Functional communication training: From efficacy to effectiveness

Functional communication training (FCT; Carr & Durand, 1985) is a common function‐based treatment in which an alternative form of communication is taught to reduce problem behavior. FCT has been shown to result in substantial reductions of a variety of topographically and functionally different types of problem behavior in children and adults (efficacy). The extent to which these reductions maintain in relevant contexts and result in meaningful changes in the lives of those impacted (effectiveness) is the focus of this paper. This review evaluates the degree to which FCT has been established as an evidence‐based practice in psychology (EBPP) according to the definition set out by the American Psychological Association's 2005 Presidential Task Force on Evidence‐Based Practice. Our review finds overwhelming evidence in support of FCT as an efficacious treatment but highlights significant limitations in support of its effectiveness. In order to also be recognized as an EBPP, future research on FCT will need to focus more closely on issues related to home, school, and community application, feasibility, consumer satisfaction, and more general and global changes for the individual.     

COVID-19 and the Acceleration of Behavioral Parent Training Telehealth: Current Status and Future Directions

The SARS-COV-2 (COVID-19) pandemic and associated social distancing guidelines have accelerated the telehealth transition in mental health. For those providing Behavioral Parent Training (BPT), this transition has called for moving sessions that are traditionally clinic-based, active, and directive to engaging, supporting, and treating families of children with behavior disorders remotely in their homes. Whereas many difficulties accompany this transition, the lessons learned during the current public health crisis have the potential to transform BPT service delivery on a large scale in ways that address many of its long-standing limitations. We describe both challenges and opportunities and consider the possibilities inherent in a large scale BPT service delivery model capable of increasing the reach and impact of evidence-based treatment for all families.     

Using the teaching interaction procedure to train interventionists to implement the Cool versus Not CoolTM procedure

The teaching interaction procedure is a behavior analytic procedure that has been used to target the development of social skills. The teaching interaction procedure consists of labeling the target skill, providing a meaningful rationale, describing the steps of the target skill, modeling the skill, role‐play, and providing feedback throughout the interaction. Although the teaching interaction procedure has been used to teach a variety of social skills for individuals diagnosed with autism spectrum disorder (ASD), it has only been used to train staff in two studies. The purpose of this study was to evaluate the use of the teaching interaction procedure to teach three interventionists to implement the Cool versus Not Cool? procedure to target the development of social skills for children diagnosed with ASD. The results of a multiple baseline design demonstrated that the teaching interaction procedure was effective for all three interventionists. Results of the child participants' skill acquisition are also provided.     

Comparing computer‐based training and lecture formats to teach visual analysis of baseline‐treatment graphs

Accurate analysis of data is vital to the validation of interventions. As such, there has been a recent increase in studies evaluating visual analysis training procedures. However, past investigations have not evaluated direct and indirect visual analysis training methods with matched instructional content that was systematically designed. Furthermore, training has rarely included assessment of generalization and maintenance of visual analysis skills. The purpose of the current dissertation study was to compare the effectiveness and efficiency of (a) computer‐based training, (b) lecture formats with and (c) without the opportunity to pause, and (d) a no‐training group to teach visual analysis of AB graphs to university students. To make these formats directly comparable, the instructional content was equated by ensuring information and examples were identical across the three training procedures. Eighty‐three students were randomly assigned to one of the four groups. Results showed that all three training formats produced increases in accurate responding compared to the no‐training group. Visual analysis skills generalized to novel graphs and maintained approximately 2 weeks following all trainings. These results suggest that structured approaches that are carefully designed to train visual analysis are effective and lead to gains that generalize and maintain in the absence of training.     

On-road study investigating the mode of feedback delivery on young drivers’ speed management

Feedback has been shown to be instrumental in learning. Refining how it is delivered in driver training has the potential to reduce crash risk. Therefore, the aim of the present study was to examine the effect of the medium in which feedback is delivered (verbal, written, graphical) on young drivers’ speed management behaviour. Sixty young drivers, randomly allocated to one of four feedback groups (i.e., Control, Verbal feedback, Written feedback, and Graphical feedback) completed one training and two test drives using an instrumented vehicle on-road. After the first (baseline) drive, participants were provided feedback about the number of times they exceeded the speed limit, their maximum speed, as well as the financial penalties associated with such driving behaviour, and safety implications. The content of feedback remained the same for all training groups, except for the manner in which the feedback was presented. Verbal feedback was provided verbally by the researcher; written feedback on paper; and graphical feedback using a series of graphs on a computer screen. Control received no such intervention. Two test drives followed, one immediate post-training, and the second one week post-training. Feedback, irrespective of medium improved young drivers’ speed management. Verbal and graphical feedback yielded the greatest reduction in speeding behaviour, with graphical feedback having the most impact in the two speed zones under examination (50 km/h & 80 km/h). Control showed the poorest speed management behaviour in all drives. These findings have important implications for the development of a new approach to improve young drivers’ speed management behaviour.     

