Behavior Modification最新文献

{"title":"Efficacy of a Brief Video Intervention to Improve Parenting Attitudes, Knowledge, and Use of Time-Out: A Randomized Control Trial.","authors":"Ashlae L Portell, Larissa N Niec","doi":"10.1177/01454455261449744","DOIUrl":"10.1177/01454455261449744","url":null,"abstract":"<p><p>Time-out from positive reinforcement (TOPR) is an effective limit-setting strategy for decreasing disruptive behaviors in young children. However, most publicly available information on TOPR (e.g., social media and other internet outlets) is inaccurate, leading to misperceptions and ineffective implementation by caregivers. We evaluated a brief (2-minute) behavioral, psychoeducational video on the evidence-based use of TOPR to determine whether a low-dose, universal intervention would change caregivers' attitudes, increase knowledge, and improve correct use of TOPR. The primary caregivers of 1,472 children 2 to 8 years old were randomly assigned to watch a video on TOPR (intervention) or a video on the stages of child play (control). Caregivers completed self-report measures assessing their knowledge of and attitudes toward TOPR, use of TOPR, and severity of their child's behavior problems at baseline, immediate follow-up, and 1-month follow-up. Acceptability of the intervention was assessed at immediate and 1-month follow-up. Caregivers who watched a 2-minute video on TOPR showed significant improvements in their understanding of TOPR (<i>F</i>(1, 703) = 6.56, <i>p</i> = .011, Cohen's <i>d</i> = .20) and the correct use of time-out (<i>F</i>(1, 703) = 4.36, <i>p</i> = .037, Cohen's <i>d</i> = .16), but their attitudes toward time-out did not significantly change. Implications for the development and dissemination of universal, low-dose psychoeducation on TOPR are discussed.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"484-511"},"PeriodicalIF":2.2,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Behavior Changes in a Lifestyle Medicine Program: A Convergent Mixed Methods Study.","authors":"Julia M L Pangalangan, Elizabeth P Frates, Michelle Tollefson, Charlotte V Farewell, Ella Abramonte, Ashley Brooks-Russell, Jini E Puma","doi":"10.1177/01454455261437752","DOIUrl":"10.1177/01454455261437752","url":null,"abstract":"<p><p>Despite public health efforts and technological advancements, the global burden of lifestyle-related chronic diseases continues to grow. Lifestyle medicine, a discipline that leverages evidence-based behavioral interventions to prevent and manage chronic disease, presents a promising path to address this epidemic. Thus far, the lifestyle medicine field lacks comprehensive and validated tools to assess program effectiveness. This convergent mixed methods study fills a gap in research by examining the preliminary effectiveness of a promising lifestyle medicine program, the PAVING the Path to Wellness program. PAVING the Path to Wellness (PAVING program) is a group-based health promotion program centered on improving health behaviors, including physical activity, nutrition, sleep, substance use, stress management, and social connection. This pre-post evaluation aimed to assess (1) the preliminary effects of the PAVING program on the six lifestyle medicine health behaviors using the Lifestyle Medicine Health Behavior (LMHB) scale with 19 cohorts of PAVING groups (<i>n</i> = 126) and (2) the impacts of the PAVING program on determinants of health behaviors (attitudes, perceived norms, and self-efficacy, etc.) through semi-structured interviews. The program positively influenced determinants of behavior and significantly improved self-reported nutrition, physical activity, sleep, social connection, stress, and avoidance of risky substances. This mixed methods pilot study captures the impact of a group-based lifestyle medicine program and provides an evaluation blueprint for other lifestyle medicine and health promotion programs to more effectively translate from research to practice.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"455-483"},"PeriodicalIF":2.2,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptance and Commitment Therapy for Generalized Anxiety Disorder: A Narrative Review.","authors":"Leila K Capel, Francesca M Knudsen, Garth Thomas, Michael E Levin, Michael P Twohig","doi":"10.1177/01454455261449755","DOIUrl":"10.1177/01454455261449755","url":null,"abstract":"<p><p>Generalized anxiety disorder (GAD) is prevalent in the United States and while useful treatments exist, more treatment development work is needed. Acceptance and commitment therapy (ACT) for GAD has growing empirical support, but this literature has not yet been summarized for GAD alone. In this paper we provide a narrative review of the current literature on ACT for GAD. Our search yielded 21 studies of ACT for GAD with 15 included in this review (one case study, two open trials, one multiple baseline single subject design, three semi-experimental designs, and eight randomized clinical trials). Overall, ACT has preliminary support as an efficacious treatment for adults with GAD. Studies reported between group effect sizes in the medium to large range and 60% to 77% reduction in symptom severity, however there was significant variability in study design and methodological rigor. Limitations of the current literature are noted. Future directions for research to better inform clinical decision making on GAD are identified.