THE MODIFICATION OF LEISURE BEHAVIOR IN A HALF-WAY HOUSE FOR RETARDED WOMEN1

A multi-element baseline design combined with a multiple-baseline design, was used to investigate the effect of availability of materials, prizes for participation, and instruction on the leisure behavior of 14 mentally retarded women in a half-way house. A leisure program was conducted on weekday evenings, during which residents could choose to participate in any of six activities offered: puzzles, card games, clay, painting, weaving, and rug making. It was found that instruction in weaving and rug making significantly increased the percentage of residents participating in these activities, and that following instruction, prizes were not necessary to maintain high levels of participation. In contrast, prizes were more effective than mere availability of materials in maintaining participation in the other activities.     

Assessing teaching opportunities in a residential treatment facility

Seventeen living units in a residential treatment facility for developmentally disabled persons were assessed to determine the availability of teaching opportunities during the course of a normal day's routine. Teaching opportunities exist when the environment is arranged so that residents can participate in the ongoing activities. The teaching opportunities are identified within components that are recognizable activities that occur routinely and have a functional purpose. An assessment form was constructed as a means for documenting teachng opportunities. Assessments were conducted continuously from early morning through evening activities. The results of the assessments suggested that two approaches to resident care were in operation at the facility: one was characterized by a traditional care/custodial model, the other was characterized by a teaching model. On units where the number of teaching opportunities available was high, there was a smaller percentage of unstructured time, i.e., blocks of time when opportunities to engage in structured activities were not available to the residents.     

Primes, contingent attention, and training: effects on a child's motor behavior

The use of primes, contingent attention, and training sessions to assess a child's engagement and skill in six large motor activities was examined using a combination reversal and multiple-baseline design. Assessment was based on four levels: proximity to equipment, touching equipment, unskilled participation, and skilled participation. Before training, priming (suggestion to the child) was more effective than contingent attention for increasing the subject's engagement (but not skill) in five activities and for increasing skilled participation in one activity. Training of four activities in the natural environment effectively increased the subject's skill level in five activities. Thus, training appeared to generalize to one of these five activities in this setting and also to skillfully executed stair climbing in an adjoining setting. After training, primes and contingent attention were sufficient to maintain both the subject's skill level and engagement in all activities. Postchecks in the same setting the following semester with different teachers revealed only slight increases in participation, as compared to previous baselines, but all participation was at the skilled level. Social interaction, which was not experimentally manipulated, did not systematically vary in relation to changes in experimental conditions.     

The organization of day-care environments: required versus optional activities

Measures of group participation were used in an experimental analysis of the effects of two preschool activity schedules. Children's participation in preschool activities remained as high when children were allowed no options but were required to follow a schedule of activities in sequence, as when they were free to choose between several optional activities. However, this was only true: (1) when a child was not forced to wait until all other children had finished, but could start the next required activity individually as soon as he had finished the preceding one, and (2) when there was an abundance of materials in each required activity. When there were not adequate materials in each activity, children's participation was disrupted unless they were free to choose among several optional activities. Thus, in order to maintain high levels of participation in preschool play activities, it is not necessary to allow children to choose among several alternative activities. High participation may be more efficiently maintained by providing a supply of materials that is adequate to occupy all children in each of a sequence of required activities and staffing by at least two teachers, so that while one teacher is supervising children still finishing one activity another teacher can supervise children who are ready to start the next.     

Depressed nursing home residents' activity participation and affect as a function of staff engagement

Behavioral interventions for depression target activity engagement and increased positive reinforcement, particularly from social interaction. Nursing homes provide limited opportunity for meaningful social engagement, and have a high prevalence of depression. Often residents obtain most of their social contacts from staff members. We present intra-individual correlations among positive staff engagement, resident affect, and resident activity participation from behavior stream observations of residents who were participants in an ongoing trial of an intervention for depression. Sixteen residents were observed 6 times weekly for 8 to 45 weeks, 5 minutes per observation. Positive staff engagement during the observations was significantly correlated with resident interest and pleasure. Positive staff engagement was related to resident participation in organized group activity; however, residents tended to be more engaged and show more pleasure when in informal group activities, especially those residents receiving the behavioral treatment. Positive staff engagement was not related to time in activities of daily living. Results have implications for understanding mechanisms and potential targets of interventions for depression.     

Providing independent recreational activities to reduce stereotypic vocalizations in chronic schizophrenics.

