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On the longevity of behavioral interventions for challenging behavior
Authors:Victoria Scott  Valdeep Saini  Louis Busch  Nora Solomon
Institution:1. Department of Applied Disability Studies, Brock University, St. Catharines, Ontario, Canada;2. Centre for Addiction and Mental Health, Toronto, Ontario, Canada;3. George Brown College, Toronto, Ontario, Canada
Abstract:The capacity for a treatment to maintain its effects over time may be the most critical component of behavioral interventions for challenging behavior as treatments that fail to persist are likely to be of little value to society. We reviewed the quality and quantity of different types of post-intervention data for the treatment of challenging behavior in studies published over the last 7 years. We found that for the majority of participants at least one measure of maintenance, fading, or follow-up was reported but with limited information regarding the quality of those measures. Reports of secondary variables related to post-intervention data (e.g., latency to measurement) were also uncommon. We discuss possible explanations for the paucity of post-intervention data, barriers to obtaining post-intervention data, strategies for obtaining these data, and implications for the external validity of behavioral interventions for challenging behavior. We provide recommendations for increasing the probability that post-intervention data are included in applied research on challenging behavior.
Keywords:challenging behavior  fading  follow-up  maintenance  treatment
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