Behavior Modification最新文献

{"title":"Evaluating Variations of Feeder Attention in Mitigating the Side Effects of Escape Extinction.","authors":"Bethany A Hansen, Nicole C Demchuk, Ilissa V Frye, Angelica Ibarra, Tina Vo, Jennifer M Kozisek, Daniel M Shriver, Amy K Drayton","doi":"10.1177/01454455261474797","DOIUrl":"https://doi.org/10.1177/01454455261474797","url":null,"abstract":"<p><p>Research has shown that removing bites is the primary motivator for children with feeding difficulties to engage in inappropriate mealtime behavior (IMB) and escape extinction (EE) is the most well-established treatment component. Escape extinction may result in temporary but negative side effects (e.g., increases in crying). Attention from the feeder is another common motivator but less is known regarding the impact or efficacy of different applications of feeder attention, including attention extinction, noncontingent attention, or differential reinforcement of alternative behavior with attention. The current study included six participants and is the first to directly compare the efficacy and caregiver acceptability of EE with different schedules of feeder attention in isolation. All treatment packages resulted in reductions in IMB and increased consumption of new foods. Overall, results indicated that different schedules of feeder attention may mitigate negative side effects of EE and that caregivers prefer a treatment that includes feeder attention.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455261474797"},"PeriodicalIF":2.2,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851618","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":"Culturally Responsive Adaptations: A Virtual Caregiver-mediated Intervention for Spanish-Speaking Families and Children with Autism.","authors":"Megan Kunze, Ana D Dueñas, Melissa Miranda, Ambar Muñoz Lavanderos, Carmen Orendain Soto","doi":"10.1177/01454455261473252","DOIUrl":"https://doi.org/10.1177/01454455261473252","url":null,"abstract":"<p><p>Using a surface adaptation, this single-case experimental study evaluated Promoting Reciprocal Relationships with Flexibility, Coaching, and Teaching (PRRFCT Match) for Spanish-speaking families whose children have an autism diagnosis. PRRFCT Match is a caregiver-mediated, naturalistic developmental intervention package that has been previously tested in 2 single-case experiments involving a total of 16 families. This iteration culturally and linguistically adapted the intervention package for use with four transborder, Spanish-speaking families, who were matched with Spanish-speaking coaches. The Spanish-speaking caregivers represent families whose home language or preferred language is Spanish. Using a multiple baseline design, data from caregiver and child behavior change were analyzed via visual analysis, non-overlap, and standard mean difference. This study shows promise for surface adaptation of the PRRFCT Match intervention package. Recommendations and considerations for cultural and linguistic adaptations of interventions that meet the needs of individual families are discussed.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455261473252"},"PeriodicalIF":2.2,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814365","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":"Team Membership and Behavior Plan Quality: Participation of Mental Health Professionals, Behavior Specialists, and Students with Emotional and Behavioral Disorders.","authors":"Meghan Edwards-Bowyer, Christy Brown, Madison Imler-Brandt, Megan E Carpenter, Shanna E Hirsch, Timothy J Lewis","doi":"10.1177/01454455261468294","DOIUrl":"https://doi.org/10.1177/01454455261468294","url":null,"abstract":"<p><p>Students with emotional and behavioral disorders (EBD) may exhibit a complex spectrum of internalizing and externalizing behaviors, necessitating support from interdisciplinary specialists during the development of Functional Behavior Assessments (FBAs) and Behavior Intervention Plans (BIPs). This descriptive study examined the extent to which mental health professionals, behavior specialists, and students themselves were involved in the FBA-BIP process in two large districts (Midwest and Southeast). Findings highlight student and mental health professional involvement across grade levels, as well as significantly higher mean quality ratings of FBAs and BIPs with involvement of these individuals. Behavior specialist participation was too infrequent for meaningful analysis. Recommendations for future research, policy, and practice are discussed to guide the collaborative teaming process for FBA-BIP development for students with EBD, as well as limitations of this study.