Case Demonstration of Environmental Cuing and Brief Supervision Monitoring as Performance Management Interventions with Educational Care Providers

Abstract

The present study evaluated two interventions to improve task completion-data recording by two classroom instructors at a school for children and youth with neurodevelopmental disorders. Compared to a baseline phase, intervention through environmental cuing (strategic task scheduling) was ineffective. The addition of brief supervision monitoring (task preview and review) increased task completion-data recording to high levels and the improved performance of the classroom instructors and was sustained one month following the study in the absence of intervention. Social validity assessment documented high approval of and satisfaction with brief supervision monitoring. We discuss these findings with reference to practical and efficient methods of performance management that can be implemented with care providers in educational services settings.     

L’évaluation de la formation à l’harmonisation travail-vie personnelle : bilan et perspectives de recherche

The present article offers a review of the literature evaluating work-life balance training (which includes work-family balance training). The research, spanning over 43 databases, allowed the identification of 17 pertinent peer-reviewed articles. The selected studies are analysed in light of their main characteristics (design, sample, intervention, outcomes, etc.). The analysis shows that the offering of work-life balance training benefits both employees and managers. The methodological presuppositions and limitations of the selected studies are then critically examined. Lastly, possible topics for further research, such as the importance of conducting comparative researches and of adopting quasi-experimental and experimental protocols, are suggested in manner of conclusion.     

Clinical issues in analyses over the telephone and the internet

There is professional consensus that teleanalysis, the practice of psychoanalysis conducted remotely using the telephone and the Internet, is increasing in response to more mobility in the population. But there is controversy as to whether the use of technology leads to a dilution of analysis or to adaptive innovation that is clinically effective and true to the tenets of psychoanalysis. The author reviews the psychoanalytic literature and shows the development of analytic thinking about this technology-assisted practice of psychoanalysis. She summarizes analysts' perceptions and experiences of the advantages and disadvantages, and considers the indications and contra-indications. She focuses on the clinical concerns that arise in terms of the frame, resistance, and the development of analytic process through the unconscious communication of internal objects, unconscious fantasy, transference and countertransference. She gives vignettes from the analysis of a man with trauma-related depression to address the concerns raised and to support her argument that analysis using the telephone and the Internet is a viable, clinically effective alternative to traditional analysis where necessary.     

Acquisition of social referencing via discrimination training in infants

This experiment investigated social referencing as a form of discriminative learning in which maternal facial expressions signaled the consequences of the infant's behavior in an ambiguous context. Eleven 4- and 5-month-old infants and their mothers participated in a discrimination-training procedure using an ABAB design. Different consequences followed infants' reaching toward an unfamiliar object depending on the particular maternal facial expression. During the training phases, a joyful facial expression signaled positive reinforcement for the infant reaching for an ambiguous object, whereas a fearful expression signaled aversive stimulation for the same response. Baseline and extinction conditions were implemented as controls. Mothers' expressions acquired control over infants' approach behavior for all participants. All participants ceased to show discriminated responding during the extinction phase. The results suggest that 4- and 5-month-old infants can learn social referencing via discrimination training.     

Impact of treatment integrity on intervention effectiveness

Treatment integrity has cogent implications for intervention effectiveness. Understanding these implications is an important, but often neglected, undertaking in behavior analysis. This paper reviews current research on treatment integrity in applied behavior analysis. Specifically, we review research evaluating the relation between integrity failures and the efficacy of behavioral interventions. Avenues for future research are provided.     