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"512-533"},"PeriodicalIF":2.2,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Preliminary Study of Mobile-Based CBT for Anger Management in Individuals With ASD Without Intellectual Disability.","authors":"So Yeong Choi, Kyong-Mee Chung","doi":"10.1177/01454455261495107","DOIUrl":"https://doi.org/10.1177/01454455261495107","url":null,"abstract":"<p><p>This study examined the preliminary efficacy of HARU ASD, a mobile-based cognitive behavioral therapy program (mCBT), for anger management in adolescents and young adults with autism spectrum disorder without intellectual disability. Thirty participants (intervention group <i>n</i> = 16, waitlist control group <i>n</i> = 14) and twenty-five caregivers (intervention group <i>n</i> = 14, waitlist control group <i>n</i> = 11) were included in the final analysis. Self-report, caregiver-proxy questionnaires (9 subscales each), and direct behavioral observations (5 domains) were administered before and after the intervention. After Holm-Bonferroni correction, only the caregiver-proxy reported direct anger-out remained significant, suggesting reduced direct verbal and behavioral anger expression in the intervention group. These findings suggest the limited effectiveness of the HARU ASD for managing anger among individuals with ASD without ID, although larger trials with prespecified primary outcomes are needed.Clinical trial registration: CRIS (https://cris.nih.go.kr), KCT0009760.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455261495107"},"PeriodicalIF":2.2,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shopping From the List: Teaching Middle School Students Grocery Shopping Skills Via Non-Immersive Virtual Reality.","authors":"Laura Norwine, Emily C Bouck, James Nuse","doi":"10.1177/01454455261495093","DOIUrl":"https://doi.org/10.1177/01454455261495093","url":null,"abstract":"<p><p>Previous researchers determined virtual reality (VR) is an effective and efficient technology-based intervention for teaching life skills to students with disabilities. However, few researchers have explored the use of VR to teach community-based life skills, such as grocery shopping from a list. In this concurrent baseline multiple-probe single-case design study, researchers explored the effectiveness of a non-immersive VR program in teaching three middle school students with disabilities the important community-based life skill of grocery shopping. Researchers concluded two main results: (a) although each participant reached 100% independent accuracy for two consecutive probe sessions, researchers could not determine a functional relation between the non-immersive VR and participants' independent accuracy due to the read-aloud accommodation provided to two of the three participants after their first intervention probe, and (b) all participants acquired the skill in a relatively short amount of time. Implications for practice are discussed.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455261495093"},"PeriodicalIF":2.2,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding How Experts Conduct Visual Analysis.","authors":"Katie Wolfe, Lauren M LeJeune, Jessie D Guest, Adrianna M Shoemaker, Jeanine P Stratton, Catherine Tuxworth, Hannah C Gates","doi":"10.1177/01454455261495076","DOIUrl":"https://doi.org/10.1177/01454455261495076","url":null,"abstract":"<p><p>Although visual analysis is integral to evaluating intervention effects in single-case research, little is known about how researchers actually use this method. Previous research on visual analysis has focused on the decisions that researchers make but has not examined how researchers use visual analysis to make those decisions. In this qualitative study, we used a think-aloud protocol and asked 15 researchers to verbalize their analysis as they viewed published multiple baseline design graphs. We analyzed transcripts using Consensual Qualitative Research (CQR). Contrary to previous research on the reporting of visual analysis in published manuscripts, researchers frequently described level, trend, and variability. However, they discussed data sufficiency and covariation across tiers less often. Implications for future research include extending the think-aloud protocol to compare the analytic process across design types and expertise levels. Our findings may also contribute to the development or refinement of protocols for training visual analysis that are rooted in expert consensus.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455261495076"},"PeriodicalIF":2.2,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Systematic Review of School Personnel's Involvement in Function-Based Intervention for Students With Extensive Support Needs.","authors":"Virginia L Walker, Megan E Carpenter, Meghan Edwards-Bowyer, Monique Pinczynski, Lyndsey Aiono-Conradi, Melinda R Snodgrass, Ryan Harris","doi":"10.1177/01454455261449774","DOIUrl":"10.1177/01454455261449774","url":null,"abstract":"<p><p>Although function-based interventions (FBIs) are effective for individuals with intellectual and developmental disabilities, less is known about FBIs for students with extensive support needs (ESN) and school personnel involvement in FBI development and implementation. As such, we conducted a systematic literature review of 14 single-case research studies involving FBI implementation in K-12 U.S. school settings to address challenging behavior among 18 students with ESN. To identify relevant peer-reviewed articles, dissertations, and theses published between 2006 and March 2025, we searched 10 online databases, reference lists of 10 published reviews, and 19 peer-reviewed journals. Descriptive analyses revealed school personnel involvement varied widely, with school personnel often assuming FBI implementer roles and researchers primarily leading functional behavior assessments. Findings may be limited due to the small number of studies and eligible students with ESN included in the analyses and the limited descriptions of student and study characteristics.