Behavior Modification最新文献

{"title":"Wearable Technology to Measure the Occurrence of Self-Injury During a Functional Analysis.","authors":"Leslie Neely, Katherine Holloway, Samantha Miller, Karen Cantero, Adel Alaeddini, Sakiko Oyama","doi":"10.1177/01454455251397910","DOIUrl":"10.1177/01454455251397910","url":null,"abstract":"<p><p>Conducting a functional analysis (FA) is considered the gold standard for assessing the function of disruptive behavior and informing function-based treatment plans for individuals with autism and developmental disabilities. However, data collected during FAs are subject to human error. Accelerometers are wearable sensors that capture an individual's movement and can be used to identify behavioral events. The purpose of this study was to pilot the use of accelerometers to identify the occurrence of self-injurious behavior events during a FA. Three participants with autism, who engaged in self-hitting behaviors, participated in this study. Researchers conducted a FA with the participants while they wore small accelerometer devices. Observational data were collected using (1) live observation (\"clinical-grade\"), (2) from frame-by-frame video analysis (\"research-grade\"), and (3) via accelerometers. Researchers calculated interobserver agreement across data sets. Discussion of results and recommendations for practice and future research are included.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"163-191"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145649883","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":"Interventions for Transition-Related Challenging Behavior in Individuals with Disabilities: A Targeted Research Synthesis and Meta-Analysis of Studies Published in Behavior Analytic Journals.","authors":"Ji Young Kim, Vidhya Ravichandran, Mariola Moeyaert, Harley Ditzler, Maddux Ryan, Daniel M Fienup","doi":"10.1177/01454455261421144","DOIUrl":"10.1177/01454455261421144","url":null,"abstract":"<p><p>Transition-related challenging behavior is common among individuals with intellectual and developmental disabilities, particularly during changes between activities. Two hypothesized controlling variables-unpredictability and negative incentive shifts-may contribute to the occurrence of these behaviors. This targeted research synthesis and meta-analysis identified studies published in behavior-analytic journals examining interventions developed to decrease transition-related challenging behavior. Nineteen experiments across sixteen peer-reviewed articles were included in the targeted research synthesis, with interventions categorized as those incorporating a signaling stimulus (e.g., advance notice, visual schedules) or other procedures (e.g., differential reinforcement, extinction). A multilevel meta-analysis was conducted to estimate overall intervention effects and examine whether the intervention type moderated its effectiveness. Results indicated that, although overall effects were not statistically significant, consequence-based interventions without signaling stimuli were associated with greater reductions in challenging behavior. Implications for practice, including the integration of signaling stimulus and consequence-based procedures, are discussed, along with directions for future research on intervention efficiency, generalization, and long-term maintenance.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"212-247"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356829","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":"Cross-Cultural Adaptation, Validation, and Factor Analysis of a Persian Version of the Behavioral Pediatric Feeding Assessment Scale.","authors":"Soheila Parvizi, Fariba Jokar, Marziyeh Ostadi, Marziyeh Poorjavad","doi":"10.1177/01454455261416517","DOIUrl":"10.1177/01454455261416517","url":null,"abstract":"<p><p>Feeding disorders in early childhood involve maladaptive mealtime behaviors, nutritional deficits, and strained parent-child interactions. Standardized tools for Persian-speaking populations are scarce. This study translated and adapted the Behavioral Pediatrics Feeding Assessment Scale (BPFAS) into Persian and evaluated its psychometric properties. The process included translation/adaptation and psychometric testing. Content validity was reviewed by 14 experts, face validity by interviews with 25 mothers, and construct validity via factor analysis with 203 mothers. Reliability was assessed through internal consistency and test-retest stability. Interviews refined the questionnaire format. Factor analysis yielded five child subscales and three parent subscales, explaining 45.11% and 56.72% of variance. The scale demonstrated strong reliability (Cronbach's alpha = .94; ICC = 0.94). Findings confirm that the Persian BPFAS is a reliable and valid tool for assessing feeding disorders in children in Persian-speaking families. Its multidimensional factor structure highlights the complexity of feeding problems and supports its use for early identification and behavioral intervention planning in clinical and community settings.