THE EFFECTS OF THE QUESTION “WHAT IS THIS?” ON TACT-TRAINING OUTCOMES OF CHILDREN WITH AUTISM

Tact training is a common element of many habilitative programs for individuals with developmental disabilities. A commonly recommended practice is to include a supplemental question (e.g., “What is this?”) during training trials for tacts of objects. However, the supplemental question is not a defining feature of the tact relation, and prior research suggests that its inclusion might sometimes impede tact acquisition. The present study compared tact training with and without the supplemental question in terms of acquisition and maintenance. Two of 4 children with autism acquired tacts more efficiently in the object-only condition; the remaining 2 children acquired tacts more efficiently in the object + question condition. During maintenance tests in the absence of the supplemental question, all participants emitted tacts at end-of-training levels across conditions with no differential effect observed between training conditions.Key words: autism, language training, stimulus control, tacts, verbal behaviorSkinner (1957) defined the tact as a response “evoked by a particular object or event or property of an object or event” (p. 82) and considered it to be one of the most important verbal operants. Tacts are maintained by generalized social reinforcement and, thus, they are central to many social interactions. For example, the tact “That cloud looks like a horse” (under the control of a visual stimulus) could evoke a short verbal interaction about the sky or horses. The tact “My tummy hurts” (under the control of an interoceptive stimulus) could evoke soothing statements from a parent. A child who tacts “doggie” in the presence of a cat likely would evoke a correction statement from an adult, further refining two stimulus classes (i.e., dog and cat). These examples illustrate that, despite their topographical differences, the tact relations share antecedent control by a nonverbal discriminative stimulus (S^D) and are maintained by generalized social reinforcement.In habilitative programs for individuals with language impairments, autism, and intellectual disabilities, tacts often are taught for objects (e.g., ball), object features (e.g., color, size, shape), activities (e.g., jumping), prepositions (e.g., between), and emotions (e.g., sad) among others. Although conceptualized differently among therapeutic approaches, the tact relation occupies a central position in many early-intervention curricula. For example, Lovaas (2003) and Leaf and McEachin (1999) describe these relations as expressive labels and recommend that they be taught early in language training using three-dimensional objects accompanied by the supplemental questions “What is it?” or “What''s this?” Alternatively, Sundberg and Partington (1998) explicitly refer to the relation as a tact and recommend beginning instruction by including the question “What is it?” before eventually fading the question. In addition to these clinical manuals, the use of supplemental questions during tact training has appeared in some empirical studies on tact or expressive-label training (e.g., Braam & Sundberg, 1991; Coleman & Stedman, 1974), but not others (e.g., Williams & Greer, 1993). Regardless of whether tact training initially includes supplemental questions prior to response opportunities, tacts ultimately should be emitted readily under the sole control of the nonverbal S^D as well as when it happens to be accompanied by a question.Conceptually, at least four potential problems could arise from introducing supplemental questions early and consistently in tact training. First, the acquired responses might not be emitted unless the question is posed (i.e., prompt dependence). This problem would lead to few spontaneous tacts occurring outside the explicit stimulus control of the training environment. Williams and Greer (1993) compared comprehensive language training conducted under the stimulus control specified in Skinner''s (1957) taxonomy of verbal behavior to a more traditional psycholinguistic perspective with supplemental questions and instructions embedded within trials. For all three adolescents with developmental disabilities, the targets taught from the verbal behavior perspective were maintained better in natural contexts than those taught from the psycholinguistic perspective. However, because data were not reported for each individual verbal operant, it is unclear what specific impact their tact-training procedures had on the outcomes.The second potential problem is that the supplemental question might acquire intraverbal control over early responses and interfere with the acquisition of subsequent tact targets. For example, Partington, Sundberg, Newhouse, and Spengler (1994) showed that the tact repertoire of a child with autism had been hindered by prior instruction during which she was asked “What is this?” while being shown an object. The supplemental question subsequently evoked previously acquired responses and blocked the ability of new nonverbal S^Ds (i.e., objects) to evoke new responses. Partington et al. then showed that new tacts were acquired by eliminating the supplemental question from instructional trials.The third potential problem is that learners might imitate part of or the entire supplemental question prior to emitting the target response (e.g., “What is it” → “What is it … ball.”). For example, Coleman and Stedman (1974) demonstrated that a 10-year-old girl with autism imitated the question “What is this?” while being taught to label stimuli depicted in color photographs. Such an outcome results in a socially awkward tact repertoire and requires additional intervention to remedy the problem.Finally, including supplemental questions during tact training might impede skill acquisition, perhaps via a combination of the problems described earlier. Sundberg, Endicott, and Eigenheer (2000) taught sign tacts to two young children with autism who had prior difficulty acquiring tacts. In one condition, the experimenter held up an object and asked, “What is that?” In the comparison condition, the experimenter intraverbally prompted the participant to “sign [object name]” in the presence of the object. Sundberg et al. demonstrated substantially more efficient tact acquisition under the sign-prompt condition than when the question “What is that?” was included in trials; the latter condition sometimes failed to produce mastery-level responding.Teaching an entire tact repertoire while including supplemental questions (e.g., “What is it?”) during training trials could produce a learner who is able to talk about his or her environment only when asked to do so with similar questions. To the extent that this is not a therapist''s clinical goal, teaching the tact under its proper controlling variables may eliminate such problems. Of course, inclusion of supplemental questions during the early phases of language training could be faded over time such that the target tact relation is left intact prior to the end of training (Sundberg & Partington, 1998). However, the aforementioned studies have documented problems with using supplemental questions during tact training. Given the ubiquity of tact training in habilitation programs, the numerous problems that may arise when supplemental questions are included in training trials, and the limited research on the topic, further investigation is warranted. Thus, the purpose of the present study was to compare directly the rate of acquisition and subsequent maintenance of tacts taught using only a nonverbal S^D (i.e., object only) with tacts taught using a question (“What is this?”) in conjunction with the nonverbal S^D (i.e., object + question). The present study extends earlier research by examining both acquisition and maintenance and by including individuals with no prior history of formal tact training.     

