Internet-based contingency management to improve adherence with blood glucose testing recommendations for teens with type 1 diabetes

The current study used Internet-based contingency management (CM) to increase adherence with blood glucose testing to at least 4 times daily. Four teens diagnosed with Type 1 diabetes earned vouchers for submitting blood glucose testing videos over a Web site. Participants submitted a mean of 1.7 and 3.1 blood glucose tests per day during the 2 baseline conditions, respectively, compared to 5.7 tests per day during the intervention. Participants and their guardians rated the program favorably on a number of dimensions. The results suggest that Internet-based CM is feasible, acceptable, and effective to increase self-monitoring of blood glucose in teens.     

Effects of escalating and descending schedules of incentives on cigarette smoking in smokers without plans to quit

Contingent incentives can reduce substance abuse. Escalating payment schedules, which begin with a small incentive magnitude and progressively increase with meeting the contingency, increase smoking abstinence. Likewise, descending payment schedules can increase cocaine abstinence. The current experiment enrolled smokers without plans to quit in the next 6 months and compared escalating and descending payments schedules over 15 visits. In the larger incentive condition (LI, n = 39), the largest possible incentive was $100, and in the smaller incentive condition (SI, n = 18), the largest possible incentive was $32. In both conditions, more participants in the descending groups initiated abstinence. A higher proportion of participants in both the escalating and descending groups initiated abstinence in the LI than in the SI. Although participants in the descending groups had more abstinent visits during the first five contingent visits than those in the escalating groups, these differences were not maintained.     

Treatment of elopement following a latency‐based interview‐informed,synthesized contingency analysis

Using a latency measure during a functional analysis of problem behavior increases the brevity of the assessment period and decreases risks resulting from exposure to contexts intended to evoke problem behavior. In addition, latency‐based functional analyses may be especially suitable for discrete behaviors such as elopement, which require resetting the environment after each instance of the response. We evaluated a comprehensive assessment and treatment package for the elopement of two children diagnosed with autism. We observed short latencies to elopement during the test condition of the analysis and no elopement during the control condition. We then taught the participants multiple forms of functional communication responses of increasing complexity while elopement was blocked. This was followed by the thinning of reinforcement to a terminal goal, creating a treatment package that nearly eliminated elopement and was socially validated by caregivers.     

The Positive Plus Program: Affirmative classroom management to improve student behavior

This study describes the Positive Plus Program, a multicomponent intervention combining behavior‐specific praise with an interdependent group contingency and teacher feedback. An elementary school teacher wanting to improve her classroom management skills implemented the Positive Plus Program. Four second‐grade students participated in the study, and each of the students emitted disruptive behavior in class previously. This study, using an ABAB design, indicated that when the teacher reliably delivered high levels of behavior‐specific praise and awarded points, disruptive behavior was less likely. Student outcomes showed increased academic engagement and decreased off‐task motor and verbal behavior from pre‐ to post‐intervention. Teacher ratings indicated high levels of social validity. In light of these findings, implications for future research and implementation are discussed.     

Optimizing Contingency Management With Methamphetamine-Using Men Who Have Sex With Men

Among men who have sex with men (MSM), methamphetamine use is associated with multiple, overlapping syndemic conditions including increased risk for HIV seroconversion and onward HIV transmission. Contingency management (CM) is an evidence-based behavioral intervention implemented to curb methamphetamine use and optimize HIV/AIDS prevention among MSM in San Francisco since 2003. We conducted a program evaluation to document the evolution of this 12-week CM program to include delivery of brief, individual counseling incorporating motivational interviewing and behavioral skills. A drop-in group delivered concurrently with CM urine-screening visits also provides peer support as well as referrals for other social and medical services. From December 2011–October 2013, a total of 131 clients enrolled in the CM program and provided a median of 22 urine samples (Interquartile Range = 10–34) that were nonreactive for methamphetamine. Findings support the feasibility and acceptability of integrating individual and group counseling with community-based CM for methamphetamine-using MSM.     

