Behavior Modification最新文献

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Evaluation of a Telehealth ABA Program for Caregivers of Children with ASD. ASD儿童护理人员远程健康ABA项目的评估。
IF 2.3 3区 心理学
Behavior Modification Pub Date : 2023-03-01 DOI: 10.1177/01454455221130001
Stephanie Gerow, Marie Kirkpatrick, Kristina McGinnis, Tracey N Sulak, Tonya N Davis, Stephanie Fritz
{"title":"Evaluation of a Telehealth ABA Program for Caregivers of Children with ASD.","authors":"Stephanie Gerow,&nbsp;Marie Kirkpatrick,&nbsp;Kristina McGinnis,&nbsp;Tracey N Sulak,&nbsp;Tonya N Davis,&nbsp;Stephanie Fritz","doi":"10.1177/01454455221130001","DOIUrl":"https://doi.org/10.1177/01454455221130001","url":null,"abstract":"<p><p>Children with autism spectrum disorder (ASD) often experience skill deficits that can negatively affect long-term outcomes. Interventions based on applied behavior analysis (ABA) yield improvements in targeted skills. However, families often have difficulty accessing ABA services. The purpose of this study was to evaluate the efficacy of a caregiver coaching program delivered via telehealth. Thirty children with ASD and their caregivers (e.g., parents, grandparents) participated in all phases of the study. The program consisted of therapists providing coaching in English or Spanish to caregivers of children with ASD via synchronous video call telehealth visits, typically provided one to two times per week. Caregivers received coaching in interventions (e.g., functional communication training, discrete trial teaching, total task chaining, and naturalistic teaching) to address individualized goals. We collected data on caregiver treatment fidelity and child outcomes (i.e., Vineland-3, observation, and analysis of time series data). Caregivers implemented intervention procedures with 95% accuracy on average. The single-case effect sizes calculated based on the time series baseline and intervention data yielded medium, large, or very large improvements for 85% of goals addressed. Results indicated that the children improved on appropriate engagement (measured via observation), but there was no statistically significant improvement for the remaining pre-post measures. These results, along with the results of previous studies, provide preliminary support for the use of telehealth to provide ABA services. However, there is a need for additional research evaluating the efficacy of these types of programs.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"47 2","pages":"349-379"},"PeriodicalIF":2.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9300269","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}
引用次数: 5
Outcomes and Acceptability of Telehealth-Based Coaching for Caregivers in Asian Countries. 亚洲国家护理人员远程医疗指导的结果和可接受性。
IF 2.3 3区 心理学
Behavior Modification Pub Date : 2023-03-01 DOI: 10.1177/01454455221113560
Loukia Tsami, Jennifer Trang Nguyen, Naomi Alphonso, Dorothea Lerman, Marissa Matteucci, Ning Chen
{"title":"Outcomes and Acceptability of Telehealth-Based Coaching for Caregivers in Asian Countries.","authors":"Loukia Tsami,&nbsp;Jennifer Trang Nguyen,&nbsp;Naomi Alphonso,&nbsp;Dorothea Lerman,&nbsp;Marissa Matteucci,&nbsp;Ning Chen","doi":"10.1177/01454455221113560","DOIUrl":"https://doi.org/10.1177/01454455221113560","url":null,"abstract":"<p><p>Recent studies evaluating the effectiveness of using telehealth to train caregivers across large geographical distances in the United States and internationally indicate that this modality can increase families' accessibility to evidence-based interventions for problem behavior. In this study, experimenters and interpreters in the United States remotely coached nine caregivers of children with disabilities residing in three countries in Asia to implement functional analyses (FA) and functional communication training (FCT). Five of the nine families were culturally matched to either the experimenter or the interpreter. Problem behavior was reduced to near-zero levels for all but one participant. Furthermore, all caregivers implemented the procedures with high levels of integrity and rated the assessment and treatment as highly acceptable, regardless of cultural matching or use of interpreters. Overall, findings suggest telehealth-based caregiver coaching and caregiver-implemented FA plus FCT is feasible and acceptable in Asia.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"47 2","pages":"297-323"},"PeriodicalIF":2.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9299226","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}
引用次数: 3
A Comparison Between Direct Telehealth and In-Person Methods of Teaching Expressive Labels to Children Diagnosed With Autism Spectrum Disorder. 直接远程医疗与亲临教学对自闭症谱系障碍儿童表达标签教学的比较
IF 2.3 3区 心理学
Behavior Modification Pub Date : 2023-03-01 DOI: 10.1177/01454455221130000
Kandice Knopp, Julia L Ferguson, Jessica Piazza, Mary Jane Weiss, Matthew Lee, Joseph H Cihon, Justin B Leaf
