Behavior ModificationPub Date : 2022-11-01Epub Date: 2021-10-28DOI: 10.1177/01454455211054020
George Noell, Kristin Gansle, Veronica Gulley
{"title":"The Impact of Integrated Support and Context on Treatment Implementation and Child Outcomes Following Behavioral Consultation.","authors":"George Noell, Kristin Gansle, Veronica Gulley","doi":"10.1177/01454455211054020","DOIUrl":"https://doi.org/10.1177/01454455211054020","url":null,"abstract":"<p><p>Assuring treatment plan implementation following consultation is critically important because implementation is strongly related to outcomes. Treatment implementation has been hypothesized to be influenced by both the nature of the follow-up support provided and contextual variables. However, studies to date have not examined both issues while directly measuring implementation. This study examined treatment implementation following consultation for 48 teachers in public schools who had referred a student for intervention services in a randomized clinical field trial. Participating teachers in the experimental group received Integrated Support (IS). IS includes social influence, planning, and performance feedback elements. IS was compared to weekly follow-up meetings alone. Treatment implementation and child outcomes were markedly superior for IS as compared to weekly follow-up. Three school climate factors were found to be correlated with treatment implementation for the IS group, but not the weekly follow-up group. Participants rated treatment implementation, treatment acceptability, and consultant effectiveness positively and similarly across conditions. The implications of these findings for future work examining school culture, consultation and intervention are discussed.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"46 6","pages":"1383-1405"},"PeriodicalIF":2.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39571168","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}
Behavior ModificationPub Date : 2022-11-01Epub Date: 2021-10-29DOI: 10.1177/01454455211051678
Keira Moore, Amanda Bullard, Gemma Sweetman, William H Ahearn
{"title":"Assessing and Treating Anxiety in Individuals with Autism.","authors":"Keira Moore, Amanda Bullard, Gemma Sweetman, William H Ahearn","doi":"10.1177/01454455211051678","DOIUrl":"https://doi.org/10.1177/01454455211051678","url":null,"abstract":"<p><p>Anxiety is a cluster of responses that can involve both operant and respondent behavior, which can be both public and/or private in nature, and occurs when an upcoming aversive stimulus is signaled. Despite the reported high comorbidity of autism and anxiety, there has been very limited research on how to directly assess and treat anxiety, especially with individuals who have limited communication skills. In Study 1, anxiety was assessed in five individuals with autism, ranging in age from 10 to 19 years old. Anxiety was assessed by measuring behavior during (1) a baseline (with no putative anxiety-provoking stimuli present), (2) signals for an upcoming aversive event, and (3) exposure to that aversive event. Anxiety presented in several different ways, as both conditioned activation and suppression, and both with and without problem behavior during the aversive event. In Study 2, individualized treatments involving differential reinforcement of alternative responses and stimulus fading were used to successfully reduce anxious responding in all four participants who displayed anxiety. These studies demonstrated a potentially useful means of assessing anxiety in individuals with autism which may not only help to measure anxious behavior and identify anxiety-provoking events, but may also lead to effective treatment.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"46 6","pages":"1279-1313"},"PeriodicalIF":2.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39573293","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}
Behavior ModificationPub Date : 2022-11-01Epub Date: 2021-11-16DOI: 10.1177/01454455211058077
Ji Young Kim, Daniel M Fienup, Alice E Oh, Ye Wang