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455261468294"},"PeriodicalIF":2.2,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622071","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":"Obstacles and Facilitators to Healthy Dietary Habits in Individuals with a Psychotic Disorder: A Systematic Review.","authors":"Lorilou Thériault, Anne-Marie Kik, Kathya Carrier, Ahmed Jérôme Romain, Tania Lecomte","doi":"10.1177/01454455261449783","DOIUrl":"https://doi.org/10.1177/01454455261449783","url":null,"abstract":"<p><p>Individuals diagnosed with psychotic disorders have reduced life expectancy, primarily attributed to cardiovascular diseases exacerbated by lifestyle habits and antipsychotic side effects. Poor diet quality, marked by low fruit and vegetable consumption and high discretionary food intake are also at play. Limited information exists on factors influencing healthy dietary habits in this population. This systematic review aims to analyze qualitative and quantitative data, from the past 20 years, on obstacles and facilitators to healthy dietary habits among individuals with psychotic disorders. PsycINFO, PubMed and Google scholar searches with these inclusion criteria were conducted: (a) peer-reviewed articles, (b) participants are adults, (c) at least 30% or more of the sample had a psychotic disorder, and (d) focus on obstacles, facilitators or interventions related to healthy dietary habits. Among 21 identified articles, 14 addressed obstacles 11 discussed facilitators and 12 proposed interventions. This review identified seven key obstacles (cost and accessibility, taste of healthy food, emotional role of food, social environment, cognitive challenges, symptoms, and medication) and four facilitators (social support, health-related motivation, improved self-perception and interventions). Notably, some factors, such as social support and neighborhood environment, emerged as both obstacles and facilitators depending on the context. Access to effective interventions, including educational resources, such as cooking and planning skills, and more research on group therapy and peer-based programs are discussed.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455261449783"},"PeriodicalIF":2.2,"publicationDate":"2026-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521314","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":"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":"251-285"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","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":"Response Interruption and Redirection for Stereotypy: A Quality Review and Ethical Considerations.","authors":"Hannah MacNaul, Anh Nguyen","doi":"10.1177/01454455261434871","DOIUrl":"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":"310-356"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13237215/pdf/","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":"OA","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":"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":"286-309"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13237214/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural Adaptation of a Caregiver Training Program for Arabic-Speaking Families: Feasibility and Social Validity.","authors":"Ban Haidar, Rayan Alqunaysi, Hedda Meadan, Melanie R Martin Loya, Menaka De Alwis","doi":"10.1177/01454455261444277","DOIUrl":"https://doi.org/10.1177/01454455261444277","url":null,"abstract":"<p><p>This study examined the feasibility and acceptability of a culturally adapted, asynchronous online caregiver training program for Arabic-speaking families of children with developmental disabilities. The program addressed behaviors commonly described in the literature as <i>challenging behavior</i>,¹ which may interfere with learning, participation, or social interactions. The training was culturally adapted using a structured checklist to enhance contextual and cultural relevance. Fourteen caregivers residing in Saudi Arabia participated. Pre- and post-training assessments showed statistically significant improvements in caregiver knowledge of behavioral strategies. Participants rated the training highly for clarity, cultural responsiveness, and perceived usefulness. Qualitative interviews underscored the program's social validity and its relevance to caregivers' lived experiences. These findings provide preliminary support for the potential of culturally grounded, online caregiver training programs to strengthen family capacity and expand access to evidence-based practices in underserved communities.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455261444277"},"PeriodicalIF":2.2,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279292","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":"The Impact of Extinction for Alternative Responding on Vocal Behavior.","authors":"Joel E Ringdahl, Sandie M Bass-Ringdahl, Maggie A Molony, Rose Morlino, Kelly M Schieltz, Kayla Crook","doi":"10.1177/01454455261451165","DOIUrl":"10.1177/01454455261451165","url":null,"abstract":"<p><p>Functional communication training (FCT) has emerged as the most often researched intervention to reduce challenging behavior exhibited by individuals with developmental disabilities. In recent years, there has been a shift toward evaluating FCT under conditions that approximate treatment challenges. In our research, we have noted that, during such challenges, variable responding sometimes emerges and this variability can include vocalizations. In the current study, we reported examples of this finding, as vocal behavior was not a dependent variable targeted by the larger study. The changes in vocal responding exhibited by three individuals receiving FCT that incorporated alternative and augmentative communication (AAC) strategies are discussed in the context of extinction-induced variability and the potential utility of AAC-based FCT interventions to bring about vocal responding.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"1454455261451165"},"PeriodicalIF":2.2,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036452","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":"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":2.2,"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}