A cost-effectiveness evaluation of parent training

Outcomes from a parenting program that was modified to reduce costs and a wait-list control condition were compared. Costs were reduced by over 50%. Sixty-six parents participated. Treatment parents reported significantly greater improvements in child behavior problems, parent attitudes, and satisfaction with family relationships when compared to untreated controls. These effects were maintained at three months follow-up. Outcomes for 35 of the children in the sample who had clinically significant behavior problems before treatment were also examined separately. The difference between clinical recovery rates, i.e., movement from the clinical to normal range during treatment, for control and treatment children was not statistically significant. Limitations of the current study and suggestions for future research are discussed.     

TRANSLATING WHAT WE KNOW ABOUT THE CONTEXT OF ANTISOCIAL BEHAVIOR INTO A LOWER PREVALENCE OF SUCH BEHAVIOR

Although we have identified many variables that affect antisocial behavior, there is no evidence that we have learned how to reduce the incidence of such behavior or the proportion of young people who repeatedly engage in antisocial behavior. It is appropriate, therefore, for behavioral scientists to turn some of their energies to research on reducing the incidence and prevalence of antisocial behavior. Small communities may be a particularly useful social unit in which to conduct experimental research. The interventions to be tested include advocacy and community organizing to influence communities to make validated school and clinical interventions widely available and to assist them in increasing other forms of supervision of young people and social and material support of families. Key components of advocacy and community organizing are suggested, and possibilities for research are described.     

TEACHING SELF-ADMINSTRATION OF NASOGASTRIC TUBE INSERTION TO AN ADOLESCENT WITH CROHN DISEASE

We examined the effectiveness of simulation training to teach an adolescent male with Crohn disease to self-administer nasogastric tube insertion. Nasogastric tube insertion was taught using simulation training, after which self-insertion skills were assessed. Results across skill components indicated that this subject was able to self-administer insertion of the nasogastric tube.     

PYRAMIDAL PARENT TRAINING BY PEERS

This study replicated a pyramidal model of parent training by peers and compared its effects with training by a professional with 26 parents of children with disabilities. A multiple probe design across 3 tiers of parents showed that both types of training produced acquisition, maintenance, and to varying extents, generalization of parents' teaching skills, with concomitant increases in the children's performance in most cases. Improvements were comparable for parents trained by a professional or by peers, and for parents who did and did not serve as peer trainers.     

THE ROLE OF SUBJECT VERBALIZATION IN GENERALIZED CORRESPONDENCE

We examined the role of subject verbalization in the generalization of verbal-nonverbal correspondence. Twelve kindergarten children underwent correspondence training (subject verbalization) or received reinforcement for performing an experimenter-selected behavior (experimenter verbalization). A reversal design, along with the introduction of a multiple baseline design across behaviors, was used to assess functional relations. Pupils who received correspondence training demonstrated greater generalization. Our findings suggest that subject verbalization may be necessary to accomplish generalized correspondence.     

A WATER-PROMPTING PROCEDURE FOR THE TREATMENT OF URINARY INCONTINENCE

Based on clinical observations of a naturally occurring phenomenon, a water-prompting procedure was used to facilitate toilet training with a 9-year-old boy with profound mental retardation. Other frequently used toilet-training procedures were either ineffective or were associated with increased self-injury. The water-prompting treatment package may increase continence by eliciting and reinforcing urination under specific stimulus conditions.     

The NCATE Process and behaviorally-based special education

The National Council for Accreditation of Teacher Education (NCATE) has long sought to identify effective programs for teacher preparation in this country. Recently, the Council has revised its standards to be more rigorous and demanding. This revision presents new and challenging standards for the accreditation of programs preparing educators. The most problematic but most important of these new standards is the requirement of a well-articulated knowledge base supporting a program's content and processes. Development of the knowledge base statement involves the articulation of the program's philosophy, theme, model, goals, objectives, primary research base, wisdom of practice, and evaluation procedures. A behavioral model serves well in meeting these requirements, particularly since behavioral applications in education are well researched and the approach is compatible with the emphasis on specific goals and objectives and evaluation of effectiveness. Effective educational methods are available and are mostly behavioral. The articulation of the NCATE knowledge base encourages education faculty, traditionally nonbehavioral, to examine the effectiveness of their programs and to demonstrate research and professional support for content and instructional methods. A behavioral knowledge base statement appropriate for NCATE is demonstrated through examples drawn from Gonzaga University's knowledge base for special education.     

A COMPARISON OF TIME DELAY AND DECREASING PROMPT HIERARCHY STRATEGIES IN TEACHING BANKING SKILLS TO STUDENTS WITH MODERATE HANDICAPS

Four students with moderate handicaps were taught to cash checks and to use an automatic teller through either a decreasing prompt hierarchy or time delay procedure. The strategies were compared within a multielement design. Results indicated that both strategies led to the acquisition of the target tasks; however, the decreasing prompt hierarchy was more efficient. Four and 8-week follow-up probes indicated that the strategies were equally effective in producing maintenance of performance.     

PARENT EDUCATION PROJECT III: INCREASING AFFECTION AND RESPONSIVITY IN DEVELOPMENTALLY HANDICAPPED MOTHERS: COMPONENT ANALYSIS,GENERALIZATION, AND EFFECTS ON CHILD LANGUAGE

We evaluated the effects of a parent training program consisting of verbal instruction, modeling, and feedback on the affection and responsivity of 3 developmentally handicapped mothers towards their children. The results indicated the following: First, the training package increased maternal physical affection, praise, and imitation of child vocalizations. These parenting skills increased to levels found in comparison groups of nonhandicapped mothers. Second, the training package was more effective than verbal instruction alone, the latter being the predominant method presently used by social service workers. Third, most maternal gains were maintained over a 3- to 18-month follow-up period, although one mother required a reinforced maintenance procedure. Fourth, instructing mothers to generalize served to increase the generalization of newly acquired skills from play times (the training context) to child-care tasks (e.g., diapering, feeding). Fifth, teaching the parents to imitate child vocalizations was related to gains in both the frequency and quality of verbal behavior of the two language delayed children as measured by standardized developmental tests and in vivo comparisons with age-matched children (who had nonhandicapped parents). These results show that behavioral instruction can improve important child-rearing skills of developmentally handicapped mothers, with corresponding benefits to their children.     

EVALUATION OF THE GENERALIZED EFFECTS OF A PEER-TRAINING PROCEDURE WITH MODERATELY RETARDED ADOLESCENTS

The use of peer-training procedures by moderately mentally retarded adolescents was evaluated in two experiments. In Experiment 1, 2 students received instruction on peer-training skills to teach a vocational task to 7 classmates. Following instruction, both peer trainers were successful in teaching their classmates to perform the target task and a second untrained (generalization) task. In Experiment 2, 1 peer trainer taught 3 peers to use picture prompts to complete one or two complex vocational tasks. Following instruction by the peer trainer, the trainees independently used novel pictures on novel tasks. The results of both experiments indicate that peer training with moderately handicapped students can be an effective instructional procedure, with generalization occurring for both the trainers (Experiment 1) and the trainees (Experiment 2).