{"title":"Systematic Review and Meta-Analysis of Token Economy Practices in K-5 Educational Settings, 2000 to 2019.","authors":"Ji Young Kim, Daniel M Fienup, Alice E Oh, Ye Wang","doi":"10.1177/01454455211058077","DOIUrl":"https://doi.org/10.1177/01454455211058077","url":null,"abstract":"<p><p>Token economy systems have been widely used as an evidence-based classroom management strategy to reinforce and improve prosocial responses. While token economies have been widely applied to educational settings, there have been mixed results regarding the effectiveness depending on the classroom type. To better understand the components contributing to the effectiveness, the researchers analyzed 24 token economy studies conducted in general and special education classrooms from kindergarten to fifth grade between 2000 and 2019. Eight token economy components and effect sizes were identified for each study and compared across different classroom types. The results showed that the token economy intervention yielded large effect sizes for both general and special education classroom types. There were differences in the usage of token components including backup reinforcer types, token production rate, and exchange production rate based on classroom types. Implications for future research and practice for educators and clinicians are discussed.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"46 6","pages":"1460-1487"},"PeriodicalIF":2.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39628980","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}
Behavior ModificationPub Date : 2022-11-01Epub Date: 2022-02-12DOI: 10.1177/01454455221075754
Kirstyn L Krause, Naomi Koerner, Martin M Antony
{"title":"Cognitive Restructuring Before Versus After Exposure: Effect on Expectancy and Outcome in Individuals With Claustrophobia.","authors":"Kirstyn L Krause, Naomi Koerner, Martin M Antony","doi":"10.1177/01454455221075754","DOIUrl":"https://doi.org/10.1177/01454455221075754","url":null,"abstract":"<p><p>Maximizing the discrepancy between expected and actual outcomes during exposure (i.e., expectancy violation) is thought to optimize inhibitory learning. The current study examined Craske et al.'s suggestion that engaging in cognitive restructuring (CR) before exposure prematurely reduces expectancy and mitigates outcomes. Participants (<i>N</i> = 93) with claustrophobia were randomly assigned to either 15 minutes of CR before exposure (<i>CR Before</i>) or 15 minutes of CR after exposure (<i>CR After</i>). Although the <i>CR Before</i> condition experienced greater expectancy reduction before exposure than the <i>CR After</i> condition, both groups experienced similar overall expectancy reduction by the end of the intervention. Groups experienced similar gains, with large significant improvement at posttreatment and follow-up. Results suggest that both cognitive therapy and exposure therapy lead to expectancy reduction, but that the order of these interventions does not impact outcome. Clinicaltrials.org registration #NCT03628105.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"46 6","pages":"1432-1459"},"PeriodicalIF":2.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fc/dd/10.1177_01454455221075754.PMC9523819.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39916600","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}
Behavior ModificationPub Date : 2022-11-01Epub Date: 2021-11-02DOI: 10.1177/01454455211054018
Nihal Sen
{"title":"Investigation of Regression-Based Effect Size Methods Developed in Single-Subject Studies.","authors":"Nihal Sen","doi":"10.1177/01454455211054018","DOIUrl":"https://doi.org/10.1177/01454455211054018","url":null,"abstract":"<p><p>The purpose of this study is to provide a brief introduction to effect size calculation in single-subject design studies, including a description of nonparametric and regression-based effect sizes. We then focus the rest of the tutorial on common regression-based methods used to calculate effect size in single-subject experimental studies. We start by first describing the difference between five regression-based methods (Gorsuch, White et al., Center et al., Allison and Gorman, Huitema and McKean). This is followed by an example using the five regression-based effect size methods and a demonstration how these methods can be applied using a sample data set. In this way, the question of how the values obtained from different effect size methods differ was answered. The specific regression models used in these five regression-based methods and how these models can be obtained from the SPSS program were shown. <i>R</i><sup>2</sup> values obtained from these five methods were converted to Cohen's <i>d</i> value and compared in this study. The <i>d</i> values obtained from the same data set were estimated as 0.003, 0.357, 2.180, 3.470, and 2.108 for the Allison and Gorman, Gorsuch, White et al., Center et al., as well as for Huitema and McKean methods, respectively. A brief description of selected statistical programs available to conduct regression-based methods was given.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"46 6","pages":"1346-1382"},"PeriodicalIF":2.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39584008","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}