{"title":"A Comparison Between Direct Telehealth and In-Person Methods of Teaching Expressive Labels to Children Diagnosed With Autism Spectrum Disorder.","authors":"Kandice Knopp,&nbsp;Julia L Ferguson,&nbsp;Jessica Piazza,&nbsp;Mary Jane Weiss,&nbsp;Matthew Lee,&nbsp;Joseph H Cihon,&nbsp;Justin B Leaf","doi":"10.1177/01454455221130000","DOIUrl":"https://doi.org/10.1177/01454455221130000","url":null,"abstract":"<p><p>Recent behavior analytic research has demonstrated that the provision of applied behavior analytic services via direct telehealth can be an effective teaching modality for some learners with autism spectrum disorder (ASD). Historically, teaching procedures based on applied behavior analysis (ABA), including discrete trial teaching (DTT), have been provided and evaluated via in-person delivery. This study sought to compare the implementation of DTT via direct telehealth to DTT implemented in-person within and across participants. Specifically, this study evaluated the two delivery modalities in terms of skill acquisition, maintenance, efficiency, and learner responding during teaching sessions. Results of an adapted alternating treatments design nested into a multiple baseline design demonstrated that all three participants diagnosed with ASD met the mastery criteria for the expressive labels taught. Areas of future research, participant prerequisite skills, and clinical implications will be discussed in the context of these results.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"47 2","pages":"432-453"},"PeriodicalIF":2.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10735429","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}
引用次数: 4
An Assessment of Response to Conversation Cues of Uninterest Conducted via Telehealth. 对通过远程医疗进行的无兴趣谈话线索的反应评估。
IF 2.3 3区 心理学
Behavior Modification Pub Date : 2023-03-01 DOI: 10.1177/01454455221142025
Catherine Kishel, Timothy Vollmer
{"title":"An Assessment of Response to Conversation Cues of Uninterest Conducted via Telehealth.","authors":"Catherine Kishel,&nbsp;Timothy Vollmer","doi":"10.1177/01454455221142025","DOIUrl":"https://doi.org/10.1177/01454455221142025","url":null,"abstract":"<p><p>Individuals diagnosed with autism spectrum disorder (ASD) exhibit deficits in social interaction and communication. Kronfli, Vollmer, et al. developed an in-person assessment to evaluate participant response to social cues indicating uninterest in a conversation. In the current study, we sought to extend these procedures to the assessment of conversation skills via telehealth given the ongoing pandemic and so that participants in remote areas could receive services. Participants were exposed to a hierarchy of social cues of uninterest ranging in salience from one-word responses to a clear verbal statement of uninterest until they demonstrated sensitivity to a social cue. One participant who did not demonstrate sensitivity to any cues received instruction using Behavioral Skills Training. Initial results support the utility of using a remote assessment model to screen for sensitivity to specific social cues in conversations and to provide services to participants via telehealth.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"47 2","pages":"454-475"},"PeriodicalIF":2.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10736474","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}
引用次数: 1
Developing and Delivering Behavioral Interventions Through Telehealth. 通过远程医疗发展和提供行为干预。
IF 2.3 3区 心理学
Behavior Modification Pub Date : 2023-03-01 DOI: 10.1177/01454455231153784
Regina Carroll, Mary Halbur, Elizabeth Preas
{"title":"Developing and Delivering Behavioral Interventions Through Telehealth.","authors":"Regina Carroll,&nbsp;Mary Halbur,&nbsp;Elizabeth Preas","doi":"10.1177/01454455231153784","DOIUrl":"https://doi.org/10.1177/01454455231153784","url":null,"abstract":"<p><p>This special issue on telehealth in <i>Behavior Modification</i> features 10 studies related to developing and delivering behavioral interventions through telehealth. The studies in this issue cover a variety of topics including using telehealth to train caregivers, training clinicians to use telehealth, and directly implementing interventions or assessments through telehealth. The special issue concludes with a comprehensive literature review examining variables that impact the effectiveness of telehealth as a service-delivery tool.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"47 2","pages":"291-296"},"PeriodicalIF":2.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9286830","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}
引用次数: 0
Evaluation of a Telehealth Training Package to Remotely Teach Caregivers to Conduct Discrete-Trial Instruction. 评估远程医疗培训包,远程教护理人员进行离散试验指导。
IF 2.3 3区 心理学
Behavior Modification Pub Date : 2023-03-01 DOI: 10.1177/01454455221138062
