Behavior ModificationPub Date : 2022-09-01Epub Date: 2021-09-28DOI: 10.1177/01454455211047605
Bénédicte Thonon, Marie-Noëlle Levaux, Evelyne van Aubel, Frank Larøi
{"title":"A Group Intervention for Motivational Deficits: Preliminary Investigation of a Blended Care Approach Using Ambulatory Assessment.","authors":"Bénédicte Thonon, Marie-Noëlle Levaux, Evelyne van Aubel, Frank Larøi","doi":"10.1177/01454455211047605","DOIUrl":"https://doi.org/10.1177/01454455211047605","url":null,"abstract":"<p><p>Motivational deficits are an important predictor of functional outcomes in individuals with a serious mental illness such as schizophrenia and mood spectrum disorders. The aim of the present study was to explore the feasibility, acceptability, and preliminary efficacy of a group version of \"Switch,\" an intervention that targets motivational deficits, enriched with an ecological momentary intervention (EMI) approach (i.e., prompts on the participants' smartphone to encourage the use of trained strategies in their daily life). Eight participants with schizophrenia, schizoaffective, or major depressive disorder entered the study. The intervention took place twice a week for 2 months. Assessment measures included traditional evaluations of motivational negative symptoms, apathy, quality of life and daily functioning, in addition to ambulatory assessment methods strategies, including the experience sampling method (ESM) to assess motivation and related processes, and actigraphy (daily step-count) to assess participants' activity level. Four participants were considered as non-completers (followed less than 2/3 of the program) and four were considered as completers. Only completers presented a decrease in amotivation/apathy and an improvement in functional outcomes after the intervention and at follow-up. Furthermore, mixed-effects ESM models showed significant interaction effects on multiple processes related to motivation, indicating improvements only in completers: heightened motivation, increased engagement in meaningful and effortful activities, better mood, higher levels of confidence, increased frequency of projection into the future (pleasure anticipation), and of positive reminiscence. This preliminary investigation provides evidence that Switch may be an effective intervention, with specific effects on motivation and associated processes.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39468503","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: 2021-08-12DOI: 10.1177/01454455211038208
Tessa Taylor, Marc J Lanovaz
{"title":"Machine Learning to Support Visual Inspection of Data: A Clinical Application.","authors":"Tessa Taylor, Marc J Lanovaz","doi":"10.1177/01454455211038208","DOIUrl":"https://doi.org/10.1177/01454455211038208","url":null,"abstract":"<p><p>Practitioners in pediatric feeding programs often rely on single-case experimental designs and visual inspection to make treatment decisions (e.g., whether to change or keep a treatment in place). However, researchers have shown that this practice remains subjective, and there is no consensus yet on the best approach to support visual inspection results. To address this issue, we present the first application of a pediatric feeding treatment evaluation using machine learning to analyze treatment effects. A 5-year-old male with autism spectrum disorder participated in a 2-week home-based, behavior-analytic treatment program. We compared interrater agreement between machine learning and expert visual analysts on the effects of a pediatric feeding treatment within a modified reversal design. Both the visual analyst and the machine learning model generally agreed about the effectiveness of the treatment while overall agreement remained high. Overall, the results suggest that machine learning may provide additional support for the analysis of single-case experimental designs implemented in pediatric feeding treatment evaluations.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39303124","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}
Elisabeth Akeman, Evan White, Kate Wolitzky-Taylor, Jessica Santiago, Timothy J McDermott, Danielle C DeVille, Jennifer L Stewart, Martin Paulus, Charles T Taylor, Robin L Aupperle