Behavior ModificationPub Date : 2022-11-01Epub Date: 2022-02-03DOI: 10.1177/01454455211073738
Joshua C Felver, Adam J Clawson, Tory L Ash, Brian K Martens, Qiu Wang, Nirbhay N Singh
{"title":"Meta-Analysis of Mindfulness-Based Program Soles of the Feet for Disruptive Behaviors.","authors":"Joshua C Felver, Adam J Clawson, Tory L Ash, Brian K Martens, Qiu Wang, Nirbhay N Singh","doi":"10.1177/01454455211073738","DOIUrl":"https://doi.org/10.1177/01454455211073738","url":null,"abstract":"<p><p>Mindfulness-based programs are a promising intervention modality for reducing disruptive behavior, and <i>Soles of the Feet</i> (SOF) is one program that teaches internal awareness of personal events (e.g., unpleasant emotions) and a self-regulation strategy to decrease disruptive behaviors. This study conducted a meta-analysis of single-case research design (SCRD) studies that implemented SOF to decrease disruptive behaviors. Existing SOF studies were evaluated using high-quality SCRD standards, resulting in 15 studies included in the analysis (49 participants; mean age 23.12 years (<i>SD</i> = 15.87); highly heterogeneous backgrounds). Studies were analyzed to calculate effect sizes using Tau-U, an innovative non-parametric statistical approach for estimating effect sizes in SCRD studies. The aggregated weighted Tau-U effect size of SOF across all studies was -0.87. Moderator analyses indicated SOF's effectiveness was robust across participant characteristics and delivery formats. This meta-analysis suggests that SOF is a moderately effective evidence-based practice for reducing disruptive behavior.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"46 6","pages":"1488-1516"},"PeriodicalIF":2.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39883519","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}
Behavior ModificationPub Date : 2022-11-01Epub Date: 2021-11-11DOI: 10.1177/01454455211054019
Hide Okuno, Taylor Rezeppa, Tabitha Raskin, Andres De Los Reyes
{"title":"Adolescent Safety Behaviors and Social Anxiety: Links to Psychosocial Impairments and Functioning with Unfamiliar Peer Confederates.","authors":"Hide Okuno, Taylor Rezeppa, Tabitha Raskin, Andres De Los Reyes","doi":"10.1177/01454455211054019","DOIUrl":"https://doi.org/10.1177/01454455211054019","url":null,"abstract":"<p><p>Socially anxious adolescents often endure anxiety-provoking situations using <i>safety behaviors</i>: strategies for minimizing in-the-moment distress (e.g., avoiding eye contact, rehearsing statements before entering a conversation). Studies linking safety behaviors to impaired functioning have largely focused on adults. In a sample of one hundred thirty-four 14 to 15 year-old adolescents, we tested whether levels of safety behaviors among socially anxious adolescents relate to multiple domains of impaired functioning. Adolescents, parents, and research personnel completed survey measures of safety behaviors and social anxiety, adolescents and parents reported about adolescents' evaluative fears and psychosocial impairments, and adolescents participated in a set of tasks designed to simulate social interactions with same-age, unfamiliar peers. Relative to other adolescents in the sample, adolescents high on both safety behaviors and social anxiety displayed greater psychosocial impairments, evaluative fears, and observed social skills deficits within social interactions. These findings have important implications for assessing and treating adolescent social anxiety.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"46 6","pages":"1314-1345"},"PeriodicalIF":2.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39612258","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}
Behavior ModificationPub Date : 2022-09-01Epub Date: 2021-08-28DOI: 10.1177/01454455211040051
Margaret R Tobias, Lauren N Landy, Michael E Levin, Joanna J Arch
{"title":"A Randomized Trial of Brief Online Interventions to Facilitate Treatment Seeking for Social Anxiety.","authors":"Margaret R Tobias, Lauren N Landy, Michael E Levin, Joanna J Arch","doi":"10.1177/01454455211040051","DOIUrl":"https://doi.org/10.1177/01454455211040051","url":null,"abstract":"<p><p>This study developed and evaluated a brief, single-session online intervention designed to facilitate treatment seeking among adults with clinically significant social anxiety (SA) symptoms, who generally seek treatment at exceptionally low rates. Adults (<i>N</i> = 267) reporting significant SA symptoms were recruited online and randomized to a brief, single-session online intervention: <i>Education</i> consisted of brief psychoeducation and treatment resources, or <i>Education+Motivation</i> which added treatment seeking-focused motivational content adapted from Motivational Interviewing and Acceptance and Commitment Therapy. Attitudes, intentions, perceived control, and treatment seeking were assessed at Pre, Post, and 1-month follow-up (FU). Both interventions were feasible (90% completion) and improved all outcomes. At FU, 70% reported engaging in one or more SA treatment-seeking behaviors. <i>Education+Motivation</i> was more effective than <i>Education</i> at improving treatment-seeking attitudes and behaviors. A brief online intervention with educational and motivational content is a promising direction for promoting treatment seeking for adults with SA symptoms.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1137-1166"},"PeriodicalIF":2.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39366131","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}
Behavior ModificationPub Date : 2022-09-01Epub Date: 2021-08-03DOI: 10.1177/01454455211036003
Nadrat N Nuhu, Sacha T Pence
{"title":"Schedule Thinning Following Functional Communication Training: Effects of Chained and Multiple Schedules.","authors":"Nadrat N Nuhu, Sacha T Pence","doi":"10.1177/01454455211036003","DOIUrl":"https://doi.org/10.1177/01454455211036003","url":null,"abstract":"<p><p>Functional communication training (FCT) is used to reduce rates of problem behavior by teaching communicative responses that access functionally equivalent reinforcers. During FCT, the communicative response is typically placed on a dense schedule of reinforcement that is unlikely to be maintained in the natural environment. Experiment 1 evaluated the effects of two schedule-thinning procedures (chained schedules and multiple schedules) on problem behavior maintained by escape from demands for three participants following FCT. The chained and multiple-schedule procedures were effective in reducing rates of problem behavior. Compliance increased under both schedules, but the chained schedule resulted in higher levels of compliance with two participants. In Experiment 2, participants' preference for the chained or multiple-schedule procedure was evaluated using a modified concurrent-chain procedure. One participant preferred the chained schedule. One participant preferred the multiple schedule. One participant did not appear to discriminate between conditions.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1075-1108"},"PeriodicalIF":2.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39272412","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":"Systematic Review of Acceptance and Commitment Therapy in Individuals with Neurodevelopmental Disorders, Caregivers, and Staff.","authors":"Yors Garcia, Anastasia Keller-Collins, Meredith Andrews, Yukie Kurumiya, Kaleiya Imlay, Brandon Umphrey, Elizabeth Foster","doi":"10.1177/01454455211027301","DOIUrl":"https://doi.org/10.1177/01454455211027301","url":null,"abstract":"<p><p>The purpose of this review was to quantitatively synthesize studies using acceptance and commitment therapy (ACT) with individuals with neurodevelopmental disorders (NNDs), their parents, and staff members that support them. Thirty studies published in peer-reviewed journals between 2006 and 2020 met inclusion criteria. They were reviewed and coded on variables associated with participants' characteristics, settings, dropouts, design type, ACT procedures and measures, social validity, treatment integrity, and main findings. The What Works Clearinghouse (WWC), the revised Cochrane risk-of-bias tool for randomized trials (RoB2) and the Risk of Bias in Nonrandomized Studies of Interventions (ROBINS-I) were applied to evaluate the quality of the studies. Results indicated that 20 studies used group designs and 10 studies used single-case designs. Participants with NNDs consisted predominantly of those with autism spectrum disorder, attention deficit hyperactivity disorder, and learning disabilities. Group studies reported process and outcome measures exclusively; whereas, single-case studies also incorporated behavioral/direct measures. Overall, results showed mixed improvements across studies using indirect and direct measures. Lastly, quality assessment for group studies presented moderate or serious risk of bias and two single-case studies did not meet WWC evidence of effectiveness. Directions for future research and practice are discussed.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1236-1274"},"PeriodicalIF":2.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/01454455211027301","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39112846","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}