We evaluated the effects of minimally supervised, independent recreational activities on stereotypic vocal behavior in two chronic schizophrenic patients. In baseline sessions, subjects were observed during unstructured free time in the psychiatric ward. In treatment sessions, therapists presented preferred recreational materials (magazines, models, and art projects), verbally prompted on-task behavior every 20 min, and, in one condition, administered contingent tokens. Independent recreational activities reduced medium-rate self-talk in one subject and high-rate mumbling in a second subject by 60%-70%. Results were the same with or without contingent tokens. Apparent self-maintaining characteristics of these vocal responses are discussed.     

Increasing correct participation in an exercise class for adult day care clients

Facilities which provide services to the elderly offer a wide variety of activities to engage their clients. In many cases, however, clients do not participate in these activities, or they do not participate in ways which are likely to provide them with benefits. This study sought to increase meaningful participation in an exercise class by four elderly clients attending an adult day care program; in these four cases, the quality of their participation was seriously inadequate. Participants were praised when they participated correctly in an exercise, verbally prompted if they did not participate, and physically assisted to participate if they did not participate following verbal prompting. To show experimental control over exercise behaviors, a single subject multiple baseline design was used. The results suggest that clients attending facilities such as an adult day care program may be easily recruited to participate correctly in exercise sessions through the use of prompts and social reinforcers. Copyright © 1999 John Wiley & Sons, Ltd.     

THE TIMEOUT RIBBON: A NONEXCLUSIONARY TIMEOUT PROCEDURE1

Recently, the use of timeout rooms has been questioned by various agencies, and some have adopted policies that prohibit or greatly restrict exclusionary timeout. The present study developed a timeout procedure that did not require removal of the misbehaver from the learning environment. The procedure was applied to the disruptive behaviors of five severely retarded children in an institutional special-education classroom. An observer prompted all teacher behaviors related to the procedures to assure their precise implementation. After baseline, a reinforcement-only condition was implemented. Each child was given a different colored ribbon to wear as a tie and received edibles and praise every few minutes for good behavior and for wearing the ribbon. When timeout was added, a child's ribbon was removed for any instance of misbehavior and teacher attention and participation in activities ceased for three minutes or until the misbehavior stopped. Reinforcement continued at other times for appropriate behavior. An ABCBC reversal design was used to demonstrate control of the behavior by the conditions applied. On average, the children misbehaved 42% and 32% of the time during the baseline and reinforcement conditions respectively but only 6% of the time during the timeout conditions. A followup probe during the new school year revealed that the teacher was able to conduct the procedure independently and that the children's disruptive behaviors were maintained at low levels. The practicality and acceptability of the procedure were supported further by the successful implementation of the procedure by a teacher in another state and by responses to a questionnaire given to 40 mental health professionals. The ribbon procedure appears to be a viable form of timeout, provided that disruptive behaviors during timeout can be tolerated within the setting, or a backup procedure such as exclusionary timeout is available when needed.     

We can work it out: Group decision‐making builds social identity and enhances the cognitive performance of care residents

Group‐based interventions have been argued to slow the cognitive decline of older people residing in care by building social identification and thereby increasing motivation and engagement. The present study explored the identity–cognition association further by investigating the impact of a group decision‐making intervention on cognition. Thirty‐six care home residents were assigned to one of three conditions: an Intervention in which they made decisions about lounge refurbishment as a group, a Comparison condition in which staff made these decisions, or a no‐treatment Control. Cognitive function, social identification, home satisfaction, and lounge use were measured before and after the intervention. Participants in the Intervention condition showed significant increases on all measures, and greater improvement than participants in both Comparison and Control conditions. Consistent with social identity theorizing, these findings point to the role of group activity and social identification in promoting cognitive integrity and well‐being among care residents.     

Development and analysis of a community-based resource recovery program

Five studies were conducted over a 10-month period to determine the effectiveness of specific procedures in encouraging recycling among residential neighborhoods. Results indicated that: (a) initial levels of participation in neighborhoods were frequently related to housing values; (b) weekly recycling pick-ups that coincided with garbage collection days resulted in higher levels of participation than pick-ups that occurred at other times; (c) notifying homes about the recycling program through distributed door-to-door brochures was more effective than soliciting participation through newspaper ads; (d) distributing containers to help residents separate recyclable from nonrecyclable material proved to be an effective procedure, especially when combined with frequent prompting (prompting alone did not have much effect); and (e) procedures that facilitated the greatest levels of participation were not always cost-effective. The subsequent combination of these procedures into a package program resulted in high levels of neighborhood participation that were cost-effective and maintained over a 6-month period.     