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"192-211"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183085","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":"Response Interruption and Redirection for Stereotypy: A Quality Review and Ethical Considerations.","authors":"Hannah MacNaul, Anh Nguyen","doi":"10.1177/01454455261434871","DOIUrl":"https://doi.org/10.1177/01454455261434871","url":null,"abstract":"<p><p>Response interruption and redirection (RIRD) is a commonly evaluated intervention for reducing stereotypy, a core feature of autism spectrum disorder (ASD). Although RIRD has been recognized as an evidence-based practice, increasing emphasis on neurodiversity affirming and contextually grounded intervention has highlighted the need to reexamine both the methodological rigor of the literature and the conditions under which RIRD is appropriate. This systematic review evaluated the quality and ethical contextualization of published RIRD studies by applying the What Works Clearinghouse (WWC) single case design standards and an ethical decision framework informed by the National Institutes of Health guiding principles and contextual fit literature. A total of 42 articles met inclusion criteria, yielding 277 cases. Of these, approximately 9% met WWC design standards without reservations, 44% met standards with reservations, and 47% did not meet standards. Of the 144 cases eligible for evidence review, 67% demonstrated strong or moderate evidence of a functional relation. Ethical coding showed that most participants (76%) had an explicit rationale for treatment, yet reporting of procedural fidelity and social validity remained inconsistent. Only 38% of articles assessed social validity. Among those that did, stakeholder ratings were consistently positive, and participant-based measures indicated that when given a choice, individuals often preferred RIRD over alternatives. Taken together, findings suggest that RIRD can be effective and ethically defensible when implemented following established prerequisites such as contextual fit, functional behavior assessment, high fidelity implementation, and consideration of client preferences. Implications for practice and recommendations for designing neurodiversity affirming, high quality RIRD research are discussed.Public Significance StatementStereotypic behaviors, such as hand-flapping or vocal repetition, are an important part of many autistic individuals' experiences. While reducing stereotypy can sometimes help with learning or social access, it is essential that interventions respect each person's needs and preferences. This review examined the strength and contextual appropriateness of research supporting response interruption and redirection (RIRD), an intervention sometimes used to reduce stereotypy. Findings show that while RIRD can be helpful, the quality of research varies, and the procedure should only be used when clearly justified, preferred, and implemented with care. This means that careful, individualized decision-making is needed when considering RIRD to ensure it supports, rather than suppresses, the unique ways autistic individuals communicate and engage with the world.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455261434871"},"PeriodicalIF":2.4,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785811","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":"Changes in Child Behaviour Following a Brief Parenting Intervention (Triple P) for Families of Children with Phenylketonuria (PKU): A Case Series.","authors":"Grace Kirby, Alina Morawska, Amy E Mitchell, James McGill, David Coman, Anita Inwood","doi":"10.1177/01454455261421147","DOIUrl":"https://doi.org/10.1177/01454455261421147","url":null,"abstract":"<p><p>Evaluating psychosocial outcomes in families of children with chronic health conditions is complicated by heterogeneity in impact across and within conditions. This study used goal attainment scaling to assess individual families' progress towards child behaviour goals following brief parenting support for families of children (2-11 years) with phenylketonuria (PKU). Twelve hospital-recruited families nominated up to two behaviour goals and completed baseline monitoring before attending two 2-hr <i>Healthy Living Triple P</i> group sessions. Monitoring was repeated at 4-weeks post-intervention and 4-month follow-up. Families reported partial or complete success on 20 of 23 goals by follow-up. Nine goals were PKU-related, focusing on formula intake for younger children and dietary independence for older children; 14 were general, targeting aggression/non-compliance in younger children, with older children's goals more varied. Goal attainment scaling is feasible and effective for monitoring progress towards individually tailored child behaviour goals, with potential applications in research and clinical care.