William J Higgins, Wayne W Fisher, Amanda Logan Hoppe, Leny Velasquez
{"title":"Evaluation of a Telehealth Training Package to Remotely Teach Caregivers to Conduct Discrete-Trial Instruction.","authors":"William J Higgins,&nbsp;Wayne W Fisher,&nbsp;Amanda Logan Hoppe,&nbsp;Leny Velasquez","doi":"10.1177/01454455221138062","DOIUrl":"https://doi.org/10.1177/01454455221138062","url":null,"abstract":"<p><p>The present study evaluated the effectiveness of using telehealth technologies to remotely train caregivers of children with ASD to conduct discrete-trial instruction (DTI). We used a multiple-baseline-across-participants design to evaluate caregiver correct implementation of the DTI procedures and child emission of independent correct tacts as dependent measures. We observed robust and immediate improvements for all three caregivers and two of three children. Treatment effects were maintained during follow-up and generalization probes. We discuss the benefits of telehealth technologies and other remote treatment applications.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"47 2","pages":"380-401"},"PeriodicalIF":2.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10736460","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}
引用次数: 1
Caregiver-Implemented Digital Activity Schedules With Virtual Coaching. 看护人实施的带有虚拟指导的数字活动计划。
IF 2.3 3区 心理学
Behavior Modification Pub Date : 2023-03-01 DOI: 10.1177/01454455221118341
Juliana Aguilar, Sara Peck, Stephanie L Mattson, Kassidy S Reinert, Thomas S Higbee, Nicholas A Lindgren, Jessica A Osos
{"title":"Caregiver-Implemented Digital Activity Schedules With Virtual Coaching.","authors":"Juliana Aguilar,&nbsp;Sara Peck,&nbsp;Stephanie L Mattson,&nbsp;Kassidy S Reinert,&nbsp;Thomas S Higbee,&nbsp;Nicholas A Lindgren,&nbsp;Jessica A Osos","doi":"10.1177/01454455221118341","DOIUrl":"https://doi.org/10.1177/01454455221118341","url":null,"abstract":"<p><p>During the COVID-19 pandemic, many insurance companies approved the funding of telehealth-based behavior analytic services for both training and direct-care purposes. Activity schedules are a simple and effective intervention that can be used in the home environment to improve independence for children with ASD. Recent efforts have shifted the format of activity schedules from paper-based schedules to digital platforms that make the schedules more portable and provide easier access for both the caregiver and the Board Certified Behavior Analyst (BCBA). Google Slides<sup>®</sup> is a readily available web-based platform that has been used to design and deliver behavior analytic instruction during the COVID-19 pandemic. A non-concurrent multiple baseline design across three child-caregiver dyads was used to evaluate the effectiveness of a caregiver-implemented digital activity schedule intervention on the independent play behaviors of children with ASD. The activity schedule was created and shared on the Google Slides<sup>®</sup> platform and caregivers received bug-in-ear (BIE) coaching from practitioners to implement the intervention. Regardless of some minor treatment implementation difficulties attributed to the remote service delivery and the digital format, the digital platform and coaching intervention were effective in increasing independent schedule following with minimal training on the part of the caregiver. We hope that the results of this study provide BCBAs with additional guidance on effective interventions and procedures for remote service delivery.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"47 2","pages":"324-348"},"PeriodicalIF":2.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10739819","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}
引用次数: 1
Parenting in a Pandemic: Preliminary Support for Delivering Brief Behavioral Parent Training Through Telehealth. 流行病中的育儿:通过远程保健提供简短的行为父母培训的初步支持。
IF 2.3 3区 心理学
Behavior Modification Pub Date : 2023-01-01 DOI: 10.1177/01454455221103226
Jacob B W Holzman, Jessica L Hawks, Sarah M Kennedy, Bruno J Anthony, Laura G Anthony
{"title":"Parenting in a Pandemic: Preliminary Support for Delivering Brief Behavioral Parent Training Through Telehealth.","authors":"Jacob B W Holzman,&nbsp;Jessica L Hawks,&nbsp;Sarah M Kennedy,&nbsp;Bruno J Anthony,&nbsp;Laura G Anthony","doi":"10.1177/01454455221103226","DOIUrl":"https://doi.org/10.1177/01454455221103226","url":null,"abstract":"<p><p>Behavioral problems, such as noncompliance and aggression, are a common referral reason to mental health services for young children. Behavioral parent training (BPT) is the leading intervention for addressing behavioral problems and leads to benefits in a variety of parental factors (e.g., parenting efficacy and parenting stress). While the COVID-19 pandemic dramatically shifted service delivery toward telehealth services, limited work has evaluated the effectiveness of BPT when delivered in a brief, group format through telehealth. The current retrospective chart review study evaluated the engagement to and preliminary effectiveness of a brief version of BPT delivered through telehealth to 64 families of 3- to 7-year-olds referred for behavioral problems. Families attended an average of 4.55 of 6 sessions and most families had two caregivers who engaged in the intervention. Significant reductions in caregivers' report of children's behavioral problems and improvements in parenting self-efficacy resulted. Future research and clinical implications are discussed.