EVOLUTION,CONTINGENCY, AND CHRISTOLOGY

Christopher Southgate has made important contributions to theodicy and the theory of divine action in light of the contingency in evolution and the suffering of creation. What happens then when one thinks through the implications of contingency for Christology? One can admit that aesthetic and moral judgments are products of a contingent history and yet affirm that they really are valid. Similarly, we argue, one can acknowledge the contingency of Jesus’ existence, actions, and subsequent impact and still maintain that his will was uniquely united with the divine will. Following a critical engagement with the recent work of Keith Ward, we argue that a high Christology is compatible with the actual contingencies of evolutionary and social history, without the necessity of interventionist divine action.     

Equivalence class formation when responding is separated from sample and comparison stimuli: Working memory,priming, and sorting

The experiment determined whether equivalence class formation required overlap of comparison stimuli and responding. Each trial contained a sample first, a single, nonoverlapping comparison second, and a nonoverlapping response-window (RW) third, during which the participant made one of two responses (2R). All 11 participants formed two 3-member ABC equivalence classes using these “trace-stimulus-pairing two-response with response window” (TSP-2R-RW) trials. After adding a fourth stimulus (D) by CD training, ABCD tests showed immediate expansion to 4-member ABCD classes. When 4-member probes (AD, DA, BD, DB, CD, DC) were administered without 3-member probes, many participants showed decrements in class-indicative responding that then resurged to mastery with test repetition. Thus, 3-member probes enhanced class expansion. Class formation occurred for all participants when responding was temporally dissociated from the comparisons. In a matched, contemporaneously published experiment, where responding occurred during comparisons, only 54% of participants formed the classes. Thus, the comparison-response-separation nearly doubled class formation. Additionally, a special post-class-formation sorting test documented the emergence of two explicit equivalence classes. Finally, we noted a 1:1 correspondence for TSP-2R-RW and priming trials. Since priming measures neural substrates of equivalence classes, TSP-2R-RW trials should do the same.     

社会互动加工的认知特性及脑机制——第三人称的视角

在日常生活中, 从“第三人称”的视角识别并理解他人的社会互动至关重要。这种社会互动加工具有两种认知特性：构形整体性和动作关联性; 体现为一个由众多脑区共同参与的层级加工过程, 主要包括个体知觉网络、动作观察网络和心智化网络。其中, 后颞上沟等脑区在表征社会互动关系中起着关键作用。未来的研究需要结合多种技术手段进一步揭示社会互动加工的遗传特性和神经机制, 并关注它在实际生活中的应用。     

Choice in a variable environment: every reinforcer counts

Six pigeons were trained in sessions composed of seven components, each arranged with a different concurrent-schedule reinforcer ratio. These components occurred in an irregular order with equal frequency, separated by 10-s blackouts. No signals differentiated the different reinforcer ratios. Conditions lasted 50 sessions, and data were collected from the last 35 sessions. In Part 1, the arranged overall reinforcer rate was 2.22 reinforcers per minute. Over conditions, number of reinforcers per component was varied from 4 to 12. In Part 2, the overall reinforcer rate was six per minute, with both 4 and 12 reinforcers per component. Within components, log response-allocation ratios adjusted rapidly as more reinforcers were delivered in the component, and the slope of the choice relation (sensitivity) leveled off at moderately high levels after only about eight reinforcers. When the carryover from previous components was taken into account, the number of reinforcers in the components appeared to have no systematic effect on the speed at which behavior changed after a component started. Consequently, sensitivity values at each reinforcer delivery were superimposable. However, adjustment to changing reinforcer ratios was faster, and reached greater sensitivity values, when overall reinforcer rate was higher. Within a component, each successive reinforcer from the same alternative ("confirming") had a smaller effect than the one before, but single reinforcers from the other alternative ("disconfirming") always had a large effect. Choice in the prior component carried over into the next component, and its effects could be discerned even after five or six reinforcement and nonreinforcement is suggested.