concepts and language skills at these three time points. Results indicated that the children in the intervention group made more gains in preschool concepts, language skills, school readiness and motivation, compared with control group children (η _p ²?=?.018–.029). The results provided some initial evidence that the FLY program was an effective early intervention program in promoting child learning.     

Information processing and reasoning with premises that are empirically false: Interference,working memory,and processing speed

In this study, we looked at the contributions of individual differences in susceptibility to interference and working memory to logical reasoning with premises that were empirically false (i.e., not necessarily true). A total of 97 university students were given a sentence completion task for which a subset of stimuli was designed to generate inappropriate semantic activation that interfered with the correct response, a measure of working memory capacity, and a series of logical reasoning tasks with premises that were not always true. The results indicate that susceptibility to interference, as measured by the error rate on the relevant subset of the sentence completion task, and working memory independently account for variation in reasoning performance. The participants who made more errors in the relevant portion of the sentence completion task also showed more empirical intrusions in the deductive reasoning task, even when the effects of working memory were partialed out. Working memory capacity was more clearly related to processes involved in generating uncertainty responses to inferences for which there was no certain conclusion. A comparison of the results of this study with studies of children's reasoning suggests that adults are capable of more selective executive processes than are children. An analysis of latency measures on the sentence completion task indicated that high working memory participants who made no errors on the sentence completion task used a strategy that involved slower processing speed, as compared with participants with similar levels of working memory who did make errors. In contrast, low working memory participants who made no errors on the sentence completion task had relatively shorter reaction times than did comparable participants who did make errors.     

Effects of Signaled Positive Reinforcement on Problem Behavior Maintained by Negative Reinforcement

We evaluated the effects of providing positive reinforcement for task completion, signaled via the presence of a tangible item, on escape-maintained problem behavior displayed by three typically developing children during one-time 90-min outpatient evaluations. Brief functional analyses of problem behavior, conducted within a multielement design, identified negative reinforcement. Treatment, conducted within a nonconcurrent multiple baseline with reversal design, consisted of a signal for positive reinforcement while continuing to permit escape for problem behavior, thus creating a competition between positive and negative reinforcement. For all participants, problem behavior decreased.     

Measuring Competence and Dysfunction in Preschool Children: Source Agreement and Component Structure

Agreement between parents and teachers on ratings of three domains of behaviors exhibited by preschool children and the structural relations between these domains were measured. Parents and teachers rated the behaviors of a socioeconomically diverse sample of 610 children; ratings were obtained from parents at three time points and from teachers at two time points. The results indicated little agreement between sources on the ratings of individual child behaviors; however, ratings within a source were stable over time. Principal components analyses of source ratings combined and separately indicated virtually identical and independent three-component solutions comprised of a coping competence, externalizing behavior, and internalizing behavior component. These data suggest that competence and dysfunction develop in response to different contextual demands and underscore the importance of measuring each domain of behavior in clinical and research settings.     

Computer aided self‐monitoring to increase academic production and reduce self‐injurious behavior in a child with autism

Self‐monitoring to increase the on‐task behavior of students with learning disabilities has been the focus of numerous studies in the literature. This study examined the effectiveness of computer aided self‐monitoring of academic task completion to reduce self‐injurious behavior in a 13‐year‐old male student with autism. Using an ABAB design, data were collected over 22 sessions in a resource‐reading classroom. Visual and statistical analyses indicated that when self‐monitoring of activity completion was implemented, rates of completion increased and maladaptive behaviors such as self‐injurious behavior and tantruming decreased. Discussion follows for implications for self‐monitoring with students with autism. Copyright © 2009 John Wiley & Sons, Ltd.     

Concurrent reinforcement schedules: behavior change and maintenance without extinction

We evaluated the effects of concurrent schedules of reinforcement on negatively reinforced problem behavior and task completion with 3 children with autism. Results indicated that problem behavior occurred at high levels and relatively few tasks were completed when problem behavior produced a break (from tasks) and task completion produced either no consequence or a break. By contrast, problem behavior was eliminated and tasks were completed when problem behavior produced a break and task completion produced a break with access to preferred activities. Treatment gains were maintained without the use of extinction when the response requirement was increased and the schedule of reinforcement was thinned.     

Using a Behavioral Treatment Package for Sleep Problems in Children With Autism Spectrum Disorders

This study investigated the effectiveness of a behavioral treatment package for sleep problems in children diagnosed with Autism Spectrum Disorders. Treatment consisted of four behaviorally based components: circadian rhythm management, positive bedtime routines, white noise, and graduated extinction. A multiple-baseline design across three participants was used. Families completed a baseline of various lengths followed by 1 month of intervention. Results indicated the treatment package was effective in decreasing sleep onset latency and the frequency of night awakenings. A week of follow-up data showed continued improvement. Parents reported their children slept better and satisfaction with the four intervention components.     

The Effectiveness of Brief Parent Training for the Management of Children's Homework Problems

The present study evaluated the effectiveness of a combined parent manual group training program for the management of children's homework problems. Parents of 13 children who were experiencing significantly more homework problems than their grade-school peers were assigned to either a treatment or wait-list control group. Training consisted of 3 weekly, 1-½ hour group meetings wherein behavioral techniques outlined in the parent manuaI were discussed and practiced via modeling, behavior rehearsal, and completion of home assignments. In comparison to the 7 waitlist parents, the 6 treatment parents repotted significantly fewer homework difficulties at post-treatment as measured by scores on the Homework Problem Checklist and the Learning Disability scale of the LouisviIle Behavior Check List. The control group parents increased the frequency of criticisms to their children during the waiting period. When the control group was subsequently treated, no significant gains were reported, however, training was conducted during the last four weeks of school. Scores on Homework Problem Checklists re-administered at a 6-month follow-up indicated maintenance of positive behavior change over time for the treatment group.     

Changes in body image during cognitive-behavioral treatment in women with bulimia nervosa

The purposes of this study were: (1) to examine multidimensional aspects of body image of individuals with bulimia nervosa (BN) at pre-treatment, post-treatment, and at follow-up, compared to a group of participants without BN; and (2) to investigate whether measures of body image predicted outcome at post-treatment and follow-up. The clinical sample consisted of 109 females with BN who were enrolled in a 12-week cognitive-behavioral group treatment program. Participants were assessed at baseline, at the completion of treatment, and at 1- and 6-month follow-up visits. The 82 females who comprised the non-bulimic sample were assessed at comparable time intervals. At baseline, the participants with BN reported greater body dissatisfaction and overestimated body size to a significantly greater degree than the comparison group, and reported a significantly smaller ideal size relative to perceived size. Results at the end of treatment indicated significant improvement in self-reported attitudinal disturbance and size overestimation, with continued reductions at follow-up. Logistic regression analyses did not demonstrate a predictive relationship between body image measures at baseline and outcome at post-treatment or follow-up, or between post-treatment and follow-up. Implications for treatment include specifying the source of body image-related distress and enhancing treatment efforts for perceptual and attitudinal aspects of body image.