{"title":"Amplification of Positivity Therapy for Co-occurring Alcohol Use Disorder with Depression and Anxiety Symptoms: Pilot Feasibility Study and Case Series.","authors":"Elisabeth Akeman, Evan White, Kate Wolitzky-Taylor, Jessica Santiago, Timothy J McDermott, Danielle C DeVille, Jennifer L Stewart, Martin Paulus, Charles T Taylor, Robin L Aupperle","doi":"10.1177/01454455211030506","DOIUrl":"https://doi.org/10.1177/01454455211030506","url":null,"abstract":"<p><p>Positive valence system dysregulation is a relatively unexplored transdiagnostic mechanism and potential treatment target underpinning alcohol use and anxiety and depression symptoms. The current study examined the feasibility and potential benefit of a behavioral intervention focused on amplification of positivity (AMP) with eight adults (five female) diagnosed with alcohol use disorder and clinically significant depression or anxiety (ClinicalTrials.gov: NCT04278365). AMP for alcohol use (AMP-A) was delivered in 11 individual sessions involving positive activity interventions integrated alongside psychoeducation and alcohol use monitoring. Case descriptions are provided to illustrate treatment implementation. Treatment credibility and acceptability, participant endorsement of the therapy, and homework compliance were rated moderate to high. Exploratory, intent-to-treat analyses suggested medium to large effect sizes for post-treatment improvements in alcohol use, depression, anxiety, and positive affect. Results provide initial evidence of feasibility and acceptability of AMP-A and will be useful for informing future randomized clinical trials to examine clinical efficacy.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/01454455211030506","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10439408","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 : 2022-09-01Epub Date: 2021-10-01DOI: 10.1177/01454455211047606
Julia W Felton, Justin D Triemstra, Elizabeth K Reynolds, Nicole Hale, Jessica F Magidson, Carl W Lejuez
{"title":"The Role of Social Adjustment in a Collegiate Behavioral Activation Program.","authors":"Julia W Felton, Justin D Triemstra, Elizabeth K Reynolds, Nicole Hale, Jessica F Magidson, Carl W Lejuez","doi":"10.1177/01454455211047606","DOIUrl":"https://doi.org/10.1177/01454455211047606","url":null,"abstract":"<p><p>The transition to college is associated with significant changes in social support networks and concomitant increases in depressive symptoms. First-year students who are more socially engaged within their new academic settings may experience greater overall wellbeing. Behavioral activation (BA) is an evidence-based intervention which promotes individuals' engagement with valued activities and has been examined as a possible primary prevention for depressive symptoms among first-year students. Yet, the important role of social adjustment, and its impact on students' activity level, has not yet been considered. The current study is a secondary data analysis of research evaluating a BA-based intervention embedded into a first-year orientation course. The aim of the project was to evaluate the efficacy of BA on improving social adjustment and the effect of social adjustment on subsequent depressive symptoms. A diverse sample of college students (<i>n</i> = 71) attending a state university in the mid-Atlantic region reported on their levels of depression, behavioral activation, and social adjustment. Students then received either BA or standard programming. Results suggest that improved engagement in valued activities at mid-intervention was associated with increases in students' perceptions of their own social adjustment. This, in turn, predicted steeper decreases in rates of depressive symptoms post-intervention. Findings also indicate that greater social adjustment improved the efficacy of a BA-based intervention in reducing depressive symptoms, but had no impact on depressive symptoms for students receiving the standard orientation programming.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39476820","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: 2021-05-27DOI: 10.1177/01454455211018815
Matthew J O'Brien, Kelly E Pelzel, Nicole M Hendrix, Kelly M Schieltz, Kenzie Miller, Nathan A Call, Loukia Tsami, Dorothea C Lerman, Wendy K Berg, Todd G Kopelman, David P Wacker, Scott D Lindgren
{"title":"Parent Ratings of Generalized and Indirect Effects of Functional Communication Training for Children with Autism Spectrum Disorder.","authors":"Matthew J O'Brien, Kelly E Pelzel, Nicole M Hendrix, Kelly M Schieltz, Kenzie Miller, Nathan A Call, Loukia Tsami, Dorothea C Lerman, Wendy K Berg, Todd G Kopelman, David P Wacker, Scott D Lindgren","doi":"10.1177/01454455211018815","DOIUrl":"10.1177/01454455211018815","url":null,"abstract":"<p><p>Functional communication training (FCT) is a behavioral treatment that has been shown to reduce problem behavior and increase appropriate communication in young children with autism spectrum disorder (ASD). In this study, we assessed the effects of FCT on targeted and nontargeted problem behaviors outside of the training context, as well as parent stress, for 30 young children with ASD and their parents. Indirect measures of generalization treatment effects were administered prior to and following FCT treatment delivered via telehealth. Children demonstrated significant improvement on both targeted (measured via observation) and nontargeted (measured via checklist) problem behaviors, both within and outside of the training context, and parent stress was significantly reduced following treatment. These results suggest that the impact of FCT may extend beyond the training context for both the children being treated and the parents delivering treatment, even when generalization is not specifically programmed for during treatment.