Exploring factors that influence the efficacy of functional communication training

IF 2.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Jessie Weber, Tara Fahmie, Seth Walker, Joseph Lambert, Bailey Copeland, Thomas Freetly, Amanda Zangrillo
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Abstract

Understanding factors that influence the efficacy of functional communication training has both practical and conceptual benefits. The current study extended research in this area by exploring data from 95 consecutive applications of functional communication training with extinction across two independent clinics. We selected candidate predictor variables based on conceptual analysis, conducted preliminary exploratory analyses, and then selectively applied quantitative methods that are used in precision medicine to examine their accuracy and predictive utility. Treatment outcomes were better when challenging behavior was maintained by a single function than they were when it was maintained by multiple functions; however, these differences were most apparent among cases with an escape function. We also analyzed within-session responding to explore the potential influence of unprogrammed establishing operations on decrements in treatment efficacy. Our within-session measure only distinguished responders from nonresponders when escape was one of the multiple functions. Additional research is needed to validate these findings with an independent sample and to address a number of clinical conceptual issues.

Abstract Image

探究影响功能性沟通培训效果的因素
了解影响功能性沟通训练效果的因素既有实际意义,也有概念上的好处。目前的研究通过探索两个独立诊所连续 95 次使用功能性交流训练和消减训练的数据,扩展了这一领域的研究。我们在概念分析的基础上选择了候选预测变量,进行了初步的探索性分析,然后有选择性地应用了精准医学中使用的定量方法来检验它们的准确性和预测效用。当挑战行为由单一功能维持时,治疗效果优于由多种功能维持时;然而,这些差异在具有逃避功能的病例中最为明显。我们还分析了会话中的反应,以探索未编程的建立操作对治疗效果下降的潜在影响。我们的会话内测量只有在逃避是多种功能之一的情况下才能区分有反应者和无反应者。我们还需要进行更多的研究,以便在独立样本中验证这些发现,并解决一些临床概念问题。
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来源期刊
Journal of applied behavior analysis
Journal of applied behavior analysis PSYCHOLOGY, CLINICAL-
CiteScore
5.80
自引率
20.70%
发文量
61
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