A COMPARISON OF THE EFFECTS OF BRIEF RULES, A TIMER, AND PREFERRED TOYS ON SELF-CONTROL

Some children make impulsive choices (i.e., choose a small but immediate reinforcer over a large but delayed reinforcer). Previous research has shown that delay fading, providing an alternative activity during the delay, teaching participants to repeat a rule during the delay, combining delay fading with an alternative activity, and combining delay fading with a countdown timer are effective for increasing self‐control (i.e., choosing the large but delayed reinforcer over the small but immediate reinforcer). The purpose of the current study was to compare the effects of various interventions in the absence of delay fading (i.e., providing brief rules, providing a countdown timer during the delay, or providing preferred toys during the delay) on self‐control. Results suggested that providing brief rules or a countdown timer during the delay was ineffective for enhancing self‐control. However, providing preferred toys during the delay effectively enhanced self‐control.     

DISCRIMINATION ACQUISITION IN CHILDREN WITH DEVELOPMENTAL DISABILITIES UNDER IMMEDIATE AND DELAYED REINFORCEMENT

We evaluated the discrimination acquisition of individuals with developmental disabilities under immediate and delayed reinforcement. In Experiment 1, discrimination between two alternatives was examined when reinforcement was immediate or delayed by 20 s, 30 s, or 40 s. In Experiment 2, discrimination between 2 alternatives was compared across an immediate reinforcement condition and a delayed reinforcement condition in which subjects could respond during the delay. In Experiment 3, discrimination among 4 alternatives was compared across immediate and delayed reinforcement. In Experiment 4, discrimination between 2 alternatives was examined when reinforcement was immediate and 0‐s or 30‐s intertrial intervals (ITI) were programmed. For most subjects, discrimination acquisition occurred under immediate reinforcement. However, for some subjects, introducing delays slowed or prevented discrimination acquisition under some conditions. Results from Experiment 4 suggest that longer ITIs cannot account for the lack of discrimination under delayed reinforcement.     

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.     

A computer-based program to teach braille reading to sighted individuals

Instructors of the visually impaired need efficient braille‐training methods. This study conducted a preliminary evaluation of a computer‐based program intended to teach the relation between braille characters and English letters using a matching‐to‐sample format with 4 sighted college students. Each participant mastered matching visual depictions of the braille alphabet to their printed‐word counterparts. Further, each participant increased the number of words they read in a braille passage following this training. These gains were maintained at variable levels on a maintenance probe conducted 2 to 4 weeks after training.