Reliability of variable message signs information: A field experiment study in Chongqing

A variable message sign (VMS), which is a key component of intelligent transportation systems, has been frequently used in the management of urban roads and motorways to provide drivers with real-time traffic condition information about a road section or area. Nevertheless, there is a lack of unified regulations for VMS design, which makes it difficult to accurately determine the understandability and legibility of VMS information. In practice, inappropriate designs of VMSs are common, such as overload of VMS information and excessive number of phases, particularly on the urban roads of China. Building on our earlier findings obtained by surveys, in this study, field tests were conducted to assess the reliability of VMS information in terms of the visual perception characteristics of drivers. For a full visual perception, the information displayed on a VMS must be reliable, i.e., it should be easy for drivers to detect, obtain, and understand the messages they require. Two basic theories—information theory and visual perception theory—were introduced to build a quantification model of VMS information, select evaluation indices, and design the experimental process. A total of 24 drivers participated in the field experiments and questionnaires. Five indices—information obtainment rate, periodic validity, driver subjective scoring and the corresponding UI (represents information intelligibility), and CE (represents information legibility)—were analyzed to evaluate their relationships to VMS information reliability. The results confirmed that the amount of information, and the scrolling period considering redundant distance, significantly affect the reliability of VMSs information. For static VMSs, the information obtainment rate and the subjective scoring decrease with increasing amount of information. The recollection accuracy of the drivers significantly declines when the amount of information shown increases to 90 bits, corresponding to an information obtainment rate of less than 0.8 and UI equal to 0. For dynamic VMSs, the information reliability deteriorates as the scrolling period shortens and the number of phases increases. Unreasonable reliability is found when the periodic validity is less than 0.9, i.e., the actual scrolling period is more than 10% less than the calculated one, corresponding to CE equal to 0. The reliability of information was evaluated by combining the subjective scoring of the drivers and a data-based statistical analysis and considering driving safety. Accordingly, it was recommended that 90 bit is the maximum amount of information to be shown on a VMS and that the preferred scrolling period of each phase of a dynamic VMS is 5 s. The results of this study support the objective of providing reliable information to drivers by addressing the problems related to the amount of information and presentation time for VMSs. These findings provide a basis for determining the thresholds for VMS information to promote practical and user-friendly designs of VMSs on urban roads.     

口语句子的韵律边界：窥探言语理解的秘窗

韵律边界加工与言语理解紧密相关, 最近十几年来逐渐成为心理学和语言学的研究焦点。韵律系统包含若干由小到大的韵律单位, 不同单位的韵律成分其边界强度不同, 表现在音高、延宕和停顿三个声学线索上的参数也不同。句子的听力理解过程中, 听话人运用声学线索感知权重策略对韵律边界的声学线索进行加工。从神经层面上来看, 对于韵律边界的加工, 大脑显示出独立且特异性的神经机制。韵律边界的加工能力在婴儿出生后随年龄的增长而发展, 到了老年阶段则逐渐退化, 而且似乎能够对二语迁移。未来, 需要扩大对韵律边界声学表现的考查范围, 进一步明确韵律边界的加工过程, 进一步厘清韵律边界加工和句法加工之间的关系, 进一步关注二语者韵律边界加工能力的发展。     

A comparison of skill-building and desensitization strategies for intervention with aggressive children

Social skills training and desensitization interventions were conducted with 41 institutionalized aggressive children aged 7–13. Subjects were randomly assigned after blocking by aggression and cooperative play to either of the treatments. Dependent measures were direct observations of playground play and teacher ratings. Subjects in the social skills program mastered the basic cognitive skills presented to them. Observational data indicated that both groups experienced marked reduction in aggressive behavior and increases in cooperative play. The social skills training intervention engendered incremental improvement in aggression in comparison to the desensitization condition. However, none of the behavioral changes evident in the observations were reflected in teacher ratings.     

The Nature of Client Agency Prior to Therapy: A Qualitative Study on Clients’ Narratives

Client agency is considered a crucial contributor to good treatment outcome. Recent studies, however, differ strongly in how they conceptualise and investigate agency. The current study explores the nature of client agency in ten clients’ pre-treatment interviews. Applying Consensual Qualitative Research, we constructed three overarching categories, subdivided into 14 sub-categories capturing both between- and within-person differences in agency before therapy. We found that all participants oscillated between the experience of a lack of grip on problems on the one hand and noticing their involvement in the problem and taking action on the other. These results present a dynamic conceptualisation of client agency. This allows us to ask pertinent questions for both future research and clinical practice.