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"423-451"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preliminary Demonstration of Concurrent-Chains Progressive Ratio Schedules to Measure Magnitude of Relative Preference.","authors":"Taylor K Lewis, Tom Cariveau","doi":"10.1177/01454455261434869","DOIUrl":"10.1177/01454455261434869","url":null,"abstract":"<p><p>Concurrent-chains arrangements are commonly used to assess preference for interventions. Typically, these assessments are used to identify the most-preferred intervention, which may result in the rejection of other acceptable interventions. Modifications to the chained schedule might allow for the quantification of the degree of relative preference. The current study served as an initial demonstration of a modified concurrent-chains arrangement that included a progressive-ratio schedule as the second link of a three-link chain. Two participants preferred a single condition, requiring removal of the most-preferred alternative to yield a preference hierarchy. For two additional participants, preference hierarchies were identified through break points, although both participants exhibited small differences in relative preference across conditions. The findings of the current study suggest that alternative measures of relative preference might provide additional information for behavior analysts tasked with identifying individualized interventions.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"359-384"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With Restraint Application in Children and Adolescents With Intellectual and Developmental Disabilities Displaying Severe Challenging Behavior.","authors":"Asude Sumeyye Ayvaci, Alison Dorothea Cox, Daniel Mitteer","doi":"10.1177/01454455261434863","DOIUrl":"10.1177/01454455261434863","url":null,"abstract":"<p><p>Emergency physical restraints may still be widely used, with prevalence rates ranging from 11% to 78% across different service sectors (Fitton & Jones, 2020). At times, behavior analysts may recommend restraint when severe challenging behavior poses significant safety risks (e.g., intense aggression causing severe tissue damage; Foxx & Meindl, 2007; Vollmer et al., 2011). Most existing physical restraint literature featuring child and adolescent participants focuses on variables that behavior-analytic interventions do not manipulate (e.g., sex, diagnosis). Additionally, this literature most often features inpatient clinical populations with psychiatric conditions as opposed to those with intellectual and developmental disabilities. The current study applied a multi-level analysis informed by retrospective outpatient data (<i>N</i> = 12) from children and adolescents with intellectual and developmental disability who required emergency physical restraints. The study aimed to (a) examine and report on participant and restraint application characteristics and trends, and (b) determine if challenging behavior severity at intake predicted latency to restraint-application. According to the descriptive analysis, most participants were experiencing polypharmacy (i.e., prescribed at least three concurrent psychotropic medications), had been assigned moderate to high scores on challenging behavior severity, and primarily exhibited behavior maintained by access to tangibles or multiple reinforcers. Regarding restraint characteristics, the average restraint rate was 9.11 per 100 service hours, with most participants described as calm during restraint application. Typically, more than two staff members applied the restraints. Regression results indicated that challenging behavior severity scores significantly predicted latency to the first restraint application. Clinical implications related to these outcomes are discussed.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"385-422"},"PeriodicalIF":2.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13424904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Artificial Intelligence to Improve Question Asking in Autistic Adolescents and Adults.","authors":"Lynn Kern Koegel, Elizabeth Ponder, Tommy Bruzzese, Monica S Lam","doi":"10.1177/01454455261477050","DOIUrl":"https://doi.org/10.1177/01454455261477050","url":null,"abstract":"<p><p>This research assessed whether an artificial intelligence (AI) program could support autistic adolescents and adults with question asking, and whether these gains would generalize to human conversation. Participants were asked to use the online AI program on weekdays for 20 trials per day, where they responded to each leading statement with a question, then received AI-written feedback. The results show that all participants, who used few to no questions at pre-intervention, improved their question asking following intervention. Importantly, all participants generalized their gains to appropriate question asking during human conversation, and these gains maintained over time. Regarding social validation, participants reported improved confidence levels during conversation following the program, and most reported being positive and satisfied with the program. Overall, this study supports AI-aided intervention as a viable and effective option for individuals who lack access to support or could benefit from further practice with specific areas of social communication.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455261477050"},"PeriodicalIF":2.2,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}