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38954706","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 : 2022-07-01Epub Date: 2021-02-04DOI: 10.1177/0145445521992308
Tom Cariveau, Katelyn Hunt, Halley Robbins, Alexandria R Brown
{"title":"Preference for Alternative Communication Modality Based on Reinforcer Quality and Availability.","authors":"Tom Cariveau, Katelyn Hunt, Halley Robbins, Alexandria R Brown","doi":"10.1177/0145445521992308","DOIUrl":"https://doi.org/10.1177/0145445521992308","url":null,"abstract":"<p><p>Preference for augmentative or alternative communication (AAC) systems has received growing interest in work with individuals with developmental disabilities. An individual may choose a modality based on technological (e.g., auditory-output) or aesthetic features of a system; however, it is ideal that functional features (i.e., effectiveness in producing a reinforcer) affect preference to a much greater extent. Prior research has treated preference as a static variable and may commonly report a lack of preference for a modality or control by irrelevant features of the assessment (e.g., position of the modality in an array). The current study assessed the preference for AAC modalities of a teenager with autism spectrum disorder and intellectual disability using a concurrent-chains procedure. This study extended prior research by including additional methods to ensure accurate assessment of preference (i.e., a control condition) and a reinforcer manipulation to determine whether preference was controlled by non-functional (e.g., aesthetic) or functional (i.e., reinforcer quality and availability) variables. Preference was found to be functionally related to reinforcer availability, including when rapidly alternated between modalities. Moreover, the participant consistently allocated responding away from the control condition. Implications for self-determination and suggestions for future research on preference for AAC systems are considered.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0145445521992308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25331299","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 : 2022-07-01Epub Date: 2021-02-16DOI: 10.1177/0145445521994308
Ana Gallego, Louise McHugh, Markku Penttonen, Raimo Lappalainen
{"title":"Measuring Public Speaking Anxiety: Self-report, behavioral, and physiological.","authors":"Ana Gallego, Louise McHugh, Markku Penttonen, Raimo Lappalainen","doi":"10.1177/0145445521994308","DOIUrl":"https://doi.org/10.1177/0145445521994308","url":null,"abstract":"<p><p>Self-reports are typically used to assess public speaking anxiety. In this study, we examined whether self-report, observer report, and behavioral and physiological reactivity were associated with each other during a speech challenge task. A total of 95 university students completed a self-report measure of public speaking anxiety before and after the speech challenge. Speech duration (i.e., behavioral measure), physiological reactivity, as well as speech performance evaluated by the participants and observers were also recorded. The results suggest that self-reported public speaking anxiety predicts speech duration, as well as speech quality, as rated by the participants themselves and observers. However, the physiological measures were not associated with self-reported anxiety during the speech task. Additionally, we observed that socially anxious participants underrate their speech performance in comparison to their observers' evaluations.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0145445521994308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25373660","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 : 2022-07-01Epub Date: 2021-02-03DOI: 10.1177/0145445521991102
Rachel Reeves, David Curran, Amanda Gleeson, Donncha Hanna