Effects of a pairing contingency on behavior in a three-person programmed environment

Four groups of three subjects resided for 10 days within a continuously programmed environment. Subjects followed a behavioral program of contingently scheduled activities that determined individual and social behaviors. A triadic condition was in effect when all three subjects were required to select simultaneous access to a group area before it became available for a social episode. A dyadic condition was in effect when access to a group area was permitted to any combination of two, and only two, subjects. The effects of these two conditions on individual and social behaviors were studied in reversal designs with several successive days devoted to each condition. Results showed that durations of social activities and synchronization of individual activities were greater during triadic conditions than during dyadic conditions. Under both conditions, wake-sleep cycles departed from a typical day-night rhythm for most subjects. Instances when subjects did not respond to each others' attempts to initiate conversations using the intercom were generally more frequent during dyadic than triadic conditions. Physical distance during triadic social episodes was found to be related to sociability levels during dyadic conditions.     

Residents' Attitudes About On-Site Religious Activities: A Comparison of Continuing Care Retirement Communities in Two States

ABSTRACT

Twelve older adults were interviewed in two continuing care retirement communities (CCRCs), one in Florida and the other in Wisconsin. Only the residents in Wisconsin maintained contact with local congregations, probably because most had always lived in communities not far from the CCRC. On-site religious activities such as worship and study groups were important because of the ways they ordered the week and the opportunities they offered for social interaction. In both locations, Protestant residents appreciated the opportunity to worship in ecumenical services conducted by clergy of different Protestant faith traditions. Catholic services were also available in both locations. Suggestions are offered about ways that faith communities can nourish the spiritual lives of persons living in CCRCs by working with chaplains and by conducting small prayer and study groups.     

THE INFLUENCE OF CHILD-PREFERRED ACTIVITIES ON AUTISTIC CHILDREN'S SOCIAL BEHAVIOR

One of the characteristics of autistic children is severe social avoidance behavior. We assessed whether the type of activity (child-preferred vs. activities that were arbitrarily determined by an adult) engaged in during an interaction was correlated with the amount of social avoidance behaviors these children exhibit. Results revealed a negative correlation between appropriate child-preferred activities and social avoidance behavior. Additional analyses revealed that (a) social avoidance behaviors could be manipulated within a reversal design, and would predictably decrease when the children were prompted to initiate appropriate child-preferred activities; and (b) these procedures could be used to teach children to initiate child-preferred activities in community settings, resulting in reductions in social avoidance responses even after the therapist's prompts were completely removed. These data suggest that the manipulation of task variables may influence the severe social unresponsiveness that is characteristic of autistic children.     

A STAFF MANAGEMENT SYSTEM FOR MAINTAINING IMPROVEMENTS IN CONTINENCE WITH ELDERLY NURSING HOME RESIDENTS

We developed a staff management system for maintaining treatment gains achieved on a specialized continence unit located in a geriatric nursing home. Geriatric assistants learned to use a prompted voiding procedure to maintain improved dryness for 4 elderly residents. The staff management system included self-monitoring and recording of prompted voiding activities and supervisory monitoring and feedback based on group performance of these activities. Results show that the system was effective in maintaining prompted voiding activities with corresponding maintenance of improved patient continence. However, a gradual decline in staff performance was noted 4 to 5 months after the initiation of the system. During a subsequent phase of the study, provision of individual feedback restored staff performance to previous levels. Results are discussed in relation to the practicality of prompted voiding interventions in nursing home environments and the applicability of staff management systems in this setting.     

An analysis of stereotypy during prevocational instruction of an adolescent with severe mental retardation

An adolescent with severe retardation was observed during participation in several vocational tasks. The vocational tasks were comprised of repeating sequences of work-related responses. Across two experiments, conditions that are typical in the training of vocational tasks in special education and adult vocational programs were manipulated and the effects of these conditions on rates of vocational sequences completed and rates of stereotypic behavior were assessed. In Experiments 1 and 2, the adolescent was reinforced with a food item following the completion of vocational sequences under two alternating reinforcement contingencies. Under one contingency, the adolescent performed with frequent errors and under the other, often performed without errors. In Experiment 3, the adolescent participated with another student in a different vocational task on alternating days and in an alternating sequence of work conditions in each task. In one condition, both adolescents had vocational materials nearly continuously present and the teacher prompted and reinforced both adolescents as needed. In the other condition, the vocational materials were presented to the adolescents on an alternating basis, and the teacher prompted and reinforced first one and then the other. Across both experiments, increased competence reflected as high rate, error free, and consistent vocational performances were associated with low rates of stereotypic behavior when compared to conditions with less competent performances, and with leisure periods in Experiment 3. © 1997 John Wiley & Sons, Ltd.     