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455261421147"},"PeriodicalIF":2.4,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785787","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":"https://doi.org/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":"1454455261434863"},"PeriodicalIF":2.4,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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":"https://doi.org/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":"1454455261434869"},"PeriodicalIF":2.4,"publicationDate":"2026-04-08","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":"Working Alliance and Therapeutic Change in Integrated Psychotherapy: A Longitudinal Study.","authors":"Eleonora Volpato, Susanna Bergamaschi, Mattia Cis, Davide Sattin, Milena Ruffino, Giacomo Tognasso, Maria Clotilde Gislon, Francesco Pagnini","doi":"10.1177/01454455261416501","DOIUrl":"https://doi.org/10.1177/01454455261416501","url":null,"abstract":"<p><p>The Focus-Based Integrated Model (FBIM) tailors interventions based on a functional assessment of clients' needs, integrating psychotherapy with pharmacological or rehabilitative support when necessary and emphasizing a strong Working Alliance (WA). This study evaluated therapeutic progress in clients treated with FBIM at four time points: baseline (T0), 3 months (T1), 12 months (T2), and follow-ups at 3 months post-therapy (T3). From April 2022 to July 2024, this longitudinal study was conducted at a community-based psychotherapy centre in Italy, enrolling 154 participants (<i>M</i>_age = 32.8 years; 54.3% female) who completed baseline assessments, with sociodemographic and clinical data collected on symptom severity, WA, and client motivation. Symptom severity declined significantly from T0 to T2. Within the integrated approach employed, that combined psychodynamic and Cognitive Behavioural Therapy (CBT) components, CBT showed stronger Task subscale scores at T2. Resistance to change impacted WA at T1 but decreased by T2. Contextual differences in WA at T1 diminished over time. Client motivation had no effect on WA. Structured approaches like CBT foster early collaboration, while changes in the WA over time reflect the therapist's capacity to adapt to client needs and therapeutic challenges.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455261416501"},"PeriodicalIF":2.4,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610516","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":"Meta-Analysis on the Effectiveness of mHealth Interventions for Mental Health: A 10-Year Update.","authors":"Claire S Tomlinson, Emma K Toevs, Hannah D Gallagher, Abby Angus, Oliver Lindhiem","doi":"10.1177/01454455251380218","DOIUrl":"10.1177/01454455251380218","url":null,"abstract":"<p><p>Mobile health (mHealth) interventions offer scalable ways to deliver mental health support via smartphone technology. This updated meta-analysis builds on Lindhiem et al., synthesizing findings from 79 randomized controlled trials identified through PsycINFO. Eligible studies included clinical samples, randomized designs, and at least one mHealth intervention group. Three comparisons were examined: mHealth + treatment versus control treatment, mHealth versus control treatment, and mHealth versus no treatment. Results showed small to moderate effects, with the strongest outcomes when mHealth interventions supplemented traditional care. Moderator analyses revealed greater effects for studies targeting substance use and for interventions that included clinician guidance or text messaging as a supplement. Effects were stronger in this updated meta-analysis compared to the original. High heterogeneity and wide prediction intervals suggested variability across studies. Despite limitations, findings support mHealth interventions as effective tools to expand mental health care access, particularly when integrated with traditional treatment.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"50 2","pages":"87-122"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167247","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":"Who Is on the BIP Development Team for Students with IDD? A Case Study of One School District.","authors":"Megan E Carpenter, Christy J Brown, Shanna E Hirsch, Catherine A Griffith","doi":"10.1177/01454455251397904","DOIUrl":"10.1177/01454455251397904","url":null,"abstract":"<p><p>There is little known about the behavior intervention plan (BIP) team composition for students with intellectual disability, developmental delay, and/or autism (i.e., IDD). We sought to understand whether students with IDD are included as part of the team to develop their BIPs and who is involved and the correlation with quality of the BIP. We reviewed and statistically analyzed records from 87 BIPs from one large school district. Of the records reviews, most BIP teams included a parent or guardian, administrator, general education teacher, and special education teacher. Less than 5% of BIPs included a student with IDD. Implications for policy and practice are provided. Specifically, federal and state policy guides are needed to ensure that BIP teams include both the individual with IDD and their parents or guardians, along with individuals with expertise in supporting students with IDD.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"148-160"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835116","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}