{"title":"A Meta-Analysis of the Efficacy of Virtual Reality and In Vivo Exposure Therapy as Psychological Interventions for Public Speaking Anxiety.","authors":"Rachel Reeves, David Curran, Amanda Gleeson, Donncha Hanna","doi":"10.1177/0145445521991102","DOIUrl":"https://doi.org/10.1177/0145445521991102","url":null,"abstract":"<p><p>Public speaking anxiety (PSA) is a prevalent condition with disabling occupational, educational, and social consequences. Exposure therapy is a commonly utilized approach for treating PSA. Traditionally, this intervention has been delivered as in vivo exposure therapy (IVET). Limitations inherent to in vivo as a mode of delivery have been identified and studies have increasingly explored the use of Virtual Reality Exposure Therapy (VRET) as an alternative. Understanding the efficacy of both VRET and IVET as psychological interventions for PSA is important. A systematic search identified 11 studies with 508 participants. Meta-analysis yielded a large significant effect wherein VRET resulted in significant reductions in PSA versus control of -1.39 (<i>Z</i> = 3.96, <i>p</i> < .001) and a similar large significant effect wherein IVET resulted in significant reductions in PSA versus control of -1.41 (<i>Z</i> = 7.51, <i>p</i> < .001). Although IVET was marginally superior to VRET, both interventions proved efficacious. Given the advantages of utilizing VRET over IVET future research and clinical practice could explore VRET as a treatment option for PSA.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0145445521991102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25325756","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 : 2022-07-01Epub Date: 2021-01-19DOI: 10.1177/0145445520988142
Tom Cariveau, Astrid La Cruz Montilla
{"title":"Effects of the Onset of Differential Reinforcer Quality on Skill Acquisition.","authors":"Tom Cariveau, Astrid La Cruz Montilla","doi":"10.1177/0145445520988142","DOIUrl":"https://doi.org/10.1177/0145445520988142","url":null,"abstract":"<p><p>Differential reinforcement of a target response is a necessary component of stimulus control transfer procedures. Recent research has further considered the timing (i.e., onset) of differential reinforcement of unprompted correct responding. To date, the onset of differential reinforcement has been inconsistently controlled in studies comparing skill acquisition programs for individuals with developmental disabilities. The current study serves as a systematic replication of prior comparative research to examine the effects of immediate and delayed differential reinforcement onset on the efficiency of acquisition for three individuals with developmental disabilities. The delayed onset of differential reinforcement required the fewest number of exposures to mastery per target across all comparisons. These findings failed to replicate those of prior research on differential reinforcement onset, possibly due to differences in participant characteristics, target tasks, or other required procedural modifications. Considerations for future research on differential reinforcement procedures in skill acquisition programs are described.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0145445520988142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38836654","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 : 2022-07-01Epub Date: 2021-01-29DOI: 10.1177/0145445521991098
Silvia Melero, Alexandra Morales, José Pedro Espada, Mireia Orgilés
{"title":"Improving Social Performance Through Video-feedback with Cognitive Preparation in Children with Emotional Problems.","authors":"Silvia Melero, Alexandra Morales, José Pedro Espada, Mireia Orgilés","doi":"10.1177/0145445521991098","DOIUrl":"https://doi.org/10.1177/0145445521991098","url":null,"abstract":"<p><p>Anxious children report a more negative perception of their social performance and increased nervous behaviors. The video-feedback with cognitive preparation allows children to contrast and modify their negative social self-image, increasing their self-confidence and decreasing anxiety behaviors. This study aimed to examine the effectiveness of the Super Skills for Life (SSL) program in improving social performance in a sample of children with emotional symptoms. Results indicated that both objective and subjective evaluation showed positive effects of the SSL program on the children's social performance, enhancing their social skills and reducing anxiety behaviors in social situations, both during the program and in the last session. Girls felt more comfortable and showed better speech and social performance than boys. Our findings increase the evidence about the short-term effects of the video-feedback with cognitive preparation of the SSL program and provide a useful transdiagnostic protocol for application in the clinical setting.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0145445521991098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38879746","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}