Behavioral adaptation to fixed-interval and fixed-time food delivery in golden hamsters

Food-deprived golden hamsters in a large enclosure received food every 30 sec contingent on lever pressing, or free while their behavior was continuously recorded in terms of an exhaustive classification of motor patterns. As with other species in other situations, behavior became organized into two main classes. One (terminal behaviors) increased in probability throughout interfood intervals; the other (interim behaviors) peaked earlier in interfood intervals. Which class an activity belonged to was independent of whether food was contingent on lever pressing. When food was omitted on some of the intervals (thwarting), the terminal activities began sooner in the next interval, and different interim activities changed in different ways. The interim activities did not appear to be schedule-induced in the usual sense. Rather, the hamsters left the area of the feeder when food was not due and engaged in activities they would normally perform in the experimental environment.     

Effects of deprivation on engagement in preferred activities by persons with developmental disabilities

This study examined the effects of deprivation on engagement in activities for 3 adult men with developmental disabilities. First, an assessment was conducted to identify a high- and a low-preference activity for each participant. Second, the high-preference activity was made available following three amounts of deprivation of the activity (15 min, 2 hr, and 1 to 4 days); the low-preference activity was made available following the schedule of deprivation that produced the highest level of engagement by each participant in the high-preference activity. The results were that 1 to 4 days of deprivation produced the highest average amounts of engagement in the high-preference activity for each participant; this amount of deprivation did not produce high engagement in the low-preference activities. Third, the deprivation procedures and results were replicated when high-preference activities were presented by teachers during the participants' daily activities when their engagement had been quite low.     

Number Use at Home by Children and Their Parents and Its Relationship to Early Mathematical Performance

The purpose of this research was to measure the frequency and variety of number activities occurring in the homes of pre-school and kindergarten children and to determine if there was a relationship between those activities and the children's mathematical performance. In two studies, parents were interviewed over the telephone and asked how often their child or they and their child had engaged in each of 33 number-related activities over the last week. Both studies found considerable variability in the frequency and type of number activities that children participated in at home. There was a positive correlation between the frequency of number activities that parents reported for their children and parental participation in the same activities. In addition, in study 2, parental reports of children's number activities at home were predictive of children's performance on a standardized test of early mathematical ability.     

On the relation between object manipulation and stereotypic self-injurious behavior

Results from a number of studies have shown an inverse relationship between stereotypic behavior and object manipulation. The purposes of this study were to determine whether techniques similar to those used previously (prompting and reinforcement) would be effective in increasing object manipulation under both prompted and unprompted conditions, and to ascertain whether increases in object manipulation would result in decreases in stereotypic self-injurious behavior (SIB). Two individuals with developmental disabilities who engaged in SIB maintained by automatic reinforcement participated. Results showed that object manipulation increased from baseline levels when experimenters prompted participants to manipulate leisure items, but that object manipulation was not maintained under unprompted conditions, and rates of SIB stayed within baseline levels. We then attempted to increase object manipulation further by (a) reinforcing object manipulation, (b) blocking SIB while reinforcing manipulation, and (c) preventing SIB by applying protective equipment while reinforcing object manipulation. Reinforcing object manipulation alone did not affect levels of object manipulation. Blocking effectively reduced attempts to engage in SIB for 1 participant but produced no increase in object manipulation. When the 2nd participant was prevented from engaging in SIB through the use of protective equipment, rates of object manipulation increased dramatically but were not maintained when the equipment was removed. These results suggest that stimulation derived from object manipulation, even when supplemented with arbitrary reinforcement, may not compete with stimulation produced by stereotypic SIB; therefore, direct interventions to reduce SIB are required.     

A GROUP-ORIENTED CONTINGENCY TO INCREASE LEISURE ACTIVITIES OF ADULTS WITH TRAUMATIC BRAIN INJURY

An interdependent group-oriented contingency and graphic feedback were used to increase the activity levels of residents of a group home for persons with traumatic brain injury. Results showed that the intervention was effective for 4 of the 6 subjects. Individual performances must be examined when implementing group contingencies because all subjects may not respond.