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"47 1","pages":"128-153"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10076234/pdf/10.1177_01454455221103226.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9634856","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}
引用次数: 1
A Retrospective Analysis of Therapists' Coaching Behavior When Directing Parents to Conduct Behavioral Assessments and Treatments Via Telehealth. 治疗师通过远程医疗指导家长进行行为评估和治疗时的指导行为回顾分析。
IF 2.3 3区 心理学
Behavior Modification Pub Date : 2023-01-01 Epub Date: 2022-06-22 DOI: 10.1177/01454455221106127
Alesia Larsen, Kelly M Schieltz, Amanda Barrett, Matthew J O'Brien
{"title":"A Retrospective Analysis of Therapists' Coaching Behavior When Directing Parents to Conduct Behavioral Assessments and Treatments Via Telehealth.","authors":"Alesia Larsen, Kelly M Schieltz, Amanda Barrett, Matthew J O'Brien","doi":"10.1177/01454455221106127","DOIUrl":"10.1177/01454455221106127","url":null,"abstract":"<p><p>Research on the delivery of behavioral assessment and treatment via telehealth has focused largely on child outcomes and parent procedural fidelity. By contrast, the behavior of the therapists coaching parents to conduct assessment and treatment has garnered little research consideration. In this study, we conducted a retrospective analysis of behavior therapists' coaching behaviors when directing parents to conduct functional analysis (FA) and functional communication training (FCT) with their young children with autism via telehealth. Coaching behaviors for five experienced behavior therapists across seven parent-child dyads were scored using a combination of standardized and novel behavior codes. Therapists displayed more social engagement behaviors than any other type of behavior throughout the study, and rates of antecedent and consequence behaviors shifted across the FA and FCT phases. Results are discussed in relation to therapists' goals during behavioral assessment and treatment and the implications for training behavioral therapists to coach parents via telehealth.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":"47 1","pages":"154-184"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11019754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10517773","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}
引用次数: 0
Using Chained or Tandem Schedules With Functional Communication Training: A Systematic Review. 使用链式或串联时间表与功能沟通训练:系统回顾。
IF 2.3 3区 心理学
Behavior Modification Pub Date : 2023-01-01 Epub Date: 2022-02-14 DOI: 10.1177/01454455221077420
Jessica N Torelli, Sage E Pickren
{"title":"Using Chained or Tandem Schedules With Functional Communication Training: A Systematic Review.","authors":"Jessica N Torelli,&nbsp;Sage E Pickren","doi":"10.1177/01454455221077420","DOIUrl":"https://doi.org/10.1177/01454455221077420","url":null,"abstract":"<p><p>Chained and tandem schedules are a common method for thinning schedules of reinforcement following functional communication training (FCT) in the treatment of problem behavior. We conducted a systematic literature review and meta-analysis of chained and tandem schedules following FCT to describe treatment characteristics and evaluate effects. We identified 38 articles and found reductions in problem behavior across four measures. Results of a random-effects multilevel meta-analysis of rigorous evaluations showed a significant effect of chained or tandem schedules + FCT on problem behavior relative to baseline. We observed resurgence in 77% of cases and 31% of schedule-thinning transitions. Results showed chained schedules resulted in greater reductions in problem behavior relative to tandem schedules. Exploratory moderator analyses suggested extinction, combined reinforcement, and delay and denial tolerance training procedures were associated with greater reductions in problem behavior relative to other treatment characteristics. Implications for practice and future research are discussed.</p>","PeriodicalId":48037,"journal":{"name":"Behavior Modification","volume":" ","pages":"185-218"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39630718","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}
引用次数: 4
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